Spinal cord injury results in loss of function below the site of damage. Common causes include vehicle accidents, falls, and sports injuries. Complete injuries result in total loss of sensation and movement below the injury, while incomplete injuries allow some sensation or movement. Management involves immobilization, surgery to decompress the spine, and rehabilitation to regain function. Nursing care focuses on preventing complications like pressure ulcers, respiratory issues, and autonomic dysreflexia.
1) Spinal cord injury can occur from trauma such as motor vehicle accidents, falls, or violence. It results in loss of movement and sensation below the site of injury.
2) Injuries can be complete or incomplete. Complete injuries result in total loss of function below the injury while incomplete injuries cause mixed losses.
3) Common complications include respiratory issues, pressure ulcers, blood clots, and autonomic dysreflexia. Management involves steroids, surgery, and preventative care measures.
This document provides information on orthopaedic spinal injuries from Zagazig University in Egypt. It discusses several topics in 3 paragraphs or less:
Spinal injuries are less common than extremity injuries but have worse functional outcomes. They involve the cervical, thoracic, and lumbar spine. Neurological involvement is common in high-energy trauma or polytrauma patients.
Cervical spine injuries account for one-third of spinal injuries. The C2 vertebrae and lower C6-C7 vertebrae are most commonly injured. A neurological injury occurs in 15% of spine trauma patients. Exam of the peripheral nervous system is important to fully assess injuries.
Initial management follows ATLS protocols - stabilize
This document discusses cervical spine injuries, their mechanisms, and assessment. It covers:
1) The different mechanisms of cervical spine injury including flexion, extension, rotation, and axial compression.
2) Types of injuries associated with each mechanism such as wedge fractures or facet dislocations.
3) Evaluation of cervical spine injuries including history, physical exam, and radiographic imaging. Plain films, CT, and MRI are imaging options.
4) Neurological assessment including spinal cord and nerve injuries. Complete versus incomplete injuries and associated syndromes are outlined.
This document discusses the classification, clinical evaluation, and management of adult traumatic brachial plexus injuries. It describes Chuang's four-level classification of brachial plexus lesions and defines terms like rupture and avulsion. Preganglionic root injuries are described as the most common in adults and can involve single or multiple root injuries. A thorough motor, sensory and neurological examination is outlined to evaluate the specific nerves and spinal levels involved. Classification of injuries, prognostic indicators, and guidance on surgical decision making are provided.
Spinal Cord Injuries are uncommon, but they are a leading cause of high cost disability, and with ageing population, the incidence is expected to increase. This presentation looks at the many facets of spinal cord injuries.
1) Spinal cord injury can occur from trauma such as motor vehicle accidents, falls, or violence. It results in loss of movement and sensation below the site of injury.
2) Injuries can be complete or incomplete. Complete injuries result in total loss of function below the injury while incomplete injuries cause mixed losses.
3) Common complications include respiratory issues, pressure ulcers, blood clots, and autonomic dysreflexia. Management involves steroids, surgery, and preventative care measures.
This document provides information on orthopaedic spinal injuries from Zagazig University in Egypt. It discusses several topics in 3 paragraphs or less:
Spinal injuries are less common than extremity injuries but have worse functional outcomes. They involve the cervical, thoracic, and lumbar spine. Neurological involvement is common in high-energy trauma or polytrauma patients.
Cervical spine injuries account for one-third of spinal injuries. The C2 vertebrae and lower C6-C7 vertebrae are most commonly injured. A neurological injury occurs in 15% of spine trauma patients. Exam of the peripheral nervous system is important to fully assess injuries.
Initial management follows ATLS protocols - stabilize
This document discusses cervical spine injuries, their mechanisms, and assessment. It covers:
1) The different mechanisms of cervical spine injury including flexion, extension, rotation, and axial compression.
2) Types of injuries associated with each mechanism such as wedge fractures or facet dislocations.
3) Evaluation of cervical spine injuries including history, physical exam, and radiographic imaging. Plain films, CT, and MRI are imaging options.
4) Neurological assessment including spinal cord and nerve injuries. Complete versus incomplete injuries and associated syndromes are outlined.
This document discusses the classification, clinical evaluation, and management of adult traumatic brachial plexus injuries. It describes Chuang's four-level classification of brachial plexus lesions and defines terms like rupture and avulsion. Preganglionic root injuries are described as the most common in adults and can involve single or multiple root injuries. A thorough motor, sensory and neurological examination is outlined to evaluate the specific nerves and spinal levels involved. Classification of injuries, prognostic indicators, and guidance on surgical decision making are provided.
Spinal Cord Injuries are uncommon, but they are a leading cause of high cost disability, and with ageing population, the incidence is expected to increase. This presentation looks at the many facets of spinal cord injuries.
This document discusses spinal anatomy, trauma, and injury. It covers the epidemiology, mechanisms, classifications, diagnosis, and management of spinal cord injuries. Some key points include:
- The cervical spine has greater range of motion while the thoracic and lumbar vertebrae are more rigid.
- Spinal cord injuries can be complete or incomplete. Complete injuries have no motor or sensory function below the level of injury while incomplete injuries have some spared function.
- Common mechanisms of injury are motor vehicle accidents, falls, and sports/recreation injuries. Indirect injuries from compression are most likely to cause significant damage.
- Imaging like CT and MRI are important for diagnosis but patient stabilization takes priority over imaging in trauma situations
This document discusses spinal anatomy, trauma, and injury. It covers the epidemiology, mechanisms, classifications, diagnosis, and management of spinal cord injuries. Some key points include:
- The cervical spine has greater range of motion while the thoracic and lumbar vertebrae are more rigid.
- Spinal cord injuries can be complete or incomplete. Complete injuries have no motor or sensory function below the level of injury while incomplete injuries have some spared function.
- Common mechanisms of injury are motor vehicle accidents, falls, and sports/recreation injuries. Indirect injuries from compression are most likely to cause significant damage.
- Imaging like CT and MRI are important for diagnosis but patient stabilization takes priority over imaging in trauma situations
This document provides an overview of spinal trauma. It begins with relevant spinal anatomy and the epidemiology of spinal injuries. The most common mechanisms of injury are motor vehicle accidents and falls. Clinical signs include neurological deficits that correspond to the level and completeness of injury. Radiological imaging such as X-rays, CT, and MRI are used to identify fractures and spinal instability. Early management focuses on immobilization, corticosteroids, and treating associated conditions like neurogenic shock. Surgical stabilization is indicated for incomplete injuries with neural compression or unstable fractures with neurological deficits. The goals of treatment are to preserve neurological function, minimize compression, stabilize the spine, and rehabilitate the patient.
Traumatic paraplegia & bladder management by dr ashutoshAshutosh Kumar
1) Traumatic paraplegia refers to spinal cord injury in the thoracic, lumbar, or sacral regions resulting in loss of muscle strength in the lower extremities. Initial management involves immobilization and transport to the emergency room for evaluation.
2) The bladder is commonly affected after paraplegia, resulting in either a flaccid or spastic bladder depending on the level of injury. Long-term management involves preventing complications like pressure ulcers, spasticity, and blood clots through rehabilitation therapies.
3) Rehabilitation is critical after spinal cord injury and involves a multidisciplinary team to address issues like bladder management, skin care, spasticity management, and prevention of secondary complications. The
This document provides an overview of traumatic paraplegia and spinal cord injury. It discusses the classification, epidemiology, mechanisms of injury, assessment, diagnostic modalities, management of complications like bladder dysfunction, and considerations for thoracolumbar injuries. Key points include that spinal cord injury results in changes to motor, sensory or autonomic function, most injuries occur in the cervical spine from motor vehicle accidents in young males, and diagnostic workup involves plain films, CT scans and potentially MRI to evaluate injury extent and neurological status.
This document provides information about spinal cord injuries. It begins with objectives related to understanding the anatomy and physiology of the spinal cord, mechanisms of spinal cord injury, pathophysiological changes after injury, life-threatening complications, and nursing care for patients with spinal cord injuries. It then covers topics like the basic anatomy and functions of the spinal cord, common causes of injury, types of injuries, associated risks, priorities in emergency management, potential complications, spinal shock, autonomic dysreflexia, classifications of injuries, consequences of injuries, and surgical and non-surgical management of patients. It also discusses herniation of intervertebral discs, including causes, signs, surgical and non-surgical management, and potential complications
1. The document discusses the anatomy, mechanisms of injury, classification, clinical features, management, and imaging of cervical spine injuries.
2. Key points include the importance of manual handling and immobilization of patients with potential cervical spine injuries. Radiographic imaging including CT and MRI are important diagnostic tools.
3. Common cervical spine injuries include fractures of C1 (Atlas) and C2 (Axis) as well as fracture-dislocations. Clinical syndromes can occur based on the level and mechanism of injury.
A 42-year-old male was admitted to the emergency department after a motor vehicle accident with back pain and inability to move his lower limbs. Examination revealed absent sensation and paralysis below T12 with MRI showing a lesion at T11. He was diagnosed with complete T11 paraplegia and underwent surgery. Rehabilitation focused on preventing complications like pressure sores, infections, and maintaining mobility. Spinal cord injuries cause various impairments depending on level and severity, and patients require long-term management of physical, psychological, and social impacts on quality of life.
Cervical spine trauma and spinal cord injuries by Dr Shamavu Gabriel.pptxGabriel Shamavu
PAEDIATRICS TRAUMA ADVANCED LIFE SUPPORT PRESENTATION
Cervical spine trauma and spinal cord injuries
Prepared by Dr GABRIEL KAKURU SHAMAVU, Resident in Paediatrics and child health at Kampala International University Teaching Hospital. With Mentorship of Professor Yamile Arias Ortiz. Tutor of the course of "Paediatrics Emergencies and life support". Mars 2022
1. The document discusses various types of spinal cord injuries including complete injuries which involve a complete loss of motor and sensory function below the level of injury, and incomplete injuries which partially compromise spinal cord function with some sensation and muscle movement retained below the injury site.
2. It provides details on specific spinal cord syndromes like anterior cord syndrome, Brown-Séquard syndrome, and central cord syndrome which are characterized by variable patterns of motor and sensory loss.
3. The management of spinal cord injuries involves stabilizing the spine, treating shock, addressing airway and breathing issues, screening for associated injuries, and preventing complications like pressure sores through regular turning of immobilized patients.
A spinal cord injury (SCI) is damage to the spinal cord that causes temporary or permanent changes in its function. Symptoms may include loss of muscle function, sensation, or autonomic function in the parts of the body served by the spinal cord below the level of the injury.
The document provides information about spinal cord injury including:
- Anatomy and physiology of the spinal cord and nerves.
- Types of spinal cord injuries such as complete vs incomplete, and tetraplegia vs paraplegia.
- Causes, signs and symptoms, assessment, diagnostic tests, and management including medical, surgical, and nursing considerations.
- Potential complications are also discussed such as autonomic dysreflexia, pressure sores, and loss of bladder/bowel control. Rehabilitation strategies aim to improve mobility and independence.
Spinal cord injuries can cause paralysis, sensory loss, and autonomic dysfunction below the level of injury. There are two main types - complete lesions with no preserved function below the injury, and incomplete lesions with some preserved sensation or motor function. Complications include neurogenic bladder, spasticity, autonomic dysreflexia, pressure ulcers, and orthostatic hypotension. Early rehabilitation is important to prevent further issues and maximize recovery of function.
Spinal cord injuries complete topic about it and how to make good rehabilitation for the patient with spinal cord injuries .
wish it help people
my pleasure :)
Mostafa shakshak
Traumatic spinal cord injuries can cause tetraplegia or paraplegia depending on the level of the lesion in the spinal cord. Injuries are often classified based on whether they are complete or incomplete. Common clinical manifestations include motor and sensory impairments, autonomic dysreflexia, respiratory issues, spasticity, and bladder and bowel dysfunction. Indirect impairments from SCI can also occur and include respiratory complications, pressure sores, deep vein thrombosis, and other issues.
1. Spinal cord injuries and diseases can be traumatic due to external forces or non-traumatic due to underlying conditions. Common non-traumatic diseases include tumors, infections, inflammation, and vascular abnormalities.
2. Assessment involves evaluating neurological function, imaging like MRI to identify abnormalities, and diagnostic tests like lumbar puncture. Management depends on the specific condition but may require surgery, antibiotics, steroids, or other treatments.
3. Outcomes depend on the level and completeness of injury, with earlier treatment often leading to better recovery of function. Quality of life is significantly impacted due to paralysis and other functional limitations.
This document provides information on spine and extremity injuries, including fractures, compartment syndrome, traumatic amputations, and spinal injuries. It describes the types, clinical features, investigations, management principles, and complications of these conditions. Fractures are classified as open or closed. Compartment syndrome results from increased pressure compromising circulation. Amputations require urgent wound care and resuscitation. Spinal injuries can damage the vertebrae and spinal cord, and require immobilization, imaging, and multidisciplinary management.
The document discusses spinal injuries, describing stable injuries that do not displace or endanger the spinal cord versus unstable injuries that may further displace and cause deformity or pain. It outlines the primary injury caused by the initial trauma and secondary injury from hemorrhage and ischemia. Various types of spinal injuries are described based on the mechanism of trauma. Evaluation involves assessing neurological function, location of injury, and determining if the injury is complete or incomplete. Imaging like CT and MRI can further characterize injuries. Treatment goals are preserving neurological function, relieving compression, stabilizing the spine, and rehabilitation.
This document provides an overview of diseases of the spinal cord including symptoms, signs, and specific syndromes associated with lesions at different spinal cord levels. It discusses both compressive and non-compressive myelopathies. Compressive causes include tumors, abscesses, hematomas, and herniated disks. Non-compressive causes include infarction, autoimmune disorders, infections, and demyelinating diseases. Chronic myelopathies such as spondylosis, vascular malformations, and nutritional deficiencies are also reviewed. The document provides detailed information on localizing spinal cord lesions and distinguishing features of various spinal cord syndromes.
Pulmonary embolism is a blockage in the pulmonary arteries caused by blood clots that travel from deep veins. It has several risk factors and causes around 650,000 cases and 150,000-200,000 deaths annually in the US. Diagnosis involves assessing probability based on symptoms and risk factors, then tests like CT, VQ scan, ultrasound, or angiogram depending on probability. Treatment consists of blood thinners like heparin or warfarin to prevent further clots and long term anticoagulation to prevent recurrence based on the cause of clotting.
Infection Control in the Emergency Room presentation.pptNimonaAAyele
This document discusses infection control procedures in the emergency room. It outlines standard precautions like hand washing, use of gloves, gowns and masks that should be followed with all patients regardless of diagnosis. Additional isolation types are described for diseases spread through droplets when coughing or airborne means like tuberculosis. The key is treating all patients the same with barrier protections and conducting cleanings to prevent disease transmission in the healthcare setting.
This document discusses spinal anatomy, trauma, and injury. It covers the epidemiology, mechanisms, classifications, diagnosis, and management of spinal cord injuries. Some key points include:
- The cervical spine has greater range of motion while the thoracic and lumbar vertebrae are more rigid.
- Spinal cord injuries can be complete or incomplete. Complete injuries have no motor or sensory function below the level of injury while incomplete injuries have some spared function.
- Common mechanisms of injury are motor vehicle accidents, falls, and sports/recreation injuries. Indirect injuries from compression are most likely to cause significant damage.
- Imaging like CT and MRI are important for diagnosis but patient stabilization takes priority over imaging in trauma situations
This document discusses spinal anatomy, trauma, and injury. It covers the epidemiology, mechanisms, classifications, diagnosis, and management of spinal cord injuries. Some key points include:
- The cervical spine has greater range of motion while the thoracic and lumbar vertebrae are more rigid.
- Spinal cord injuries can be complete or incomplete. Complete injuries have no motor or sensory function below the level of injury while incomplete injuries have some spared function.
- Common mechanisms of injury are motor vehicle accidents, falls, and sports/recreation injuries. Indirect injuries from compression are most likely to cause significant damage.
- Imaging like CT and MRI are important for diagnosis but patient stabilization takes priority over imaging in trauma situations
This document provides an overview of spinal trauma. It begins with relevant spinal anatomy and the epidemiology of spinal injuries. The most common mechanisms of injury are motor vehicle accidents and falls. Clinical signs include neurological deficits that correspond to the level and completeness of injury. Radiological imaging such as X-rays, CT, and MRI are used to identify fractures and spinal instability. Early management focuses on immobilization, corticosteroids, and treating associated conditions like neurogenic shock. Surgical stabilization is indicated for incomplete injuries with neural compression or unstable fractures with neurological deficits. The goals of treatment are to preserve neurological function, minimize compression, stabilize the spine, and rehabilitate the patient.
Traumatic paraplegia & bladder management by dr ashutoshAshutosh Kumar
1) Traumatic paraplegia refers to spinal cord injury in the thoracic, lumbar, or sacral regions resulting in loss of muscle strength in the lower extremities. Initial management involves immobilization and transport to the emergency room for evaluation.
2) The bladder is commonly affected after paraplegia, resulting in either a flaccid or spastic bladder depending on the level of injury. Long-term management involves preventing complications like pressure ulcers, spasticity, and blood clots through rehabilitation therapies.
3) Rehabilitation is critical after spinal cord injury and involves a multidisciplinary team to address issues like bladder management, skin care, spasticity management, and prevention of secondary complications. The
This document provides an overview of traumatic paraplegia and spinal cord injury. It discusses the classification, epidemiology, mechanisms of injury, assessment, diagnostic modalities, management of complications like bladder dysfunction, and considerations for thoracolumbar injuries. Key points include that spinal cord injury results in changes to motor, sensory or autonomic function, most injuries occur in the cervical spine from motor vehicle accidents in young males, and diagnostic workup involves plain films, CT scans and potentially MRI to evaluate injury extent and neurological status.
This document provides information about spinal cord injuries. It begins with objectives related to understanding the anatomy and physiology of the spinal cord, mechanisms of spinal cord injury, pathophysiological changes after injury, life-threatening complications, and nursing care for patients with spinal cord injuries. It then covers topics like the basic anatomy and functions of the spinal cord, common causes of injury, types of injuries, associated risks, priorities in emergency management, potential complications, spinal shock, autonomic dysreflexia, classifications of injuries, consequences of injuries, and surgical and non-surgical management of patients. It also discusses herniation of intervertebral discs, including causes, signs, surgical and non-surgical management, and potential complications
1. The document discusses the anatomy, mechanisms of injury, classification, clinical features, management, and imaging of cervical spine injuries.
2. Key points include the importance of manual handling and immobilization of patients with potential cervical spine injuries. Radiographic imaging including CT and MRI are important diagnostic tools.
3. Common cervical spine injuries include fractures of C1 (Atlas) and C2 (Axis) as well as fracture-dislocations. Clinical syndromes can occur based on the level and mechanism of injury.
A 42-year-old male was admitted to the emergency department after a motor vehicle accident with back pain and inability to move his lower limbs. Examination revealed absent sensation and paralysis below T12 with MRI showing a lesion at T11. He was diagnosed with complete T11 paraplegia and underwent surgery. Rehabilitation focused on preventing complications like pressure sores, infections, and maintaining mobility. Spinal cord injuries cause various impairments depending on level and severity, and patients require long-term management of physical, psychological, and social impacts on quality of life.
Cervical spine trauma and spinal cord injuries by Dr Shamavu Gabriel.pptxGabriel Shamavu
PAEDIATRICS TRAUMA ADVANCED LIFE SUPPORT PRESENTATION
Cervical spine trauma and spinal cord injuries
Prepared by Dr GABRIEL KAKURU SHAMAVU, Resident in Paediatrics and child health at Kampala International University Teaching Hospital. With Mentorship of Professor Yamile Arias Ortiz. Tutor of the course of "Paediatrics Emergencies and life support". Mars 2022
1. The document discusses various types of spinal cord injuries including complete injuries which involve a complete loss of motor and sensory function below the level of injury, and incomplete injuries which partially compromise spinal cord function with some sensation and muscle movement retained below the injury site.
2. It provides details on specific spinal cord syndromes like anterior cord syndrome, Brown-Séquard syndrome, and central cord syndrome which are characterized by variable patterns of motor and sensory loss.
3. The management of spinal cord injuries involves stabilizing the spine, treating shock, addressing airway and breathing issues, screening for associated injuries, and preventing complications like pressure sores through regular turning of immobilized patients.
A spinal cord injury (SCI) is damage to the spinal cord that causes temporary or permanent changes in its function. Symptoms may include loss of muscle function, sensation, or autonomic function in the parts of the body served by the spinal cord below the level of the injury.
The document provides information about spinal cord injury including:
- Anatomy and physiology of the spinal cord and nerves.
- Types of spinal cord injuries such as complete vs incomplete, and tetraplegia vs paraplegia.
- Causes, signs and symptoms, assessment, diagnostic tests, and management including medical, surgical, and nursing considerations.
- Potential complications are also discussed such as autonomic dysreflexia, pressure sores, and loss of bladder/bowel control. Rehabilitation strategies aim to improve mobility and independence.
Spinal cord injuries can cause paralysis, sensory loss, and autonomic dysfunction below the level of injury. There are two main types - complete lesions with no preserved function below the injury, and incomplete lesions with some preserved sensation or motor function. Complications include neurogenic bladder, spasticity, autonomic dysreflexia, pressure ulcers, and orthostatic hypotension. Early rehabilitation is important to prevent further issues and maximize recovery of function.
Spinal cord injuries complete topic about it and how to make good rehabilitation for the patient with spinal cord injuries .
wish it help people
my pleasure :)
Mostafa shakshak
Traumatic spinal cord injuries can cause tetraplegia or paraplegia depending on the level of the lesion in the spinal cord. Injuries are often classified based on whether they are complete or incomplete. Common clinical manifestations include motor and sensory impairments, autonomic dysreflexia, respiratory issues, spasticity, and bladder and bowel dysfunction. Indirect impairments from SCI can also occur and include respiratory complications, pressure sores, deep vein thrombosis, and other issues.
1. Spinal cord injuries and diseases can be traumatic due to external forces or non-traumatic due to underlying conditions. Common non-traumatic diseases include tumors, infections, inflammation, and vascular abnormalities.
2. Assessment involves evaluating neurological function, imaging like MRI to identify abnormalities, and diagnostic tests like lumbar puncture. Management depends on the specific condition but may require surgery, antibiotics, steroids, or other treatments.
3. Outcomes depend on the level and completeness of injury, with earlier treatment often leading to better recovery of function. Quality of life is significantly impacted due to paralysis and other functional limitations.
This document provides information on spine and extremity injuries, including fractures, compartment syndrome, traumatic amputations, and spinal injuries. It describes the types, clinical features, investigations, management principles, and complications of these conditions. Fractures are classified as open or closed. Compartment syndrome results from increased pressure compromising circulation. Amputations require urgent wound care and resuscitation. Spinal injuries can damage the vertebrae and spinal cord, and require immobilization, imaging, and multidisciplinary management.
The document discusses spinal injuries, describing stable injuries that do not displace or endanger the spinal cord versus unstable injuries that may further displace and cause deformity or pain. It outlines the primary injury caused by the initial trauma and secondary injury from hemorrhage and ischemia. Various types of spinal injuries are described based on the mechanism of trauma. Evaluation involves assessing neurological function, location of injury, and determining if the injury is complete or incomplete. Imaging like CT and MRI can further characterize injuries. Treatment goals are preserving neurological function, relieving compression, stabilizing the spine, and rehabilitation.
This document provides an overview of diseases of the spinal cord including symptoms, signs, and specific syndromes associated with lesions at different spinal cord levels. It discusses both compressive and non-compressive myelopathies. Compressive causes include tumors, abscesses, hematomas, and herniated disks. Non-compressive causes include infarction, autoimmune disorders, infections, and demyelinating diseases. Chronic myelopathies such as spondylosis, vascular malformations, and nutritional deficiencies are also reviewed. The document provides detailed information on localizing spinal cord lesions and distinguishing features of various spinal cord syndromes.
Pulmonary embolism is a blockage in the pulmonary arteries caused by blood clots that travel from deep veins. It has several risk factors and causes around 650,000 cases and 150,000-200,000 deaths annually in the US. Diagnosis involves assessing probability based on symptoms and risk factors, then tests like CT, VQ scan, ultrasound, or angiogram depending on probability. Treatment consists of blood thinners like heparin or warfarin to prevent further clots and long term anticoagulation to prevent recurrence based on the cause of clotting.
Infection Control in the Emergency Room presentation.pptNimonaAAyele
This document discusses infection control procedures in the emergency room. It outlines standard precautions like hand washing, use of gloves, gowns and masks that should be followed with all patients regardless of diagnosis. Additional isolation types are described for diseases spread through droplets when coughing or airborne means like tuberculosis. The key is treating all patients the same with barrier protections and conducting cleanings to prevent disease transmission in the healthcare setting.
The document provides an overview of common ear problems, including:
- External ear problems like cerumen impaction and otitis externa can cause pain and discharge. Treatment involves irrigation, antibiotics, or antifungals depending on the cause.
- Middle ear problems such as otitis media, mastoiditis, and tympanic membrane perforations can result from infection or trauma. Most perforations will heal on their own over time.
- Internal ear disorders involve the delicate structures inside the temporal bone responsible for hearing and balance.
This document discusses assessment and management of patients with chronic musculoskeletal system disorders. It provides details on rheumatoid arthritis, gouty arthritis, osteomyelitis, osteoporosis, and osteomalacia. For each condition, it describes etiology, clinical manifestations, diagnostic tests, and pharmacological and non-pharmacological treatment approaches. The overall goal is to educate students on identifying these joint, connective tissue, and bone disorders and implementing appropriate nursing care plans.
This document discusses the management of patients with chronic respiratory system disorders such as asthma, tuberculosis (TB), and chronic obstructive pulmonary disease (COPD). It provides learning objectives, definitions, risk factors, pathophysiology, clinical manifestations, complications, diagnostic methods, medical and nursing management approaches, and prevention methods for each condition. Key points covered include the definition of asthma as a reversible expiratory airflow limitation, common triggers for asthma attacks, classifications of asthma severity, diagnostic tests for asthma, quick relief versus long-term control treatments, and nursing care priorities. TB is defined as an infectious disease most commonly caused by Mycobacterium tuberculosis that can infect the lungs and other organs. Epidemiology, vulnerable groups, etiology,
2023 Gastro intestinal system problems.pptxNimonaAAyele
This document discusses the management of patients with chronic gastrointestinal disorders. It begins by outlining the learning objectives, which are to define various GI disorders, describe their pathophysiology and clinical manifestations, identify appropriate diagnoses and differentials, and discuss medical and nursing management approaches. The document then provides detailed information on gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), including definitions, causes, risk factors, diagnostic tests, treatment options, and nursing considerations for each condition.
This document provides information on diabetes mellitus (DM), including definitions, types, pathophysiology, clinical manifestations, diagnosis, and management. It begins by defining the objectives of the session and introducing the pancreas and pancreatic hormones like insulin, glucagon, and somatostatin. It then defines DM, describes the two main types (type 1 and type 2), and other less common types. Risk factors, clinical features, diagnostic criteria involving blood tests, and potential complications of both short-term and long-term hyperglycemia are outlined. Management of DM focuses on diet, exercise, and medication like insulin or oral hypoglycemic agents.
Gastro intestinal cancer by Azu and Dere (1) (4).pptxNimonaAAyele
The document discusses gastrointestinal cancers. It provides an outline covering introduction, epidemiology, causes, risk factors, clinical manifestations, pathophysiology, types, diagnosis, treatment and complications of gastrointestinal cancers. Specifically, it focuses on esophageal cancer, stomach cancer, liver cancer, discussing their risk factors, signs and symptoms, classifications, diagnostic tests and treatment options. Globally, gastrointestinal cancers represent over a quarter of cancer incidence and a third of cancer deaths.
Immunodeficiency dis order [Repaired] FINAL.pptxNimonaAAyele
This document provides an overview of immunodeficiency diseases including HIV and SLE. It begins with introducing immunodeficiency and classifying primary immunodeficiencies. Signs and symptoms of immunodeficiency are described. Diagnosis involves medical history, physical exam, and laboratory tests. Management includes antibiotics, immunoglobulin replacement, bone marrow transplant, and addressing nutritional needs. HIV causes AIDS by attacking CD4 cells. SLE is an autoimmune condition where the immune system attacks its own tissues. Symptoms and treatments are discussed for both.
WORKU and YADETA AHN-II Group Assignment.pptxNimonaAAyele
This document provides an overview of inflammatory bowel diseases (IBD) and irritable bowel syndrome (IBS). It begins with an introduction to IBD, which includes Crohn's disease and ulcerative colitis, and IBS. The objectives, classifications, clinical features, diagnosis, and management of IBD and IBS are then outlined. Key differences between Crohn's disease and ulcerative colitis are also highlighted.
Sufa Mengiste and Tolosa presented a seminar on teeth disorders to nursing students at Salale University. They discussed the anatomy and physiology of teeth, diseases of the hard tissues including dental caries and non-caries issues like erosion and abrasion. Dental caries starts with plaque accumulation and acid production, potentially leading to cavities. Complications of untreated cavities include abscesses. Other topics included extra teeth, malocclusion, staining, nursing diagnoses, and oral health management. The presentation aimed to explain the causes and treatments of common teeth problems.
This document provides an outline for a presentation on thyroid disorders. It begins with introducing the objectives of understanding thyroid physiology and recognizing signs and symptoms of hypo- and hyperthyroidism. It then covers the anatomy and function of the thyroid gland and hormones. The major sections explore causes, signs/symptoms, diagnosis and management of hypothyroidism and hyperthyroidism. Specific conditions discussed include Graves' disease, Hashimoto's thyroiditis, and myxedema coma.
Pituitary disorders occur when there is too much or too little of one or more hormones produced by the pituitary gland. This can lead to conditions like acromegaly, gigantism, dwarfism, diabetes insipidus, and syndrome of inappropriate antidiuretic hormone secretion. The presentation and management of these disorders depends on which hormones are affected. Surgical removal of tumors, radiation therapy, and drug therapy can be used to treat pituitary disorders. Early diagnosis and treatment is important to prevent long term complications.
Edited Assignment of Adrenal Disorders (1)(1).pptxNimonaAAyele
This document provides an overview of adrenal gland disorders including Cushing's syndrome, Addison's disease, and pheochromocytoma. It outlines the objectives, anatomy, causes, clinical manifestations, diagnostic findings, and management of various adrenal disorders. Specifically, it describes Cushing's syndrome as resulting from excessive cortisol secretion from the adrenal cortex. It also defines Addison's disease as a condition of adrenal insufficiency caused by inadequate cortisol production. Finally, it discusses pheochromocytoma as a tumor of the adrenal medulla that causes hypersecretion of catecholamines.
- The document summarizes a presentation on chronic liver disease (CLD). It covers the definition of CLD, common causes including alcohol, viruses, autoimmune conditions, signs and symptoms, complications such as portal hypertension and esophageal varices, diagnostic tests, and management approaches including medications, diet, procedures like paracentesis, and potentially liver transplantation. The presentation provides an overview of CLD for health science students.
Yordanos Lemma presented on bone tumors (benign and malignant) at Salale University College of Health Science. The presentation covered:
- Types of bone tumors including the most common benign tumors like enchondroma and osteochondroma, and malignant tumors such as multiple myeloma, osteosarcoma, Ewing's sarcoma, and chondrosarcoma.
- Risk factors for bone tumors including being a child or young adult as benign tumors often affect the growing skeleton.
- Diagnosis involves imaging tests and biopsies to determine if a tumor is benign or malignant. Management depends on the type and severity of the tumor, ranging from observation to surgery.
This document provides an introduction to helminths, which are parasitic worms that infect humans. It discusses the characteristics of the three main types of helminths: nematodes, cestodes, and trematodes. It then focuses on nematodes, describing the lifecycles, transmission routes, clinical symptoms, diagnosis, and treatment of several important nematode infections that commonly infect the intestines or blood/tissues of humans. These include Ascaris lumbricoides, Trichuris trichiura, Enterobius vermicularis, Strongyloides stercoralis, Ancylostoma duodenale, and Necator americanus.
The document consists of 53 repetitive lines thanking unnamed individuals for scanning a book. It expresses gratitude and states that EMSA is more than just a student. No other notable information is provided.
The document discusses various endocrine glands and hormones, including the thyroid gland which produces hormones that regulate metabolism, and the adrenal glands which produce cortisol to help the body cope with stress and aldosterone to regulate sodium levels. It also covers conditions that can arise from too much or too little of these hormones, such as hypothyroidism, hyperthyroidism, Cushing's syndrome, and adrenal insufficiency.
This document provides an overview of seizures and epilepsy written by Dr. AFEWORK A. It defines seizures and epilepsy, discusses their etiology and classifications. It also covers differential diagnosis, treatment of epilepsy including antiepileptic drugs, and treatment of status epilepticus. Status epilepticus is defined as prolonged or repeated seizures without regaining consciousness, and is considered a medical emergency requiring prompt treatment to terminate seizures and prevent recurrence. Treatment follows an algorithm starting with benzodiazepines, phenytoin, phenobarbital, and may require intubation and pentobarbital-induced coma.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...rightmanforbloodline
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Versio
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
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1. SPINAL CORD INJURY
MANOJ M.G
MANOJ M.G.
LECTURER (MEDICAL SURGICAL
NURSING)
DEPARTMENT OF NURSING AND
MIDWIFERY
WOLLEGA UNIVERSITY
2. DEFINITION
•Spinal cord injury (SCI) is damage to the
spinal cord that results in a loss of function
such as mobility or feeling.
Common locations of spinal cord injuries
•Flexion-extension injuries are commonly
located at C4 - C7.
• T11, T12, and L1 are frequent sites of spinal
cord injury resulting rom falls.
3.
4. Mechanisms of spinal cord injury.
•Flexion-extension: whiplash(is a non-medical term
describing a range of injuries to the neck caused
by or related to a sudden distortion of the neck,
associated with extension)
• Subluxation: incomplete or partial dislocation.
•Torsion: twisting of the spinal cord.
•Compression.
6. RISK FACTORS
Gender - Spinal cord injury affects a
disproportionate amount of men
Age – (Young adults and seniors)
- Between ages 16 and 35 / MVA leading cause
- Another peak in people older than 60 / falls leading
cause
People active in sports – High risk athletic
activities include football, rugby, wrestling,
gymnastics, diving, surfing, ice hockey and
downhill skiing
Predisposing conditions - A relatively minor
injury can cause spinal cord injury in people with
conditions that affect their bones or joints, such
as arthritis or osteoporosis
8. •Road Traffic Accident
•Sports injury
•Fall
•Bullet or stab wound
•Traumatic injury
•Electric shock
•Extreme twisting of the middle of the body
•Landing on the head during a sports injury
•Fall from a great height
9.
10. Types of Spinal Cord Injury
•Complete Spinal Cord Injuries
• Complete paraplegia is described as
permanent loss of motor and nerve function
at T1 level or below, resulting in loss of
sensation and movement in the legs, bowel,
bladder, and sexual region. Arms and hands
retain normal function.
•Complete loss of motor function and
sensation below the area of injury
11. •Even in a complete injury, the spinal cord is
almost never completely cut in half. Doctors
use the term "complete" to describe a large
amount of damage to the spinal cord.
•many people with partial spinal cord injuries
are able to experience significant recovery.
While those with complete injuries are not .
12. Incomplete / Partial spinal cord injury
Spinal cord is able to convey some messages
to or from the brain. Therefore, retain some
sensation and possibly some motor function
below the affected area
16. •Anterior Cord Syndrome
Damage of front 2/3 of spinal cord, loss
of pain and temperature sensation, and
motor function below level of injury
Light touch (pressure) and position and
vibration sensation preserved
Possible for some people with this injury
to later recover some movement
16
17.
18. •Central Cord Syndrome
Usually with unbelted Motor Vehicle
Accidents and falls of elderly
Typically results greater weakness in arms vs
lower extremities
Sensory loss varies but more severe in upper
extremities
Control over the bowel and bladder varies and
may be preserved
Possible for some recovery from this type of
injury, usually starting in the legs, gradually
progressing upwards
18
20. •Brown-Sequard Syndrome/lateral
Usually stab or Gun Shot Wound
Damage is towards one side of the
spinal cord
Ipsilateral (same side as the cord
injury) Impaired or loss of movement,
touch, pressure and vibration (Hemi
paraplegia)
Contralateral (opposite side of cord
injury) loss of pain and temperature
sensation (Hemiparasthesia)
20
21.
22. •Posterior Cord Syndrome
Damage is towards the back of the
spinal cord
May leave the person with good
muscle power, pain and temperature
sensation
However they may experience
difficulty coordinating movement of
their limbs
22
23.
24. •Cauda Equina Syndrome:
Due to bony compression or disc
protrusions in lumbar or sacral region
Non specific symptoms – back pain
- bowel and bladder dysfunction
- leg numbness and weakness
- saddle paresthesia(loss of sensation
restricted to the area of buttocks, perineum
and inner surface of the thighs)
25. Spinal Cord Injuries Causal Categories
Traumatic spinal cord injury may stem
from:
• Sudden, traumatic blow that fractures,
dislocates, crushes or compresses one or
more of vertebrae
• Gunshot or knife wound that penetrates and
cuts your spinal cord
• Additional (secondary) damage usually
occurs over days or weeks because of
bleeding, swelling, inflammation and fluid
accumulation in and around spinal cord
26. Non-traumatic spinal cord injury may be
caused by :
• Arthritis
• Cancer
• Blood vessel problems or bleeding
• Inflammation or infections
• Disk degeneration of the spine
31. PATHOPHYSIOLOGY
Due to the etiological factor
Damage to the cord may be a concussion, contusion, laceration,
compression, or complete, incomplete of the cord.
Cord's response to injury includes hemorrhage, ischemia, and edema
SCI Involves loss of:
Motor function
Sensory function
Reflexes
Control of elimination
32. CLINICAL MANIFESTATIONS
•Patients with tetraplegia (formerly called
quadriplegia) have damage to the cervical
segments of nerves (C1-C8) in the spinal canal.
Function may be impaired in the upper
extremities, trunk, pelvic organs, and lower
extremities.
•Patients with paraplegia have damage to the
thoracic, lumbar, or sacral segments of nerves
in the spinal cord. The arms are unaffected, but
function may be impaired in the trunk, pelvic
organs, and lower extremities.
33. •Sacral sensation is intact if there is deep sensation
and sensation at the anal mucocutaneous junction;
sacral motor is intact if the patient has voluntary
contraction of the external anal sphincter with
digital stimulation.
•The Zone of Partial Preservation (ZPP) indicates
areas of partial sensory/motor innervation below
the Level Of Injurie; the ZPP is applicable only to
complete injuries.
34. •The neurologic level of injury is the lowest neural
level with normal sensory and motor function on
both sides of the body. When describing the level
of involvement, the neurologic level is noted
unless stated specifically that the skeletal level of
involvement, which is the level of greatest
vertebral damage, is being discussed.
•Various syndromes (incomplete injuries) may
characterize the clinical presentation
35. • Patient's symptoms will mirror the level of the
cord injury.
•There will be total sensory loss and motor
paralysis below level of the injury.
• Cervical spinal cord injuries will produce
quadriplegia--loss of function of all four
extremities.
• Injuries to the thoracic spinal cord below the level
of T1 will produce paraplegia--paralysis of the
lower extremities.
• Loss of bowel and bladder control; usually urinary
retention and bladder distention.
36. •Loss of sweating and vasomotor tone below
the level of the cord injury.
•Marked reduction of blood pressure due to
loss of peripheral vascular resistance.
•Neck/back pain.
•Priapism--persistent, painful erection of the
penis.
37.
38. CERVICAL (NECK) INJURIES
•Breathing difficulties
•Loss of normal bowel and bladder control
•Numbness
•Sensory changes
•Spasticity (increased muscle tone)
39. THORACIC (CHEST LEVEL) INJURIES
•Loss of normal bowel and bladder control
•Numbness
•Sensory changes
•Spasticity (increased muscle tone)
•Weakness, paralysis
40. LUMBAR SACRAL (LOWER BACK)
INJURIES
•Loss of normal bowel and bladder control (you may have
constipation, leakage, and bladder spasms)
•Numbness
•Pain
•Sensory changes
•Weakness and paralysis
47. MANAGEMENT
•Requires a multidisciplinary approach because of
multiple systems involvement and the
psychosocial aspects of catastrophic injuries.
Immediately After Trauma (Less Than 1
Hour)
•Immobilization with rigid cervical collar,
sandbags, and rigid spine board to transport from
the field to acute care facility.
49. Acute Phase (1 to 24 Hours)
•Maintenance of pulmonary and cardiovascular
stability.
•Intubation and mechanical ventilation, if needed.
•Vasopressors to maintain adequate perfusion to
sustain mean arterial BP at 85 to 90 mm Hg.
•Medical stabilization before spinal stabilization and
decompression.
50. •Spinal cord immobilization use of skeletal
tongs.
•Crutchfield and Vinke tongs( used for
immubilization) require predrilled holes in the
skull under local anesthesia; Gardner-Wells and
Heifitz tongs do not.
•Weight is added to traction gradually to reduce the
vertebral fracture; weight maintained at a level to
ensure vertebral alignment.
51. •Rigid kinetic turning bed to immobilize patients
with thoracic and lumbar injuries.
•Surgical interventions are considered when the
patient has vertebral instability that may result in
further neurologic damage; an injury that is
incomplete at onset may become complete if
instability exists. The objectives are to remove all
of the bony and soft tissues that are compressing
the spinal cord, thereby minimizing the possibility
of a deteriorating neurologic status, and stabilize
the vertebra surrounding the spinal cord so that
rehabilitation may begin as soon as possible.
52. •Decompression, typically using the anterior
approach in cervical instances, may be
accomplished by removing the bony structures
and soft tissues (eg, fusion, decompression
laminectomy). Realignment of the soft tissues
and vertebral column is required.
•Stabilization, typically done using the posterior
approach, involves the use of wires, bone grafts,
plates, screws, and other fixation devices to
prevent movement at the damaged bony site (eg,
fusion, Harrington rods). Harrington rods, used
for thoracolumbar SCI, extend approximately
one to three levels above and below the fracture.
53. •Methylprednisolone sodium succinate( to
improve neurological recovery) should be
administered within 8 hours of injury.
•Bolus 30 mg/kg administered over 15 minutes;
maintenance infusion of 5.4 mg/kg/hr infused for 23
hours
•Additional benefit may be achieved by
administering the maintenance dose for 48 hours.
•Management of neurogenic bladder( dysfunction
caused by neurologic damage, symptoms may
include over flow, urgency, frequency) Foley
catheter
•Pressure ulcer prevention pressure reduction
mattress or kinetic turning frame.
54. Sub acute Phase (Within 1 Week)
•Halo traction is the primary treatment for cervical
injuries
•ganglioside sodium salt I.V., begun within 72
hours after injury, and continued for 18 to 32 days,
is believed to enhance neuronal regeneration.
•H2-receptor blockers to prevent gastric irritation
and haemorrhage.
•Early mobilization and passive exercise as soon as
patient is surgically and medically stable.
•Hyper alimentation( intravenous supply of
nutrients) to retard negative nitrogen balance.
55. •Interventions to prevent thromboembolism
(intermediate risk) are based on motor
completeness of injury:
•Motor Incomplete ,compression hose; compression
boots in addition to unfractionated heparin (UH) 5,000
units every 12 hours.
•Motor Complete compression hose; compression boots
in addition to UH with the dosage adjusted to high
normal or low-molecular-weight heparin 30 mg bid.
•If the patient is at high risk (ie, motor complete with
other risk factors such as fractures of lower extremities
or previous DVT), an inferior vena cava filter should be
considered.
56. Chronic Phase (Beyond 1 Week)
•Harrington rods, used in conjunction with a body
jackets, are used for patients with thoracolumbar
injuries.
•To prevent thrombophlebitis in the chronic phase,
compression boots should be continued for 2
weeks; anticoagulants should also be continued
based on motor completeness of injury:
•Motor Incomplete until discharged from hospital (or 8
weeks
•Motor Complete 8 weeks.
•If the patient is at high risk, anticoagulants should be
continued for 12 weeks or until discharged from
hospital.
57. •Management of complications may include
treatment of infections with antibiotics; treatment
of respiratory compromise with phrenic nerve
pacing, mechanical ventilation, and other methods;
pressure ulcer treatment; management of
heterotopic ossification (is the presence of bone in
soft tissue where bone normally does not exist)
with calcium chelators( which bind calcium) and
anti-inflammatory agents; drainage of
syringomyelia( cyst in spinal cord); management
of spasticity with oral or intrathecal
antispasmodics, surgical procedure, or spinal cord
stimulation; and management of central
neuropathic pain with anticonvulsants, minor
sedatives, antidepressants, nerve block, or surgical
procedure.
58. •Spasticity should be managed by:
•Maintaining calm, stress-free environment.
•Allowing ample time for activities such as
positioning and transferring.
•Performing joint ROM exercises with slow,
smooth movements.
•Avoiding temperature extremes.
•Administering muscle relaxants, such as
baclofen (Lioresal) (via pump or orally),
diazepam (Valium), and dantrolene (Dantrium),
as prescribed.
59. •External sphincterotomy may be used for detrusor-
sphincter dyssynergia (Insufficient relaxation of the
sphincter during a voiding contraction prevents effective
bladder emptying and can lead to high pressures in the
bladder) Other options include urethral stents and balloon
dilatation.
•Clonidine has been used to manage spasticity and
facilitate ambulation in patients with incomplete injuries.
•Resistive inspiratory muscles training shows promise in
promoting respiratory muscle strength and reducing sleep-
induced breathing disturbances in patients with
tetraplegia. Resistive training devices are used to perform
respiratory maneuvers at scheduled times during the day.
•Rehabilitation includes medical and psychosocial support,
physical therapy, urologic evaluation, occupational
therapy, and multiple other interventions to facilitate an
increased level of function and community participation.
61. Nursing Assessment
•Assess cardiopulmonary status and vital signs to
help determine degree of autonomic dysfunction,
especially in patients with tetraplegia.
•Determine LOC and cognitive function indicating
Traumatic Brain Injuries or other pathology.
•Perform frequent motor and sensory assessment of
trunk and extremities extent of deficits may
increase due to oedema and haemorrhage. And it
may increase the neurologic deficit and pain.
62. •Note signs and symptoms of spinal shock, such as
flaccid paralysis, urine retention, absent reflexes.
•Assess bowel and bladder function.
•Assess quality, location, severity of pain.
•Perform psychosocial assessment to evaluate
motivation, support network, financial or other
problems.
•Assess for indicators of powerlessness, including
verbal expression of no control over situation,
depression, nonparticipation, dependence on
others, passivity.
63. Nursing Diagnoses
•Ineffective Breathing Pattern related to paralysis of
respiratory muscles or diaphragm
•Impaired Physical Mobility related to motor
dysfunction
•Risk for Impaired Skin Integrity related to
immobility and sensory deficit
•Urinary Retention related to neurogenic bladder
•Constipation or Bowel Incontinence related to
neurogenic bowel
64. •Risk for Injury: autonomic dysreflexia (is a
syndrome in which there is a sudden onset of
excessively high blood pressure) and orthostatic
hypotension ( is defined as a decrease in
systolic blood pressure of 20 mm Hg or a
decrease in diastolic blood pressure of 10 mm Hg
within three minutes of standing when compared
with blood pressure from the sitting or supine
position)
•Powerlessness related to loss of function, long
rehabilitation, depression
•Sexual Dysfunction related to erectile dysfunction
and fertility changes
•Chronic Pain related to neurogenic changes
65. Nursing Management
Objectives of care:
•Reduce the fracture/dislocation and obtain
immobilization of the spine as soon as possible
to prevent further cord damage.
•Observe for symptoms of progressive
neurological damage.
Patient with cervical spine injury will have
some form of skeletal traction. Maintain
traction and provide nursing care local policy.
66. Continuously observe patient's breathing pattern.
•Patients with injuries at high levels are at risk for
respiratory failure.
•Observe strength of cough effort.
Be alert for signs of spinal shock ( is the temporary
reduction of or loss of reflexes following a spinal
cord injury (SCI) )and report immediately.
•(Spinal shock represents a sudden loss of continuity
between the spinal cord and higher nerve centers.
•It is characterized by a complete loss of motor,
sensory, reflex, and autonomic activity below the
level of the injury.
•Though temporary, spinal shock may last for several
weeks.
67. Continuously observe patient for motor and
sensory changes due to cord edema or
hemorrhage, which may further compromise
cord function.
•Test patient's motor ability by asking him/her to
spread fingers, grip your hands, shrug
shoulders, etc.
•Test sensory level by gently pinching the skin at
shoulders and progressing down sides; ascertain
level at which patient can no longer feel pinch.
•Note presence/absence of sweating.
•Carefully record findings in patient's clinical
record; report changes in patient's
motor/sensory level immediately to professional
nurse.
68. If turning is allowed and patient is not on a turning
frame or turning bed, the patient must be carefully log-
rolled with the spine maintained in alignment.
Surgery, depending upon the injury and pathological
findings, may have to be performed to stabilize the
spine before rehabilitation can begin.
Patient will require passive range of motion exercises.
Assist with active rehabilitation procedures when
patient is stable.
•Program is designed according to neurological deficit.
•Usually involves 6 weeks of gradual mobilization with
brace or cast, depending upon level of injury.
Provide constant encouragement and psychological
support to the patient with a spinal cord injury.
69. Possible Complications
•Blood pressure changes - can be extreme
(autonomic hyper reflexia)
•Chronic kidney disease
•Complications of immobility:
Deep vein thrombosis
Pulmonary infections
Skin breakdown
•Contractures: A muscle contracture is a
permanent shortening of a muscle or joint
70. •Increased risk of urinary tract infections
•Loss of bladder control
•Loss of bowel control
•Loss of sensation
•Loss of sexual functioning (male impotence)
•Muscle spasticity
•Paralysis of breathing muscles
•Paralysis (paraplegia, quadriplegia)
•Pressure sores
•Shock