T.W. initial assessment and to stabilize him will be the priority following ABCs. The neurologic assessment every hour will provide T.W. general condition and information that can determine any changes. Oxygen will be given at 4 L per nasal cannula. The next will be stabilization of spine by immobilize the cervical spine to protect the spine and from causing more trauma. The preparation to administer fluid to maintain hemodynamic stability therefore, initiate two large bore IVs. An ECG monitor will be connected to record and detect heart conduction, disturbances or hyperkalemia. Also, a Foley catheter will be inserted that will assist T.W. with voiding and lastly, apply warm blanked as needed to prevent hypothermia and to maintain his temperature.…
Jason Hendrix is a -year-old senior at the University of Delaware, majoring in economics. While on spring break in Florida, Jason was involved in a onevehicle motorcycle accident. In the accident, Jason was thrown from his bike to the pavement, landing on his back. A police officer witnessed the accident and immediately called for medical assistance. Emergency personnel arrived within minutes, and upon recognizing the seriousness of Jason’s back injury, immobilized his neck and secured him to a rigid board prior to transporting him to the emergency room of the nearest hospital. When he arrived at the hospital, Jason was conscious and complained of pain in his lower back. Upon examination by the emergency room personnel, Jason was found to have numerous abrasions and contusions, and loss of both sensation and motor control of his legs. After he was stabilized, a complete neurological exam was performed to assess and localize Jason’s injury. The neurological exam revealed the following: Jason demonstrated normal or near normal strength in flexing and extending his elbows, extending his wrists, and when flexing his middle finger and abducting his little finger on both hands. However, he exhibited no movement when medical personnel tested his ability to flex his hips, extend his knees, and dorsiflex his ankles. Stretch reflexes involving the biceps, brachioradialis, and triceps muscles were found to be normal, while those involving the patella and ankle were absent. In addition, Jason was found to have normal sensitivity to pin prick and light touch in areas of his body above the level of his inguinal (groin) region, but not below that region of the body.…
Mr. G. experienced a spinal cord injury as a result of an automobile accident. In preparation for working with him on his rehabilitation plan, you review his medical report and find that his injury occurred at T-6. This information is useful in your preparation for planning with Mr. G. because from this information you know that Mr. G., as a result of the injury is…
Spinal cord injury (SCI) is a traumatic and devastating event in any person’s life (Chen, 2013). Spinal cord injury might be partial or total, but whichever type can cause impairment of physical mobility leaving those affected with challenges of coping with rehabilitation. However, current treatment continues to focus in the provision of care in the acute stage and the prevention and (Chen, 2013) treatment of complications (Chen, 2013). SCI continues to impact the lives of those affected and their families socially, physically, mentally, and spiritually. Independence to the greatest ability of the patient is a long-term goal. By providing a multi-disciplinary team to treat a patient, it gives additional professional support to allow a more rounded, stronger, and more positive recovery. Although many scientists are studying nerve regeneration and conducting stem cell research (Chen, 2013) for the treatment of SCI but the cure is still a long way off (Chen, 2013). However, self-perception, age, self-efficacy are factors influencing individuals with SCI to successfully moving forward without withdrawing from the society. Patients who effectively learn to…
Spina Bifida is a birth defect which occurs when a infant's spinal cord fails to develop properly and is often associated with a sac like bulge on the back. This external sac that, while not all, but most cases of Spina Bifida will have contains the elements of a spinal cord in a non complete fashion.Spina Bifida is also a neural tube defect, and can come in different severitites. There is no sure known cause of Spina Bifida, and many factors are being taken into account when it comes to research, but a consistent occurence that coincides with Spina Bifida is a deficiency in folic acid, so while it isnt known for sure, that is a possible contributer to Spina Bifida. Due to lack of knowledge about the cause of Spina Bifida, a prevention method is hard to come up with, but a rather consistent recommendation is to ensure that the mother is intaking enough folic acid during pregnancy. Discussing this…
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Cerebrovascular Accident . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Head Injury . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Spinal Cord Injury . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Seizures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Brain Tumor .…
What happens to a patient after an acute spinal cord injury? Why is it life threatening? Describe the clinical manifestations. Why would their temperature fluctuate?…
Nevertheless Spinal Cord injuries will be able to be treated as a result of using stem cells which can regrow the damaged spinal cord. Also there will not be any need for organ transplant because the stem cell can allow the regrowth of a person’s organ lost either through an accident, tissue damage or disease. This will make it easier for the receiver as the organ will come from their own DNA and therefore there will not be any risk of organ.…
The New Testament begins with Paul’s three missionary journeys, in which his mission was to plant churches and teachings about the Lord. It is safe to say there were many other great church planters after the death of the apostle Paul, such as Peter and John. I plan to elaborate on the main issues facing each of the churches addressed by the General Epistles.…
During the development of the embryo, within the first month the nervous system is formed. It is created by a plate of cells called the neural plate. This then turns in to the neural sheath. The neural sheath by the 28th day, develops into the brain and the spinal cord. If problems arise during the development of the cord, it is called a neural tube defect which can lead to spinal bifida or other spinal cord deformities. Spina Bifida is one of the most common birth defects with in the United States, one out of every eight babies are diagnosed with this disorder. Also 95 percent of babies with spina bifida and other neural tube defects are born to parents with no family history of these disorders. If one child has spina bifida, the risk of recurrence in any other pregnancy is greatly increased, to about one in 40.…
Spinal cord injuries are caused by vehicle crashes, falls, violence, sports and recreational activities such as diving. Injury prevention educators and VIP educators learn to present programs that begin by showing models of the brain and spinal cord, and explaining what they do and how they work. Then they point out how easily they can be injured, and that there are no cures for these injuries. They go on to describe how injuries to the spinal cord affect movement, and your life.…
Spinal cord injuries quite often are caused by a severe accident. Statistics show that like the majority of people with paraplegia sustained from injury from road accidents. These along with diving and sporting accidents affect many people for the rest of their lives. Spinal injury, resulting in paraplegia can also occur if the spinal cord is damaged through disease…
It connects with the peripheral nervous system and the brain. The spinal cord s considered as an extension of the brain. It transmits information from the body to brain and from the brain to the body. An example of the spinal reflex is touching hot objects. The sequence begins with a sensory stimulus (hot object) and ends with a behavioral response (withdrawing the hand) involves sensory, interneurons, and motor neurons, as stated by Lilenfield, S., Lynn, S., Namy, L., & Woolf, N. (2009). The structures of the brain consists of the hindbrain (regulates…
Traumatic brain injury (TBI) is a nondegenerative, noncongenital insult to the brain from an external mechanical force, possibly leading to permanent or temporary impairment of cognitive, physical, and psychosocial functions, with an associated diminished or altered state of consciousness.…
The number of people with traumatic brain injury is difficult to evaluate accurately but is much larger than most people would expect. This doesn’t include the patients who have been admitted to a hospital for TBI or while being treated in an emergency room or doctor’s office as well. However, the top three causes are car accidents, firearms and falls. The highest causes of brain injuries are open head injury, closed head injury, deceleration injuries, chemical/toxic, hypoxia, tumors, infections and strokes. Young adults and the elderly are the age groups at highest risk for TBI. Along with a traumatic brain injury, people are also liable to spinal cord injuries which is another type of traumatic injury that can result from vehicle crashes, firearms and falls. Trying to prevent TBI and being extremely cautious of your surrounding is the best approach, since there is no…