Chronic Pain, Impaired Physical Mobility and Disturbed Body Image r/t Scoliosis

Nursing Diagnosis and Interventions for Scoliosis

Scoliosis is a medical condition in which a person's spinal axis has a three-dimensional deviation. Although it is a complex three-dimensional condition, on an X-ray, viewed from the rear, the spine of an individual with scoliosis can resemble an "S" or a "C", rather than a straight line. Scoliosis is typically classified as either congenital (caused by vertebral anomalies present at birth), idiopathic (cause unknown, sub-classified as infantile, juvenile, adolescent, or adult, according to when onset occurred), or secondary to a primary condition.


Chronic Pain : back related to body position tilted laterally.

Goal: Pain is reduced or lost.

Interventions:

1. Assess the type, intensity and location of pain.
R /: Helpful in evaluating the pain, define the intervention options, specify the effectiveness of the therapy.

2. Adjust the position that increases the sense of comfort.
R /: Reduce muscle tension and coping adequately.

3. Maintain a quiet environment.
R /: Increase sense of comfort.

4. Teach relaxation and distraction techniques.
R /: To divert attention, thus reducing pain.

5. Encourage postural exercises regularly.
R /: With posturan exercise regularly speed up the process to fix the position of the body.

6. Collaboration: providing analgesic.
R /: To meredahkan pain.


Impaired Physical Mobility related to unbalanced posture.

Goal: Improve the physical mobility.

Interventions:

1. Assess the level of physical mobility.
R /: Influencing choice / monitoring the effectiveness of the intervention.

2. Increase activity if the pain is reduced.
R /: Provide an opportunity to expend energy.

3. Help and teach active joint range of motion exercises.
R /: Increase muscle strength and circulation.

4. Involve the family in performing self-care.
R /: Family cooperative can provide comfort to the patient.


Disturbed Body Image related to posture tilted laterally.

Goal: body image disturbance is resolved.

Interventions:

1. Encourage to express feelings and problems.
R /: Assist in ensuring trouble to start the troubleshooting process.

2. Give an open environment or supporting the patient.
R /: Increase the statement of beliefs / values ​​about positive subjects and identify misconceptions / myths that can affect the assessment of the situation.

3. Discuss the patient's perception about themselves and their relationship to change and how the patient sees himself in the pattern / role functioning normally.
R /: to help define the problem in relation to the previous pattern of life and assist in problem solving.

4. Encourage / provide visits by people who suffer from scoliosis, especially those that have succeeded in rehabilitation.
R /: Friends who have gone through the same experience, acting as role models and can provide validity statement and also hope for recovery and a normal.