Aggressive treatment of these elderly patients with rapidly acting antihypertensive medications can have disastrous results. Treatment
Proper treatment of autonomic dysreflexia involves administration of anti-hypertensives along with immediate determination and removal of the triggering stimuli. Often, sitting the patient up and dangling legs over the bedside can reduce blood pressures below dangerous levels and provide partial symptom relief. Tight clothing and stockings should be removed. Straight catheterization of the bladder or relief of a blocked urinary catheter tube may resolve the problem. The rectum should be cleared of stool impaction, using anaesthetic lubricating jelly. If the noxious precipitating trigger cannot be identified, drug treatment is needed to decrease elevating intracranial pressure until further studies can identify the cause.Drug treatment includes the rapidly acting vasodilators, including sublingual or topical nitrates or oral hydralazine or clonidine. Ganglionic blockers are also used to control sympathetic nervous system outflow. Topical nitroglycerin ointment is a convenient and safe treatment—an inch or two can be applied to the chest wall or forehead, and wiped off when blood pressures begin to normalize. Autonomic dysreflexia is abolished temporarily by spinal or general anaesthesia. These treatments are used during obstetric delivery of women with autonomic dysreflexia. Prognosis
The cause of autonomic dysreflexia itself can be life-threatening, and must also be completely investigated and treated appropriately to prevent unnecessary morbidity and mortality.The Consortium for Spinal Cord Medicine has developed evidence-based clinical practice guidelines for the management of autonomic dysreflexia in adults, children, and pregnant women. There is also a consumer version of this guideline.
Such food banks will sometimes also act as centers to provide small holders and subsistence farmers with various forms of support. Soup kitchen
A soup kitchen, meal center, or food kitchen is a place where food is offered to the hungry for free or at a below market price. Frequently located in lower-income neighborhoods, they are often staffed by volunteer organizations, such as church or community groups. Soup kitchens sometimes obtain food from a food bank for free or at a low price, because they are considered a charity, which makes it easier for them to feed the many people who require their services. Others
Local establishments calling themselves "food banks" or "soup kitchens" are often run either by Christian churches or less frequently by secular civil society groups. Other religions carry out similar hunger relief efforts, though sometimes with slightly different methods. For example, in the Sikh tradition of Langar, food is served to the hungry direct from Sikh temples. There are exceptions to this, for example in the UK Sikhs run some of the food banks, as well as giving out food direct from their Gurdwaras. Hunger and gender
In both developing and advanced countries, parents sometimes go without food so they can feed their children. Women, however, seem more likely to make this sacrifice than men. World Bank studies consistently find that about 60% of those who are hungry are female. The apparent explanation for this imbalance is that, compared to men, women often forgo meals in order to feed their children.