Final answer:
In the care plan for an adolescent with scoliosis post-spinal fusion, the nurse should include the use of log-rolling to safely reposition the patient. Communication with the medical team about recovery concerns is also crucial. Managing extreme scoliosis cases may require surgery, followed by meticulous postoperative techniques.
Step-by-step explanation:
A nurse who is creating a plan of care for an adolescent who has scoliosis and is postoperative following a spinal fusion should include several key interventions aimed at ensuring safe and effective recovery. One such intervention is the use of log-rolling when repositioning the patient in bed. This technique involves moving the patient’s body as a single unit, without twisting the spine, to prevent harm to the surgical site and maintain the integrity of the spinal fusion. The need for careful handling of the patient’s back post-surgery is vital.
Furthermore, the nurse should review aloud the key concerns for recovery and care of the patient with the surgeon and anesthesia professional to ensure a unified approach. Knowledge of the patient's condition is critical, noting that scoliosis is an abnormal, lateral curvature of the spine, which can become exacerbated during adolescent growth spurts.
In extreme cases of scoliosis where bracing is insufficient, surgical intervention is considered. Post-surgical care then involves specific strategies like log-rolling to manage the recovering patient effectively.