Hesperian Health Guides
Self Care
Progress toward self-care, especially at first, may be slow and frustrating. The child will need a lot of understanding and encouragement. Persons with low spinal cord injury will find it easier to relearn self-care skills than those with higher injuries who have less use of their hands and arms. People with quadriplegia usually will remain at least partly dependent on others for some of their daily activities.
Useful methods and techniques have been worked out for helping relearn basic skills. We cannot describe many of these in detail. However, much depends on determination, imagination, and common sense. Start with first things first—like rolling over and sitting up in bed.
When hands are affected, devices like these (or others that you can invent) make relearning to eat and write easier.
Velcro sticks-to-itself tape makes it possible for the person to put on aids by herself. | metal tube soldered to a piece that fits into hand band. |
For additional ideas of aids for self-care, see Chapter 62. Suggestions for getting in and out of wheelchairs and learning to walk with crutches are included in Chapter 43.