TY  - CHAP
M1  - Book, Section
TI  - Drugs Affecting the Cholinergic System
A1  - Jobst, Erin E.
A1  - Panus, Peter C.
A1  - Kruidering-Hall, Marieke
Y1  - 2020
N1  - 
T2  - Pharmacology for the Physical Therapist, 2e
AB  - CASE  STUDYT.  J.  is  a  25-year-old  male  who  was  involved  in  a  motorcycle  accident  4  weeks  ago  and  transferred  to  an  inpatient  rehabilitation  facility  yesterday.  He  is  scheduled  for  transfer  training  in  the  open  gym  immediately  after  breakfast  today.  As  a  result  of  the  accident,  T.  J.  has  a  stable  spinal  cord  injury  (SCI)  at  the  T10  neurological  level.  The  patient  has  no  cardiovascular  dysfunction.  He  is  currently  taking  drugs  to  reduce  spasticity,  including  tolterodine  to  reduce  neurogenic  detrusor  overactivity  (spastic  bladder).  The  therapist  and  patient  begin  with  a  sliding  board  transfer  from  the  wheelchair  to  the  plinth.  The  patient  urinates  involuntarily  during  his  initial  attempt  with  the  sliding  board  activities.  The  patient  is  embarrassed  and  states  that  this  happened  before  when  he  attempted  to  sit  up  and  reposition  himself  with  his  hands.  The  patient  requests  that  this  morning’s  rehabilitation  session  be  terminated.  In  the  afternoon,  T.J.  does  not  want  to  come  to  the  gym  because  he  is  concerned  that  the  same  problem  will  occur.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/10/07
UR  - accessphysiotherapy.mhmedical.com/content.aspx?aid=1192813514
ER  -