“You may have difficulty believing this, but the paralysis caused by this disease is temporary.”
“You’ll have to accept the fact that you’re permanently paralyzed. However, you won’t have any sensory loss.”
“It must be hard to accept the permanency of your paralysis.”
“You’ll first regain use of your legs and then your arms.”
Seizures or trauma to the brain
Meningitis during the last 5 years
Back injury or trauma to the spinal cord
Respiratory or gastrointestinal infection during the previous month.
Giving client full control over care decisions and restricting visitors
Providing positive feedback and encouraging active range of motion
Providing information, giving positive feedback, and encouraging relaxation
Providing intravaneously administered sedatives, reducing distractions and limiting visitors
PH, 5.0; PaCO2 30 mm Hg
PH, 7.40; PaCO2 35 mm Hg
pH, 7.35; PaCO2 40 mm Hg
PH, 7.25; PaCO2 50 mm Hg
Arrange for a volunteer to stay with the client during the day to provide for socialization needs and to facilitate communication with staff.
Explain to the family that consistency in enforcing rules is important to prevent complaints from the families of other clients.
Suggest that the family visit in shifts during the normal visiting hours, since the client needs to sleep at night.
Make an exception to visiting regulations because of the long-term nature of the client’s recovery and the need for family support.
A 34-year-old patient newly diagnosed with multiple sclerosis (MS)
A 68-year-old patient with chronic amyotrophic lateral sclerosis (ALS)
A 56-year-old patient with Guillain-Barre syndrome (GBS) in respiratory distress
A 25-year-old patient admitted with CA level spinal cord injury (SCI)
Even, unlabored respirations
Soft, non distended abdomen
Urine output of 50 ml/hr