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Veterinary Care of the Neurological Patient

A Manual for Veterinary Nurses and Technicians

9780750688994
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Description
Veterinary Care of the Neurological Patient is the first book to provide comprehensive information and guidance on the nursing care of the animal with either a spinal injury or neurological disease. Written by an experienced clinician and lecturer, this book contains practical tips from veterinary nurses and clinicians working in a neurology clinic.
Product Details
Butterworth-Heinemann
37334
9780750688994
9780750688994

Data sheet

Publication date
2007
Issue number
1
Cover
paperback
Pages count
256
Dimensions (mm)
189 x 246
  • A) INTRODUCTION
    1. The neurological examination: this takes a practical approach to assessment of the neurological patient and includes assessment of mental status, postural reactions, spinal reflexes and cranial reflexes. The importance of this assessment is explained. Boxes showing practical tips for the appropriate use of these tests are featured throughout. An example of this would be assessment of neurological improvement in the paraplegic patient. Photographs of the tests being performed are included.

    B) SPINAL DISEASE
    2. Nursing the spinal patient: this chapter discusses the spinal in-patient in detail, covering assessment, rehabilitation issues, bladder management, owner issues. A final section includes information on the ethics and management of the long-term paraplegic patient in a canine cart which includes long-term management of the urinary incontinent patient.

    3. Spinal surgery: the basic principles of spinal surgery are covered, using hemilaminectomy as an example. Issues such as instrumentation for this surgery, assisting the spinal surgeon, and perioperative management of the spinal patient are discussed.

    4. Hydrotherapy for the spinal patient: Hydrotherapy is a vital part of rehabilitation for veterinary patients. This chapter explains the theories behind its benefits, how to select appropriate patients, planning hydrotherapy regimes. Case examples illustrate the chapter.

    5. Physiotherapy for the spinal patient: Physiotherapy is a large part of nursing the spinal and neuromuscular patient. This chapter covers theory, patient selection, planning a regime, specific techniques and practical tips. Case examples and photographs illustrate the chapter and practical tips are shown in boxes.

    6. Neurophysiology of bladder control: A summary of the neural mechanisms of micturition is followed by a discussion of common functional abnormalites of the bladder. Common medications used to treat these patients are supplied in a user-friendly table format. Bladder management and associated pharmacological issues will be discussed in detail. Again, practical tips on understanding functional bladder problems in the spinal patient are included.

    C) BRAIN DISEASE
    7. Status epilepticus: Some theory about the causes of status epilepticus provides a framework for better understanding of this condition. Discussion of emergency management includes information on pharmacological treatment. The nursing issues surrounding care of the animal in status epilepticus are described in detail: these include monitoring neurological status, caring for the recumbent patient, caring for the heavily sedated or anaesthetised patient, and physiological abnormalities such as hyperthermia and acid-base balance.

    8. Head trauma: The management of the emergency head trauma patient is demanding for the clinical team and monitoring plays a vital part in the successful outcome of these patients. These issues are discussed including neurological monitoring, the modified Glasgow coma scale, and nursing of the trauma patient in general. Nutrition is also problematic in patients with multiple head injuries and the options for nutritional support are discussed in detail.

    9. Intracranial surgery: Surgical treatment of intracranial disease such as brain tumours and head trauma is becoming more common in neurology referral centres. Perioperative and intraoperative management of these patients is challenging. The theories behind the care of these patients are discussed such as: raised intracranial pressure, fluid therapy, and blood pressure.

    D) NEUROMUSCULAR DISEASE
    10. Neuromuscular disease: diseases such as myasthenia gravis, neuropathies and myopathies can be challenging for the clinical team. Animals with neuromuscular disease may have respiratory dysfunction, may need to be ventilated in the critical care unit, and may be prone to aspiration pneumonia. Common, important neuromuscular diseases are summarised, and then nursing the neuromuscular in-patient is discussed.
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