American Journal of Nursing Science

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Nursing Care of a Patient with Cervical Spinal Cord Injury Without Fracture and Dislocation: A Case Report

Received: 16 August 2020    Accepted: 31 August 2020    Published: 21 September 2020
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Abstract

Cervical spinal cord injury without fracture and dislocation (CSCIWFD) is a severe disabling injury with acute illness, slow recovery, and many complications that significantly increase patients’ pain and the difficulty of disease management. We introduce the nursing care of a 52-year-old man with multiple complications of CSCIWFD caused by a car accident. Nursing mainly focused on posture and safety, nutritional support, respiratory management, limb function training, medication, psychological nursing, and actively preventing and managing complications such as central fever, obstinate hyponatremia, klebsiella pneumoniae infection, venous thrombosis, and pressure ulcers, among others. The nurses closely observed the patient's condition, strictly managed his 24-hour access volume, and regularly evaluated his treatment and nursing effects. In addition to superior treatment and nursing, we should invite multidisciplinary cooperation for diagnosis and treatment and encourage family members to participate in disease management, which improves patient’s later functional recovery and his quality of life. After 53 days of hospitalization, the patient’s condition gradually stabilized, he and his family members were satisfied with the treatment and nursing results, and he was transferred to another hospital for rehabilitation. The prognosis of patients with CSCIWFD is closely related to the quality of nursing. Personalized comprehensive care is of great significance to reduce and timely control complications and promote patients' recovery.

DOI 10.11648/j.ajns.20200905.16
Published in American Journal of Nursing Science (Volume 9, Issue 5, October 2020)
Page(s) 347-353
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Without Fracture and Dislocation, Cervical Spinal Cord Injury, Nursing, Complications

References
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[2] Wang J, Li J, Cai L. Effects of Treatment of Cervical Spinal Cord Injury without Fracture and Dislocation in A Medium-to Long-Term Follow-Up Study. World Neurosurg. 2018; 113: e515-e520.
[3] Zhu F, Yao S, Ren Z, et al. Early durotomy with duroplasty for severe adult spinal cord injury without radiographic abnormality: a novel concept and method of surgical decompression. Eur Spine J. 2019; 28 (10): 2275-2282.
[4] Koyanagi I, Iwasaki Y, Hida K, Akino M, Imamura H, Abe H. Acute cervical cord injury without fracture or dislocation of the spinal column [J]. J Neurosurg. 2000; 93 (1 Suppl): 15-20.
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[6] Mu X, Li Z, Ou Y, Wei J. Early and short-segment anterior spinal fusion for cervical spinal cord injury without fracture and dislocation can achieve more significant neurological recovery: a retrospective study based on the current medical system in southern China [J]. J Orthop Surg Res. 2019; 14 (1): 414.
[7] Ahuja CS, Schroeder GD, Vaccaro AR, et al. Spinal Cord Injury-What Are the Controversies? [J]. J Orthop Trauma. 2017; 31 Suppl 4:S7-S13.
[8] Shank CD, Walters BC, Hadley MN. Current Topics in the Management of Acute Traumatic Spinal Cord Injury. Neurocrit Care. 2019; 30 (2): 261-271.
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Author Information
  • School of Nursing, Jinan University, Guangzhou, China

  • Orthopedics Department, People’s Hospital of Ningxia Hui Autonomous Region, Yinchuan, China

  • Orthopedics Department, People’s Hospital of Ningxia Hui Autonomous Region, Yinchuan, China

  • Orthopedics Department, People’s Hospital of Ningxia Hui Autonomous Region, Yinchuan, China

  • School of Nursing, Jinan University, Guangzhou, China

  • First Clinical Medical College, Jinan University, Guangzhou, China

  • School of Nursing, Jinan University, Guangzhou, China

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  • APA Style

    Meixue Chen, Zhaofu Wang, Yaping Fan, Ningjun Wan, Ni Zhang, et al. (2020). Nursing Care of a Patient with Cervical Spinal Cord Injury Without Fracture and Dislocation: A Case Report. American Journal of Nursing Science, 9(5), 347-353. https://doi.org/10.11648/j.ajns.20200905.16

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    ACS Style

    Meixue Chen; Zhaofu Wang; Yaping Fan; Ningjun Wan; Ni Zhang, et al. Nursing Care of a Patient with Cervical Spinal Cord Injury Without Fracture and Dislocation: A Case Report. Am. J. Nurs. Sci. 2020, 9(5), 347-353. doi: 10.11648/j.ajns.20200905.16

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    AMA Style

    Meixue Chen, Zhaofu Wang, Yaping Fan, Ningjun Wan, Ni Zhang, et al. Nursing Care of a Patient with Cervical Spinal Cord Injury Without Fracture and Dislocation: A Case Report. Am J Nurs Sci. 2020;9(5):347-353. doi: 10.11648/j.ajns.20200905.16

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  • @article{10.11648/j.ajns.20200905.16,
      author = {Meixue Chen and Zhaofu Wang and Yaping Fan and Ningjun Wan and Ni Zhang and Qingran Lin and Weiju Chen},
      title = {Nursing Care of a Patient with Cervical Spinal Cord Injury Without Fracture and Dislocation: A Case Report},
      journal = {American Journal of Nursing Science},
      volume = {9},
      number = {5},
      pages = {347-353},
      doi = {10.11648/j.ajns.20200905.16},
      url = {https://doi.org/10.11648/j.ajns.20200905.16},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajns.20200905.16},
      abstract = {Cervical spinal cord injury without fracture and dislocation (CSCIWFD) is a severe disabling injury with acute illness, slow recovery, and many complications that significantly increase patients’ pain and the difficulty of disease management. We introduce the nursing care of a 52-year-old man with multiple complications of CSCIWFD caused by a car accident. Nursing mainly focused on posture and safety, nutritional support, respiratory management, limb function training, medication, psychological nursing, and actively preventing and managing complications such as central fever, obstinate hyponatremia, klebsiella pneumoniae infection, venous thrombosis, and pressure ulcers, among others. The nurses closely observed the patient's condition, strictly managed his 24-hour access volume, and regularly evaluated his treatment and nursing effects. In addition to superior treatment and nursing, we should invite multidisciplinary cooperation for diagnosis and treatment and encourage family members to participate in disease management, which improves patient’s later functional recovery and his quality of life. After 53 days of hospitalization, the patient’s condition gradually stabilized, he and his family members were satisfied with the treatment and nursing results, and he was transferred to another hospital for rehabilitation. The prognosis of patients with CSCIWFD is closely related to the quality of nursing. Personalized comprehensive care is of great significance to reduce and timely control complications and promote patients' recovery.},
     year = {2020}
    }
    

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    AU  - Meixue Chen
    AU  - Zhaofu Wang
    AU  - Yaping Fan
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    AB  - Cervical spinal cord injury without fracture and dislocation (CSCIWFD) is a severe disabling injury with acute illness, slow recovery, and many complications that significantly increase patients’ pain and the difficulty of disease management. We introduce the nursing care of a 52-year-old man with multiple complications of CSCIWFD caused by a car accident. Nursing mainly focused on posture and safety, nutritional support, respiratory management, limb function training, medication, psychological nursing, and actively preventing and managing complications such as central fever, obstinate hyponatremia, klebsiella pneumoniae infection, venous thrombosis, and pressure ulcers, among others. The nurses closely observed the patient's condition, strictly managed his 24-hour access volume, and regularly evaluated his treatment and nursing effects. In addition to superior treatment and nursing, we should invite multidisciplinary cooperation for diagnosis and treatment and encourage family members to participate in disease management, which improves patient’s later functional recovery and his quality of life. After 53 days of hospitalization, the patient’s condition gradually stabilized, he and his family members were satisfied with the treatment and nursing results, and he was transferred to another hospital for rehabilitation. The prognosis of patients with CSCIWFD is closely related to the quality of nursing. Personalized comprehensive care is of great significance to reduce and timely control complications and promote patients' recovery.
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