Laminectomy is a surgery that involves the excision of a vertebral posterior arch and is commonly performed for injury to the spinal column or to relieve pressure/pain in the presence of a herniated disc.  Also known as decompression surgery, the procedure may be done with or without fusion of vertebrae.
Nursing Care Plans
Nursing care planning and goals for patients who underwent disc surgery (laminectomy) includes maintaining tissue perfusion and neurological function, promoting comfort and healing, preventing or minimizing complications, assist with the return of normal mobility.
Below are eight (8) nursing care plans (NCP) and nursing diagnosis for a patient who underwent a laminectomy (disc surgery):
- Impaired Physical Mobility
- Ineffective Tissue Perfusion
- Risk for Trauma
- Ineffective Breathing Pattern
- Acute Pain
- Constipation
- Risk for Urinary Retention
- Deficient Knowledge
- Other Nursing Diagnoses
Impaired Physical Mobility
Nursing Diagnosis
May be related to
- Neuromuscular impairment
- Limitations imposed by the condition
- Pain
Possibly evidenced by
- Impaired coordination, limited ROM
- Reluctance to attempt movement
- Decreased muscle strength/control
Desired Outcomes
- Client will demonstrate techniques/behaviors that enable resumption of activities.
- Client will maintain or increase the strength and function of the affected body part.
| Nursing Interventions | Rationale |
|---|---|
| Encourage the patient to move his legs, as allowed. | Patient participation promotes independence and sense of control. |
| Work closely with the physical therapy department. | To ensure a consistent regimen of leg-and-back-strengthening exercises. |
| Schedule activity and procedures with rest periods. Encourage participation in ADLs within individual limitations. | Enhances healing and builds muscle strength and endurance. Patient participation promotes independence and sense of control. |
| Provide and assist with passive and active ROM exercises depending on the surgical procedure. | Strengthens abdominal muscles and flexors of spine; promotes good body mechanics. |
| Assist with activity and progressive ambulation. | Until healing occurs, activity is limited and advanced slowly according to individual tolerance. |
| Review proper body mechanics and techniques for participation in activities. | Reduces risk of muscle strain, injury, pain and increases the likelihood of patient involvement in progressive activity. |
See Also
You may also like the following posts and care plans:
- Nursing Care Plan: The Ultimate Guide and Database – the ultimate database of nursing care plans for different diseases and conditions! Get the complete list!
- Nursing Diagnosis: The Complete Guide and List – archive of different nursing diagnoses with their definition, related factors, goals and nursing interventions with rationale.
Musculoskeletal Care Plans
Care plans related to the musculoskeletal system:
- Amputation | 4 Care Plans
- Congenital Hip Dysplasia | 4 Care Plans
- Fracture | 8 Care Plans
- Juvenile Rheumatoid Arthritis | 4 Care Plans
- Laminectomy (Disc Surgery) | 8 Care Plans
- Osteoarthritis | 4 Care Plans
- Osteoporosis | 4 Care Plans
- Rheumatoid Arthritis | 6 Care Plans
- Scoliosis | 4 Care Plans
- Total Joint (Knee, Hip) Replacement | 5 Care Plans
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