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SCI: Cardiac, Pulmonary, Integumentary, & Nutrition

presented by Anne Leclaire, RN, MSN, CRRN

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Disclosure Statement:

Financial: Anne Leclaire receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course. Non-Financial: Anne Leclaire has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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In this course, we continue the discussion about systemic changes caused by a spinal cord injury. The focus is on four systems: pulmonary, integumentary, nutritional, and pain, and learning how these new changes to the person's nervous system affect each of these areas. Rehabilitation nurses need to understand how these changes affect the person's overall health. Risk factors associated with these new deficits are presented along with nursing interventions to assist patients in achieving their desired outcomes.

Meet Your Instructor

Anne Leclaire, RN, MSN, CRRN

Anne graduated with a Master of Science-Nursing from the University of Phoenix and has worked in the field of rehabilitation nursing for most of her career. She started as a staff nurse in inpatient rehabilitation at Weldon Center for Rehabilitation in Springfield, Massachusetts and then moved to Madison, Wisconsin, at University of Wisconsin Hospitals and…

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Chapters & Learning Objectives

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1. Cardiovascular Changes

This chapter will discuss how spinal cord injury affects the cardiovascular system in particular.

2. Respiratory System

This chapter will discuss the respiratory system and how breathing works.

3. Integumentary System

Sensory deficits and circulatory changes profoundly affect the health of the integumentary system of the person with spinal cord injury and place them at high risk for pressure wounds. The rehabilitation nurse plays a very important role promoting skin health and avoiding pressure injuries through prevention, education, and treatment. This chapter reviews the risk factors brought on by the spinal cord injury that contribute to skin breakdown and addresses preventative measures that nurses should implement.

4. Nutritional Manifestations

A number of metabolic changes occur as a result of the spinal cord injury that have implications for the person’s nutritional status. Rehabilitation nurses should partner with dieticians to ensure that patients have the adequate nutritional building blocks required to help the body heal and repair itself. Nursing interventions designed to prevent malnutrition and promote adequate intake will be reviewed in this chapter.

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