Which of the following is included in tertiary prevention for spinal cord injuries?

• A. Community education
• B. Deep breathing
• C. DVT prophylaxis
• D. Skin integrity

Answer: (A)

Tertiary prevention after a spinal cord injury focuses on reducing long-term complications and maximizing function as the person reintegrates into daily life. The core idea is to support ongoing self-management and adaptation in the community to prevent further problems.

Community education fits this best because it empowers patients and families with the knowledge and resources they need to care for themselves long-term. It includes instruction on home exercise programs, skin care and pressure ulcer prevention, bowel and bladder management, recognizing warning signs, and how to access community supports and follow-up care. This kind of education directly facilitates safe, independent living and reduces the risk of future health issues, which is the essence of tertiary prevention.

Deep breathing is mainly an acute strategy to prevent pneumonia during initial recovery, and DVT prophylaxis is an urgent preventive measure during the early, inpatient phase. While skin integrity is very important for ongoing health, the question highlights education and long-term community management as the representative element of tertiary prevention.