Spinal Cord Injury
Jasmin Blair, a 35 years old female patient, was admitted to the neurosurgical unit with traumatic spinal cord injury that occurred due to a sudden blow to the spine during a road accident. She was diagnosed with high blood pressure two years ago and has gone through two surgeries in the past ten years to remove fibroid growth in her uterus. Her family has a long history of hypertension and diabetes. The patient admission vital signs are as follows; the blood pressure is 90/50 mmHg, heart rate is 105 bpm, respiratory rate of 28 breaths/minute, and a temperature of 101.80 F. She cannot control her body entirely and hence cant balance or walk without support, extreme pain in the head, back and neck, she also lost sensation …show more content…
The goal of the nurse is to increase the urinary elimination process so that the patients can have a fluid intake and output balance maintain the bladder emptying without residues and have a negative urine culture (Kornhaber, Mclean, Betihavas, & Cleary, 2018). The bladder’s inability to empty urine completely caused by the effects of poor bladder control which is known to cause urinary tract infections, and insufficient kidney function. The spinal cord injury is capable of reflex micturition disorders which help in the passing of …show more content…
Abdominal fullness may hinder diaphragmatic excursion and reduce lung enlargement hence respiratory function is compromised. Additionally, Palpate for bladder distension and observe for overflow because bladder distension can precipitate autonomic dysreflexia (Bauman & Russo-McCourt, 2016)
Patients experiencing neurogenic shock after a spinal cord injury make a patient lose the voluntary muscle control and reflexes that could result in acute urinary retention. The nurse will have to insert a urinary catheter inside the urinary tract to decompress the bladder to allow stable urination and also help in monitoring the patient’s progress especially during the recitation period (Bauman & Russo-McCourt, 2016)
The nurse should administer a Nonpharmacological strategy to manage spasticity and include several types of exercises, weight-balancing exercises, electrical stimulation, and support to avoid loss of muscle length and contractures. Because patients with spinal cord injuries frequently experience spinal shock drawbacks, spasticity and reflexes returns (Bauman & Russo-McCourt,
Jasmin Blair, a 35 years old female patient, was admitted to the neurosurgical unit with traumatic spinal cord injury that occurred due to a sudden blow to the spine during a road accident. She was diagnosed with high blood pressure two years ago and has gone through two surgeries in the past ten years to remove fibroid growth in her uterus. Her family has a long history of hypertension and diabetes. The patient admission vital signs are as follows; the blood pressure is 90/50 mmHg, heart rate is 105 bpm, respiratory rate of 28 breaths/minute, and a temperature of 101.80 F. She cannot control her body entirely and hence cant balance or walk without support, extreme pain in the head, back and neck, she also lost sensation …show more content…
The goal of the nurse is to increase the urinary elimination process so that the patients can have a fluid intake and output balance maintain the bladder emptying without residues and have a negative urine culture (Kornhaber, Mclean, Betihavas, & Cleary, 2018). The bladder’s inability to empty urine completely caused by the effects of poor bladder control which is known to cause urinary tract infections, and insufficient kidney function. The spinal cord injury is capable of reflex micturition disorders which help in the passing of …show more content…
Abdominal fullness may hinder diaphragmatic excursion and reduce lung enlargement hence respiratory function is compromised. Additionally, Palpate for bladder distension and observe for overflow because bladder distension can precipitate autonomic dysreflexia (Bauman & Russo-McCourt, 2016)
Patients experiencing neurogenic shock after a spinal cord injury make a patient lose the voluntary muscle control and reflexes that could result in acute urinary retention. The nurse will have to insert a urinary catheter inside the urinary tract to decompress the bladder to allow stable urination and also help in monitoring the patient’s progress especially during the recitation period (Bauman & Russo-McCourt, 2016)
The nurse should administer a Nonpharmacological strategy to manage spasticity and include several types of exercises, weight-balancing exercises, electrical stimulation, and support to avoid loss of muscle length and contractures. Because patients with spinal cord injuries frequently experience spinal shock drawbacks, spasticity and reflexes returns (Bauman & Russo-McCourt,