Nursing Management of Low Back Pain
1. Relieves Pain
To reduce pain nurses can encourage patients to bed rest and modification of the position is determined to improve lumbar flexion. Patients are taught to control and adjust the pains that go through the respiratory diaphragm and relaxation can help reduce muscle tension that contributes to lower back pain. Distract patients from pain with other activities such as reading books, watching TV and with imagination.
Massage of the soft tissue, gently is very useful for reducing muscle spasms, improve circulation and reduce the damming and reduce pain. When given the drug the nurse should assess the patient's response to each drug.
2. Improving physical mobility
Physical mobility is monitored through continuous assessment. Nurses assess how patients move and stand. Once back pain is reduced, self-care activities may be performed with minimal strain on the injured structure. Change of position should be done slowly and assisted if necessary. Circular motion and sway should be avoided. Patients are encouraged to switch activities lying, sitting and walking around for a long time. Nurses need to encourage patients comply with exercise programs according to established, that one just does not exercise effective.
4. Health education
Patients must be taught how to sit, stand, lie down and lifting objects properly.
5. Improving the performance of the role
Responsibilities associated with the role may have changed since the occurrence of lower back pain. Once the pain healed, patients can return to his role of responsibility again. But when the activity is impacting on the bottom of back pain occurs again, it may be difficult to return to the original responsibility without bearing the risk of chronic low back pain with disability and depression caused.
6. Changing nutrition and weight loss
Weight loss through eating way of adjustment can prevent recurrence of back pain, by means of the rational nutrition plan that includes changes in eating habits to maintain a desired weight.
1. Experienced pain relief
- Rest in comfort
- Change the position comfortably
- Avoidance of drug dependence
2. Shows the return of physical mobility
- Return to activity gradually
- Avoid positions that cause discomfort which causes muscle
- Plan rest breaks throughout the day
3. Demonstrate body mechanics that maintain back
- Improved posture
- Changing the position of its own to minimize back stress
- Demonstrating the use of good body mechanics
- Participate in training programs
4. Back to the responsibilities associated with roles
- Use techniques facing problems to adjust to stressful situations
- Shows the reduction in dependence on others for self care
- Back to work when the back pain has been healed
- Return to full productive lifestyle
5. Achieving the desired body weight
- Identify the need for weight loss
- Participate in the development of weight loss plan
- Faithful to the weight-loss program
Source : http://nursing-care-plan.blogspot.com/2011/11/nursing-care-plan-for-low-back-pain.html