Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
24 Cards in this Set
- Front
- Back
|
What is scoliosis?
|
It is a skeletal deformity which there is a lateral curvature of the spine that causes changes in the spine, chest, and hips.
|
|
|
What is affected when there is severe curvature of the spine (scoliosis)?
|
cardiopulmonary (respiratory compromise) and neurological function and result in negative self-esteem.
|
|
|
When does Scoliosis occur?
|
it can occur at any age but is more often seen in adolescent females.
|
|
|
What characteristics would a nurse find with a patient with idiopathic scoliosis?
|
The patient will have unequal hip height and shoulder height, scapular and rib prominence, and a posterior rib hump that is visible when the child bends forward at the waist.
|
|
|
What diagnostic test confirms scoliosis?
|
Radiographs (x-rays)
|
|
|
At what age do children need routine screening?
|
10-15
|
|
|
What does routine screening involve?
|
Involves posterior observation of the undressed child for curvature, asymmetry, and rib hump.
|
|
|
What position is the patient in while recieving a routine screening?
|
In a bending forward at the waist with arms and head hanging downward position.
|
|
|
Curvatures of less than ___ degrees require no treatment.
|
20 degrees.
|
|
|
Braces are used for what type of curvatures?
|
Moderate curvatures
|
|
|
What is the purpose for braces with scoliosis?
|
It slows the progression of scoliosis until the spine is mature.
|
|
|
What are the two types of braces for scoliosis?
|
Boston brace and (TLSO) Thoracolumbosacral orthotic brace.
|
|
|
When is surgical intervention indicated?
|
Indicated in severe scoliosis or scoliosis that does no respond to bracing.
|
|
|
What does surgery consist of?
|
Consists of spinal fusion and the inserton of a stabilizing rod such as a Harington rod or L rod.
|
|
|
What type of nursing diagnosis would be given for a pt. with scoliosis?
|
body image disturbance r/t scoliosis or impaired imobility r/t scoliosis.
|
|
|
How long does the brace need to be on?
|
For 23 hrs. and only taken off during bathing.
|
|
|
What is the prognosis?
|
Depends on the severity of the condition and compliance with tx.
|
|
|
How should the brace be worn?
|
brace should be word over the t-shirt to decrease skin irritaion and another loose clothing over the brace that camouflages the brace.
|
|
|
What is needed before the pt. goes into surgery?
|
An informed consent, kept NPO, v/s every 4 hrs., ask for allergies to iodine and shellfish.
|
|
|
What is needed to be done for post-op care?
|
Assess neuro status, (CMS) circulatory motor and sensitivity, and 7p's.
|
|
|
When are pain meds. given after surgery?
|
Around the clock (q 2)
|
|
|
Log roll is done for how many days and with how many nurses?
|
It is done for atleast 5 days with three nurses.
|
|
|
Why is the patient on NGT after surgery?
|
To prevent aspiration and decompress the stomach.
|
|
|
Why is it important to encourage the pt to do their ADL on their own?
|
To increase self-esteem. (assist with ambulation under fall precaution).
|
