| Skin Care |
- Daily Skin Exam
- Specialty mattress/bed
- Pressure relief:
- Turn every 2 hours
- Weight shift/reposition q 15-30 min while up in chair
- Multi-podus boots
- Wound Care APN Consult as indicated
Job Aid:
|
| Consults |
- Physical Therapy
- Occupational Therapy
- Speech Therapy (Following definitive airway/stable respiratory status)
- Physical Medicine and Rehabilitation
- Nutrition
- Urology
- Psychiatry, Psychology
- Child Life
- Pain Management
|
| Rehabilitation and Activity |
- Activity advanced once spine is stabilized
- ROM/stretching exercises per Physical, Occupational Therapy recommendations
- Splinting/Orthotics
- Compression stockings and abdominal binders when sitting up/out of bed
- Rationale: Prevent venous pooling that can contribute to orthostatic hypotension
|
| Patient / Family Education and Disposition |
- Discussion RE: pathophysiology of injury
- Daily updates to goals/progress/plan
- Verify patient’s insurance and benefits
- Apply for insurance, charity care, Medicaid as necessary
- If automobile involved, obtain car insurance information and claim number
- Initiate discussion about in-patient rehabilitation
- Readying for discharge, family knowledgeable about:
- ROM/stretching program — performs with assistance and then independently
- Proper positioning and pressure relief techniques
- Autonomic dysreflexia and treatment
- CIC Catheterization and neurogenic bowel regimen
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