Precautions/Complications/OT interventions
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| Autonomic Dysreflexia | ANS disorder, results in high BP. | show 🗑
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| show | Pts usually immobilized in supine or prone & when 1st attempting to sit up, BP suddenly drops. | Recline. OT should collaborate on slow intro of moving from bed lying to sitting.
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| Respiratory Impairment | show | Be alert for signs of need 4 suctioning. Either learn to perform suctioning or get appropriate personnel to do it.
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| Sensory Losses | show | Encourage vision use 2 compensate 4 loss. During trfs & bed mobility: avoid shearing stress or friction injuries 2 skin by lifting body away from surfaces. 4 WC/sittng: use cushions/weight shift every 15-20min. 4 bed: repositn evry 2hr, inspect skin daily
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| Hypo-Hyperthermia | show | Keep environment mild. Discont. ex if no A/C is avail. Be alert for signs of overheating or abnormal body temp.
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| Heterotopic Ossification | show | Report to pts physician
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| Spinal Shock/Spasticity | Pts experience flaccid paralysis immediately post-SCI, may last up 2 a few months.Once reduced a pt w/ T12 or above may experience mild-mod spasticity. | show 🗑
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| show | When sensory loss increases risk of skin breakdown. Pressure causes loss of blood supply to area=necrosis below skin surface. | Be aware of signs. Can be releived by eliminating pressure points/protecting vulnerable area from excessive shearing, moisture, heat. Routinely turn bed, use pressure relieving seat cushions or mattresses, protect bony prominences, perform weight shifts.
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| Osteoporosis | show | Implement a "standing program" while in rehab and upon D/C.
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| ROM Restrictions | Pts w/ PROM past 90 deg @ shoulder, nor should MMT or strengthening ex be provided. | show 🗑
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