Herniated Nucleus Pulposus
Pain (acute / chronic) related to agent of physical injury, nerve compression, muscle spasm.
Purpose :
Pain (acute / chronic) lost / reduced.
Expected outcomes :
Nursing Interventions :
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.
- 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.
- 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.
