The patient with a spinal cord injury at C8 has tetraplegia but retains finger flexion, so, with adaptations, they can independently transfer to and from a wheelchair and drive a vehicle with hand controls. The patient’s legs will be paralyzed, so they will not be able to walk with a walker. Individuals with a C8 spinal cord injury can operate a manual wheelchair or one with hand controls; a pneumatic-controlled power wheelchair is unnecessary. These individuals can achieve toileting independence, so a goal of communicating needs with caregiver is inappropriate for this patient.