Trauma-informed design constructs an environment that promotes healing and evokes psychological and physical safety, connectivity, empowerment, self-worth and happiness. The VA takes trauma-informed design to heart, incorporating patient-centered technology and features throughout its facilities and patient rooms.

Each year, the VA serves more than 27,000 veterans with spinal cord injuries (SCI), making it the world’s largest health system providing lifelong SCI care. In many cases, veterans with spinal cord injuries are long-term residents. These veterans may stay in an SCI unit for months or even years. Their daily living and care environment must be conducive to promoting each veteran’s independence and quality of life.

To provide this personalized experience, VA hospitals are intentional about the design of the SCI unit and patient rooms. This commitment includes the use of eVideon’s Vibe Health Engage, Digital Signage and Digital Whiteboard solutions with four specific goals in mind.

Key Considerations for Trauma-Informed Design in Smart Patient Rooms

The team at eVideon understands the basic components of creating an exceptional experience for veterans and their families. In working with the VA to design and implement smart room technology, we considered critical traits that adhere to the principles of trauma-informed design.

Flexibility
It is imperative that the design of patient rooms is flexible to support specialized experiences for patients and their families. Specifically for SCI patients who often require ongoing assistance and dedicated care, smart patient rooms should give veterans much-desired autonomy and empowerment to control their environment. Here are two examples.

Interactive TVs with autonomous control units allow veterans to control their room environment, watch TV, engage with educational videos, order meals, and more. The system is also integrated with assistive devices such as sip-and-puff, eye gaze, and voice controls.

Our Clinical Solutions Director spoke on a recent webinar, saying, “Spinal cord injury patients lose a lot of control in their lives… they usually have to call a staff member to control the TV. The ability to manage something as simple as changing a TV station was an awesome experience for these patients and their families.”

Consistency
Messaging, communication and education for VA patients should be consistent and relevant. For example, educational training in the SCI unit includes topics such as healthy eating, addiction, mental health and suicide prevention. Furthermore, the clinical team is equipped with a workflow process to follow up training units with in-person patient conversations.

Engagement
Veterans depend on their families as crucial members of their extended care team. Connectivity, a tenet of trauma-informed design, helps patients feel supported throughout their care journey. The VA equips family members to support ongoing care, whether long-term in an SCI unit or in post-acute healthcare environments.

Vibe Health Engage TV promotes activities that both patients and their families can participate in. This includes learning and educational videos to help families provide ongoing care and support for their loved ones.

Recognition
Showing appreciation and gratitude for veterans is extremely powerful in their extended well-being and overall care. In trauma-informed design, this directly impacts psychological safety and a sense of self-worth. At the VA, consistent messages of recognition are purposefully built into the design of the patient room environment.

Using Vibe Health Engage TV and Insight digital whiteboards, patient rooms and living spaces include the veterans’ branches of service and messages of gratefulness. One particular VA facility uses Vibe Health Banner digital signage to display custom videos of staff expressing their personal appreciation for veterans’ service during Veterans Week.

These four traits – flexibility, consistency, engagement and recognition – lay the groundwork for safer and more patient-centered care environments for our Veterans, their families, clinicians and staff. One that supports their ongoing care, empowerment and healing. We are proud to serve these patients who selflessly have served our nation.

The post Designing Smart Rooms for Veterans: Embracing the Principles of Trauma-Informed Design appeared first on Medika Life.

In humans, the spinal cord begins at the occipital bone, passing through the foramen magnum and entering the spinal canal at the beginning of the cervical vertebrae. The spinal cord extends down to between the first and second lumbar vertebrae, where it ends. The enclosing bony vertebral column protects the relatively shorter spinal cord. It is around 45 cm (18 in) in men and around 43 cm (17 in) long in women. The diameter of the spinal cord ranges from 13 mm (1⁄2 in) in the cervical and lumbar regions to 6.4 mm (1⁄4 in) in the thoracic area.

The spinal cord functions primarily in the transmission of nerve signals from the motor cortex to the body, and from the afferent fibers of the sensory neurons to the sensory cortex. It is also a center for coordinating many reflexes and contains reflex arcs that can independently control reflexes.

It is also the location of groups of spinal interneurons that make up the neural circuits known as central pattern generators. These circuits are responsible for controlling motor instructions for rhythmic movements such as walking.

Anatomical Position and Structure

The spinal cord is a cylindrical structure, greyish-white in colour. It has a relatively simple anatomical course:

• The spinal cord arises cranially as a continuation of the medulla oblongata (part of the brainstem).
• It then travels inferiorly within the vertebral canal, surrounded by the spinal meninges containing cerebrospinal fluid.
• At the L2 vertebral level the spinal cord tapers off, forming the conus medullaris.

As a result of the termination of the spinal cord at L2, it occupies around two thirds of the vertebral canal. The spinal nerves that arise from the end of the spinal cord are bundled together, forming a structure known as the cauda equina.

During the course of the spinal cord, there are two points of enlargement. The cervical enlargement is located proximally, at the C4-T1 level. It represents the origin of the brachial plexus. Between T11 and L1 is the lumbar enlargement, representing the origin of the lumbar and sacral plexi.

The spinal cord is marked by two depressions on its surface. The anterior median fissure is a deep groove extending the length of the anterior surface of the spinal cord. On the posterior aspect there is a slightly shallower depression – the posterior median sulcus.

Spinal Meninges

The spinal meninges are three membranes that surround the spinal cord – the dura mater, arachnoid mater, and pia mater. They contain cerebrospinal fluid, acting to support and protect the spinal cord. They are analogous with the cranial meninges.

Distally, the meninges form a strand of fibrous tissue, the filum terminale, which attaches to the vertebral bodies of the coccyx. It acts as an anchor for the spinal cord and meninges.

Dura Mater

The spinal dura mater is the most external of the meninges. It extends from the foramen magnum to the filum terminale, separated from the walls of the vertebral canal by the epidural space. This space contains some loose connective tissue, and the internal vertebral venous plexus.

As the spinal nerves exit the vertebral canal, they pierce the dura mater, temporarily passing in the epidural space. In doing so, the dura mater surrounds the nerve root, and fuses with the outer connective tissue covering of the nerve, the epineurium.

The spinal arachnoid mater is a delicate membrane, located between the dura mater and the pia mater. It is separated from the latter by the subarachnoid space, which contains cerebrospinal fluid.

Distal to the conus medullaris, the subarachnoid space expands, forming the lumbar cistern. This space accessed during a lumbar puncture (to obtain CSF fluid) and spinal anaesthesia.

Pia Mater

The spinal pia mater is the innermost of the meninges. It is a thin membrane that covers the spinal cord, nerve roots and their blood vessels. Inferiorly, the spinal pia mater fuses with the filum terminale.

Between the nerve roots, the pia mater thickens to form the denticulate ligaments. These ligaments attach to the dura mater – suspending the spinal cord in the vertebral canal.

Formation of the Spinal Nerves

The spinal nerves are mixed nerves that originate from the spinal cord, forming the peripheral nervous system.

Each spinal nerve begins as an anterior (motor) and a posterior (sensory) nerve root. These roots arise from the spinal cord, and unite at the intervertebral foramina, forming a single spinal nerve.

The spinal nerve then leaves the vertebral canal via the intervertebral foramina, and then divides into two:

• Posterior rami – supplies nerve fibres to the synovial joints of the vertebral column, deep muscles of the back, and the overlying skin.
• Anterior rami – supplies nerve fibres to much of the remaining area of the body, both motor and sensory.

The nerve roots L2-S5 arise from the distal end of the spinal cord, forming a bundle of nerves known as the cauda equina.

Vasculature

The arterial supply to the spinal cord is via three longitudinal arteries – the anterior spinal artery and the paired posterior spinal arteries.

• Anterior spinal artery – formed from branches of the vertebral arteries. They travel in the anterior median fissure.
• Posterior spinal arteries – originate from the vertebral artery or the posteroinferior cerebellar artery. They anastamose with one another in the pia mater.

Additional arterial supply is via the anterior and posterior segmental medullary arteries – small vessels which enter via the nerve roots. The largest anterior segmental medullary artery is the artery of Adamkiewicz. It arises from the inferior intercostal or upper lumbar arteries, and supplies the inferior 2/3 of the spinal cord.

Venous drainage is via three anterior and three posterior spinal veins. These veins are valveless, and form an anastamosing network along the surface of the spinal cord. They also receive venous blood from the radicular veins. The spinal veins drain into the internal and external vertebral plexuses, which in turn empty into the systemic segmental veins. The internal vertebral plexus also empties into the dural venous sinuses superiorly.

The post The Spinal Chord appeared first on Medika Life.