Impaired Physical Mobility related to musculoskeletal damage and pain.
Clients can perform optimally mobilization.
Expected results :
- Clients can participate in training programs.
- Seek assistance as needed
- Maintaining coordination and mobility as an optimal level.
Nursing Intervention for Tuberculous Spondylitis
- Review the existing mobility and observation of increased damage.
- Help the client to do ROM exercises, self-care according to tolerance.
- Maintain spinal form by :
- Bed Board (bed with wood floor, or a hard foam mattress that does not cause indentation when clients sleep.
- Maintain good posture and breathing exercises;
- Trunk extension exercises both standing position (leaning on the wall) or face down position by lifting the head and upper extremities and lower extremities simultaneously.
- Slumped as much as 3-4 times a day for 15-30 minutes.
- Breathing exercises that will increase the respiratory capacity.
- Monitor vital signs every 4 hours.
- Monitor the skin and mucous membranes of the irritation, redness or blisters
- Increase fluid intake to 2500 ml / day when no contra indications.
- Give the anti-inflammatory process in the doctor. Observation of side effects: can be uncomfortable in the stomach or diarrhea.
- Determine the level of the client's ability in doing the activity.
- To maintain flexibility of joints according to ability.
- Maintaining the position of the spine remains flat.
- In the do to uphold the posture and strengthen muscles - paraspinal muscles.
- To detect changes in the client.
- Detection themselves from possible complications of immobilization.
- The fluid helps keep the faeces remains soft.
- Anti-inflammatory drug is a drug to reduce inflammation and can cause side effects.