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    Spinal Cord Compression

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    Nikai Pabayo
    Spinal cord compression occurs when something presses down on the nerves within the spinal cord, impairing their function. The most common cause is a tumor metastasizing to the vertebrae. Symptoms include back pain, numbness, problems urinating, and constipation. Diagnostic tests include MRI, CT scan, and bone scan. Treatment involves steroids, resting, pain management, radiotherapy, and sometimes surgery. Nursing care focuses on monitoring neurological status and vital signs, managing pain, maintaining mobility and skin integrity, and providing psychological support.

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    Download as PPTX, PDF, TXT or read online from Scribd

    Spinal Cord Compression

    Uploaded by

    Nikai Pabayo
    88 views19 pages
    Spinal cord compression occurs when something presses down on the nerves within the spinal cord, impairing their function. The most common cause is a tumor metastasizing to the vertebrae. Symptoms include back pain, numbness, problems urinating, and constipation. Diagnostic tests include MRI, CT scan, and bone scan. Treatment involves steroids, resting, pain management, radiotherapy, and sometimes surgery. Nursing care focuses on monitoring neurological status and vital signs, managing pain, maintaining mobility and skin integrity, and providing psychological support.

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    SPINAL CORD COMPRESSION

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    © Attribution Non-Commercial (BY-NC)

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    Spinal cord compression occurs when something presses down on the nerves within the spinal cord, impairing their function. The most common cause is a tumor metastasizing to the vertebrae. Symptoms include back pain, numbness, problems urinating, and constipation. Diagnostic tests include MRI, CT scan, and bone scan. Treatment involves steroids, resting, pain management, radiotherapy, and sometimes surgery. Nursing care focuses on monitoring neurological status and vital signs, managing pain, maintaining mobility and skin integrity, and providing psychological support.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    88 views19 pages

    Spinal Cord Compression

    Uploaded by

    Nikai Pabayo
    Spinal cord compression occurs when something presses down on the nerves within the spinal cord, impairing their function. The most common cause is a tumor metastasizing to the vertebrae. Symptoms include back pain, numbness, problems urinating, and constipation. Diagnostic tests include MRI, CT scan, and bone scan. Treatment involves steroids, resting, pain management, radiotherapy, and sometimes surgery. Nursing care focuses on monitoring neurological status and vital signs, managing pain, maintaining mobility and skin integrity, and providing psychological support.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 19

    SPINAL CORD COMPRESSION

    Signs and symptoms

    Medical treatment

    7/22/12

    Nursing management

    Spinal cord compression occurs when something presses down with sufficient force on the nerves within the spinal cord so that they lose their ability to function properly.
    Click to edit Master subtitle style 7/22/12

    The term spinal cord compression is usually reserved for cases in which the presence of atumorresults in pressure on the spinal cord. The most common cause of cancerous spinal cord compression is a 7/22/12 vertebralmetastasis.

    7/22/12

    vertebral metastases account for 85% of cases of spinal cord compression 70% of those metastases occur in the thoracic vertebrae about 5% to 10% of patients 7/22/12

    Signs and Symptoms


    Back pain Numbness or pins and needles in toes and fingers, or over the buttocks Problems passing urine 7/22/12 Constipation

    Diagnostic Tests
    MRI CT scan Bone scan

    7/22/12

    Treatment for SCC usually includes one or more of the following:


    Steroids Lying Pain

    flat

    control

    Radiotherapy
    7/22/12

    Surgery

    Spinal Cord Compression: Nursing Assessments and Interventions


    7/22/12

    Monitor and document vital signs. Assess neurological status including limb strength, sensation, bladder and bowel function.

    7/22/12

    Monitor blood chemistry and patient for signs of hypercalcemia, such as confusion, drowsiness and lethargy. Assess alterations in elimination of urine and feces in terns of urgency, frequency, level of control over function, retention, 7/22/12 constipation and incontinence.

    Assess patients pain level. Assess for duration, location, type, intensity and quality. Assess pain interventions. Assess patients skin as there are at risk for impaired skin integrity.
    7/22/12

    Assess for signs and symptoms of deep venous thrombosis due to activity. Assess and monitor patient and familys psychological status and adaptation to diagnosis and implication on
    7/22/12

    Spinal Cord Compression: Nursing Diagnoses and Interventions

    7/22/12

    Impaired physical mobility related to neuromuscular impairment. Interventions include: maintain proper body alignment, ROM exercises, adequate nutrition, teach patient how to move in bed, monitor skin area over pressure 7/22/12 areas.

    Risk for falls related to decreased or absent lower extremity sensation and strength. Interventions include: bed in low position, side rails up, keep frequently used items within patients reach, provide assistance with ambulation.

    7/22/12

    Risk for impaired skin integrity related to physical immobilization and loss of bladder and bowel control.

    Interventions include: Active or passive range of motions, ambulate to the extend possible, change positions every 2 hours, reduce pressure using things like pillows, air mattresses and bed cradles, maintain good body hygiene, encourage adequate fluid and 7/22/12 nutritional intake.

    Bowel incontinence related to loss of rectal sphincter control.

    Interventions include: Keep area clean and dry. Monitor anal and genital skin integrity. Record each episode including when it occurs, amount, color and consistency. Provide emotional support for patient.
    7/22/12

    Ineffective Individual Coping related to inadequate level of confidence in ability to cope.

    Interventions include: maintain consistency in approach and teaching whenever interacting with patient, monitor for and reinforce behavior suggesting effective coping continuously, assist patient to identify and use available support systems before discharge from hospital and help patient evaluate which methods he/she have used that have not been successful or have been only partially 7/22/12

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