The Care and Management of Spinal Cord Injuries

ISBN-13: 9781461380894 / Angielski / Miękka / 2011 / 351 str.

G. M. Bedbrook; G. M. Bedbrook; R. W. Jackson

Opis

Spinal paralysis is probably the most devastat the President of the International Medical So ing of all the illnesses that can befall man. Only ciety of Paraplegia. He has made many signifi a few years ago, 80% of spinal victims were cant contributions, both in the initial treatment dead within three years due to the complica and in the later rehabilitation of spinal cord tions that frequently accompany the condition. victims. He is a man who truly cares about peo Today, the situation is quite diH'erent and 80% ple. He is superbly organized, meticulous in his of spinal victims have a relatively normal life planning, and energetic in his execution of expectancy. The author of this book was one of goals. He demands and receives perfection the first to realize that if a paraplegic patient is from his staff. As a result, his Spinal Unit in carefully looked after in the early stages of his Perth, Australia is one of the best treatment illness and if all of the potential complications and rehabilitation centers in the world. His are prevented, that individual can eventually knowledge, from both the scientific and prac recover sufficient function to live a productive tical viewpoints, is truly staggering-a fact that and independent life. This basic concept un is quite obvious from the details contained in derlies the modern approach to the treatment this book. of spinal injuries."

Spis treści

1 Prevention of Spinal Paralysis: Emergency Management.- Preventive Measures.- Emergency Management and First Aid.- 2 Examination.- The Medical History.- Examination of the Spinal Patient.- Radiologic Examination.- Classification of Injuries.- Associated Injuries.- Repetition of Examination.- 3 Diagnosis.- Terminology.- Diagnosis of Spinal Cord Dysfunction.- Prognosis.- Records.- Additional Responsibilities.- 4 Nontraumatic Causes of Spinal Paralysis.- Clinicopathologic Findings.- Diagnosis.- Mechanical Causes.- Nonmechanical Causes.- Paraplegia Due to Secondary Carcinoma.- Paralysis Caused by Spinal Deformity.- Spinal Deformity Caused by Paralysis.- 5 Early Management of Spinal Injuries.- General Treatment.- Nonoperative Management of the Bony Lesion.- Surgical Management of Spinal Injuries.- 6 Surgical Procedures for Associated Injuries.- Acute Traumatic Spinal Paralysis.- Long-term Spinal Paralysis.- Other Surgical Complications.- 7 Rehabilitation.- Medical Rehabilitation.- Social Rehabilitation.- Vocational Rehabilitation.- Educational Rehabilitation.- 8 Nursing Management.- Administration.- Early Management.- Respiratory Impairment.- The Neurogenic Bladder.- Care of the Skin—Prevention of Pressure Sores.- Bowel Management.- Nursing Care of Contractures and Spasm.- Nursing Management of an Ileal Conduit.- Fluid Balance and Dietetic Care.- Fundamentals in Prevention of Complications.- 9 Medical Management.- Management of the Bladder.- Gastrointestinal Management.- Respiratory and Acid-Base Physiology: Disorders and Management.- Rehabilitation of the Hand.- Alterations in Sexual Function.- 10 Physical and Occupational Therapy.- Physical Therapy.- Occupational Therapy.- 11 Orthotics.- Upper Limb Orthoses or Orthotics.- Lower Extremity Braces.- Crutches.- Corsets, Spinal Braces, and Other Appliances.- 12 Follow-up Service.- Aims of Total Patient Care.- Follow-up of Physical Condition.- Other areas of Follow-up.- 13 General Medical Care of Spinal Paralytic Patients.- Venous Thrombosis.- Respiratory Dysfunction.- Coronary Heart Disease.- Obesity.- 14 Decubitus Ulcers (Pressure Sores).- Pathology.- Acute Decubitus Ulcer.- Chronic Decubitis Ulcers.- Early Preventive Care and Early Conservative Management.- Presurgical Preparation.- Surgical Technique.- 15 Contractures and Spasm.- Contractures.- Spasm.- 16 Pain and Phantom Sensation.- Classification of Pain in Cord Injury.- Pain Management.- 17 Pott’s Paraplegia.- Pathology.- Classification.- Prognosis.- Symptoms and Signs.- Diagnosis.- Treatment.- Other Methods of Treatment.- 18 Traumatic Paraplegia in Children.- Incidence and Causes of Injury.- Clinical Presentation.- Pathology.- Spinal Deformities.- Urinary Management.- Treatment.- Unique Features of Emphasis in the Rehabilitation of Children.- 19 Care of Children with Spina Bifida.- Incidence.- Pathology.- Early Treatment.- Assessment.- Management.- Long-term Care.- 20 Physiologic Studies.- Spinal Cord.- Spinal Reflexes.- Spinal Motoneurons.- Chemical Transmission in the Spinal Cord.- Spinal Man.- Practical Significance of Spinal Shock.- 21 Pathologic Considerations of Spinal Paralysis.- General Principles of Pathologic Reactions.- Classification of Spinal Cord Disorders.- 22 Recent Research in Spinal Cord Injuries.- Review of Recent Findings.- Dysfunction of the Autonomic Nervous System.- Adrenal Cortical Function in the Tetraplegic Patient.- Experimental Methods of Emptying the Neurogenic Bladder with Electric Stimulation.- Biomedical Engineering.- Orthotic Systems for the Paralyzed.- 23 Design, Organization, and Staffing of a Spinal Paralysis Unit.- Staff.- Staffing Structure.- Design of a Spinal Unit: Underlying Rationale.- Extrahospital Service.- 24 Home Nursing Care and Volunteer Organizations.- Home Nursing Care.- Voluntary Organizations.- 25 Paraplegia in Developing Countries.- Causation and Specific Treatment of Spinal Paralysis in Developing Countries.- General Management and Rehabilitation of Paraplegic Patients in Developing Countries.- Future Goals.- 26 The Future.- Index 343.