Nursing Care Plan for Scoliosis
Analysis of data
Subjective Data:
- Patients say back pain.
- Patients say fatigue in the spine after sitting or standing for long.
- Patients say trouble breathing.
Objective Data:
- Shoulder, did not seem as high.
- Visible protrusion of the scapula is not the same.
- Looks are not the same hip.
Nursing Diagnosis for Scoliosis
- Ineffective Breathing Pattern related to the suppression of pain.
- Acute Pain: back related to the position of lateral body tilt.
- Impaired Physical Mobility related to postural imbalance.
- Disturbed Body Image related to kelateral tilted posture.
Nursing Interventions 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 improve 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 reduce pain during activity.
- Collaboration in the provision of analgesia. Rational: To relieve pain.