1. Nursing Diagnosis for Herniated nucleus pulposus : Acute pain related to nerve compression, muscle spasmNursing Interventions for HNP:
- Assess complaints of pain, location, duration of attacks, precipitating factors / which aggravate. Set scale of 0-10
- Maintain bed rest, semi-Fowler position with spinal, hip and knee in flexion, supine position
- Use logroll (board) during a change of position
- Assist patients in the installation of brace / corset
- Limit your activity during the acute phase according to the needs
- Teach relaxation techniques
- Collaboration: analgesics, traction, physiotherapy
2. Nursing Diagnosis: Impaired physical mobility related to pain, muscle spasm, restrictive therapy, and neuromuscular damage
Nursing Interventions:
- Give / aids patients to perform passive range of motion exercises and active
- Assist patients in ambulation activities progressive
- Provide good skin care, massage point pressure after rehap change in position. Check the state of the skin under the brace with the periods of time.
- Note the emotional responses / behaviors in immobilizing
- Demonstrate the use of auxiliary equipment such as a cane.
- Collaboration: analgesic
3. Nursing Diagnosis for HNP: Anxiety related to the ineffectiveness of individual coping
Nursing Interventions:
- Assess the patient's anxiety level
- Provide accurate information
- Give the patient the opportunity to reveal problems such as the possibility of paralysis, the effect on sexual function, changes in roles and responsibilities.
- Review of the secondary problems that may hinder the desire to heal and may impede the healing process.
- Involve the family.
4. Nursing Diagnosis for Herniated nucleus pulposus: Deficient knowledge related to the lack of information about the condition, prognosis
Nursing Interventions:
- Explain the process of disease and prognosis, and restrictions on activities
- Provide information about your own body mechanics to stand, lift and use ancillary shoes
- Discuss the treatment and its side effects.
- Recommend to use the board / mat is strong, a small pillow under the neck a bit flat, sloping bed with knees flexed, avoiding the tummy.
- Avoid the use of heaters in a long time
- Provide information about signs that need attention such as stab of pain, loss of sensation / ability to walk.
