NSG 456 Care of the Patient with Complex Health Concerns Case Study #3: Caring for Patients with Spinal Cord Injuries

Rivier University Division of Nursing and Health Professions Undergraduate Nursing Education NSG 456 Care of the Patient with Complex Health Concerns Case Study #3: Caring for Patients with Spinal Cord Injuries Name: (s) Kaitlyn Sarno, Chelsea Shoemaker, Jordan Parece, Chad Saint-Amant Neehr Perfect Case: Tim Collado, DIRECTIONS Visit the link to Tim Collado’s. Review the patient’s chart and answer the following questions. Question #1: (40 Points total) Given Mr. Collado’s medical diagnosis, describe how the nurse will conduct a shift assessment. Include any of the tools the nurse will use and the expected findings. Refer to the resource in Mr. Collado’s file called, “Early Acute Management in Adults with Spinal Cord Injury” for assistance with completing this question. An example has been provided for you. Body System Nursing Assessment Expected Findings Neuro – This is a system of Grade A=Complete: No motor or sensory function is preserved in the sacral segments S4-S5. Grade B = Incomplete: Sensory but not motor function is preserved below the neurological level and includes the sacral segments S4-S5. Grade C = Incomplete: Motor function is preserved below the neurological level, and more than half of key muscles below the neurological level have a muscle grade less than 3. Grade D = Incomplete: Motor function is preserved below the neurological level, and at least half of key muscles below the neurological level have a muscle grade of 3 or more. Grade E = Normal: motor and sensory AISI tests used to define Impairment and describe the Scale extent and severity of a patient’s spinal cord injury and help determine future rehabilitation and recovery needs. It is ideally completed within 72 hours after the initial injury. The patient’s grade is based on how much sensation he or she can feel at multiple