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NANDA NURSING

Saturday, July 21, 2012

Nursing Diagnosis and Intervention for Scoliosis

Nursing Diagnosis and Intervention for Scoliosis

Scoliosis Causes a sideways curve of your backbone, or spine. Often these curves are S-or C-shaped. Scoliosis is most common in late childhood and the early teens, when children grow fast. Girls are more Likely to have it than boys. It can run in families. Symptoms include Leaning to one side and having uneven shoulders and hips.

Sometimes the curve is temporary. It Might be due to muscle spasms, inflammation or having different leg lengths. A birth defect, tumor or another disease, Might cause the spine to have a curve That is not temporary. People with mild scoliosis Might only need checkups to see if the curve is getting worse. Others Might need to wear a brace or have surgery.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases
(www.nlm.nih.gov)


Nursing Diagnosis and Intervention for Scoliosis

1. Ineffective Breathing Pattern related to the suppression of pain.

Purpose: The pattern of breathing Effectively.

Plan of action:
  • Assess respiratory status every 4 hours.
  • Help and teach the patient to breath in any one hour. Rationale: Increasing the maximum ventilation and oxygenation.
  • Adjust bed semi-Fowler position to improv lung expansion. Rational: Sitting height allowing Easier breathing and lung expansion.
  • Monitor vital signs every 1 hour. Rational: general indicators, circulation status and adequacy of perfusion.

2. Acute Pain: back related to the position of lateral body tilt.

Purpose: Pain is reduced or lost

Plan of action:
  • Assess the type, intensity and location of pain. Rational: Influencing choice / control the effectiveness of Interventions can influence the level of anxiety to pain.
  • Teach relaxation and distraction techniques. Rational: To divert attention, thereby reducing pain.
  • Teach and Encourage use of the brace. Rational: To Reduced pain during activity
  • Collaboration in the provision of analgesia. Rational: To relieve pain.

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