University:
Northwest College
Course:
VN420 | Child Health
Academic year:

2024
Views:

174

Pages:

2
Author:

Yesenia M.

SPINAL CORD INJURY-PEDS Damage to the spinal cord that results in loss of function Frequent causes : trauma, car accidents, falls, diving into shallow water, gunshot, stab wounds, sport injuries, child abuse or birth injuries Uncommon in children * but when they do occur they have a HUGE IMPACT on physical and function status of the child Considered a medical emergency ** Cervical traction is needed initially , before SURGICAL intervention Assessment Vary on location and severity of the injury Inability to move inability to feel extremities numbness tingling weakness paralysis- depends on location of injury; the HIGHER the injury the more EXTENSIVE and GREATER loss of function there is. High cervical injury= damage to phrenic nerve, which innervates the diaphgram, leaves the kid unable to breathe without assistance DX is made by: radiograph, CT, MRI Nursing management Immobilization is KEY ** until full evaluation of the injury is complete and spinal cord damage is ruled out. Focus on optimizing mobility, promoting bladder/bowel management, adequate nutrition Preventing contractures and muscle atrophy Manage pain PREVENTION OF SPINAL CORD INJURIES IS IMPORTANT : Educate on vehicular safety; seat belt use and appropriate age safety seats Bicycle safety Recreation safety Prevent falls Violence prevention; including gun safety Water safety ; RISK OF DIVING