All three authors are affiliated with the Mayo Clinic and Mayo Foundation Department of Nursing in Rochester; MN: Bonnie Closson is a rehabilitation clinical nurse specialist in nursing service administration, and Lisa Beck and Margret Swift are registered nurses in rehabil-itation nursing.
Diabetes Insipidus and Spinal Cord Injury: A Challenging Combination
Article first published online: 3 SEP 2012
1993 Association of Rehabilitation Nurses
Volume 18, Issue 6, pages 368–374, November-December 1993
How to Cite
Closson, B. L., Beck, L. A. and Swift, M. A. (1993), Diabetes Insipidus and Spinal Cord Injury: A Challenging Combination. Rehabilitation Nursing, 18: 368–374. doi: 10.1002/j.2048-7940.1993.tb00791.x
- Issue published online: 3 SEP 2012
- Article first published online: 3 SEP 2012
Diabetes insipidus is a life-threatening condition in which the kidneys excrete huge quantities of diluted urine. Diabetes insipidus as a sequela of head trauma is unusual, but not rare. When it arises in conjunction with a spinal cord injury (SCI), diabetes insipidus not only is life threatening but also raises challenges for bladder retraining. This article describes the pathogenesis, diagnosis, and management of diabetes insipidus. A case study is used to demonstrate the patient course and nursing implications, with emphasis on two nursing diagnoses: fluid volume deficit and alterations in urinary elimination.