Nursing Care Plan Disc Surgery

CARE SETTING

Inpatient surgical or orthopedic unit.

RELATED CONCERNS

1. Psychosocial aspects of care
2. Surgical intervention
3. Patient Assessment Database
4. Refer to CP: Herniated Nucleus Pulposus (Ruptured Intervertebral Disc).

TEACHING/LEARNING

1. Discharge plan DRG projected mean length of inpatient stay: 4.9–6.5 days considerations: May require assistance with ADLs, transportation, homemaker/maintenance tasks, vocational counseling, possible changes in layout of home
2. Refer to section at end of plan for postdischarge considerations.

DIAGNOSTIC STUDIES

Refer to CP: Herniated Nucleus Pulposus (Ruptured Intervertebral Disc).

NURSING PRIORITIES

1. Maintain tissue perfusion/neurological function.
2. Promote comfort and healing.
3. Prevent/minimize complications.
4. Assist with return to normal mobility.
5. Provide information about condition/prognosis, treatment needs, and limitations.

DISCHARGE GOALS

1. Neurological function maintained/improved.
2. Complications prevented.
3. Limited mobility achieved with potential for increasing mobility.
4. Condition/prognosis, therapeutic regimen, and behavior/lifestyle changes are understood.
5. Plan in place to meet needs after discharge.