A nurse is providing teaching about potential complications to a client who has a spinal cord injury. Which of the following should the nurse include in the teaching as a common complication of spinal cord injuries? (Select All that Apply.)
Explanation & Rationale
A. Disc degeneration: While disc degeneration can happen to anyone over time due to aging or wear and tear, it is not considered a specific "complication" caused by a spinal cord injury itself. B. Light sensitivity: Photophobia or light sensitivity is not typically associated with spinal cord injuries. Neurologic changes in spinal cord injury primarily affect motor, sensory, and autonomic pathways below the level of injury, rather than visual pathways. C. Temperature sensitivity: Autonomic dysfunction following a T6 spinal cord injury can impair thermoregulation, resulting in temperature sensitivity. Clients may have difficulty adjusting to hot or cold environments, increasing the risk of hypothermia or hyperthermia. D. Contractures: Immobility and muscle spasticity following a spinal cord injury can lead to joint contractures. Without proper positioning, stretching, and range-of-motion exercises, muscles and tendons may shorten, limiting mobility and complicating rehabilitation. E. Sexual dysfunction: Spinal cord injuries often affect sexual function due to disruption of neural pathways controlling arousal, sensation, and orgasm. This complication is common and should be included in patient education to address expectations and available interventions. F. Urinary tract infections: Neurogenic bladder resulting from spinal cord injury increases the risk of urinary retention and incomplete emptying. Indwelling catheters, intermittent catheterization, or other bladder management strategies can predispose clients to recurrent urinary tract infections, making it a frequent complication to monitor.