Nursing Interventions for Spinal Injuries
September 6, 2010 | In: Nursing Interventions
Take advantage of having nursing CE credits. Get our 2 free nursing CE courses (Basic Blood Gas Interpretation and Leadership Styles) @ coursepark!
Nursing Interventions: Spinal Injuries
- During the initial assessment and X-rays, immobilize the patient on a firm surface, with sandbags on both sides of his head.
- Instruct the patient not to move. If possible, avoid moving the patient because hyperflexion can damage the cord.
- Offer comfort and reassurance to the patient, talking to him quietly and calmly.
- If the injury necessitates surgery, administer prophylactic antibiotics as ordered.
- Catheterize the patient as ordered to avoid urine retention, and monitor defecation patterns to avoid impaction.
- If the patient has a halo or skull tong traction device, clean the pin sites daily, trim his hair short, and provide analgesics for headaches.
- During traction, turn the patient often to prevent pneumonia, embolism, and skin breakdown.
- Perform passive-range-of-motion exercises to maintain muscle tone.
- To prevent aspiration, turn the patient on his side during feedings. Create a relaxed atmosphere at mealtimes.
- If necessary, insert a nasogastric tube to prevent gastric retention.
- Suggest appropriate diversionary activities to fill the hours of immobility.
- Help the patient walk as soon as the doctor allows the patient.
- Explain the traction methods to the patient and his family.