Question

A nurse is planning discharge interventions designed to promote and maintain independence and maintain health for a child with a spinal cord injury (SCI). Which of the following interventions are appropriate? Select all that apply.

a. Evaluating bowel training
b. Promoting an exercise program
c. Encouraging annual flu vaccinations
d. Discussing sexuality issues
E. Assessing food choices.

Answer 1

Appropriate discharge interventions for a child with SCI include evaluating bowel training, promoting an exercise program, encouraging flu vaccinations, discussing sexuality issues, and assessing food choices. These interventions aim to enhance independence and maintain health, and should be part of a collaborative recovery and care plan by the medical team.

Step-by-step explanation:

A nurse planning discharge interventions for a child with a spinal cord injury (SCI) must consider strategies that promote independence and maintain health. Appropriate interventions include:

• Evaluating bowel training to help the child manage their bowel movements independently.
• Promoting an exercise program that is tailored to the specific abilities and needs of the child to improve physical fitness and overall well-being.
• Encouraging annual flu vaccinations because individuals with SCI may be at increased risk for complications from the flu.
• Discussing sexuality issues, which is important for adolescents to understand how SCI may affect sexual function and reproductive health.
• Assessing food choices to ensure a nutritious diet that supports health and wellness.

Case management strategies often focus on mobility and achieving personal goals, which can be challenging due to various barriers related to psycho-social issues. The interdisciplinary team, including the surgeon, nurse, and anesthesia professional, should collaboratively review and address key concerns for the recovery and care of the patient.