Describe the nursing management (nursing process approach) of a patient with spinal cord injury.
Nursing Management of a Patient with Spinal Cord Injury (Nursing Process Approach)
1. Assessment:
- Perform a thorough neurological assessment, including level of injury, sensory and motor function
- Assess respiratory function, including breathing pattern, cough, and secretion management
- Monitor vital signs, especially blood pressure, for signs of autonomic dysreflexia
- Assess skin integrity and identify areas at risk for pressure ulcers
- Evaluate bladder and bowel function, noting incontinence or retention
- Assess pain levels and location
- Evaluate psychological status and coping mechanisms
2. Diagnosis:
- Risk for impaired skin integrity related to immobility and sensory loss
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