Skip to content
View in the app

A better way to browse. Learn more.

allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

SCI Prognosis

I work in a general adult ICU. We see everything from cabg's to med/surgical to neuro critical patients. I've been taking care of an elderly gentlemen who sustained a cervical contusion at C-5, C-6 secondary to mvc. He has paralysis with no sensation from chest down, with some movement, although spastic, to both upper extremities. He is 1 week post injury, and the neurosurgeon has given a poor prognosis for regaining function. The way I see it is , if the cord is still intact, over weeks -months with iv steroids,as the swelling to the cord improves, I would think that this gentlemen could regain some functioning. I've been reassuring him and his family that " it's still early" and that they should "just wait and see". I don't want to give them any false hope, but I can't find anything else in my heart except to give them hope. Do you feel I'm right? I look forward to your input.

Featured Replies

It depends - I've seen patients with seemingly minor injuries become complete quads, while others with more severe insults recover quite a bit of function.

I don't think that you're necessarily giving the family false hope, just to be sure and paint the entire picture for them. Working in neuro, I've found that giving everything from worst-case scenario to best possible outcome to the family gives them a better idea of what they're looking at long-term. I try to use words like "he could potentially regain function of xyz, but most people with this type of injury follow abc course of recovery."

Guest
This topic is now closed to further replies.

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.