Spinal Cord Injury Case Study
Case Study 70 Spinal Cord Injury
Difficulty: Advanced
Setting: Emergency department, acute rehabilitation facility
Index Words: spinal cord injury (SCI), paraplegia, crisis management, assessment, rehabilitation, risk factors, patient
education, autonomic dysreflexia (AD)
Giddens Concepts: Care Coordination, Elimination, Nutrition, Patient Education, Safety
HESI Concepts: Assessment, Care Coordination, Elimination, Nursing Interventions, Nutrition, Patient Education, Safety
▶ Scenario
T.W. is a 22-year-old man who fell 50 feet from a chairlift while skiing and landed on hard-packed snow.
He is now at the emergency department (ED) with a suspected T5-T6 fracture with paraplegia.
Chart View
Physician's Orders
EIInCsGermot Foonl lieteoyrtcinatgheter al spi
IOmxymgaebniaitz o4 LhpeecrenrvaiscalIcVasnnula
Nneituirotelotgwic alsasregsesbmoernet every hour
Apply warming blankets as needed
1. Describe a plan for implementing these physician's orders.
2. What are the nursing priorities at this time?
3. Which assessment would you complete first?
a. Assessing ability to move the extremities
b. Determining pupil response to light
c. Auscultating breath sounds
d. Testing the peripheral reflexes
, Spinal Cord Injury Case Study
This study source was downloaded by 100000848398116 from CourseHero.com on 07-19-2022 10:31:02 GMT -05:00
Case Study 70 Spinal Cord Injury
Difficulty: Advanced
Setting: Emergency department, acute rehabilitation facility
Index Words: spinal cord injury (SCI), paraplegia, crisis management, assessment, rehabilitation, risk factors, patient
education, autonomic dysreflexia (AD)
Giddens Concepts: Care Coordination, Elimination, Nutrition, Patient Education, Safety
HESI Concepts: Assessment, Care Coordination, Elimination, Nursing Interventions, Nutrition, Patient Education, Safety
▶ Scenario
T.W. is a 22-year-old man who fell 50 feet from a chairlift while skiing and landed on hard-packed snow.
He is now at the emergency department (ED) with a suspected T5-T6 fracture with paraplegia.
Chart View
Physician's Orders
EIInCsGermot Foonl lieteoyrtcinatgheter al spi
IOmxymgaebniaitz o4 LhpeecrenrvaiscalIcVasnnula
Nneituirotelotgwic alsasregsesbmoernet every hour
Apply warming blankets as needed
1. Describe a plan for implementing these physician's orders.
2. What are the nursing priorities at this time?
3. Which assessment would you complete first?
a. Assessing ability to move the extremities
b. Determining pupil response to light
c. Auscultating breath sounds
d. Testing the peripheral reflexes
, Spinal Cord Injury Case Study
This study source was downloaded by 100000848398116 from CourseHero.com on 07-19-2022 10:31:02 GMT -05:00
