Rio Sci

Spinal Cord Injury
INTRODUCTION
• The spinal cord is a long, tube-
like band of tissue. It connects
your brain to your lower back.
Your spinal cord carries nerve
signals from your brain to your
body and vice versa. These nerve
signals help you feel sensations
and move your body. Any
damage to your spinal cord can
affect your movement or
function.
• If the spinal cord sustains an injury, some or all of these
impulses may not be able to “get through.” The result is a
complete or total loss of sensation and mobility below
the injury. A spinal cord injury closer to the neck will
typically cause paralysis throughout a larger part of the
body than one in the lower back area.
SIGN AND SYMPTOMS
• Complete. If all feeling (sensory) and all ability to
control movement (motor function) are lost below
the spinal cord injury, your injury is called
complete.
• Incomplete. If you have some motor or sensory
function below the affected area, your injury is
called incomplete. There are varying degrees of
incomplete injury.
• Additionally, paralysis from a spinal cord injury can
be referred to as:
• Tetraplegia. Also known as quadriplegia, this means
that your arms, hands, trunk, legs and pelvic organs
are all affected by your spinal cord injury.
• Paraplegia. This paralysis affects all or part of the
trunk, legs and pelvic organs.
• Loss of movement
• Loss of altered sensation, including the ability to feel heat, cold
and touch
• Loss of bowel or bladder control
• Pain or intense stinging sensation
• weakness, incoordination or paralysis in any part of body
• difficulty breathing, coughing or clearing secretions from lungs
• an oddly positioned or twisted neck or back.
Predisposing
Presipitating
Age
Lifestyle
Gender
Drug and Alcohol Use
Traumatic Injury
Primary Injury
Distruption of Axon
Damage of Cell
Membrane
Seconday Injury
Vascular Damage
Increase Pressure
Decrease blood
pressure
Inflammatory
Glial S car formation
Radiography CT Scan
Myelogram
Treatment/ Management/ Surgical
• Unfortunately there’s no way to • In the meantime, preventing
reverse damage to the spinal further injury and empowering
cord. But researchers are people with spinal cord injury to
continually working on new return to an active and
treatments, including productive life.
proostheses and medication, • Typically immobilize the spine as
that might promote nerve cell gently/ quickly as possible using
regeneration or improve the rigid neck collar, carrying board
function of the nerves that during transport to hospital.
remain after a spinal cord injury.
• Doctors may use surgery to •
remove fluid or tissue that
presses on the spinal cord
(decompression laminectomy);
remove bone fragments, disk
fragments, or foreign objects;
fuse broken spinal bones; or
place spinal braces.
• Spinal Fusion connect two or
more bones in any part of spine.
Connecting them prevents
movement between them,
preventing movement helps to
prevent pain.
• Surgeon place bone or bonelike
material in the space between
two spinal bones.
Nursing Care Plan
ASSESM ENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION
Impaired After 8 hours Independent After 8 hours
physical of nursing Asses s Evaluate of nursing
mobility interventi on causative/ st atus of intervention
related to t he patient contributing individual the patient
neuromascular will fact ors situati on for a responses to
impairment demonstrate - degree of specific level the
t echniques or pain of injury, techniques
behavior t hat - nut ritional affecti ng and behavior
enables status types and that enables
resumption of choice of resumption of
acti vity. interventi on. activity.
Inst ruct in use For pos iti on

of s ide rails, changes/
overhead transfer
trapeze, roller
pads
Support To maint ain

affected body positi on of
part or joint s functi on and
using pillow/ reduce risk of
rolls, foot pressure
supports/ ulcers .
shoes, air
mattress,
wat er and
reposition
periodically.
Asses in range Enchance

of moti on circulation,
exercis e on all res tores or
extremities maint ains
and joints, muscle tone
using slow, and joint
smooth mobility and
movements. prevent disus e
contractures
and muscle
atrophy .
Encourage Promotes
adequate well-being
int ake of fluid/ and
nut riti ous maximizes
foods. energy
production.
Refferences
• https://nurseslabs.com
• https://www.icf-casestudies.org/introduction/spinal-cord-injury-sci
• https://www.nursetogether.com/spinal-cord-injury-nursing-diagnosis-
care-plan/
• NANDA
• https://pudmed.nci.nlm.nih.gov/9020573/

Rio Sci

Uploaded by

Copyright:

Available Formats

Rio Sci

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Rio Sci

Uploaded by

Copyright:

Available Formats

Spinal Cord Injury

Inst ruct in use For pos iti on

Support To maint ain

Asses in range Enchance

You might also like