Question

Mr. Edwards is 20-year-old male patient who is admitted for treatment of recurring pyelonephritis (kidney infection) and surgical treatment of a urinary stricture, which has decreased the urinary stream. Mr. Edwards has paraplegia; he is paralyzed from the waist down secondary to an automobile accident when he was 16. He came by ambulance to the hospital, leaving his wheelchair and wheelchair pressure-relieving cushion at home. According to the nursing history, the patient is a nonsmoker and he does not drink alcohol or take any illegal drugs. (Learning Objective 5)

What nursing considerations should be made for Mr. Edwards related to his disability?

What health promotion and prevention education does Mr. Edwards need?

Answer 1

What nursing considerations should be made for Mr. Edwards related to his disability?

Assessment of sensory and motor functions every 4 hours

Changing the patient position every 2 hours tp prevent bed sores

Providing retaining board for patient foot

Performing Passive ROM 4-5 times a day

Assessment of skin for integrity

Using special beds

Performing special massages

high protein diet

Encouraging fluid intake

What health promotion and prevention education does Mr. Edwards need?

Adherence to drug regimen for full course even if he feels better.

Encourage for more clear fluids intake

Advise to keep genital area clean

Advise to use gentle soap for cleaning

Advise not to hold the urine for longer time

Advise for frequent urination especially after intercourse