Introduction
Perioperative Postural Injury Risk is a nursing diagnosis that relates to any injury associated with a patient's posture or positioning during surgery or other general medical procedures.
Nursing Diagnosis Definition
The nursing diagnosis Perioperative Postural Injury Risk is defined as the state in which an individual is at risk of developing postural injuries associated with surgical and medical procedures.
Defining Characteristics
Subjective
- Reported musculoskeletal discomfort
- Report of pain
- Complaint of stiffness
- Subjective report of tingling and numbness
Objectives
- Change in postural positioning
- Demonstrates decreased range of motion in affected area
- Observed change in muscle tone
- Gait changes
Related factors of Perioperative Postural Injury Risk include:
- Immobility
- Insufficient supervision
- Inadequate body positioning techniques
- Unfamiliarity with the procedure
- Prolonged manipulation of equipment
Risk Population
Patients are at risk for Perioperative Postural Injury Risk due to the patient's age, weight, size, physical condition, type of procedure being done, and duration of the procedure.
Associated Problems
Prolonged immobility, increased risk of pressure ulcers, and dysfunctional skin integrity are associated problems of Perioperative Postural Injury Risk.
Suggestions for Use
Perioperative Postural Injury Risk can be used by nurses to assess the risk of a patient developing a postural injury during a surgical or medical procedure.
Suggested Alternative Nursing Diagnosis
- Activity Intolerance
- Risk for Bleeding
- Risk for Disuse Syndrome
- Risk for Impaired Skin Integrity
- Risk for Injury
Usage Tips
- Monitor the patient's position every 30 minutes to prevent postural injury.
- Assess the patient's skin before and after each procedure to monitor for skin breakdown.
- Encourage use of assistive devices (e.g., cough assist devices) to minimize risk of injury.
- Participate in interdisciplinary rounds to evaluate patient positioning and ensure compliance with policies.
- Interview the patient to determine their comfort level with gravitational forces.
NOC Outcome Results
- Sensory-Perception Status: Environmental Interpretation - patient accurately interprets environmental stimuli.
- Skin Integrity - Patient maintains intact skin.
- Mobility - Patient demonstrates proper positioning.
- Comfort Level - Patient expresses feelings of comfort.
NIC Interventions
- Positioning - Establish and maintain correct body alignment during procedures.
- immobilization - Utilize supports, devices, and positions that reduce pressure.
- Care Planning - Develop plans of care that focus on maximizing mobility.
- Pain Management - Implement strategies to decrease/eliminate pain related to positioning.
- Skin Care - Perform procedures that promote skin integrity.
Conclusion
The nursing diagnosis Perioperative Postural Injury Risk is important in assessing the risk of a patient developing a postural injury from a surgical or medical procedure. This diagnosis can be used to identify areas of potential risk, and provide interventions that would help prevent such injuries. Nurses should be aware of the risks, as well as the interventions that can be implemented to reduce the risk of injury.
FAQ
- What is the nursing diagnosis Perioperative Postural Injury Risk?
- What are the defining characteristics, associated problems, and risk population of Perioperative Postural Injury Risk?
- How can Perioperative Postural Injury Risk be prevented?
- What are some suggestions for using Perioperative Postural Injury Risk?
- What alternative NANDA diagnoses can be used with Perioperative Postural Injury Risk?
Leave a Reply