What finding should a nurse prioritize in the transfer report for a client with a C7 spinal cord injury?

In the context of a client with a C7 spinal cord injury, the priority finding to include in the transfer report is the risk for autonomic dysreflexia. This condition is a serious complication that can occur in individuals with spinal cord injuries at T6 and above, and it requires immediate attention. Autonomic dysreflexia is characterized by a sudden onset of excessively high blood pressure, which can lead to significant health risks, including stroke, seizures, or even death if not managed promptly.

A C7 spinal cord injury can disrupt the normal autonomic pathways, which means the client may not be able to perceive or respond to noxious stimuli below the level of injury. Therefore, any triggering factor, such as a full bladder or bowel impaction, can lead to an exaggerated autonomic response.

Although other factors such as potential for urinary incontinence, the need for physical therapy, and understanding post-rehabilitation goals are important aspects of care and should be communicated, they don't carry the same immediate risk for life-threatening complications as autonomic dysreflexia does. Prioritizing the risk of autonomic dysreflexia ensures that the healthcare team is prepared to monitor for this potentially dangerous condition and intervene if necessary, making it a critical point in the transfer