Spinal Cord Injury Patient Profile Subjective DataM.P., a 19-year-old African American male, has a s

Spinal Cord Injury Patient Profile Subjective DataM.P., a 19-year-old African American male, has a spinal cord injury following a gunshot wound 2 weeks ago. The gunshot injury occurred during a hunting accident when his best friend’s gun accidentally discharged. His injury is at the T5 level. The goal is to prepare him for transfer to a rehabilitation unit in the next few days.Has just completed his first year of college as an engineering studentStates he is depressed and “he cannot get used to the idea of not walking again” Objective DataPhysical ExaminationSupine blood pressure 120/68, sitting blood pressure 114/62, pulse 68, temperature 99.8° F, respirations 16Slight edema bilateral lower extremities – ace wraps wrapped around lower extremitiesAbdominal binder in placeUrinary catheter intact and draining dark yellow urineLast bowel movement 2 days ago; it was hard, small and brownFull head, neck, shoulder and upper extremity movement with normal muscle strength and sensationComplete paralysis of lower body and legs with no sensation presentFull passive range of motion without crepitation in the bilateral lower extremitiesDiagnostic StudiesSpinal series x-rays: Complete transsection at T5MRI: Confirmed transection and revealed no clots or masses presentLaboratory results:White blood cells: 9500/µLHemoglobin: 16 g/dLHematocrit: 45% Discussion QuestionsList some mechanisms of injury related to spinal cord injury.Name the level of injuries and what clinical manifestations present based on the level of injury.Name the degree of injuries.Name the five syndromes associated with incomplete injuries.What diagnostic studies can be done to diagnose the location and degree of injury?Based on the assessment data, what are the nursing priorities for M.P.at this time?What actions do you need to take based on these priorities?What is the rationale for the lower extremity elastic compression stockings and abdominal binder?Case Study ProgressM.P. did not have any signs of autonomic dysreflexia. He had a large bowel movement after receiving a PRN suppository. Antibiotic therapy was initiated after results of a urinalysis with culture and sensitivity indicated a urinary tract infection. After 3 days of medication and fluid therapy, he is being transferred to the rehabilitation unit.What are M. P.’s priority nursing diagnoses while in rehabilitation?Because of the complexity of M.P.’s care, you are coordinating care among many members of the health care team. Who might be participating in M.P.’s rehabilitation?What are potential causes for autonomic dysreflexia?What are priority interventions for autonomic dysreflexia?List three potential adverse conditions to continue to monitor M.P. for throughout his stay.Rehabilitation care includes initiating a bowel retraining program. Outline the components of a program for M.P.List 3 physical rehabilitation goals that M.P. can achieve. Health Science Science Nursing NSG 252 Share QuestionEmailCopy link Comments (0)

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