teaching function Flashcards
a patient with a complete injury…
will not be able to strengthen or regain motor function
will need to learn compensation
physiologic changes to the skin in patients T8 and above
thinning of epithelial layer
changes to collagen
hyperhidrosis
tetraplegia rule of thumb wheel chair
C6 and above need power chair
C7-T1 may be able to propel manual chair with increased energy expenditure
factors limiting tolerance to activity
upright tolerance (BP)
respiratory status
endurance
pain
if a patient has already progressed passed the upright stage but then starts to have difficulty with it, what is the probable cause
infection or other health changes
respiratory function C6-7
intact diaphragm but limited intercostal musculature
potential for pneumonia
bladder will not empty with voluntary control;
does not empty
empties too often
neurogenic bladder
hyporeflexive
hyperreflexive
bowel will not empty with volitional control
neurogenic bowel
psychogenicc erection
T10-L2
refexic erection
S2-S4
primary focus in SCI early rehab
prevention of secondary complications
tolerance to upright position so the patient is ready to begin the rehab phase
education
postural hypotension presentation
lightheadedness
low blood pressure
may yawn
may pass out
postural hypotension management
ace wrap LE binder ted hose reclining w/c meds
heterotrophic ossification presentation
sudden limitation of ROM
most commonly over hips, knees, shoulders, elbows
may be warm over the joint
heterotrophic ossification management
early detection (meds) ROM per doc orders (no aggressive ROM)
DVT presentation
swollen calf of LE
warm to the touch
may be painful if the patient has sensation
HO and DVT may mimic eachother
DVT management
IVC filter sequential compression device meds spasticity mobility
hypo/hyperthermia
body is unable to regulate temp
hypo/hyperthermia management
education
use of proper clothing, dress for the weather
avoid temperature extremes
presentation of spasticity
hypertonicity of extremities denervated distal to the lesion (present with all UMN lesions)
presentation of syringomyelia
a progression of weakness proximal to the level of injury
problimatic for cervical pts
be alert to change in level of function
the only correction for a fixed deformity
surgical correction
