During spinal shock there is a fall in blood pressure and a reduction in blood flow in the skin due to the loss of vasomotor control. This results in a reduced resistance of the skin and superficial tissues to pressure. In addition, there are abnormalities of sweating and thermoregulation. In order to prevent the development of pressure sores, a regimen of 2-hourly turning is used, the patient being nursed in turn in each lateral position and supine.
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