8 Laminectomy (Disc Surgery) 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 InterventionsRationale
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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Recommended Resources

Recommended nursing diagnosis and nursing care plan books and resources.

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NANDA International Nursing Diagnoses: Definitions & Classification, 2021-2023
The definitive guide to nursing diagnoses as reviewed and approved by the NANDA International. In this new version of a pioneering text, all introductory chapters have been rewritten to provide nurses with the essential information they need to comprehend assessment, its relationship to diagnosis and clinical reasoning, and the purpose and application of taxonomic organization at the bedside. A total of 46 new nursing diagnoses and 67 amended nursing diagnostics are presented.

Ackley and Ladwig’s Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care
We love this book because of it’s evidence-based approach to nursing interventions. This care plan handbook uses an easy, three-step system to guide you through client assessment, nursing diagnosis, and care planning. Includes step-by-step instructions show how to implement care and evaluate outcomes, and help you build skills in diagnostic reasoning and critical thinking.

Nursing Care Plans – Nursing Diagnosis & Intervention (10th Edition)
Includes over two hundred care plans that reflect the most recent evidence-based guidelines. New to this edition are ICNP diagnoses, care plans on LGBTQ health issues and on electrolytes and acid-base balance.

Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions, and Rationales
Quick-reference tool includes all you need to identify the correct diagnoses for efficient patient care planning. The sixteenth edition includes the most recent nursing diagnoses and interventions from NANDA-I 2021-2023 and an alphabetized listing of nursing diagnoses covering more than 400 disorders.

Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care 
Identify interventions to plan, individualize, and document care for more than 800 diseases and disorders. Only in the Nursing Diagnosis Manual will you find for each diagnosis…. subjectively and objectively – sample clinical applications, prioritized action/interventions with rationales – a documentation section, and much more!

All-in-One Nursing Care Planning Resource – E-Book: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health 
Includes over 100 care plans for medical-surgical, maternity/OB, pediatrics, and psychiatric and mental health. Interprofessional “patient problems” focus familiarizes you with how to speak to patients.

See also

Other recommended site resources for this nursing care plan:

Other nursing care plans for musculoskeletal disorders and conditions:

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Matt Vera is a registered nurse with a bachelor of science in nursing since 2009 and is currently working as a full-time writer and editor for Nurseslabs. During his time as a student, he knows how frustrating it is to cram on difficult nursing topics. Finding help online is nearly impossible. His situation drove his passion for helping student nurses by creating content and lectures that are easy to digest. Knowing how valuable nurses are in delivering quality healthcare but limited in number, he wants to educate and inspire nursing students. As a nurse educator since 2010, his goal in Nurseslabs is to simplify the learning process, break down complicated topics, help motivate learners, and look for unique ways of assisting students in mastering core nursing concepts effectively.
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