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presented by Anne Leclaire, RN, MSN, CRRN
Financial: Anne Leclaire receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course. Non-Financial: Anne Leclaire has no competing non-financial interests or relationships with regard to the content presented in this course.
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
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Anne Leclaire, RN, MSN, CRRN
Anne graduated with a Master of Science-Nursing from the University of Phoenix and has worked in the field of rehabilitation nursing for most of her career. She started as a staff nurse in inpatient rehabilitation at Weldon Center for Rehabilitation in Springfield, Massachusetts and then moved to Madison, Wisconsin, at University of Wisconsin Hospitals and…
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1. Systemic Effects of SCI
Spinal cord injuries affect every system in the body. Some effects are obvious while others are not. Rehabilitation nurses should understand how these systemic changes affect the person in order to create a holistic plan of care geared toward promoting health and preventing complications.
2. Neurological Manifestations
Spinal cord injuries involve a major insult to the nervous system. The chapter will review the neurologic changes that occur following a spinal cord injury, including those involving motor function and sensory changes. A working knowledge of these changes to the nervous system allows rehabilitation nurses to differentiate between normal and abnormal expected outcomes.
3. Central Nervous System (CNS) Complications Post SCI
A number of cardiovascular changes occur following a spinal cord injury that are of immediate concern, such as vasodilation and hypotension that can negatively affect the person’s ability sit upright. Other conditions, such as the high risk for blood clots or pulmonary emboli, can be life threatening if not prevented or identified early. Rehabilitation nurses are integral in identifying and treating cardiovascular symptoms.
4. Autonomic Changes
The loss of normal sympathetic nervous system functioning has implications for blood pressure, heart rate, and temperature regulation. This autonomic dysfunction also puts some people at risk for a life-threatening condition called autonomic dysreflexia. Rehabilitation nurses are key to identifying risk factors and addressing these autonomic system changes that can negatively affect their patients.
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