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SCI-Nurse
SCI-Nurse
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Joined: 07-24-2001
Location: USA
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  • SCI-Nurse
    replied to Invacare Micro Air MA600
    in Care
    This LAL mattress has been around a long time. One thing to look at with any LAL mattress is the kind of bed frame you are using with it. If your bed deck is made of wires and springs, it may allow the mattress to sag too much. A solid deck or rigid slats is much better to use as a frame for a LAL mattress....
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  • SCI-Nurse
    replied to Problem voiding urine
    in Care
    This is not an uncommon problem in men with SCI/D long term who use reflex voiding to empty their bladder. What we found in urethrogram and voiding fluroscopic urodynamics is that the urethra was acting like a regular straw instead of a bendy straw in the area of the urethral distal to the prostate,...
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  • SCI-Nurse
    replied to Antibiotics Taken Daily to Prevent UTI
    in Care
    Technically the ID physician is correct. Your BODY does not become resistant to antibiotics taken over time, but the BACTERIA that you are colonized or infected with can easily develop resistance to these antibiotics. This is more common with certain bacteria, and in fact there are some bacteria who...
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  • First talk to the manager of the establishment. Take notes of your conversation with them. If that gets you no where, then go to the ower. The manager should be able to give you that information, but if resistant, you can get it from the county or city licensing dept. for businesses or property tax...
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  • SCI-Nurse
    replied to 1 year post injury.
    Good point. Here is the contact page for the Tennessee chapter of United Spinal Association. They often offer peer counseling.

    https://unitedspinal.org/chapter/ten...l-association/

    (KLD)
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  • SCI-Nurse
    replied to Spasms?
    in Care
    Spasticity (abnormally high muscle tone) and spasms (involuntary movements) are two aspects of SCI/D that are seen in most people except those with very low cord injuries or with some spinal cord diseases such as spinal stroke, transverse myelitis, or polio.

    Most people do not have serious...
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  • SCI-Nurse
    replied to 1 year post injury.
    Welcome to CareCure! Please join in discussions here, post questions, and tell us a little more about you. You have friends here who will understand.

    (KLD)
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  • SCI-Nurse
    replied to Bladder Spasticity
    in Care
    Have you had urodynamics in the last few months? You should be having this done every 2 years or so if things are stable, but more often if there are problems such as you are reporting. Your bladder can change over time.

    Ditropan is the most commonly used anticholenergic, but not the only...
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  • SCI-Nurse
    replied to Shrinking Penis
    in Care
    Penile retraction is a common problem in men who are obese. Viagra would not be a option. It would have to be taken an hour before each catheterization, and it should not be taken more than once daily. Cialis might be helpful, but you still have to work at getting the erection...it does not just spring...
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  • SCI-Nurse
    replied to Good showed / commode chair
    This is designed to be used on a square shower/commode chair. Commode is a common short-hand term for a shower/commode chair. There is a different one designed for use with a regular toilet seat, which might fit your seat better. You can talk to the people at Roho about which might fit your chair better....
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    Last edited by SCI-Nurse; 07-03-2020, 03:18 PM.

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  • SCI-Nurse
    replied to Quad suppository in commode?
    in Care
    Rule of thumb with bowel care is to make no more than 1 change every 7 days. I would recommend trying first to go without the Miralax for at least 7 days. If you are doing OK, then reduce the amount of senna to 1 capsule for 7 days, and see how that goes. Continue this method of making one change per...
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  • SCI-Nurse
    replied to Good showed / commode chair
    This Roho Commode Seat Cushion can be applied and left on the commode. Remove for cleaning as needed:

    http://permobilus.com/product/rohosh...mmode-cushion/

    (KLD)
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  • SCI-Nurse
    replied to Quad suppository in commode?
    in Care
    • Increase dietary fiber. You should have at least 30 gm. daily.
    • Increase water intake; minimum should be 2 liters daily, but 3 is better.
    • If stool is hard in spite of this, take Colace (DSS) up to 1000mg. daily.
    • Do you stand? If so, use of a standing frame can increase bowel motility.

    ...
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  • SCI-Nurse
    replied to Peristeen??
    in Care
    Looks like it. With the Peristeen, generally you do not have to hold the speculum in place, the balloon holds it inside the rectum and prevents the water from coming out until you deflate the balloon. I am not sure where this device above is available in the USA.

    (KLD)...
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  • SCI-Nurse
    replied to Quad suppository in commode?
    in Care
    Any routine use of a stimulant or osmotic laxative can increase your risk over time of developing obstructive megacolon. It is best to reserve these to only occasional use for constipation, and not take daily.

    (KLD)
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  • SCI-Nurse
    replied to Good showed / commode chair
    Have you tried a Roho commode cushion on your ActiveAid commode??

    (KLD)
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  • Have you recently been evaluated for a syrinx? They can be associated with both an increase and decrease in spasticity. Have you see your physiatrist directly regarding this issue? Your NP may not be the most expert on this issue.

    (KLD)
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  • SCI-Nurse
    replied to Bowel issue
    in Care
    I could be hemorrhoids, although they usually bleed. I also could be a fissure. Did your GP do a rectascope exam or just a manual exam? I would recommend you see a colorectal surgeon specialist to have a good rectoscope exam, and perhaps a sigmoidoscopy. Does it help to apply lidocaine ointment or something...
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  • Do a search for "bed reading pillows" and you will find many options. Some are even inflatable, which would make it easier to carry with you for travel. Here is an example:

    https://www.amazon.com/HOMCA-Reading.../dp/B07KQ47DXH

    (KLD)
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    • Maintain a closed system for indwelling catheters.
    • Secure the catheter to prevent inadvertent dislodgement or pistoning in/out of the urethra or stoma.
    • Assure no dependent loops in drainage tubing in bed or wheelchair.
    • Clean catheter and surrounding skin daily with antiseptic wipes or soap
    ...
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