Nursing Management

  • George M. Bedbrook


As in other management parameters of the spinal patient, nursing techniques have made big advances over the last three decades. However, it must be stressed that the initial advance was made by the application of old principles. Application of these principles in the first spinal injuries units established in Great Britain and Canada during World War II resulted in a tremendous decrease in morbidity and mortality while better medical care was established. These nursing principles are:
  1. 1.

    To avoid all preventable secondary complications such as bed sores and urinary tract infections by perfecting the use of well-established techniques

  2. 2.

    Application of good nursing care in making the patient comfortable and as relaxed as possible at all times

  3. 3.

    Awareness of the importance of continuance of such nursing care in these areas with particular reference to the total rehabilitation of the patient

  4. 4.

    Proper recording and clear daily observation of the patient’s physiologic changes, observed and noted in all areas, particularly respiratory and neurologic

  5. 5.

    Education of the patient and relatives in every aspect of the disease



Fluid Intake Pressure Sore Tracheostomy Tube Indwell Catheter Neurogenic Bladder 
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Suggested Readings

  1. Cox LA (1974) Prevention of catheter-induced infections by the Shenton Park Urodrain. Aust Nurs J 3:20–23Google Scholar
  2. Crate M (1975) Nursing functions in adaptation to chronic illness. Am J Nurs 65:72–76CrossRefGoogle Scholar
  3. Dilworth Ava (1970) Joint preparation for clinicalnurse specialists. Nurs Outlook 18:22–25Google Scholar
  4. Donovan WH, Clowers DE, Kiviat MD, Macri D (1977) Anal stimulation: A technique to overcome detrusor-sphincter dyssynergia. Arch Phys Med Rehabil 58:320–324PubMedGoogle Scholar
  5. Duberley Janet (1976) The clinical nurse specialist. Nurs Times 72:1794Google Scholar
  6. Edwards LE (1971) The control of incontinence of urine in women by pubo-vaginal spring device: objective and subjective results. Br J Urol 43:211–225PubMedCrossRefGoogle Scholar
  7. Georgette Janet (1970) Staffing by patient classification. Nurs Clin North Am 5:329Google Scholar
  8. Guttmann L (1965) A new turning-tilting bed. J Paraplegia 3:193CrossRefGoogle Scholar
  9. Hellman, C (1974) The making of a clinical specialist. Nurs Outlook 22:165–167PubMedGoogle Scholar
  10. Johnson DE et al (1967) The clinical nurse specialist as a practitioner. Am J Nurs 67:22–29Google Scholar
  11. Lade CM (1972) Marsupial pants for nursing incontinence. Nurs Mirror AugustGoogle Scholar
  12. Maslow AH (1943) A theory of human motivation. Pyscholog. Rev. 50:370–396CrossRefGoogle Scholar
  13. Pearman J, Cox LA (1972) The Shenton Park Urodrain: A collection bag for continuous closed drainage of an indwelling catheter. J Paraplegia 10:161–166CrossRefGoogle Scholar
  14. Pearman J, England E (1973) The Urological Management of the Patient Following Spinal Cord Injury. Charles C Thomas Springfield I11Google Scholar
  15. Plaisted Lena (1969) The clinical specialist in rehabilitation nursing. Am J Nurs 69:562–564Google Scholar
  16. Pohl ML (1973) The Teaching Function of the Nursing Practitioner, 2nd ed. Brown Co. Iowa,Google Scholar
  17. Redman BK (1972) The Process of Patient Teaching in Nursing, 2nd ed. Mosby Co. St LouisGoogle Scholar
  18. Watson Judyth (1977) Primary nurse: nursing care can be patient centred. Aust Nurs J 7:35–39Google Scholar
  19. Willington FL (1973) Marsupial principle in maintenance of personal hygiene in urinary incontinence. Br Med J 3:626–628PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1981

Authors and Affiliations

  • George M. Bedbrook
    • 1
    • 2
  1. 1.Department of Orthopaedic SurgeryRoyal Perth HospitalAustralia
  2. 2.Royal Perth Rehabilitation HospitalShenton ParkWestern Australia

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