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Many times the paraplegic patient is suddenly thrust into the role of dependence because of accidental injury to the spinal cord.

This means that a tremendous adjustment to the condition must be made in a short time.

In some cases the health care provider may request a special orthopedic frame or specialized bed.

These devices facilitate daily care but the patient still must be turned frequently (as allowed by the physician) and receive special skin care to avoid the development of pressure ulcers.

To minimize the formation of stones it is recommended that the patient receive between 25 ml of fluid every 24 hours.

The patient is instructed in correct walking if crutches are to be used; if using a wheelchair, the patient is taught how to operate the chair to receive maximum benefit from it.

The achievement of bladder control is more difficult than bowel control.

Patients with neurogenic are unaware of the need to urinate and therefore require training to initiate urination.

The high calcium content of milk also may foster stone formation, and carbonated drinks irritate the bladder.

A wide variety of liquids can be most effective in avoiding the formation of stones.

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