Nursing Care Plan for Pain (acute / chronic) r/t Herniated Nucleus Pulposus

Herniated Nucleus Pulposus

Pain (acute / chronic) related to agent of physical injury, nerve compression, muscle spasm.

Purpose :
Pain (acute / chronic) lost / reduced.

Expected outcomes :
  • Clients seem relaxed and reported pain gone / reduced.
  • Disclose a method that provides removal.
  • Demonstrate the use of therapeutic interventions (eg, relaxation skills behavioral modification) for the relief of pain.
Nursing Interventions :
  • Assess for pain, note the location, time attack, precipitating factors / which aggravate. Ask the patient to establish on a scale of 0-10.
  • Retain bed rest during the acute phase. Place the patient in semi-Fowler's position with spinal bones, bowl and knee in flexion ; supine position with or without elevating the head of 10º - 30º or in the lateral position.
  • Use logroll ( board ) during a change of position.
  • Help mounting brace / corset.
  • Limit activity during the acute phase as needed.
  • Put all the necessities , including a call bell within easy reach by the patient.
  • Instruct the patient to do relaxation techniques / visualization.
  • Instructed to perform the mechanics of the body / right movement.
  • Give a chance to talk / listen to the patient's problems.
Collaboration :
  • Give bed orthopedic / place the board under the mattress.
  • Give medication as needed.
  • Post a physical advocates like ; lumbar back braces, cervical collar.
  • Maintain traction if necessary.
  • Consult a physical therapist.
  • Give specific instructions on the procedure after Myelography if necessary such as : keep not to flow too fast, flat or elevated sleeping position 30º as indicated for several hours.
  • Refer to a pain clinic.

How to Overcome Chronic Pain Without Analgesic


Chronic pain is defined as pain that has lasted longer than three to six months, though some theorists and researchers have placed the transition from acute to chronic pain at 12 months. Others apply acute to pain that lasts less than 30 days, chronic to pain of more than six months duration, and subacute to pain that lasts from one to six months. A popular alternative definition of chronic pain, involving no arbitrarily fixed duration, is "pain that extends beyond the expected period of healing".

Real food is so important. Removing the processed foods, and baking goodies will help you get to the optimal 7-10 fruits and vegetables every day. So important for cleaning out your colon. Even if you feel you need a lot of protein, you can fine tune your protein, and slowly add new fruits and vegetables to aid with health and digestion. Marilu Henner, in her book, "Total Health Makeover" decided not to combine any fruits and vegetables together in a meal. This may help the severely constipated person, and I found it very helpful.

Inflammatory foods. First is wheat, next are tomatoes. Tomatoes are on the avoid list for 3 of the 4 genetic types. They are a night shade for example, and sometimes these may cause inflammation and pain. Looking for lycopene? Watermelon is the alternate choice. Finding why sulforphanes and quercetins are needed to fight inflammation, and infection. Find out which foods have the nutrients your body needs, and why broccoli and onions are so helpful to fight inflammation. If you don't like onions find out where other quercetins are found.

Wheat over produced, over processed, and more bountifully grown for greater yield to supply the masses. Even GMO. Not the healthy old wheat we used to depend on. Spelt and kamut are older more nutrient dense, older wheats. Maybe you are on the gluten spectrum, and can find healthy alternatives.

Wheat over produced, over processed, and more bountifully grown for greater yield to supply the masses. Even GMO. Not the healthy old wheat we used to depend on. Spelt and kamut are older more nutrient dense, older wheats. Maybe you are on the gluten spectrum, and can find healthy alternatives.

Know your body, you may be always hungry, or not so much. Knowing how much protein you need. Too little can leave you hungry in a painful sort of way.

Knowing if you have a genetic deficiency that you can supplement to prevent hunger, and remove another reason for chronic pain.

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