People who have survived a spinal cord injury (SCI) need help to perform many of the activities of daily living that are required for their long-term care. The need for such help varies significantly by level of lesion and the unique circumstances of the individual. There is also significant variability in which individuals with SCI have access to paid personal assistance service (PAS). This article examines the accessibility of PAS to SCI survivors, explores alternative models for service delivery, and discusses the implications for life care planning.
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