Nursing Management for Herniated Nucleus Pulposus (Presurgery and Postsurgery)

Herniated Nucleus Pulposus (HNP) is a condition in which the bones annulus and the nucleus is reduced elasticity to result in herniation of the nucleus to the annulus which presses the spinal nerves and cause pain (Long, 1996)

Presurgery of Herniated Nucleus Pulposus


Most patients fear surgery on the spine. And thus requires a belief (that surgery does not weaken the back of the body) and explain the whole process. When data is collected in the form of medical history some pain, parastersia, and muscle spasm should be noted to provide a basis for comparison after surgery. Preoperative assessment should also include an evaluation of limb movement. Similarly, the function of the bladder and colon. To facilitate preoperative reverse procedure, the patient is taught turned by means of simultaneous unity (in roll) as part of preoperative preparation. Other forms of the ways in which post operation must be trained before surgery is deep breath, cough, and muscle exercises that will help maintain muscle tone.


Postsurgery of Herniated Nucleus Pulposus

After excision of lumbar disc, it is necessary to check with frequent on vital signs, and injury to the vascular bleeding due to injury, is a complication of surgery discus should also be evaluated sensation and motor strength in the lower extremities and specific regular basis as well as the color and temperature foot and toes sensation. In addition it is also important to examine the possibility of urinary retention. Signs of neurological damage that may occur. Can be taught to clients on how to turn over in bed and described in order to exercise regularly . Avoid sitting except for defecation. Slightly flexed knee position which can provide muscle relaxation the back of the body. Clients are helped to move from one side to the other side which aims to reduce the pressure. But first be convinced that there is no injury caused by the displacement position. Reversing the client is done with the body as a whole unit ( rolled ) without grooves on the back.