Please enable JavaScript.
Coggle requires JavaScript to display documents.
ACUTE COMPLEX CONDITION = COMPLETE SPINAL CORD INJURY NAME: Green,…
ACUTE COMPLEX CONDITION =
COMPLETE SPINAL CORD INJURY
NAME: Green, Mychal
AGE: 27 male
RISK FACTORS
Risky behavior
#
Alcohol and drug use
Driving under the influence
Acts of violence
Gang violence
Illegal firearms present in neighborhood
#
Sports and recreation injuries
#
MEDICATIONS
Pain
Oxycodone 5 mg & 10 mg
Tylenol 500 mg
Blood pressure
#
Nifedipine 20 mg
Anticoagulation
#
Lovenox 30 mg
Stool softeners
#
Senna 8.6 mg
Colace 50 mg
Miralax 17 g
Muscle spasms
Baclofen 10 mg
INTERVENTIONS
Caring Science
Caritas Process #1: Practicing loving-kindness
Accepting self and patient as he is
#
Respecting the patient
Treating patient and family with kindness
Caritas Process #4: Developing and sustaining authentic caring relationships
Engaging in direct, open, and honest communication with patient
Practicing non-judgmental attitude
#
Caritas Process #5: Being present to, and supportive of the expression of positive and negative feelings
Encouraging reflection
#
Allowing for uncertainty
Helping patient to confront negative feelings
#
Caritas Process #9: Reverently and respectfully
assisting with basic needs
Feeding assistance
Bathing assistance
Toileting needs
#
Pain control
Pain medication
Muscle relaxers
Repositioning
Ice packs / warm packs
Surgical intervention
#
Spinal fusion
Open reduction internal fixation for extremity fractures
Bladder and bowel care
Urinary catheterization every four hours
Monitor for signs and symptoms of autonomic dysreflexia
#
Monitor blood pressure
Physical therapy and occupational therapy
Education
#
Medication side effects
Wound care
Self-catherization
Self-injections (for lovenox)
Illicit drug, tobacco, and alcohol cessation
Social services consultation
PROGNOSIS
Complete loss of motor and sensory function below the T5 vertebra
Permanent paraplegia
#
Comprehensive lifestyle changes
Reduction in life expectancy related to complications related to spinal cord injury
#
DIAGNOSIS
Multiple fractures
Multiple surgeries and extended rehabilitation
Depression
#
Mental health therapy
Urinary retention
Chronic foley catheter
#
SOCIAL HISTORY
Single-parent home; lives with his mother and sister
High crime rate and violence rate in neighborhood
#
Low socio-economic status
Highest level of education = some high school completed; motivated to complete GED and enroll in college
Unemployed
Exercises by playing basketball 3 to 4 times a week at the neighborhood park
Poor diet choices - no grocery stores with fresh foods within a five mile radius
No prior criminal history; several friends and family in prison system
Tobacco, cannabis, and alcohol use
#
#
Has been in a relationship with his girlfriend for 1.5 years; no children
LEGEND
Main branch
Detail branch
Connections
Motor vehicle accident; Spinal cord injury (T5)
#
Complications
Constipation or bowel impaction
#
Pressure ulcers
Autonomic dysreflexia
#
Urinary tract infection
Blood clots
Between the ages of 16 and 30
REFERENCE
Jean Watson Nursing Theory - Nursing Theory (n.d.). Retrieved from
http://www.nursing-theory.org/theories-and-models/watson-philosophy-and-science-of-caring.php
