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Case Study ProgressM.P. did not have any signs of autonomic dysreflexia. He had a large bowel movement after receiving a PRN suppository. Antibiotic therapy was initiatedafter results of a urinalysis with culture and sensitivity indicated a urinary tract infection. After 3 days of medication and fluid therapy, he is being transferred to the rehabilitation unit.4.What are M. P.’s priority nursing diagnoses while in rehabilitation?a.Impaired skin integrity R/T immobility and/or poor tissue perfusion or Constipation r/t neurogenic bowel, inadequate fluid intake, and/or immobility
Chapter 60 and 61 – case studies5.Because of the complexity of M.P.’s care, you are coordinating care among manymembers of the health care team. Who might be participating in M.P.’s rehabilitation?a.Physicians, physical therapist, occupational therapist, vocational counselors, psychologist, orthotists, and dieticians 6.List three potential adverse conditions to continue to monitor M.P. for throughout his stay.a.Autonomic dysreflexia, stress ulcers, neurogenic bowel7.Rehabilitation care includes initiating a bowel retraining program. Outline the components of a program for M.P.a.A rehabilitation program for M.P. would include focusing on retraining of physiologic processes and extensive patient, caregiver, and the family teaching about how to manage the physiologic and life changes resulting from the injury. Care is organized around the individual patient’s goal and needs. Areas of focus depending on the area of injury of the spinal cord would include respiratory rehabilitation, neurogenic bladder, neurogenic bowel, neurogenic skin, sexuality, grief and depression 8.List 3 physical rehabilitation goals that M.P. can achieve.a.Maintain intact skin over bony prominences. Establish a bowel management program based on neurologic function and personal preference. Establish a bladder management program based on neurologic function, caregiver status, and lifestyle choices.