Volume 9, Issue 5, October 2020, Page: 352-358
Nursing Care of a Patient with Cervical Spinal Cord Injury Without Fracture and Dislocation: A Case Report
Meixue Chen, School of Nursing, Jinan University, Guangzhou, China
Zhaofu Wang, Orthopedics Department, People’s Hospital of Ningxia Hui Autonomous Region, Yinchuan, China
Yaping Fan, Orthopedics Department, People’s Hospital of Ningxia Hui Autonomous Region, Yinchuan, China
Ningjun Wan, Orthopedics Department, People’s Hospital of Ningxia Hui Autonomous Region, Yinchuan, China
Ni Zhang, School of Nursing, Jinan University, Guangzhou, China
Qingran Lin, First Clinical Medical College, Jinan University, Guangzhou, China
Weiju Chen, School of Nursing, Jinan University, Guangzhou, China
Received: Aug. 16, 2020;       Accepted: Aug. 31, 2020;       Published: Sep. 21, 2020
DOI: 10.11648/j.ajns.20200905.16      View  52      Downloads  66
Abstract
Cervical spinal cord injury without fracture and dislocation (CSCIWFD) is a severe disabling injury with acute illness, slow recovery, and many complications that significantly increase patients’ pain and the difficulty of disease management. We introduce the nursing care of a 52-year-old man with multiple complications of CSCIWFD caused by a car accident. Nursing mainly focused on posture and safety, nutritional support, respiratory management, limb function training, medication, psychological nursing, and actively preventing and managing complications such as central fever, obstinate hyponatremia, klebsiella pneumoniae infection, venous thrombosis, and pressure ulcers, among others. The nurses closely observed the patient's condition, strictly managed his 24-hour access volume, and regularly evaluated his treatment and nursing effects. In addition to superior treatment and nursing, we should invite multidisciplinary cooperation for diagnosis and treatment and encourage family members to participate in disease management, which improves patient’s later functional recovery and his quality of life. After 53 days of hospitalization, the patient’s condition gradually stabilized, he and his family members were satisfied with the treatment and nursing results, and he was transferred to another hospital for rehabilitation. The prognosis of patients with CSCIWFD is closely related to the quality of nursing. Personalized comprehensive care is of great significance to reduce and timely control complications and promote patients' recovery.
Keywords
Without Fracture and Dislocation, Cervical Spinal Cord Injury, Nursing, Complications
To cite this article
Meixue Chen, Zhaofu Wang, Yaping Fan, Ningjun Wan, Ni Zhang, Qingran Lin, Weiju Chen, Nursing Care of a Patient with Cervical Spinal Cord Injury Without Fracture and Dislocation: A Case Report, American Journal of Nursing Science. Vol. 9, No. 5, 2020, pp. 352-358. doi: 10.11648/j.ajns.20200905.16
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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