Cassandra Miller-Hardwick, MSN, RN, CRRN

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Off-service Care • SCI/D patients are admitted to the Medicine Service for a variety of reasons, including but not limited to • Urosepsis, Pneumonia, DVT, Cardiac events, and other diagnosis requiring Internal Medicine specialty care. • Regardless of the reason for an admission to an acute unit, the following nursing care needs are of significant importance: • Bowel and Bladder management • Pressure Ulcer prevent and management • Mobility issues • Equipment needs • Preservation of Independence • Autonomic Dysreflexia prevention and management
Bowel and Bladder Management • Continuation of established Bowel and Bladder management programs is vitally important and requires a collaborative approach that includes the patient and the SCI/D team. • One of the challenges that patients face is the inability to maintain established routines. • Incorrect orders or inadvertent changes in bowel and bladder program • Staff competency/comfort/willingness to perform steps of the established bowel program • Changes in bladder drainage method upon admission by admitting provider
Page 1 and 2: Deborah L. Downey MN, CNRN, ANP-BC
Page 3 and 4: Learning Objectives • At the conc
Page 5 and 6: Abstract • The advent of Spinal C
Page 7: • Continuing and facilitating the
Page 11 and 12: Equipment Needs • Bedside equipme
Page 13 and 14: Autonomic Dysreflexia Prevention an
Page 15 and 16: • Bowel and Bladder management
Page 17: • Continuing and facilitating the

Cassandra Miller-Hardwick, MSN, RN, CRRN

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