Who is typically responsible for all the care of patients with spinal cord injuries?

• A. RN or LPN
• B. Physician only
• C. Physical therapist only
• D. Family members

Answer: (A)

Caring for a spinal cord injury requires continuous, comprehensive management, and the nurse is the primary provider of that daily care. The nurse (RN or LPN) performs ongoing neuro assessments, monitors airway and breathing, vital signs, and potential complications such as autonomic dysreflexia, and oversees bowel and bladder management, skin integrity, and positioning to prevent ulcers and contractures. They also administer medications, manage wound care or ventilation needs as ordered, and coordinate with physicians and rehabilitation therapists to adjust treatment plans as the patient’s condition evolves. The physician guides diagnosis and overall treatment strategy but does not handle all day-to-day care. A physical therapist focuses on restoring movement and function, not the total medical care, and family members can support and assist but aren’t responsible for all clinical care. That comprehensive, continuous role is carried out by the nursing staff.