Management of autonomic dysreflexia in the community

Author:

Morgan Sara1

Affiliation:

1. Senior Lecturer Advanced Practice, University of South Wales, Pontypridd

Abstract

Autonomic dysreflexia (AD) is an uncontrolled increase in systolic blood pressure (by 20 mmHg or more) that occurs in those with spinal cord injuries at or above the 6th thoracic vertebrae. It usually occurs in the chronic phase of injury, at between 3 and 6 months after the injury is sustained. Most affected patients live in the community with varying levels of independence and will have contact with community nurses due to potential issues with bladder and bowel management. Therefore, community nurses may come into contact with patients in a dysreflexia crisis requiring prompt emergency treatment. Thus, the aim of this paper is to develop community nurses' understanding of AD so they are equipped with the necessary knowledge to help their clients.

Publisher

Mark Allen Group

Subject

Community and Home Care,General Medicine

Reference18 articles.

1. Allen KJ, Leslie SW. Autonomic dysreflexia. Treasure Island (Florida): StatPearls Publishing; 2019

2. Autonomic dysreflexia: a medical emergency

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