Nursing 3910A/B Lecture Notes - Lecture 10: Tetraplegia, Vasodilation, Spinal Shock
8 Dec 2016
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Frequently involved vertebrae include: 5th, 6th, 7thcervical, 12ththoracic, 1stlumbar. Prior wwii, life expectancy was months to ten years, due to renal failure and sepsis. Role/power of nurse aids with rehab, need help with alds. Dabda denial, anger, bargaining, depression, acceptance. The potential for disruption of individual growth and development. Economic loss in terms of work disruption. High cost of rehab and long term care. Cost to the health care system is 1. 6 -3 million$ per sci client over their lifetime. Transient to transection: transient possibility to regain function, transection tearing of spinal cord. Primary injury: primary insult nerves are often cut and often do not regain function. Secondary injury: swelling, bleeding, and inflammation that often goes away over time. Potential for reversal -- up to 72 hours. Level and severity of injury are very important in terms of function you will have post surgery. Acute pain in the back or neck, may radiate along involved nerve.
