Lewis: Medical-Surgical Nursing, 8th Edition

Chapter 61: Nursing Management: Peripheral Nerve and Spinal Cord Problems Patient and Caregiver Teaching Guides

SKIN CARE FOR PATIENT WITH SPINAL CORD INJURY

Patient:______________________________Date:_______________________ Nurse Teacher:____________________________________________________ Change Position Frequently If in a wheelchair, lift self up and shift weight every 15 to 30 minutes. If in bed, a regular turning schedule (at least every 2 hours) that includes sides, back, and abdomen is encouraged to change position. Use special mattresses and wheelchair cushions to reduce pressure. Use pillows to protect bony prominences when in bed. Monitor Skin Condition Inspect skin frequently for areas of redness, swelling, and breakdown. Keep fingernails trimmed to avoid scratches and abrasions. If a wound develops, follow standard wound care management procedures. Additional Comments:____________________________________________ ______________________________________________________________ ______________________________________________________________

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