1. The client/caregiver can define scoliosis.
    1. Scoliosis is when there is a curve of the spine to one side. Two curves in opposite directions may be present.
    2. Most children diagnosed with scoliosis have a mild curve—less than 20 degrees.
    3. The onset of scoliosis is rare in adults. D. It is the most common spinal deformity.
  2. The client/caregiver can list methods used for the detection of scoliosis.
    1. Most public schools check for scoliosis in grade school.
    2. Ask your physician for a routine exam at regular check-ups.
    3. Have x-rays as indicated.
  3. The client/caregiver can list signs and symptoms of spine curvatures.
    1. Signs of scoliosis are
      • Uneven shoulders
      • One shoulder blade that appears more prominent than the other
      • An uneven waist
      • One hip higher than the other
      • Leaning to one side
    2. Severe scoliosis can cause back pain and difficulty breathing.
  4. The client/caregiver can list risk factors for scoliosis.
    1. The cause is unknown.
    2. Scoliosis is often noticed before or during adolescence.
    3. Growth is the biggest risk factor for worsening of curve.
    4. Most forms of scoliosis are more common in girls.
    5. The greater the curve when discovered, the more likely it will worsen.
    6. Curves in the upper spine are more likely to increase.
    7. Scoliosis runs in families.
  5. The client/caregiver can list possible complications of scoliosis.
    1. Lung and heart damage
    2. Back problems
    3. Impaired body image
  6. The client/caregiver can list methods of treatment.
    1. Regular systematic observations to measure changes
    2. Use of brace
    3. Surgery
    4. Emotional support and learned coping skills for client
    5. Support groups for parents to help them learn ways of helping child

Resources

National Scoliosis Foundation781-341-6333www.scoliosis.org/
The Scoliosis Association, Inc.800-800-0669

References

Ackley, B. J., & Ladwig, G. B. (2006). Nursing diagnosis handbook: A guide to planning care. St. Louis: Mosby Inc.Canobbio, M. M. (2006). Mosby’s handbook of patient teaching. St. Louis: Mosby Inc.Cohen, B. J., & Taylor, J. J. (2005). Memmler’s the human body in health and disease (10th ed.). Philadelphia: Lippincott Williams & Wilkins.Muscari, M. E. (2005). Pediatric nursing. Philadelphia: Lippincott Williams & Wilkins.Taylor, C., Lillis, C., & LeMone, P. (2005). Fundamentals of nursing. Philadelphia: Lippincott, Williams & Wilkins.

Credits

Client Teaching Guides for Home Health Care, 2nd ed.© 2008 Jones and Bartlett Publishers, Inc.www.jbpub.com

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