Nursing care of patients who have received spinal alignment and scoliosis correct surgery

Abstract

The objectives of this study were to 1) teenagers scoliosis patients nursing guideline, and 2) scoliosis patient had received proper and effective in nursing care, safety from potential complications, and lower disabilities. This was a descriptive study of Thai girl patient with 15 year of age who was being treatment at Rajavithi Hospital with the doctor's initial diagnosis of severe adolescent idiopatic scoliosis and the final diagnosis of doctor was severe adolescent idiopatic scoliosis. The doctors treated by inserting a spinal brace surgically. Before surgery, the doctor performs on halo gravity traction to align the spine more straightly. After surgery, the doctor ordered patient to stay in the hospital for 50 days continuous care to do physical therapy and rehabilitation. The nurse provides care according to the doctor's nursing diagnosis.

          The results of nursing care found that 1) Before on halo gravity, the patients received painkillers and lower spinal pain, effective results of pelvic traction, the patient understands and accepts the treatment plan, the patient and relatives were signed a surgery document consenting. 2) While on halo gravity traction, the patient had no numbness or weakness. can open mouth and roll eyes, lower spinal pain when taking morphine and paracetamol, no bed sores, no fungus on the skin, arms and legs are strong, no atrophied muscles and no joints. 3) Before surgery for PSF T3-L3 with IONM, the patient had knowledge and understanding self-practice before surgery and accepted the surgery. 4) After surgery for PSF T3-L3 with IONM, the patient had no complications from receiving general anesthesia, feeling good, no wounds, no oxygen deficiency, lower pain, arm and leg are good strength, no numbness or weakness, no nausea and vomiting, able to take better in bed daily activities, including eating, face washing, and teeth brushing.         5) Rehabilitation, the patients could exercise by back muscles tensing, leg muscles muscle, and ankles wiggle, no discharge of wound, no lethargy, and no fever. 6) Giving advice self-care with             D-Method principles when comeback home, A patient and relatives understand the advice, answer the questions correctly and could tell all respects to self-practice correctly.