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Of patients with spinal cord injury rehabilitation nursing
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Of patients with spinal cord injury rehabilitation nursing
[Keywords:] quadriplegic spinal cord injury rehabilitation nursing care
Spinal cord injury is a severe, disabling injuries, the injured and often results in varying degrees of paraplegia or quadriplegia and autonomic dysfunction. However, the rehabilitation of spinal cord injuries have some potential if they can conduct a comprehensive rehabilitation care, can reduce mortality, prevent complications, improve self-care ability, so that patients back to participate in whatever work, return to the family and society [1].
An acute phase of care
1.1 to maintain the stability of vital signs closely observe the patient’s condition to keep the airway patency, adequate dilution of sputum to do fogging. To guide patients to conduct regular training in breathing and coughing to prevent lung infection. Church patient’s breathing training: Shut up nasal breathing in patients, the contraction lip whistle-like slow breath, inspiratory and expiratory time, 1:2 to 1:5, respiratory rate amp;quot;20 times / min.
1.2 position placed to maintain the integrity of the skin, patients should pay attention to bed at a function to maintain limb position, and to prevent limb spasticity. Upper extremity adduction to maintain the straight bit, in order to prevent the upper arm abduction, forearm flexion abnormal posture; lower extremity hip to keep straight bit, pillow or sand bag placed on the outside to prevent the hip abduction, external rotation. May be a towel under the knee pad volume, so that peg-leg knee and ankle joints in a 90 ° middle bit, with the bed frame in a single step was added between the cushion and prevent foot drop. 2 h stand up (stand up axis) time, to keep the skin clean and dry. Weakening or disappearance of the feeling of the skin to avoid using hot-water bottle to prevent burns.
1.3 Voiding functional training and prevention and treatment of urinary tract infection alternative
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