Nursing Diagnosis HNP - Nursing Interventions Herniated Nucleus Pulposus

1. Nursing Diagnosis for Herniated nucleus pulposus : Acute pain related to nerve compression, muscle spasm

Nursing 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.