8 Laminectomy (Disc Surgery) Nursing Care Plans

August 1, 2013

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

Impaired Physical Mobility: Limitation in independent, purposeful physical movement of the body or of one or more extremities.

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.