Nursing Care Plan for HNP Herniated Nucleus Pulposus
Herniated Nucleus Pulposus Intervertebral Discs are the cartilage plates that form a cushion between the vertebral bodies. Hard and fibrous material is combined in one capsule. Such as ball bearings in the middle of the disc called the nucleus pulposus. Herniated nucleus pulposus is a rupture of the nucleus pulposus. Herniated nucleus pulposus into the vertebral bodies can be above or below it, can also directly into the vertebral canal. Pain can occur in any part such as cervical spine, thoracic (rarely) or lumbar. Clinical manifestations depend on the location, speed of development (acute or chronic) and the effect on surrounding structures. Lower back pain is severe, chronic and recurring (relapse). Diagnostic Examination 1. Spinal RO: Shows the degenerative changes in the spine 2. MRI: to localize even small disc protrusion, especially for lumbar spinal disease. 3. CT Scan and Myelogram if the clinical and pathological symptoms are not visible on MRI 4. Electromyography (EMG): to l