Nursing Practice Related to Spinal Cord Injury and Disorders: A Core Curriculum / Edition 1

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This comprehensive guide to the practice of SCI nursing and authoritative resource for all nurses in the field was developed under the auspices of the Eastern Paralyzed Veterans Association (EPVA) in collaboration with the American Association of Spinal Cord Injury Nurses (AASCIN), the only nursing organization devoted exclusively to promoting excellence in meeting the nursing care needs of individuals with SCI. It was designed to meet the needs of nurses with varying years of experience in the specialty, working in a variety of roles and practice settings.

The organizing framework for this Core Curriculum comprises six sections:

  • Background Information for Nursing Practice Related to Spinal Cord Impairment (SCI) provides background information for SCI nursing practice, including the philosophy, goals, and process of SCI nursing practice, diversity in nursing practice roles and settings, cultural issues, and collaboration in teams.
  • Foundation for Nursing Practice Related to SCIprovides the practicing nurse with a foundation, including brief presentations of anatomy and physiology of the spine and spinal cord and overview of the consequences of SCI, including special issues related to pediatric SCI care. Guidelines are provided for comprehensive neurologic assessment.
  • Functional Alterations: Physical Domain addresses the myriad physical functional alterations that occur with SCI because improving function and promoting independence are primary goals of rehabilitation. These functional alterations are organized around body systems.
  • Functional Alterations: Personal Domain continues the focus on functional alterations but emphasizes the psychological/psychosocial domain rather than the physical domain. Topics include sexuality and reproduction, body image, family, stress and coping, and activity and exercise.
  • Trajectory of SCI Nursing Care provides a trajectory of nursing care throughout the care continuum realizing that rehabilitation is an ongoing process which begins at the onset of impairment and extends throughout the entire episode of SCI and across the life span. Beginning with prevention of the initial injury, this section also includes trauma care, critical care, acute rehabilitation, caregiver training and support, community reintegration and independent living, the prevention and management of secondary disabilities, and issues related to aging with a disability.
  • Shaping SCI Nursing Practice addresses topics that shape professional practice of nurses in this specialty field, including improvement and outcome evaluation and research priorities.
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Editorial Reviews

Eastern Paralyzed Veterans of America
"This is a comprehensive tool for educating a broad audience of nurses in areas ranging from emergency nursing to rehabilitation."— Divine, Inc.

"Nursing, as an art and science, has a primary role in assisting persons with SCI to achieve and maintain an optimum level of function...(this) is a landmark publication likely to have a profound impact on nursing practice and on the lives of persons living with SCI...The text fills a void that has been empty for too many years." — Eastern Paralyzed Veterans of America

Doody's Review Service
Reviewer: Filissa Marie Caserta, MSN (Johns Hopkins Hospital)
Description: This is a comprehensive tool for educating a broad audience of nurses in areas ranging from emergency nursing to rehabilitation. It provides the reader with a unique historical overview of healthcare issues associated with the individual with a SCI. A holistic approach to the care of this unique population is evident in the chapters regarding diversity and cultural issues. The detailed anatomy and physiology, assessment, intervention and prevention information provided throughout the book is succinct, accurate, and edifying.
Purpose: The purpose is to address the needs of nurses, from novice to expert, practicing in a variety of healthcare settings in the specialty of SCI. The book is of value since it is the only core curriculum available with the sole purpose of educating the reader to the multiple facets of care of the patient with an SCI. The author's objectives are easily met as noted by the vast array of topics covered in this single text.
Audience: According to the author, the target audience includes every nurse who is even remotely involved with the care of individuals with SCI. Therefore, the audience includes administrators, case managers, direct care providers, consultants, researchers, and educators. The author suggests that the book is written at a level that is easily understood by nursing students, practical nurses, experienced nurses new to the field of SCI as well as those nurses experienced in the field. Nurses at all levels can benefit from this book and will find it easy to comprehend, yet not feel that it is over simplistic.
Features: The reader is given a very strong foundation of spinal cord anatomy and physiology early on to assist with comprehension of the more complex topics that follow. The incomplete spinal cord injuries are concisely covered and sound illustrations of the syndromes are offered. A detailed systems approach covering cardiovascular, respiratory, GU, GI, nutrition, skin and psychosocial is used to address the various complications of SCI. Entire chapters are devoted to the needs of the family and caring for the caregivers. Special topics such as pediatric care, sexuality and reproduction, body image and aging are included. Prevention of SCI is covered as well. The use of tables throughout is very beneficial. The reader is able to grasp key concepts at a glance and can use the easy to read format as a study aid. Furthermore, complex syndromes such as autonomic dysreflexia are clearly depicted as well with easily understood, comprehensive drawings. The glossary is also very useful. For those caring for children with SCI, there are many sections that address the special needs of the pediatric population (in addition to chapter 11, the pediatric chapter). The suggestions that I offer are simply to enhance an already well-written and researched book. As a practitioner, I find the use of nursing diagnosis too limiting. If the author could be so bold as to step away from NANDA approved diagnoses, as we have done in practice, the book would be more palatable. Stating the problem in simple terms, even if it is a "medical" diagnosis, has more practical application for the reader.
Assessment: As a neuroscience critical care nurse, I think that this is a valuable addition to the nursing books available regarding the care of the patient with SCI. In my review of the literature, I was unable to find one book that covered all the nursing aspects of SCI like this one does. There are a variety of medical books available, and although they are extremely informative and well respected, they do not attend to the special needs of this population from a nursing perspective. Other neuroscience books available include sections covering SCI, but are not solely dedicated to SCI. These include Bedbrook's The Care and Management of Spinal Cord Injuries (Springer-Verlag, 1981), Capen and Haye's Comprehensive Management of Spine Trauma (Mosby, 1998), Hickey's The Clinical Practice of Neurological and Neurosurgical Nursing, 4th edition (Lippincott Williams & Wilkins, 1997).
This is a comprehensive tool for educating a broad audience of nurses in areas ranging from emergency nursing to rehabilitation.
Eastern Paralyzed Veterans of America
Nursing, as an art and science, has a primary role in assisting persons with SCI to achieve and maintain an optimum level of function...(this is a landmark publication likely to have a profound impact on nursing practice and on the lives of persons living with SCI...The text fills a void that has been empty for too many years.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780970887313
  • Publisher: Demos Medical Publishing, LLC
  • Publication date: 1/28/2001
  • Edition number: 1
  • Pages: 532
  • Product dimensions: 8.25 (w) x 10.75 (h) x 1.10 (d)

Table of Contents

Section 1: Background Information for Nursing Practice Related to Spinal Cord Impairment (SCI); Historical Overview; American Association of Spinal Cord Injury Nurses; Philosophy, Goals, and Process of SCI Nursing Practice; Diversity in Nursing Practice Roles and Settings; Cultural Issues Affecting Care Delivery; Teams and Collaboration; Section 2: Foundation for Nursing Practice Related to SCI; Anatomy and Physiology of the Spine and Spinal Cord; Consequences of Traumatic Spinal Cord Injury; Consequences of Spinal Cord Disorders; Neurological Assessment Related to SCI; Special Issues Related to Pediatric Care;Section 3: Functional Alterations: Physical Domain; Respiratory/Pulmonary; Cardiovascular and Thermoregulatory Control; Bladder Elimination and Continence; Nutrition; Bowel Elimination and Continence; Musculoskeletal System; Sensation/Pain; Spasticity; Section 4: Functional Alterations: Personal Domain; Sexuality and Reproduction; Body Image and Self-Concept; Family; Stress and Coping; Activity and Exercise;Section 5: Trajectory of SCI Nursing Care;; Spinal Cord Injury Prevention; Trauma Emergency; Critical Care; Rehabilitation; Caregivers: Training and Support; Community Reintegration and Independent Living; Prevention and Management of Secondary Disability; Aging with a Disability;Section 6: Shaping SCI Nursing Practice; Quality Improvement and Outcome Evaluation; Priorities for Research Related to SCI Nursing;Glossary.

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