After six weeks she did not use the cervical collar anymore. Fear of legal ramifications if they feel they are divulging sensitive information, 1. Or ask specifically about certain drugs such as "tell me about your marijuana use. He is very happy with you, his new doctor: "You understand me so much better than Dr. Frank did. Accessed June 22, 2017. Acknowledge it may be difficult for the patient to share this information. m. Would you consider taking another medication to manage your pain? Physician's family history causes countertransference (misperceptions based on personal experiences). You might feel the effects of your injury mentally, emotionally and socially. Names of patients, physicians, health related professionals, hospitals, locations and all other identifying information have been changed. This bone would be expected to heal in place. What are neural tube defects and how often do they occur? In fact, the tightening around the spinal cord can get to a point that she may lose control of her bladder and bowels. 8. During rehabilitation, you'll learn new techniques to help empty your bladder. The changes in bladder control increase your risk of urinary tract infections. How would you approach the patient (either cooperative or resistant)? She didn't care that I'm in pain. This is known as a corpectomy. 2. What nerve appears to have been inadvertently cut during the biopsy? After hearing the options, Mrs. S asks the spine surgeon a few key questions. She was instructed to keep a hard cervical collar on at all times for six weeks. NOTE: The files listed above are PDF Files, so you will need to have Adobe Reader on you system. If it is determined that the patient is not experiencing pain but does have an opioid addiction, consider prescribing. In most peripheral nerve injuries, there is usually a characteristic cutaneous sensory loss, producing numbness in a specific area. 4. The client exhibits no reddened areas or breaks in the skin. 3. Below this region is a group of nerve roots called the cauda equina. Case Study: Spinal Cord Injury Case Presentation: Jason, a 23 year old male, is brought to the ED after a diving. March, 2005. 2. Mayo Clinic is a not-for-profit organization. 2. Review medications from any other prescriber. In: Bradley's Neurology in Clinical Practice. At this time it is unnecessary for the patient to admit that he has a problem. If you've recently experienced a spinal cord injury, it might seem like every aspect of your life has been affected. 7th ed. Spine and spinal cord injuries. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic.

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