Abstract
Cervical spinal cord injury without fracture and dislocation (CSCIWFD) is a severe disabling injury with acute illness, slow recovery, and many complications that significantly increase patients’ pain and the difficulty of disease management. We introduce the nursing care of a 52-year-old man with multiple complications of CSCIWFD caused by a car accident. Nursing mainly focused on posture and safety, nutritional support, respiratory management, limb function training, medication, psychological nursing, and actively preventing and managing complications such as central fever, obstinate hyponatremia, klebsiella pneumoniae infection, venous thrombosis, and pressure ulcers, among others. The nurses closely observed the patient's condition, strictly managed his 24-hour access volume, and regularly evaluated his treatment and nursing effects. In addition to superior treatment and nursing, we should invite multidisciplinary cooperation for diagnosis and treatment and encourage family members to participate in disease management, which improves patient’s later functional recovery and his quality of life. After 53 days of hospitalization, the patient’s condition gradually stabilized, he and his family members were satisfied with the treatment and nursing results, and he was transferred to another hospital for rehabilitation. The prognosis of patients with CSCIWFD is closely related to the quality of nursing. Personalized comprehensive care is of great significance to reduce and timely control complications and promote patients' recovery.
Highlights
Cervical spinal cord injury without fracture and dislocation (CSCIWFD) refers to patients with symptoms and signs of cervical spinal cord injury after trauma, but there is no cervical spine fracture or dislocation on imaging examination
Some scholars posit that when the cervical spine is subjected to external forces and internode displacement occurs, the spinal cord hits the spinal canal’s opposite bone surface, which is based on spinal cord injury caused by the external spinal stenosis force [2]
Prompt treatment and nursing were provided, the patient’s condition was stable and his family members were satisfied with the effect, and he was transferred to another hospital for rehabilitation after 53 days
Summary
Cervical spinal cord injury without fracture and dislocation (CSCIWFD) refers to patients with symptoms and signs of cervical spinal cord injury after trauma, but there is no cervical spine fracture or dislocation on imaging examination. The international concept is equivalent to cervical spinal cord injury without radiographic abnormality (CSCIWORA), which is a special type of cervical spinal cord injury. It accounts for 9%~14% of adult spinal cord injuries [1], but the actual incidence is underestimated [2, 3]. American Journal of Nursing Science 2020; 9(5): 347-353 treatment for CSCIWFD is to relieve spinal cord compression and improve spinal blood circulation through decompression and stabilization, thereby preventing or reducing spinal cord injury [2]. According to the patient’s situation, personalized treatment and care, close observation of the condition, prevention and management of complications, and improving treatment compliance are crucial to the patient's condition and later functional rehabilitation. Prompt treatment and nursing were provided, the patient’s condition was stable and his family members were satisfied with the effect, and he was transferred to another hospital for rehabilitation after 53 days
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