Deficient Knowledge related to Herniated Nucleus Pulposus

Nursing Care Plan for Herniated Nucleus Pulposus - Nursing Diagnosis : Deficient Knowledge

Definition
A herniated disc is a fragment of the disc nucleus which is pushed out of the outer disc margin, into the spinal canal through a tear or "rupture." In the herniated disc's new position, it presses on spinal nerves, producing pain down the accompanying leg. This produces a sharp, severe pain down the entire leg and into the foot. The spinal canal has limited space which is inadequate for the spinal nerve and the displaced herniated disc fragment.

The compression and subsequent inflammation is directly responsible for the pain one feels down the leg, termed "sciatica." The direct compression of the nerve may produce weakness in the leg or foot in a specific patter, depending upon which spinal nerve is compressed.

A herniated disc is a definite displaced fragment of nucleus pushed out through a tear in the outer layer of the disc (annulus). For a disc to become herniated, it typically is in an early stage of degeneration.


Deficient Knowledge

Absence or deficiency of cognitive information related to a specific topic

Defining Characteristics:

• Verbalization of the problem;
• inaccurate follow-through of instruction;
• inaccurate performance of test;
• inappropriate or exaggerated behaviors (e.g., hysterical, hostile, agitated, apathetic)

Nursing Diagnosis for Herniated Nucleus Pulposus : Deficient Knowledge : about the condition, prognosis and actions related to misinformation, misinterpretation, given the lack of information, not to know the sources of information.

Goal: The Client acknowledges, understands, about the condition, prognosis and actions to be taken.

Outcomes:

• Clients can express understanding of the condition, prognosis and action.
• Doing back lifestyle changes.
• Participate in the rule action.

Nursing Interventions:

1). Describe the process of disease and prognosis as well as restrictions on activities such as driving a vehicle in avoiding long periods of time.

2). Provide information about a variety of things as well as instruct patients to make changes "body dynamics" without the help and also do exercises including information about its own body mechanics to stand, lift and use of ancillary shoes.

3). Discuss the treatment and some side effects.

4). Suggest to use the board / mat hard. Small pillows were a little flat in the bottom of the neck, side sleeping position with knees flexed avoid prone.

5). Discuss dietary needs.

6). Avoid the use of heating preformance long time.

7). Refer back to the use of a soft neck collar.

8). Suggest to conduct regular medical evaluation.

9). Provide information about signs that need to be reported at the next evaluation as puncture pain, loss of sensation / ability to walk.

10). Assess the likelihood to alternative treatments such as chemonucleolysis, surgical intervention.