impaired physical mobility related to nursing diagnosis

Biophysical and psychosocial factors of spinal deformityįollowing a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with scoliosis based on the nurse’s clinical judgement and understanding of the patient’s unique health condition.Increased work of breathing, use of accessory musclesĪssess for factors related to the cause of scoliosis:.Limited movement or stiffness in the spine when attempting to bend or twist.

Abnormal curvature of the spine when the patient stands or bends forward.Collaborate with the patient, family, and interdisciplinary team to promote compliance with treatment plans and long-term management of scoliosis.Īssess for the following subjective and objective data:.Collaborate with the healthcare team to develop a comprehensive care plan that includes physical therapy, bracing, or surgical interventions as needed.Help the patient cope with body image issues and psychological concerns associated with scoliosis.Encourage the patient in maintaining good posture and body mechanics to minimize discomfort and prevent further curvature progression.Educate the patient and the family about the condition, including its causes, treatment options, and potential complications.Manage pain levels using appropriate pain management strategies.Determine the severity and progression of scoliosis.The following are the nursing priorities for patients with scoliosis: When developing nursing care planning goals for a pediatric client with scoliosis, the following objectives should be considered: restore normal breathing patterns, improve physical mobility, address disturbed body image promote comfort, enhance learning, stop the progression of the curve, and prevent deformity. Idiopathic scoliosis most commonly occurs in adolescent girls. The deformity may occur at any age, from infancy through adolescence, but the best prognosis belongs to those who are almost fully grown and whose curvature is of a mild degree. Bracing is recommended for adolescents with curves between 30 and 45 degrees, while curves greater than 45 degrees usually require surgery. Patients with idiopathic curves of less than 25 degrees are observed for progress until they have reached skeletal maturity. Management includes observation, bracing, and surgical fusion. Structural scoliosis is more progressive and causes changes in supporting structures, such as the ribs. There is a growing body of evidence that idiopathic scoliosis is probably genetic but the etiology is not completely understood. Structural scoliosis is most often idiopathic although it may be congenital or secondary to another disorder.

Functional scoliosis is the result of another deformity and is corrected by treating the underlying problem. It can be classified as functional or structural. Scoliosis is a lateral curving of the spine with the thoracic area being the most commonly affected. Learn about the nursing assessment, nursing interventions, goals and nursing diagnosis for scoliosis in this guide. Use this nursing care plan and management guide to help care for patients with scoliosis.

Impaired physical mobility related to nursing diagnosis