Download or read book Neurogenic Bowel Management in Chronic Spinal Cord Injury written by Maureen Julia Coggrave and published by . This book was released on 2007 with total page 736 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Neurogenic Bowel Management in Adults with Spinal Cord Injury written by Consortium for Spinal Cord Medicine and published by . This book was released on 1998 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt: Of recommendations -- Spinal cord medicine consorium -- Guideline development process -- Neurogenic bowel management guideline methodology -- Strength of scientific evidence for the recommendations -- Strength of panel opinion -- Introduction -- Epidemiology of spinal cord injury and neurogenic bowel -- Anatomy and physiology -- Colon anatomy -- Colon physiology -- Pathophysiology of the neurogenic bowel -- Spinal shock -- Gastrocolic response -- Effects on colonic and rectal compliance and motility -- Alterations in the anal sphincter -- Functional results -- Recommendations -- Assessment of the neurogenic bowel -- Assessment of impairment and disability -- Assessment of function (disability) -- Management of the neurogenic bowel - Designing a bowel program -- Nutrition -- Managing the neurogenic bowel at home or in the community -- Managing complications of the neurogenic bowel -- Surgical and nonsurgical therapies -- Education strategies for the neurogenic bowel -- Recommendations for future research.

Download or read book Neurorehabilitation Therapy and Therapeutics written by Krishnan Padmakumari Sivaraman Nair and published by Cambridge University Press. This book was released on 2018-10-11 with total page 255 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical handbook for clinicians covers pharmacological and non-pharmacological treatment options in neurological rehabilitation.

Download or read book Spinal Cord Medicine written by Denise I. Campagnolo and published by Lippincott Williams & Wilkins. This book was released on 2011-12-07 with total page 1899 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive and practical reference is the perfect resource for the medical specialist treating persons with spinal cord injuries. The book provides detail about all aspects of spinal cord injury and disease. The initial seven chapters present the history, anatomy, imaging, epidemiology, and general acute management of spinal cord injury. The next eleven chapters deal with medical aspects of spinal cord damage, such as pulmonary management and the neurogenic bladder. Chapters on rehabilitation are followed by nine chapters dealing with diseases that cause non-traumatic spinal cord injury. A comprehensive imaging chapter is included with 30 figures which provide the reader with an excellent resource to understand the complex issues of imaging the spine and spinal cord.

Download or read book ISCoS Textbook on Comprehensive management of Spinal Cord Injuries written by Harvinder Singh Chhabra and published by Wolters kluwer india Pvt Ltd. This book was released on 2015-01-01 with total page 1252 pages. Available in PDF, EPUB and Kindle. Book excerpt: SCI needs management by a team comprising of doctors, physiotherapists, occupational therapists, nurses, vocational counsellor, psychologist, assistive technologist, orthotist and social worker. Since the available textbooks did not address the requirements of all disciplines, the need for the proposed textbook was reinforced.

Download or read book Pelvic Organ Dysfunction in Neurological Disease written by Clare J. Fowler and published by Cambridge University Press. This book was released on 2010-11-04 with total page 358 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pelvic Organ Dysfunction in Neurological Disease describes the neurological control of human bladder, bowel and sexual function and then details the dysfunctions which may arise as a consequence of various neurological diseases. Easy to read, the book will be of value to any healthcare professional managing patients in whom pelvic organ functions have been compromised by neurological disease. The book provides a structured approach to present day understanding of the neurological control of pelvic organs and the investigation and management of each type of organ dysfunction. A unique feature of this book is that it addresses the impact of specific neurological disorders on all three functions. The authors have all been associated with the Department of Uro-Neurology at the National Hospital for Neurology and Neurosurgery, London since it was established 20 years ago. This book is a timely review of their accumulated knowledge and the latest literature.

Download or read book Spinal Cord Injury An Issue of Physical Medicine and Rehabilitation Clinics of North America E Book written by John L. Lin and published by Elsevier Health Sciences. This book was released on 2020-07-31 with total page 233 pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Physical Medicine and Rehabilitation Clinics, guest edited by Drs. John L. Lin, will discuss a number of important topics around Spinal Cord Injury. This issue of one of four issues selected each year by series Consulting Editor, Santos Martinez. Topics discussed in this issue include, but are not limited to: Updates for the International Standards for Neurological Classification of Spinal Cord Injury, Approaching Prognosis for Recovery after SCI, Cognitive Dysfunction in Persons with Spinal Cord Injuries, Spinal Cord Injury Pain: updated for the 21st century, Pulmonary management in patients with spinal cord injury, Therapeutic interventions to improve mobility with spinal cord injury related upper motor neuron syndromes, Neurogenic bowel management using trans-anal irrigation by persons with spinal cord injury, Heterotopic Ossification: beyond etidronate, Orthopedic Surgical Management of Upper Extremity Dysfunctions in Pediatric Populations with Spinal Cord injury, and Vocational Rehab and employment after spinal cord injury, among others.

Download or read book Management of Neurogenic Bowel Dysfunction in Adults After Spinal Cord Injury written by Consortium for Spinal Cord Medicine and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Neurogenic bowel, or the loss of normal bowel function, is one side effect of a spinal cord injury. This clinical practice guideline offers guidance on managing neurogenic bowel dysfunction in adults following a spinal cord injury.

Download or read book Neurological Rehabilitation written by Maureen Coggrave and published by Elsevier Inc. Chapters. This book was released on 2013-01-10 with total page 33 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bowel dysfunction resulting in fecal incontinence and constipation is a common outcome of central neurological disease, associated with loss of voluntary control and altered autonomic function. Neurogenic bowel dysfunction has both psychosocial and pathophysiological consequences and is increasingly recognized as having a major negative impact on quality of life in individuals with central neurological trauma or disease. It is often a source of dependency, and appropriate provision of care in the community is an important issue. While the range of options for management of this problem is relatively narrow, structured intervention developed in collaboration with the patient, based on thorough clinical assessment, is effective. Intervention to manage bowel dysfunction from the earliest possible stage of disease-related change or following trauma promotes effective long-term management and must be accompanied by education of patients and their carers. Continuing evaluation of bowel management outcomes is essential in maintaining appropriate and effective management, which can provide continence, avoid constipation, reduce associated morbidity, and improve quality of life. Research interest in this important but often overlooked area of care is increasing but further work is needed to develop alternative management strategies, and improve outcomes and quality of life.

Download or read book Neurogenic bladder and bowel dysfunction written by Peter Wide and published by Linköping University Electronic Press. This book was released on 2020-09-11 with total page 71 pages. Available in PDF, EPUB and Kindle. Book excerpt: Spinal dysraphism (SD) is a congenital malformation that to a varying extent, often severely, affects the life of the child and the family. Most individuals with SD suffer from neurogenic bladder and bowel dysfunction—with the risk of urinary tract infections, renal deterioration, urinary and fecal incontinence—that affects social participation and quality of life negatively. In newborns with SD, early detection of neurogenic bladder dysfunction and determination of post-void residual urine are required to determine the need of clean intermittent catheterization (CIC) and follow-up. The non-invasive method of four-hour voiding observation with provocation test (VOP) was used to evaluate bladder function in 50 newborn children with SD. Voiding patterns for the children were described and compared with those of 50 healthy newborns evaluated with VOP in an earlier study. Comparison revealed significant differences among several variables. In particular, leakage at provocation test and not voiding with a stream were common in newborns with SD but did not occur in healthy newborns. VOP is a non-invasive standardized method to determine residual urine in newborns with SD. It also adds information on voiding pattern, frequency, voiding with a stream and leakage at provocation. Findings in neonatal VOP of the same cohort of newborns with SD were then related to radiology, presence of urinary tract infections during the first year, and urodynamic findings and use of CIC at the age of one year. It was found that, in children with SD, not voiding with a stream may have a predictive value for the need of CIC at the age of one year, followed probably by lifelong CIC. Despite this, the presence of an open SD per se has stronger predictive value, and each child needs to be evaluated individually while considering a number of factors. The main value of VOP may be as a structured non-invasive screening method to uncover neurogenic bladder-sphincter dysfunction in the newborn. Studies with a larger number of subjects than the present are needed to evaluate the potential of VOP in newborns with closed spinal dysraphism in whom the neurological consequences vary. A retrospective analysis detected renal damage on DMSA scintigraphy in 5 of 41 children with SD who were followed according to a proactive national program with minimal use of surgery. Median follow-up time was 10 years. High baseline pressure was confirmed as a risk factor for renal damage. Compliance with treatment and follow-up is likely to be an important factor for renal health. Therefore, efforts to support children and their families are crucial. A questionnaire-based study of 107 children with SD (age 6–16y) in Sweden and Norway examined aspects of treatment for neurogenic bowel dysfunction focusing on incontinence, independence, general satisfaction and quality of life. It was found that transanal irrigation (TAI) and antegrade colonic enemas (ACE) are effective treatments, but are time-consuming and difficult to perform independently. The majority of children using TAI (72%) and ACE (63%) never went to the toilet alone to empty their bowels. As children achieving independence on the toilet reported higher quality of life, efforts to support independence are beneficial. Continent, self-managing children with healthy kidneys enjoy high quality of life and contribute more fully to society. Therefore, further research is required to investigate and develop existing and new technologies and methods that mitigate the problems related to SD, and to make them accessible to all children with spinal dysraphism. Under de senaste 50 åren har det skett en enastående utveckling av möjligheterna för barn som föds med ryggmärgsbråck. Tidigare har majoriteten av barn med ryggmärgsbråck avlidit redan som spädbarn men idag överlever de flesta till vuxen ålder. Utan aktiva insatser och uppföljning är dock risken för medicinska problem och allvarlig påverkan på livet mycket stor. Nu när nästan alla barn överlever ligger fokus på att också nå okad livskvalitet och självständighet för personer med ryggmärgsbråck. Nästan alla med ryggmärgsbråck måste hantera en allvarlig påverkan på blåsan och tarmen med risk för njurskador, inkontinens och förstoppning. I avhandlingens två första studier värderade vi en metod att, med minimalt obehag för barnet, bedöma blåsfunktionen. Detta för att kunna skilja ut de barn som behöver genomgå mer avancerade undersökningar och få hjälp med blåstömningen genom täta tappningar med kateter, sa kallad ren intermittent kateterisering, RIK. När vi jämförde resultatet av testet för 50 nyfödda med ryggmärgsbråck med samma undersökning av 50 friska nyfödda fann vi stora skillnader. Mest tydligt var att de flesta nyfödda med ryggmärgsbråck (69%) men inga friska nyfödda läckte urin när man tryckte över blåsan. Av nyfödda med ryggmärgsbråck kissade de flesta (74%) inte med stråle vilket alla friska nyfödda gjorde. Att inte kissa med stråle talade också starkt för att barnet skulle komma att behöva hjälp med RIK för att tomma blåsan vid ett ars ålder, och då sannolikt livet ut. Sammantaget visade avhandlingens två första arbeten att den metod för bedömning av blåsfunktion vi undersökt kan användas för att styra uppföljning och behandling av nyfödda med ryggmärgsbråck. Avhandlingens tredje studie visade att aktiv uppföljning av barnen enligt ett nationellt vårdprogram lyckades förhindra njurskador hos de flesta, men att höga tryck i urinblåsan och återkommande urinvägsinfektioner ökade risken för skador. Även familjernas förmåga att i en pressad vardag klara av att genomföra de ofta krävande behandlingar och undersökningar som rekommenderas verkade vara viktig för att förhindra njurskador. Stöttning av familjerna är därför viktig. Avhandlingens fjärde arbete berörde tarmen som nästan alltid är påverkad vid ryggmärgsbråck, med risk för svår förstoppning och avföringsläckage. Detta har påtaglig påverkan på barnen och deras familjer. En tredjedel av de 107 familjerna i vår enkätundersökning i Sverige och Norge (barn 6-16 år) beskrev att man fått avstå från aktiviteter såsom resor på grund av barnets tarmproblem och de barn som hade avföringsläckage rapporterade tydligt lägre livskvalitet än andra. Trots denna allvarliga påverkan finns det hittills inga studier som jämför de olika behandlingar som barnet kan använda. I vår enkät kartlade vi därför vilka metoder som användes och hur bra de fungerade. Vi ställde frågor till både barn och föräldrar, särskilt om avföringsläckage, hur nöjd man var med metoden, barnens livskvalitet och självständighet på toaletten. Det var utifrån svaren tydligt att båda de vanligaste typerna av tarmsköljning var effektiva men tidskrävande och svara för barn och ungdomar att klara att utföra på egen hand. Ingen metod visade sig överlägsen den andra men de barn som klarade att skota tarmtomningen själva skattade sin livskvalitet klart högre än övriga. Vi drar därför slutsatsen att det är viktigt att vårdpersonal diskuterar de olika behandlingsalternativen med barn och föräldrar, och tillsammans med dem väljer den metod som passar det enskilda barnet bäst. Då skapas bästa förutsättningar för att gemensamt arbeta vidare för att uppnå största möjliga självständighet. Självständiga individer, med friska njurar och utan urin- och avföringsinkontinens upplever högre livskvalitet och behöver mindre sjukvård och andra samhällsinsatser. Det behövs mer forskning för att utveckla existerande och nya metoder att hantera de allvarliga komplikationer som riskerar att drabba barn och vuxna med ryggmärgsbråck.

Download or read book Bowel Management of Individuals After Spinal Cord Injury Factors Influencing Care of the Neurogenic Bowel a Literature Review written by Caroline Holbrook and published by . This book was released on 2008 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Imaging Acute Neurologic Disease written by Massimo Filippi and published by Cambridge University Press. This book was released on 2014-09-11 with total page 393 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive survey of best practice in using diagnostic imaging in acute neurologic conditions. The symptom-based approach guides the choice of the available imaging tools for efficient, accurate, and cost-effective diagnosis. Effective examination algorithms integrate neurological and imaging concepts with the practical demands and constraints of emergency care.

Download or read book Diagnosis and Treatment of Spinal Cord Injury written by Rajkumar Rajendram and published by Academic Press. This book was released on 2022-05-10 with total page 628 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diagnosis and Treatment of Spinal Cord Injury will enhance readers’ understanding of the complexities of the diagnosis and management of spinal cord injuries. Featuring chapters on drug delivery, exercise, and rehabilitation, this volume discusses in detail the impact of the clinical features, diagnosis, management, and long-term prognosis of spinal cord injuries on the lives of those affected. The book has applicability for neuroscientists, neurologists, clinicians, and anyone working to better understand spinal cord injuries. Covers both the diagnosis and treatment of spinal cord injury Contains chapter abstracts, key facts, dictionary, and summary points to aid in understanding Features chapters on epidemiology and pain Includes MRI usage, biomarkers, and stem cell and gene therapy for management of spinal cord injury Discusses pain reduction, drug delivery, and rehabilitation

Download or read book Spinal Cord Injury written by Institute of Medicine and published by National Academies Press. This book was released on 2005-07-27 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: An estimated 11,000 spinal cord injuries occur each year in the United States and more than 200,000 Americans suffer from maladies associated with spinal cord injury. This includes paralysis, bowel and bladder dysfunction, sexual dysfunction, respiratory impairment, temperature regulation problems, and chronic pain. During the last two decades, longstanding beliefs about the inability of the adult central nervous system to heal itself have been eroded by the flood of new information from research in the neurosciences and related fields. However, there are still no cures and the challenge of restoring function in the wake of spinal cord injuries remains extremely complex. Spinal Cord Injury examines the future directions for research with the goal to accelerate the development of cures for spinal cord injuries. While many of the recommendations are framed within the context of the specific needs articulated by the New York Spinal Cord Injury Research Board, the Institute of Medicine's panel of experts looked very broadly at research priorities relating to future directions for the field in general and make recommendations to strengthen and coordinate the existing infrastructure. Funders at federal and state agencies, academic organizations, pharmaceutical and device companies, and non-profit organizations will all find this book to be an essential resource as they examine their opportunities.

Download or read book Neurogenic Bowel Dysfunction written by Klaus Krogh and published by Mdpi AG. This book was released on 2022-07-15 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Disorders of the central and peripheral nerve systems have severe effects on gut function. Hence, people who have sustained spinal cord injury and multiple sclerosis, Parkinson's disease, or spina bifida patients may suffer from severe bowel symptoms, including constipation, incontinence to stools, difficult bowel evacuation, or pain. For the present book, a number of international experts have described how disorders of the nerve system affect bowel function, how to assess and treat bowel symptoms, and how the bacterial composition of the bowel may be affected.

Download or read book Practical Emergency Resuscitation and Critical Care written by Kaushal Shah and published by Cambridge University Press. This book was released on 2023-10-31 with total page 655 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of a succinct and portable text reviewing the clinical approach to emergency medicine and critical care.

Download or read book Management and Rehabilitation of Spinal Cord Injuries written by Hyun-Yoon Ko and published by Springer. This book was released on 2019-07-30 with total page 507 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive, up-to-date guide to the rehabilitation care of persons with spinal cord injuries and disorders draws on the ever-expanding scientific and clinical evidence base to provide clinicians with all the knowledge needed in order to make optimal management decisions during the acute, subacute, and chronic phases. A wealth of information is presented on the diverse medical consequences and complications encountered in these patients and on the appropriate rehabilitative measures in each circumstance. The coverage encompasses all forms of spinal cord injury and all affected organ systems. Readers will also find chapters on the basics of functional anatomy, neurological classification and evaluation, injuries specifically in children and the elderly, and psychological issues. The book will be an invaluable aid to assessment and medical care for physicians and other professional personnel in multiple specialties, including physiatrists, neurosurgeons, orthopedic surgeons, internists, critical care physicians, urologists, neurologists, psychologists, and social workers.