Nursing Intervention for Tuberculous Spondylitis

Impaired Physical Mobility related to musculoskeletal damage and pain.

Goal :

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
  1. Review the existing mobility and observation of increased damage.
  2. Help the client to do ROM exercises, self-care according to tolerance.
  3. Maintain spinal form by :
    • Mattress
    • Bed Board (bed with wood floor, or a hard foam mattress that does not cause indentation when clients sleep.
  4. 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.
  5. Monitor vital signs every 4 hours.
  6. Monitor the skin and mucous membranes of the irritation, redness or blisters
  7. Increase fluid intake to 2500 ml / day when no contra indications.
  8. Give the anti-inflammatory process in the doctor. Observation of side effects: can be uncomfortable in the stomach or diarrhea.

Rational :
  1. Determine the level of the client's ability in doing the activity.
  2. To maintain flexibility of joints according to ability.
  3. Maintaining the position of the spine remains flat.
  4. In the do to uphold the posture and strengthen muscles - paraspinal muscles.
  5. To detect changes in the client.
  6. Detection themselves from possible complications of immobilization.
  7. The fluid helps keep the faeces remains soft.
  8. Anti-inflammatory drug is a drug to reduce inflammation and can cause side effects.