What intervention should be included in the care plan for a client with a cervical spinal cord injury to prevent autonomic dysreflexia?

In the care plan for a client with a cervical spinal cord injury, monitoring bowel movements regularly is essential for preventing autonomic dysreflexia. This condition can occur when there is noxious stimulation below the level of the spinal cord injury, which can include issues related to the bowel, such as constipation or bowel impaction.

Regular monitoring of bowel movements helps ensure that the client does not develop constipation, which is a common concern in individuals with spinal cord injuries due to decreased mobility and alterations in bowel function. By managing bowel health proactively, the risk of triggering autonomic dysreflexia can be reduced, as a full bowel can lead to increased blood pressure and other significant complications.

While maintaining hydration, assessing skin integrity, and keeping limbs elevated are all important aspects of care, the most direct intervention to prevent autonomic dysreflexia is related to bowel management. Constipation is a key factor that can precipitate this condition, making the monitoring of bowel movements particularly critical.