Yes You Can - Fourth Edition - 9

1.b 1.b | Skin Care and Pressure Ulcers What Skin Does The three main functions of your skin are protection, sensation, and temperature regulation. Your skin performs these functions for all your body structures and tissues, including layers of fat, muscles, and bones [SEE FIGURE 1.b.1]. Your skin serves as a shield against most chemical and physical agents, such as bacteria, dirt, foreign objects, and ultraviolet rays from the sun. The sensations of touch, pain, pressure, and temperature travel from nerve endings in your skin through the spinal cord to your brain. A major function of the skin is to regulate your body temperature. Sweat glands are always producing water and salts, changing the ﬂuid content of your body. When liquid from your sweat glands evaporates, it helps maintain a stable body temperature. Your body can change the amount of blood that goes to your skin, and this also helps to control body temperature. Table 1.b.A shows how these skin functions are aﬀected by SCI and what you need to do to prevent problems. It also shows how edema [excess ﬂuid in the skin layers] occurs after SCI and how it can be minimized. [ Section 1 ] Weight Control Weight control is another area of concern for skin care. Maintaining an appropriate weight for your height may help lower the risk of skin breakdown. [See section 4.b, Nutrition and Weight, to get an idea of the right weight for you.] How can being overweight cause skin problems? You might have diﬃculty protecting your skin when you’re moving between your bed and your wheelchair, or it may be more diﬃcult to relieve the pressure on your skin. If you’ve gained weight, your wheelchair or other equipment may no longer ﬁt you correctly. Being underweight can also cause problems. You might have less padding over bony areas where pressure ulcers most commonly form. Being underweight may mean you are malnourished, which makes it easier to injure your skin and harder to heal skin problems. Basic Hygiene Daily bathing is encouraged during your younger and middle years. As you age, your skin becomes drier, so daily whole-body cleaning is not recommended for older people with SCI. Of [ Figure 1.b.1 ] Skin Pore Hair Shaft Skin Care Nutrition for the Skin Protein, calories, vitamins, and minerals are all needed to maintain healthy skin. These nutrients can be obtained by eating a well-balanced diet and a variety of foods. [For tips on how to eat a well-balanced diet, see section 4.b, Nutrition and Weight.] Epidermis Dermis Sebaceous [Oil] Gland Vein Artery Nerves Sweat Gland Hair Follicle Section 1: How SCI Aﬀects Your Body! | [ 9 ]

Yes You Can - Fourth Edition

Table of Contents for the Digital Edition of Yes You Can - Fourth Edition

Yes You Can - Fourth Edition
Table of Contents
Section 1. How SCI Affects Your Body
1.a Anatomy, Physiology, and Research
1.b Skin Care and Pressure Ulcers
1.c Respiratory Care
1.d Bladder Management
1.e Bowel Management
1.f Sexual Health and Reproduction
1.g Muscles and Bones
1.h Circulatory System
1.i Autonomic Dysreflexia
Section 2. Maximizing Your Function
2.a Expected Outcomes
2.b Equipment
2.c Limb Preservation and Posture
2.d Home Modifications
2.e Driver Rehabilitation and Training
2.f Attendant Management
Section 3. Coping and Living with SCI
3.a Transitions
3.b Psychosocial Adjustment
3.c Mental Health Conditions
3.d Community Resources
3.f Financial Planning
3.g Your Rights
3.h Pain
3.i Brain Injury
Section 4. Staying Healthy after SCI
4.a Recreation
4.b Nutrition and Weight
4.c Exercise
4.d Medications
4.e Alcohol and Substance Abuse
4.f Health Care
4.g Aging
4.h Disasters
Appendix A: Range-of-Motion Exercises
Appendix B: Resource Organizations
Glossary
Index
Yes You Can - Fourth Edition - Yes You Can - Fourth Edition
Yes You Can - Fourth Edition - Cover2
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Yes You Can - Fourth Edition - Table of Contents
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Yes You Can - Fourth Edition - Section 1. How SCI Affects Your Body
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Yes You Can - Fourth Edition - 1.a Anatomy, Physiology, and Research
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Yes You Can - Fourth Edition - 1.b Skin Care and Pressure Ulcers
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Yes You Can - Fourth Edition - 1.c Respiratory Care
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Yes You Can - Fourth Edition - 1.d Bladder Management
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Yes You Can - Fourth Edition - 1.e Bowel Management
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Yes You Can - Fourth Edition - 1.f Sexual Health and Reproduction
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Yes You Can - Fourth Edition - 1.g Muscles and Bones
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Yes You Can - Fourth Edition - 1.h Circulatory System
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Yes You Can - Fourth Edition - 1.i Autonomic Dysreflexia
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Yes You Can - Fourth Edition - Section 2. Maximizing Your Function
Yes You Can - Fourth Edition - 66
Yes You Can - Fourth Edition - 2.a Expected Outcomes
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Yes You Can - Fourth Edition - 2.b Equipment
Yes You Can - Fourth Edition - 70
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Yes You Can - Fourth Edition - 2.c Limb Preservation and Posture
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Yes You Can - Fourth Edition - 2.d Home Modifications
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Yes You Can - Fourth Edition - 2.e Driver Rehabilitation and Training
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Yes You Can - Fourth Edition - 2.f Attendant Management
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Yes You Can - Fourth Edition - Section 3. Coping and Living with SCI
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Yes You Can - Fourth Edition - 3.a Transitions
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Yes You Can - Fourth Edition - 3.b Psychosocial Adjustment
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Yes You Can - Fourth Edition - 3.c Mental Health Conditions
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Yes You Can - Fourth Edition - 3.d Community Resources
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Yes You Can - Fourth Edition - 3.f Financial Planning
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Yes You Can - Fourth Edition - 3.g Your Rights
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Yes You Can - Fourth Edition - 3.h Pain
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Yes You Can - Fourth Edition - 3.i Brain Injury
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Yes You Can - Fourth Edition - Section 4. Staying Healthy after SCI
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Yes You Can - Fourth Edition - 4.a Recreation
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Yes You Can - Fourth Edition - 4.b Nutrition and Weight
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Yes You Can - Fourth Edition - 4.c Exercise
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Yes You Can - Fourth Edition - 4.d Medications
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Yes You Can - Fourth Edition - 4.e Alcohol and Substance Abuse
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Yes You Can - Fourth Edition - 4.f Health Care
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Yes You Can - Fourth Edition - 4.g Aging
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Yes You Can - Fourth Edition - 4.h Disasters
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Yes You Can - Fourth Edition - Appendix A: Range-of-Motion Exercises
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Yes You Can - Fourth Edition - Appendix B: Resource Organizations
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Yes You Can - Fourth Edition - Glossary
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Yes You Can - Fourth Edition - Index
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