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Nursing Care Plan for Spinal Cord Tumor

NCP for Spinal Cord Tumor - Assessment, Nursing Diagnosis and Interventions

Spinal cord arranged in the spinal canal and are covered by a layer of connective tissue, dura meter. Spinal cord tumor is an uncommon disorder, and only a few are found in the population. However, if the tumor lesion grows and pressing on the spinal cord, this tumor can cause dysfunction of the limbs, paralysis and loss of sensation.

The incidence of all primary tumors of the spinal cord approximately 10% to 19% of all primary central nervous system tumors. (CNS), and like all tumors in the nervous axis, the incidence increases with age. Gender specific prevalence of almost all the same, except for the meningioma which is generally found in women, and ependymoma are more frequent in males. Approximately 70% of intradural tumors, an extramedullary and 30% is intramedular.

In this case the nurse has an important role in organizing efforts such as improved health (promotion) by way of providing information about the disease, disease prevention (preventive), cure (curative) and rehabilitative.

Complications that can result in spinal cord tumors are very noteworthy because of the impact would worsen the patient's condition, such as; damage the fibers of neurons, loss of sensation of pain (severe circumstances), bleeding metastases, rigidity, weakness, impaired coordination, difficulty urinating or causing loss of control of bladder or constipation.


Definition

Spinal cord tumors are the growth of new tissue in the spinal cord, can be benign or malignant.


Etiology

The pathogenesis of spinal cord neoplasms is unknown, but most arise from abnormal cell growth in the area. Genetic history looks very instrumental in the increased incidence in certain families or syndromic group (neurofibromatosis).


Assessment
  • GCS assessment.
  • Assessment of the level of consciousness.
  • Pathological and physiological reflexes.


Nursing Diagnosis

Diagnosis of tumors of the spinal cord taken based on the results of history and physical examination and investigations. Extradural tumors had a clinical course of spinal cord function will disappear altogether accompanied by spastic weakness and loss of sensation of vibration.

Joint position below the level of the lesion is rapid. On examination of the spine radiogram, most of the patients the tumor will show symptoms of osteoporosis or significant damage to the pedicles and vertebral bodies. Myelogram can confirm the location of the tumor.

In extramedullary tumors, which dominates the symptoms is compression of the spinal nerve fibers, so that the initial look is pain, first in the back and then along the spinal nerve roots. As in the extradural tumors, pain aggravated by traction by movement, coughing, sneezing or straining, and the most severe occurred at night. Pain is intensified at night caused by traction on the nerve root pain, the spine when lengthening after the loss of shortening effect of gravity. Sensory deficits gradually rises to below the level of the spinal cord segments. In extramedullary tumors, CSF protein levels almost always increased. Spinal radiography may show an enlarged foramen and thinning adjacent pedicles. As in the extradural tumors, myelogram, CT scan, and MRI is essential to determine the exact location.

1 Impaired sense of comfort: pain related to increased ICP.

2 Impaired physical mobility related to compression of the blood supply to the corno anterior.

3 Impaired sense of comfort: pain related to intra-thoracic and intradominal.



Nursing Plan

Nursing plan is an action plan that nurses do before nurses perform actions to the patient, who is listed in the nursing plan is:
1. Independent and collaborative interventions, independent intervention is the action to be done independently of nurses to patients, while collaboration is an act of intervention that nurses do in collaboration with other health care team.
2 Criteria of expected results, and
3 Rational, which is the rational benefits of the actions taken by nurses to patients.

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