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Autonomic Dysreflexia

What is Autonomic Dysreflexia?

Symptoms of Autonomic Dysreflexia

Potential causes of Autonomic Dysreflexia

Bladder

Bowel

Skin

Other

Recurrent Autonomic Dysreflexia

Autonomic Dysreflexia client and carer education resources

Recommended resources

Links and downloads

Management of Autonomic Dysreflexia

Symptoms and Signs

Common Causes

Treatment

1. Initial positioning and comfort measures

2. If the person has an IDC or SPC?

3. If the person does not have a permanent catheter

4. If constipation is suspected, check the rectum for faecal loading:

5. Glyceryl trinitrate

NDIS Spinal Injury – Autonomic Dysreflexia - Protocol

Overview

Personal Details

My Support includes

Specific Autonomic Dysreflexia Information

Common causes specific to me

Symptoms and signs specific to me

Checking Blood Pressure intervals

Administer Emergency Medication

Details about any specific changes or preferences staff must know

Emergency Contact and Further Management

Emergency Procedures

After calling an ambulance, call the following emergency contacts

Review of protocol

Consent and Authorisation

Staff Declaration

Upload to CIRTS

NSW Treatment algorithm for autonomic dysreflexia in people with spinal cord injury

Initial Assessment

Symptoms and signs of autonomic dysreflexia (AD)

Check blood pressure (BP)

Immediate Interventions

Check for bladder distension

By indwelling urethral (IDC) or suprapubic catheter (SPC)

By intermittent self-catheterisation, reflex or 'spontaneous' voiding

Is AD resolving?

Check for constipation

Anti-hypertensive medication

Warning

Is GTN contraindicated or unavailable?

Escalation and Follow-up

Pressure Injury Toolkit For Spinal Cord Injury and Spina Bifida

Red Flags

PERSISTENT AUTONOMIC DYSREFLEXIA

Clinical Presentation

Assessment

Downloadable Tool

Further your knowledge

Quiz

Survey/Feedback

Related Resources

Welcome to the "Autonomic Dysreflexia Identification and Response for NDIS Support Workers" course. Autonomic Dysreflexia (AD) is a potentially life-threatening medical emergency that affects individuals with spinal cord injuries, typically at or above the T6 level.

Welcome to the "Autonomic Dysreflexia Identification and Response for NDIS Support Workers" course. Autonomic Dysreflexia (AD) is a potentially life-threatening medical emergency that affects individuals with spinal cord injuries, typically at or above the T6 level. As a National Disability Insurance Scheme (NDIS) support worker, your ability to rapidly identify and respond to the signs of AD is critical to ensuring the safety and well-being of the participants you support. This comprehensive online course is specifically designed to equip you with the essential knowledge and practical skills required to manage AD effectively.

Throughout this training, you will explore the fundamental concepts of Autonomic Dysreflexia, including its primary triggers such as bladder and bowel issues, skin irritations, and other common causes. You will learn how to recognize early symptoms, conduct initial assessments, and follow established treatment algorithms. The curriculum delves deeply into specific NDIS protocols, emergency medication administration (such as Glyceryl trinitrate), and proper escalation procedures. Additionally, the course covers crucial related topics such as pressure injury management and identifying clinical red flags.

By the end of this program, you will have the confidence to implement immediate interventions, follow personalized participant protocols, and navigate emergency situations with competence and care. Join us to enhance your professional skill set and provide the highest standard of support to individuals living with spinal cord injuries.

Autonomic Dysreflexia Identification and Response 

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            <p>As an NDIS support worker, you play a vital role in the daily lives and safety of the people you support, especially those living with spinal cord injuries. One of the most critical medical emergencies you might encounter in your line of work is Autonomic Dysreflexia (AD). This is a sudden, potentially life-threatening spike in blood pressure that requires immediate, confident action. Understanding the basic anatomy behind this condition and knowing how to spot the early warning signs can literally save a life. We are going to dive deep into exactly what AD is, explore its most common triggers—like bladder, bowel, and skin issues—and break down the specific symptoms you need to be on the lookout for during your shifts.</p>

<p>Throughout this training, we will walk through the practical, step-by-step management of an AD episode. You will learn how to handle initial assessments, check for common causes like bladder distension or constipation, and follow specific NDIS protocols and treatment algorithms. We will also cover essential emergency procedures, including when and how to administer emergency medications, and how to identify persistent red flags using the Pressure Injury Toolkit. By the time you reach the final knowledge checks, you will feel completely equipped and confident in your ability to identify, respond to, and manage Autonomic Dysreflexia effectively in the field.</p>
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