Spine and Spinal Disorders

Nursing management of SCI

Spinal cord injury (CSI) patient immobilized and every precaution should be taken while transporting as the risk of secondary injury is high. Spinal cord injury (CSI) patient will have health problems consequently the main ambition in administering them is to prevent further injuries to the spinal cord, maintain physiological stability and initiating care of the skin, establishing good bladder and bowel care. The main goal of rehabilitation is to prevent obstacle and reintegration into the community. It is a multidisciplinary approach. Nursing management of patient with spinal cord injury can be summarized in: Provide airway and ventilator support in patients with high tetraplegia early, prevent acute respiratory failure, prevent and treat hypotension, Recognize and treat neurogenic shock, prevent pressure ulcer using biofilm, Prevent further injuries to the spinal cord.

Assessment: Nurses conduct comprehensive assessments of patients with SCI, including neurological status, sensory and motor function, bowel and bladder function, skin integrity, respiratory status, and psychosocial well-being. Regular monitoring helps identify changes or complications promptly. Prevention of complications: Nurses implement measures to prevent complications associated with SCI, such as pressure ulcers, respiratory infections, urinary tract infections, deep vein thrombosis, and autonomic dysreflexia. Positioning, skin care, turning schedules, respiratory hygiene, and catheter care are essential components of preventive care. Respiratory management: Nurses assess respiratory function and provide respiratory support as needed, including airway clearance techniques, incentive spirometry, mechanical ventilation, and respiratory exercises. They monitor for signs of respiratory distress and intervene promptly to prevent complications such as pneumonia or atelectasis.