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Herniated intervertebral disk

Key Concepts:

Terms in this set (24)

Develop an appropriate pain control regimen using prescribed drugs, such as NSAIDs, acetaminophen, or muscle relaxants, and other measures, such as TENS, as indicated.
Offer supportive care and provide encouragement.
Help the patient cope with chronic pain and impaired mobility.
Encourage the patient to express concerns. Provide honest feedback and support. Assist with positive coping strategies.
Include the patient and his family in all phases of care. Encourage the patient to participate in care as much as possible and within the limits of the condition. Assist with self-care activities as needed.
Suggest using analgesics before engaging in activities to reduce the risk for pain.
Help the patient to identify activities that promote rest and relaxation.
Institute energy conservation measures. Cluster nursing activities to provide time for rest, and avoid overexerting the patient.
Prepare the patient for myelography, if indicated.
If traction is ordered:
ensure proper body alignment and check to make sure that the traction is balanced.

periodically remove traction to inspect the skin.
ensure proper body alignment and check to make sure that the traction is balanced.
periodically remove traction to inspect the skin.
Institute measures to reduce the risk of problems related to immobility, such as coughing and deep breathing and use of antiembolic stockings or intermittent sequential compression devices to prevent deep vein thrombosis.
Ensure a consistent regimen of leg- and back-strengthening exercises.
Encourage adequate oral fluid and fiber intake.
Reposition the patient as allowed every 2 hours and provide meticulous skin care, especially to pressure areas.
Provide a fracture bedpan for the patient on complete bed rest.
Prepare the patient and family for surgery, including postoperative care measures and possible activity restrictions.