Nursing 3910A/B Lecture Notes - Lecture 8: Pressure Point, Corticosteroid, Oxygen Therapy
7 Nov 2017
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Outline: background, spinal cord injury (sci, complications, acute, long term, guest speaker: julie sawchuk. Word of the week: pertussis- whooping cough, anti- vaccination movement. Background: 86,000 live with sci (sci canada, rehospitalized 2. 6 times more often (scic) causes, more prone to further injury, decreased sensation, cannot detect skin breakdown risk of infection, 80% living with sci are men, prevention, ex. Stop at the back of a hockey jersey: frequently involved vertebrae include, 5th, 6th, 7th cervical, 12th thoracic, 1st lumbar, *depends on impact of injury. Sci: prior to ww2 life expectancy was months to ten years, due to renal failure and sepsis, what changed, catheters. Sci: transient to transection, transient- bones pushing into the spine. 2: transection- complete separation, nerve damage, primary injury, initial insult or trauma, usually permanent, secondary injury, swelling after the fact, further damage that can occur, potential for reversal. Impact to bowel and bladder: abdominal and chest muscles the higher up the injury, more respiratory problems.
