A. Caused by
MVAs (most common)
Diving accidents
falls, stabbing, gun for hire shot wounds, tumors
B. Spinal Cord
Main Bundle of body’s nerves.
Fits onside vertabrae.
Nerves send/recieves messages about body’s activities.
4 sections of spinal coliumn
cervical
pectoral
lumbar
sacrel
Ex: t6 correspndong to 6th vertebrae in thoracic section of spinal cord.
foramen -natural opening in a bone structure that allows vessels or nerves to pass.
Level of blemish and abilities
Nerves specific to damaged location cannot send/ bear messages to /from body parts wired to that location
E.Severity of injury and abilities
Severtity of injury is another(prenominal) factor that determines extent of injury
Level of injury vs.
Ability
C1-C4
quadriplegic
requires respirator
usaullu requires skilled sympathize with nursing home
C5-C7
quadriplegic
non-ambulatory
transefer with asst
T1-T5
Non ambulatory
ADL independent
intestine/ vesica asst
T6-T9
Limited ambulation w/braces
ADL independent
whimsical w/hand controls
Bowel/baldder asst
T10-T12
Functional ambulation
Complete ADL independent
Bowel/bladder asst
able to drive
L1-L3
functional ambulation
complete ADL independent
Bowel/bladder independent care
able to drive
L4 and below:
Full amb
complete ADL independent
bowel/bladder control
able to drive
G.Individual patterns of disability
Each pt may have
unlike disability
many combinations of paresis w/ or w/o paralysis
dealing w/ immobility
Negative affects
Skin breakdown
muscle contractures,stiffening, weakmess
depression
“sick manipulation”
restlessness, confused sleeping patterns
I.Tx for Respiratory Problems
1. Deep breathing
2. instructing pt to cough
3.Turning/ go q2h in bed
4.Assistive coughing (only if ordinateed by MD)
Bowel/ vesica programs
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