Patient planning in a spinal cord centre using a computer

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In August 1969, due to the success of this methodology in the Spinal Cord Centre, the care schedules of the entire patient population of the Institute, including the Intensive Care Unit, were incorporated into the computer programme. Subsequently, basic plans of care were designed for the chronically ill cystic fibrosis patient, the spina bifida patient, and for post-operative scoliosis patients, as well as patients in tank respirators. In May 1970 there were 38 basic plans of care available for immediate use at the Institute.

In conclusion, use of the TIRR Information System has proved to be successful in that it provides: (a) problem and goal-oriented treatment plans for each patient at the bedside where the care is given, (b) efficient organisation of rehabilitation team personnel time and effort, and (c) expedient and effective methods for adapting the Institute to the needs of the patient, rather than the patient to the needs of the Institute.

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