The Case Management Team Our aim is to provide you with a safe supported re-integration back into your community, and the role of the Case Manager is to support you and your family during your stay at NSIC to achieve this. We aim to ensure that, your rehabilitation programme is consistent throughout and driving towards a positive discharge for you. …
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What to do if AD is suspected:
- Most importantly, locate and remove the offending stimulus, if possible.
Early recognition of the condition is essential so that treatment can be started immediately. - Begin by looking for your most common causes: bladder, bowel, tight clothing, skin issues.
- Most importantly, locate and remove the offending stimulus, if possible.
NOTE: Keep in mind that when you remove the cause, your AD may get worse before it gets better.
Then follow these steps:
- Sit up or raise your head to 90 degrees
If you can lower your legs, do so - Loosen or remove anything tight
- Treat the cause
- Not everyone has access to a blood pressure (B/P) machine but if you can, check blood pressure every five minutes.
NOTE: It is more important to treat the cause first when you are dysreflexic, than trying to get a blood pressure reading.
In adults with a cervical level (neck) injury who often have low blood pressure, a rise in systolic (upper) blood pressure of 20 – 40mmHg (which may bring your B/P within the normal range) may indicate AD.
For other patients a systolic (upper) B/P of 150mmHg or more is an indicator of AD.
Make sure you know YOUR normal resting blood pressure (see below*) - Stay sitting up until blood pressure is normal
- Sit up or raise your head to 90 degrees
