SCI Everything

SCI Everything

By Matheus Wiest
This podcast addresses topics related to spinal cord injury rehabilitation care, from hospital to living in the community.

Season 01 - COVID-19 Series
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SCI Everything - Cleaning Urinary Catheters (COVID-19)
In the midst of the COVID-19 pandemic, many people living with spinal cord injury (SCI) living are concerned about urinary catheter availability and alternatives to clean and re-use. John Shepherd, a Ph.D. student at the Rehab Science Institute – UToronto and founder of SCI University, and Hannah Hollett, a talented Registered Nurse at the Toronto Rehab Lyndhurst Centre, discuss how to deal with catheters, methods for cleaning and re-use, and what to do when new prescriptions are needed. Please SUBSCRIBE and share it widely! You can also enjoy this episode in a videocast version on YouTube: https://youtu.be/wbcVjL1AUgU. We also posted on YouTube a couple of videos on cleaning catheters using the: Microwave method: https://youtu.be/FPMQOIb69nU Water and soap method: https://youtu.be/AffVl_77EJI Subscribe: https://www.youtube.com/channel/UCjIsbuANZtVfBuJ7UpxnaEw?sub_confirmation=1 Topics: 1. In exceptional circumstances, how can I clean my catheter? 3:06 2. If I do not have a microwave, is there another method that I can use? 7:37 3. Catheters come in different materials such as PVC, silicon, rubber. Do these cleaning methods apply to all these materials? 9:09 4. Is there a way to clean and re-use hydrophilic catheters? 9:37 5. How can someone know if the catheter is hydrophilic or not? 10:19 6. What to do when you cannot sterilize the catheter right away? 11:03 7. There are concerns about running out of supplies. How many catheters should someone order when re-stocking? 11:51 8. How can people living with SCI get a new catheter prescription if there is a need to change the type of catheter in use? 12:30 RESOURCES SCI-U: http://sci-u.ca/ Cleaning Catheters – Microwave method: https://youtu.be/FPMQOIb69nU Cleaning Catheters – Water and soap method: https://youtu.be/AffVl_77EJI CREDITS Chester Ho Director of the Division of Physical Medicine & Rehabilitation - University of Alberta Hannah Hollett Registered Nurse at the Lyndhurst Centre, Toronto Rehabilitation Institute, University Health Network John Shepherd Ph.D. student at the Rehabilitation Sciences Institute - University of Toronto EDITED BY Matheus J Wiest MUSIC Too Cool by Kevin MacLeod Link: https://incompetech.filmmusic.io/song/4534-too-cool License: http://creativecommons.org/licenses/by/4.0/ Disclaimer: This information is intended for informational purposes only and should not reduce the frequency of catheter use. This information should be only applied as a last resort. This is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment for a urinary tract infection.
15:41
May 5, 2020
SCI Everything - Respiratory Care (COVID-19)
This inaugural videocast discusses respiratory care for people with spinal cord injury during the current COVID-19 pandemic. Please, leave comments and share!   We also have a Youtube videocast version that you can find at: https://youtu.be/H5NLWQL4WIs Questions:  Question 1 - Am I at a greater risk for COVID-19 if I have an SCI? 2:15  Question 2 – Do comorbidities (ie diabetes, hypertension, obesity, etc) increase the chances of having a more severe form of COVID-19? 5:04  Question 3 - Would you recommend home care providers to wear masks all the time? 9:54  Question 4 – How should we appropriately wear personal protective equipment (ie gloves, masks, etc) and wash our hands? 13:23  Question 5 – Due to the longevity of the virus, what is the balance between home isolation and levels of cleanness to prevent COVID-19? 15:04  Question 6 – What are your advice for people with SCI that develop COVID-19? 17:47  Question 7 – Once you develop COVID-19 symptoms (cough, fever), when should you seek further medical attention? 19:36  Question 8 – If you are going to an Emergency Room, what are essential items to bring? 28:25  Question 9 – What are local resources in the community when people living with SCI are choosing to go or not to go to the hospital? 38:19   RESOURCES:  Pulmonary support for Myotonic Dystrophy  https://www.myotonic.org/sites/default/files/pages/files/Pulmonary-Support-for-Myotonic-Dystrophy-Patients-During-COVID-19-Pandemic-20200-3-23.pdf   How to wash your hands by Alton Brown https://www.youtube.com/watch?v=tIwdf3WKe3Y    SCI & U – Hand Hygiene for People with Spinal Cord Injury https://sciontario.org/wp-content/uploads/2020/03/Handwashing-guide.pdf   New Brunswick Office of the Chief Medical Officer of Health (Public Health) – Message to Home Support Agencies  English: https://www2.gnb.ca/content/dam/gnb/Departments/h-s/pdf/homesupport.pdf  French: https://www2.gnb.ca/content/dam/gnb/Departments/h-s/pdf/soutiendomicile.pdf    Pulse Oximeters:  Here is an example of a pulse oximeter. Check also your local pharmacy or retail store for availability.  https://www.amazon.ca/Oximeter-Fingertip-Saturation-Athletes-Batteries/dp/B082HCHQNK/ref=sr_1_7?crid=1SCJZW7GITT3T&keywords=pulse+oximeter&qid=1586382404&rnid=5690384011&sprefix=pulse+ox%2Caps%2C168&sr=8-7   CREDITS  Comments  Dr. Cathy Craven Spinal Cord Program Medical Lead  University Health Network   Host  Dr. Kristine Cowley  University of Manitoba   Guests  Dr. Graham Jones  Respirologist - Hamilton Health Sciences   Dr. Janice Richman-Eisenstat  Pulmonary Rehabilitation Medicine and Palliative Respiratory Care Specialist - Alberta Health Services   Edited by  Matheus J Wiest   Music   Too Cool by Kevin MacLeod  Link: https://incompetech.filmmusic.io/song/4534-too-cool   License: http://creativecommons.org/licenses/by/4.0/
42:55
April 29, 2020
SCI Everything - Taking care of respiratory equipment (COVID-19)
Dr. Colleen O'Connell (Physician, Stan Cassidy Centre for Rehabilitation - Fredericton) and Beth Knowles (Respiratory Therapist, Stan Cassidy Centre for Rehabilitation - Fredericton) discuss how to take care of respiratory equipment during the pandemic. We also have a videocast version that you can find at: Youtube:  1. I use a BiPAP/CPAP – how should I be keeping my equipment clean? 1:42 a. Can I use cleaning products on foam masks? 3:05 2. Respiratory equipment can generate aerosols and may potentially help to spread COVID-19. Should I keep using them? 3:48 3. What should patients be doing to ensure that their equipment is well maintained and working during the pandemic? 5:28 4. Is there a checklist about equipment settings, maintenance and care that people should have? 7:33 5. If a patient has COVID-related symptoms, should they notify the Ambulance service and the Emergency Room that they intend to visit and that they use respiratory devices? 9:15 6. Are there guidelines for how often respiratory equipment should be cleaned? 10:12 RESOURCES COVID-19 Resources: Care Recommendations for Home‑Based Ventilation Patients (Chest Foundation):  https://foundation.chestnet.org/patient-education-resources/covid-19-resources-care-recommendations-home-based-ventilation-patients/ Care Recommendations for the Home-Based Ventilation Patient Undergoing Therapy for Known or Suspected Respiratory Viral Infection With COVID-19: https://foundation.chestnet.org/wp-content/uploads/2020/04/Care_Recommendations_HomeBasedVentilationCOVID19.pdf Checklist with for people that need respiratory support:  http://www.ventusers.org/vume/PatientInfo.pdf CREDITS Host Dr. Colleen O'Connell Physician Stan Cassidy Centre for Rehabilitation (Fredericton) Guest Beth Knowles Respiratory Therapist Stan Cassidy Centre for Rehabilitation (Fredericton) Edited by Matheus J Wiest Music Too Cool by Kevin MacLeod Link: https://incompetech.filmmusic.io/song/4534-too-cool  License: http://creativecommons.org/licenses/by/4.0/
12:42
April 27, 2020