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Nursing Diagnosis for Postoperative Laminectomy

Nursing Care Plan for Laminectomy
Laminectomy is an orthopaedic spine operation to remove the portion of the vertebral bone called the lamina. There are many variations of laminectomy. In the most minimal form small skin incisions are made, back muscles are pushed aside rather than cut, and the parts of the vertebra adjacent to the lamina are left intact. The traditional form of laminectomy (conventional laminectomy) excises much more than just the lamina; the entire posterior backbone is removed, along with overlying ligaments and muscles. The usual recovery period is very different depending on which type of laminectomy has been performed: days in the minimal procedure, and weeks to months with conventional open surgery.

Nursing Diagnosis for Postoperative Laminectomy, according to Doenges (1999), Tucker (1998).

1. Anxiety related to a crisis situation, continuous pain disorder.

2. Ineffective tissue perfusion related to decreased blood flow secondary to edema surgery.

3. Ineffective airway clearance related to decreased lung expansion secondary to pain.

4. Pain (acute / chronic) related to physical injuries agent; compression of nerve, muscle spasm, the incision surgery.

5. Impaired physical mobility related to pain and discomfort, muscle spasm, neuromuscular damage.

6. Constipation related to immobility, decreased physical activity.

7. Knowledge deficit: the condition, prognosis and actions related to lack of knowledge or information.

List of Nursing Schools in California

List of Nursing Schools in California
  • Azusa Pacific University School of Nursing, Azusa
  • California State University, Bakersfield Department of Nursing, Bakersfield
  • California State University, Chico
  • California State University, Dominguez Hills School of Nursing, Carson
  • California State University, East Bay
  • California State University, Fresno
  • California State University, Fullerton School of Nursing, Fullerton
  • California State University, Long Beach School of Nursing, Long Beach
  • California State University, Los Angeles School of Nursing, Los Angeles
  • California State University, Northridge
  • California State University, Sacramento
  • California State University, San Bernardino Department of Nursing, San Bernardino
  • California State University, Stanislaus
  • Chaffey College Nursing Program, Rancho Cucamonga
  • Humboldt State University, Arcata
  • Loma Linda University School of Nursing, Loma Linda
  • Mount St. Mary's College Department of Nursing, Los Angeles
  • Mount San Antonio College, Walnut
  • Samuel Merritt University, Oakland
  • San Bernardino Valley College Nursing Department, San Bernardino
  • San Diego State University College of Health & Human Services School of Nursing, San Diego
  • San Francisco State University
  • San José State University
  • Sonoma State University, Rohnert Park
  • University of California, Irvine Program in Nursing Science
  • University of California, Los Angeles School of Nursing, Los Angeles
  • University of San Francisco
  • Dr. Prem Reddy School of Health Sciences, Victor Valley College, Victorville
  • West Hills College Lemoore
  • Western University of Health Sciences College of Graduate Nursing, Pomona

Nursing Interventions for Hypothyroidism - Disturbed Sensory Perception

Nursing Interventions for Hypothyroidism - Disturbed Sensory Perception

Disturbed Sensory Perception (visual) based interference as a result of the transmission of sensory impulses ophtalmopathy.

Purpose: that patients do not experience decreased visual acuity worse and there is no trauma / injury to the eye.

Nursing Intervention:
1. Instruct the patient when sleeping with the head elevated position.
2. Moisten the eye with sterile borwater.
3. If there is photophobia, instruct the patient to use sunglasses rayben.
4. If the patient can not close eyes tightly while sleeping, use non-allergenic plaster.
5. Give steroid medications according to the program. In severe cases, doctors usually prescribe medications such as steroids to reduce edema and diuretics.