Spinal Cord Compression by K0x8Dfd


									Spinal Cord Compression

 By: Sharon Sanders, Stacy Webb,
   Tonya Miller, Adrianne Rice &
         Lynn Davenport
More Commonly Seen In
   Breast      Prostate

   Lung        Myeloma

   Kidney      Lymphoma
Spinal Cord Compression in Three Main Areas

  Thoracic     Lumbosacral      Cervical
    70%           20%            10%
mergency                        Table 1. Symptoms of Spinal Cord
                                         Compression, by Tumor

            Location              Signs and Symptoms

            Cervical spine        Headache or neck, shoulder, or arm pain
                                  Breathing difficulties
                                  Loss of sensation in the arms
                                  Muscle weakness in the neck, trunk, arms, and hands
                                  Paralysis involving the neck, trunk, arms, and hands

            Thoracic spine        Pain in the chest and/or back
                                  Loss of sensation below the level of the tumor
                                  Increased sensation above the level of the tumor
                                  Muscle weakness
                                  Positive Babinski reflex
                                  Bladder and bowel problems
                                  Sexual dysfunction

            Lumbosacral spine     Low back pain that may radiate down the legs and/or perineal area
                                  Weakness in the legs and feet
                                  Paralysis in the legs and feet
                                  Loss of sensation in the legs and feet
                                  Bladder and bowel problems
                                  Sexual dysfunction
                                  Foot drop
                                  Decreased or absent reflexes in the legs
        Priority Assessments
   Inflammation
   Edema
   Venous Stasis
   Impaired Blood Supply to Nervous
   Pain
        Diagnostic Assessment
   Percussion Tenderness at the Level of Compression
   Abnormal Reflexes
   Sensory and Motor Abnormalities
   MRI
   Myelogram
   Spinal Cord X-Rays
   Bone Scans
   CT Scans
   Spinal Tap
   Needle Biopsy
              Treatment Goal
   Pain Control
   Reduce/Prevent nerve damage
   Avoid Complications
   High Dose Corticosteroids
   Radiation Therapy
   Biphosphates ( to reduce pathological fractures
    and bone pain)
          Nursing Diagnosis
   Disturbed Sensory Perception

   Acute /Chronic Pain

   Impaired Physical Mobility

   Ineffective Individual Coping
        Nursing Interventions
   Ongoing assessment of neurological
   Pain Medications as Ordered
   Prevent Complications of Immobility
   Provide Encouragement and Support to
    Patient & Family
   Depends on the Severity and Rapidity
    of Onset
   Poor Neurological Function Before
    Treatment/Less Likely to Regain
    Complete Function
   Complete Paralysis/Usually don’t Regain
    complete Neurological Function

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