A Primary Care Provider’s Guide to Clinical Needs of Women With Spinal Cord Injury

Top Spinal Cord Inj Rehabil, 2020 · DOI: 10.46292/sci2603-166 · Published: July 1, 2020

Spinal Cord Injury Healthcare Women's Health

Simple Explanation

Women with spinal cord injuries (SCI) have unique healthcare needs that require specialized attention from primary care providers. These needs span across their lifespan and include reproductive health, bone health, and preventive care, all while considering the complications arising from SCI. Clinicians need to be knowledgeable about SCI physiology, women's health, and the differences in complication rates following SCI. Collaboration with various specialists is crucial to optimize the health and function of women with SCI. Continued research is essential to understand the evolving needs of women with SCI and to develop effective treatment and care delivery models tailored to this population.

Study Duration

Not specified

Participants

Approximately 40,000 to 45,000 women with SCI living in the United States

Evidence Level

Not specified

Key Findings

1
Women with SCI are at increased risk for various health issues, including SCI-related bone loss and cardiometabolic disease, necessitating individualized health maintenance and diagnostic screening.
2
Reproductive health in women with SCI is often complicated by autonomic dysreflexia (AD), a potentially life-threatening condition that requires careful monitoring and management during pelvic exams and other procedures.
3
Women with SCI are less likely to receive recommended cancer screenings, highlighting the need for primary care physicians to advocate for accessibility and address barriers to appropriate screening.

Research Summary

Women with SCI have specific health needs that require careful consideration from primary care providers, including awareness of SCI physiology, complication rates, and the importance of collaboration with specialists. Reproductive health, bone health, and preventive care are key areas of focus for women with SCI, with special attention needed for conditions like autonomic dysreflexia and SCI-related osteoporosis. Addressing barriers to access and ensuring appropriate cancer screening are crucial aspects of improving preventive care for women with SCI, alongside promoting healthy lifestyle choices to mitigate cardiometabolic risks.

Practical Implications

Improved Primary Care

Equip primary care providers with the knowledge and resources to address the unique needs of women with SCI, leading to better health outcomes.

Enhanced Screening Programs

Develop accessible and tailored screening programs for cancer and other health risks, ensuring early detection and intervention for women with SCI.

Collaborative Care Models

Foster collaboration between primary care physicians, rehabilitation specialists, and other healthcare providers to deliver holistic and multidisciplinary care for women with SCI.

Study Limitations

1
Lack of consensus on screening and treatment guidelines for SCI-related osteoporosis.
2
Gaps in access to primary care due to lack of expertise in disability-specific issues among providers, physical barriers, and health care costs.
3
Limited information about bone health specifically in women with SCI.

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