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Postural (Orthostatic) Hypotension
Postural hypotension is a quick drop in blood pressure that happens when you sit up or stand up. This can be a drop in your systolic blood pressure by 20 mmHg (top number) or your diastolic blood pressure by 10 mmHg (bottom number). It can make you feel dizzy or lightheaded. The feeling is often mild and goes away after a few seconds or minutes. Sometimes, the drop in blood pressure can be more severe and even cause people to faint.
Radiofrequency Ablation
Radiofrequency ablation (RFA) is a procedure used to manage certain types of chronic pain. It uses electrical energy to create heat. The heat damages a small area of nerve tissue causing the pain signals coming from a specific nerve area to become interrupted.
Self Care and Living Skills: Bathing and Showering
Bathing and showering after spinal cord injury often requires special devices. The bathroom might need to be modified to fit a wheelchair and other equipment. Being safe while bathing helps prevent injury. Bathrooms can be dangerous because there are many hard and slippery surfaces. When you have poor feeling, water temperature setting may need to be adjusted to prevent burns. Having the right set up helps you stay safe and prevent injuries.
Self Care and Living Skills: Dressing
After a spinal cord injury, daily activities like dressing can be challenging. Certain tricks can help you do more by yourself. Some clothes are easy to put on while others are more difficult. Using adapted devices or adapting your current clothing can help. Also, using the right techniques and positions can make it much easier for you to dress.
Sexual Health After a Spinal Cord Injury
This video discusses questions you may have about sexual health after a spinal cord injury. Run time: 24:14 minutes
Understanding and managing anxiety
This is a guide for understanding anxiety. It includes strategies for managing it and a list of resources to help cope.
Venlafaxine XR (Effexor®)
This is a handout to explain that Venlafaxine works by increasing the brain levels of 2 chemical messengers, norepinephrine and serotonin, that help to lessen the intensity of incoming pain signals. It can be used to treat pain from damaged nerves, fibromyalgia, depression and anxiety.
Duloxetine (Cymbalta®)
This is a handout explaining that Duloxetine is a medication that works by increasing the brain levels of two chemical messengers, norepinephrine and serotonin, that help to lessen the intensity of incoming pain signals. It is used to treat pain from damaged nerves, fibromyalgia, chronic low back pain, and knee pain due to osteoarthritis. Duloxetine is also used to treat depression and anxiety.
Low-Dose Naltrexone
What is naltrexone? Naltrexone is an opioid antagonist, which means it blocks the effects of opioids such as codeine, morphine, oxycodone, etc. Naltrexone was developed to treat opioid addiction. A standard dose to treat opioid addiction is typically 50 mg once daily. A standard dose of naltrexone is also used to treat alcohol dependence, although we do not fully understand how it works to reduce the urge or desire to drink alcohol.
Nabilone (Cesamet®)
This is a handout to learn about Nabilone, which is a synthetic cannabinoid made by the pharmaceutical industry. It is similar to marijuana (the natural plant) in its actions, but usually has less effect on mood. Nabilone is typically used to treat severe nausea and vomiting associated with certain types of cancer chemotherapy and can be used to stimulate appetite. Nabilone is also used to treat chronic nerve related pain.
Tapentadol Extended Release (Nucynta ER®)
This handout explains Tapentadol, which is an Extended Release medication used to relieve moderate to severe pain in adults. Tapentadol is an atypical opioid medication because it has a unique mechanism of action: Tapentadol binds with certain opioid receptors to block pain signals from reaching the brain. This action is similar to that of opioid medications such as morphine. Tapentadol also works by increasing the brain levels of a chemical messenger called norepinephrine. This feature is similar to that of some antidepressant medications used to treat pain.
Tapentadol Immediate Release (Nucynta IR®)
This handout explains Tapentadol, which is an Immediate Release medication used to relieve moderate to severe pain in adults. Tapentadol is an atypical opioid medication because it has a unique mechanism of action: Tapentadol binds with certain opioid receptors to block pain signals from reaching the brain. This action is similar to that of opioid medications such as morphine. Tapentadol also works by increasing the brain levels of a chemical messenger called norepinephrine. This feature is similar to that of some antidepressant medications used to treat pain.
Primary Care Diabetes Support Program
… tab and fill out the form. Program highlights for patients Individualized assessment, diabetes care planning and support to enable patients to become diabetes self-managers. Help for patients to access the resources they need to manage their … tab and fill out the form. Program highlights for patients Individualized assessment, diabetes care planning …
The Buzz Around Kidney Stone Research
… diseases, urology and surgery to understand issues facing patients in clinical practice. This knowledge directly … diseases, urology and surgery to understand issues facing patients in clinical practice. This knowledge directly … diseases, urology and surgery to understand issues facing patients in clinical practice. This knowledge directly …
Specialized Geriatric Services: Outreach
… provides recommendations to care providers, families and patients. This outreach team functions to enhance the care … services for elderly persons in the London area. All patients see a psychiatrist as part of the initial … Discharge Liaison Team This service provides support for inpatients with complex, yet stable mental health needs who no …
Annual Report 2024/25
… and a team of staff members, physicians, students, patients, donors and academic and funding partners – Lawson … kidney during the procedure. This eliminates the need for patients to pass the fragments on their own after treatment, … Pop-Up Pap Test Clinic was hugely successful, seeing 103 patients. Since then, St. Joseph’s has hosted a number of …
Shining brightly among us
… roles, they make a profound difference in the lives of patients, residents and peers by showing up fully in the … team members, who admire how effortlessly she connects with patients and ensures they remain at the centre of care. When … experience. Dr. Bateman’s care extends beyond her patients to embrace and uplift her team members as well. Her …