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Cues / medical

impression
Anatomy of the system /
organ involved
Normal function Pathophysiology Assessment parameters analysis

Subj cues
Sumasakit tong
balakang ko pag
gumagalaw ako
Obj cues
Extreme back
pain or
pressure at
the back
Weakness,
incoordination
or paralysis in
lower
extremities
Medical
impression
Spinal cord injury



The central nervous
system comprises
the brain and spinal
cord. The spinal
cord, made of soft
tissue and
surrounded by
bones (vertebrae),
extends downward
from the base of
your brain and is
made up of nerve
cells and groups of
nerves called tracts,
which go to different
parts of your body.

Whether the cause is
traumatic or
nontraumatic, the
damage affects the
nerve fibers passing
through the injured area
and may impair part or
all of your
corresponding muscles
and nerves below the
injury site. A chest
(thoracic) or lower back
(lumbar) injury can
affect your torso, legs,
bowel and bladder
control, and sexual
function. In addition, a
neck (cervical) injury
affects movements of
your arms and, possibly,
your ability to breathe.
Probable
Loss of movement
Loss of sensation, including the
ability to feel heat, cold and touch
Loss of bowel or bladder control
Exaggerated reflex activities or
spasms
Pain or an intense stinging sensation
caused by damage to the nerve
fibers in your spinal cord
Difficulty breathing, coughing or
clearing secretions from your lungs
Actual
Loss of movement in lower
extremities
Pain at lumbar area
Due to trauma experienced
by the patient, there is
damage in his spinal cord
which makes him unable to
move his lower extremities
and feel the pain in his
lumbar area when he
moves.

Tpo
at the end of 48hrs pf rle experience duty, i shall be able to apply the basic skills in the care of pre-operative and post operative patient in the surgical ward with emphasis on primative, preventive,
curative and rhabilitative of nursing care integrating da ethico-logcal and moral aspects of nsg,practice in consderation of 11key areas of responsibility
eo
1. Monitor and report vital signs and medical information of the Patient .
2. Prepare and administer medications (Oral,IV and SC) as per prescription .
3. Collect specimens such as blood,sputum,stool and urine,order and record laboratory results.
4. Provide Oxygen therapy and secretion suctions if needed .
5. Monitor any untoward reactions of patient and report to the surgeon.
6. Provide basic bedside care for Pre and Post surgical patients.
7. Use universal aseptic techniques during wound care and dressings.
8. Provide psychological support to the patient and relatives and educate how to manage their wound/injury.