I work with adults with a learning disability and have been asked to assess
a gentleman with severe atlanto axial instability who wears a collar
24hrs/day. he is seen by community nursing twice weekly for skin care for
under the collar. besides the obvious no manipulation contraindications
etc, any other advice would be welocmed. i have not encountered anyone with
such a gross instability from what i understand. thanks
margot newman mcsp
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