The prescribed braces can help the patient perform ADLs while preventing the progression of spinal curvature. Encourage the use of the prescribed braces at the appointed hours of the day. To encourage the patient to perform muscle-strengthening exercises and promote dignity by allowing the patient to perform their ADLs while maintaining safety. Assist the patient during exercises and when performing activities of daily living. To assist in creating an accurate diagnosis and monitor effectiveness of treatment and therapy. Scoliosis Nursing Interventions Rationales Assess the patient’s level of functional mobility and ability to perform ADLs. Impaired physical mobility related to musculoskeletal impairment secondary to scoliosis as evidenced generalized weakness, back pain, inability to do activities of daily living (ADLs) as normal, fatigue, and verbalization of overwhelming tirednessĭesired Outcome: The patient will be able to perform activities of daily living within the limits of the condition. Nursing Diagnosis Scoliosis Scoliosis Nursing Care Plan 1 This treatment is used to fully stop the progression of the curvature and to reduce spinal deformity. Surgical treatment is commonly recommended in scoliosis with a curvature greater than 40 degrees. A brace needs to be worn around 16-23 hours a day and must properly fit the user. Studies suggest that there is an 80% success in stopping curve progression in fully compliant people. There are several types of braces available in the market. It is most useful in curvature in people who have not reached skeletal maturity yet. The use of braces is not suitable for every case of scoliosis. If progression is a concern, regular monitoring and radiologic imaging may be recommended to keep a close eye on the condition. Mild cases of scoliosis do not interfere with body functions and lifestyle therefore they do not require treatment. Once the above-mentioned variables are assessed and considered, the following treatment may be recommended: Possibility of curve progression – it is noted that those with large curves before their growth spurts are at higher risk of curve progression.However, some areas are more at risk of progressing compared to other areas. Location of the curve – scoliosis can occur in any area of the spine.Degree and extent of curvature – the degree of curvature and how it affects the person’s life is also taken into consideration when deciding the treatment.
Spinal maturity – the spine is assessed whether it is still growing and changing.The treatment for scoliosis depends on several factors which are as follows: MRI Imaging – an MRI scan can produce three-dimensional images of the spinal structures.
This imaging technique gives more information about the spine and surrounding organs as compared to X-ray imaging.
Changes on the skin above the spine such as dimpling of the skin, hairy patches, changes in skin color Causes of Scoliosis.Ribs on one side of the body may stick out farther compared to the other.Prominence of one shoulder blade over the other.