11 July: Med Manage of SCI Flashcards
four things for pain managment:
- difficult process
- people just want meds
- want to modify activities
- self evaluation of what causes and reduces pain
list a MAJOR concern for the spinal cord:
UTI
UTI affects what:
overall health adn health care costs of individuals
why because autonomic dsyfreflexia is life threatenign
it affects ADLs majorly
and catheteres cost money
symptoms include: fever chills nausea headache incrased spasms extraordinary pain or burning sensation AD: autonomic dysreflexia
S/S OF A URNIARY TRACT INFECTION
treatment of a UTI:
timed voiding, meds, antibiotics, catheterization
types of catheters:
intermittent, indwelling, condom catheters ( the women version too)
foley is indwelling
suprapubic: it goes through the groin not the urthera point
side effects of catheteres:
RISK OF UTI: indwelling
skin breakdown and maceration from condom catheters
constipation def:
decrease in frequency of person’s bowel movements
abdominal sweeling or bloating and /or discomfort or pain
leakage of mucus form rectum
autonomic dysreflexia
greater than 30 min wait between insertion of suppository adn initiation of bowel movement s
ahr dbowel movemetns
pain or bleedin gfrom hemorrhoids
bowel program takes longer than usual for client or takes more than 60 minutes
S/S OF CONSTIPATION
age for increase risk of Constipation:
75 years of age
prevent and remedy of constipation:
education
exercise
fluids
diet
pressure sores def:
areas of skin or underlying tissue that is dead or dying as a result of the loss of blood flow to the area
aging circulatory problems skin disorders disease - diabetes - cancer weight - overweight - underweight
RISK FACTORS OF PRESSURE SORES
early sign of pressures sore includes:
appearance of red areas, or red spot on the skin which does not clear within 30 minutes
def of heterotopic ossification:
calcium deposits in the form of mature bone in soft tissue
HO is more common after
TBI
when does HO typically happen
1-3 mon post injury
symptoms of HO:
limited ROM
swelling and redness in joint area
pain
treatment of HO
avoid aggressive PROM/ Stretching / Exercise
medication to provide relief from pain/inflammation
surgical removal after maturation of bone
bad way to explain HO
THERE ARE BONES GROWING IN PLACES BONES SHOULDNT BE GROWING
bones need two things
weight bearing and stress
when does bone mass loss start?
early as 30 hours of immobolity
prevention methods
weight bearing exercises active muscle contraction vitamins HRT calcium
stage 1
skin not broken
skin will stay RED when you press down and NOT turn White
