ACTIVE LEARNING TEMPLATE:
System Disorder
Paraplegia
DISORDER/DISEASE PROCESS __________________________________________________________
Alterations in
Health (Diagnosis)
Paraplegia
Pathophysiology Related
to Client Problem
Damage to the spinal cord or
impairement of blood flow to
spinal arteries
REVIEW MODULE CHAPTER ___________
Health Promotion and
Disease Prevention
nutrition
exercise
ASSESSMENT
Risk Factors
pain
pressure ulcers
hypertension
constipstion
blood clots
Laboratory Tests
UA
ABG
CBC (hematocrit)
SAFETY
CONSIDERATIONS
Expected Findings
Loss of bladder and bowel control
loss of sensation
loss of reflexes
Diagnostic Procedures
MRI
CT
X-ray
PATIENT-CENTERED CARE
Nursing Care
Repositioning
respiratory assessment
VS
Lab values
Therapeutic Procedures
Passive/Active movement
Surgey option if swelling
doesn't subside
Prevention of
pressure sores
fall risk
Decrease the
amount of
moisture on skin
(fungal/bacterial
infections)
Skin integrety
Complications
Medications
Gabapentin for
nerve pain
NSAIDS for
mild to
mederate pain
Stool softener
Client Education
Educate on bed sores
(pressure ulcers)
the use of mobility devices
such as wheelchair and walker
use
Interprofessional Care
Neurology
physical therapy
possibly ortho
UTI
DVT
pressure sores