Assessment Subjective:

Nursing diagnosis Disturbed Body Image related to

Scientific explanation Lateral curvature of the spine The curve may be convex to the right (more common in lumbar curves) or to the left (more common in lumbar curves). Rotation of the vertebral column occurs and may cause rib cage deformity. often associated with kyposis and lordocis Poor posture, left shoulder is higher than the right

Planning

Nursing intervention Independent:

Rationale

Evaluation Plan fully achieved

Short term goal: After 2 hours of nursing intervention, the client will be able to: -verbalize feelings towards self and regarding the possible changes in her body Discharge plan:

-Assess her perception -the extent of response regarding the change in her body structure or function related to the value or importance the patient places on the part or function than the actual value or importance -Encourage the client to express her concerns about body image - Discuss options for -to establish a therapeutic relationship with the client. Recommendation: -to minimize body changes and enhance appearance. -Allow client to express her feelings regarding wearing a brace -to ehance handling of potential conflicts. Discharge plan: The client was able to: -enhanced her selfesteem as evidenced by ability to Terminate the plan brace wearing Short term goal: Goal fully achieved. The client was able to verbalize feelings towards self and regarding the possible changes in her body. Recommendation: Terminate the plan.

Objective: -14y/o adolescent girl -5/10 back pain than the right and there is an obvious Sshaped spine -x-ray revealed a lateral curvature of the lumbar spine -hx. revealed that shes carrying her books on her right side since elementary days -poor posture -Milwaukee Brace to be worn 23 hours/day

lateral curvature of the spine 2 to structural scoliosis as evidenced by left shoulder is (obvious S-shaped spine)

-left shoulder is higher higher than the right

Upon Discharge, the client will be able to: -enhanced her selfesteem as evidenced by ability to understand and accept her condition and comply for the long-

term treatment prescribed

- Discuss scoliosis with peers, including disease process and treatment.

-to help the child accept condition by letting her peers understand her situation.

understand and accept her condition and comply for the longterm treatment prescribed

-Discuss different effective activity/ exercises such as walking with a book sit-ups, push-ups or swimming

-this exercises and activities is good for the clients condition, maintain and improve

on the top of her head, body functions

-Instruct the client to comply with the treatment. Wear Milwaukee brace, 23 hours a day (removed only when bathing or doing hygienic measures)

-this compensate for actual body structure or function

COLLABORATIVE: -Refer client to support groups composed of individuals with similar alterations (structural scoliosis) -helps in the overall nursing care plan goals, provides emotional support system of the patient.