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SCI-Nurse
SCI-Nurse
Super Moderator
Joined: 24 Jul 2001
Location: USA
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  • SCI-Nurse
    replied to Subluxed shoulder
    in Care
    Subluxation of the shoulder is best prevented, rather than wait until it occurs and try to correct it. Shoulder harness splints may help, as well as proper wheelchair armrests or the use of a lapboard with shoulder support. Usually it is SCI trained OTs who provide or order these.

    Many...
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  • Daily proper hand range of motion (ROM) exercises, taught by a SCI knowledgeable OT, and appropriately fit night splints, are the best way to maintain a functional hand for those with cervical injuries.

    (KLD)
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  • I have friends from Norway, both who have SCI, who spend their winters in the south coast of Spain. They have been able to find pretty accessible condos or apartments to rent or lease which are in resort areas and newer construction. If you don't need to be right in the heart of Madrid, I would look...
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  • I don't recommend skin barriers with zinc oxide like Butt Balm or the one mentioned above. They obscure your skin surface, and you have to scrape them off to do a good skin examination for pressure injuries. If you have a problem with moisture, you need to first identify and manage the cause. Are you...
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  • Since you have a Medicare HMO (Advantage) plan, they determine what you can have and how often it can be replaced. You need to talk to your specific case manager or provider for your plan.

    It is easier to find a good quality pressure reducing mattress in a standard size width, so if you...
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  • SCI-Nurse
    commented on 's reply to My Dad is intubated in the ICU
    in Care
    J-tube feeding cannot be used in the case of bowel obstruction or ileus. (KLD)
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  • SCI-Nurse
    commented on 's reply to Sitting tolerance worsening
    in Care
    Botox works best for spasticity of the smaller muscles, rather than big muscles like the quads or gluts.
    (KLD)
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  • SCI-Nurse
    commented on 's reply to Butt sore won't heal
    in Care
    Not for everyone, and not over an infected wound. A NPWT device can be used together with a matrix dressing. (KLD)
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  • SCI-Nurse
    replied to Butt sore won't heal
    in Care
    Please better describe where your wound is located. Is it right over the ischium, or is it on the fleshy part of the buttocks? Was it tested for MRSA? You having two wound so far apart that are similar makes me think it might be community acquired MRSA, which can cause boil-like lesions. How was your...
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    Last edited by SCI-Nurse; Today, 11:01 AM.

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  • SCI-Nurse
    replied to UTI again
    in Care
    Sediment or cloudiness of the urine is not a cardinal sign of UTI in someone with SCI/D. Those are fever, chills, suddenly increased spasticity or urine leakage, elevated WBC in the blood, and malaise. Only treat with one or more of these signs/symptoms, otherwise you are treating colonization and risk...
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  • SCI-Nurse
    replied to Colostomy rectal stump
    in Care
    We recommend a Fleets enema monthly to prevent accumulation of mucous, which if left in place can cause a mucolith (hard, dried out mucous stone). If you cannot manually remove hard dried out mucous, you may need to see your colorectal physician and have it done with a sigmoidoscopy. (KLD)
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    Last edited by SCI-Nurse; Today, 2:12 PM.

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  • SCI-Nurse
    commented on 's reply to resistant aeruginosa
    in Care
    Cloudiness is not a cardinal sign of UTI in people with SCI. Most often it is sediment. A UA cannot determine what bacteria are present. That requires a urine C&S. (KLD)
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  • SCI-Nurse
    replied to New sore
    in Care
    Clean daily with mild soap and water.
    Apply triple antibiotic ointment and a dry sterile dressing (use a glove to apply the ointment) after cleaning.
    Don't tape on the inflammed/red areas.
    If it doesn't improve, see your physician.

    Next time, avoid having a foot IV used....
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  • SCI-Nurse
    replied to Sad !
    Sad too, but you have to be your own advocate. We always asked the cabin attendant to be sure the wheelchair had been loaded before the cabin door was closed. (KLD)
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  • SCI-Nurse
    replied to Sitting tolerance worsening
    in Care
    Please let us know what they say. And keep asking questions.

    ckf
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  • SCI-Nurse
    replied to My Dad is intubated in the ICU
    in Care
    You only have control over so much. Now that your father is becoming more aware of what is going on, I would encourage you to have some of those difficult conversations. Then, you will know what he wants.

    you are doing a great job! Hang in there!

    ckf
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  • Treatment approaches of stage III and IV pressure injury

    Treatment approaches of stage III and IV pressure injury in people with spinal cord injury: A scoping review

    By Carina Fähndrich, Armin Gemperli, Michael Baumberger, Marco Bechtiger, Bianca Roth, and Dirk J. Schaefer
    The Journal of Spinal Cord Medicine: 21 Sep 2022

    h...
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  • SCI-Nurse
    replied to My Dad is intubated in the ICU
    in Care
    It sounds as though you are being a great advocate for your Dad. Medical people sometimes need a push to do something. Especially if they are uncertain in a situation. I am betting that many of them don’t have much experience with individuals who have a SCI.

    Hang in there and please...
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  • SCI-Nurse
    replied to My Dad is intubated in the ICU
    in Care
    He has passed a hurdle but he has many more. He is lucky to have you for an advocate. He needs bowel program daily, minimally. CWO
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  • SCI-Nurse
    replied to Small sore starting on tail bone area
    in Care
    Wound experts. CWO
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