8 Laminectomy (Disc Surgery) Nursing Care Plans

By
Matt Vera, BSN, R.N.
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Laminectomy Nursing Care Plans
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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):

  1. Impaired Physical Mobility
  2. Ineffective Tissue Perfusion
  3. Risk for Trauma
  4. Ineffective Breathing Pattern
  5. Acute Pain
  6. Constipation
  7. Risk for Urinary Retention
  8. Deficient Knowledge
  9. Other Nursing Diagnoses
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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.
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See Also

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