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Showing posts from December 4, 2014

Assessment and Diagnostic Test for Herniated Nucleus Pulposus

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Assessment of the client with herniated nucleus pulposus by Marillyn E. Doenges , 2001: 1. Activity / rest Client has a history of work that needs to lift heavy objects, sitting for long periods of driving. Requires board or hard mattress during sleep, decreased range of motion of the extremity in one part of the body. Not being able to do activities that are usually performed. Atrophy of the muscles in the body are affected and disturbances in walking. 2. Elimination Constipation, experiencing pain in defecation, presence of incontinence / urinary retention 3. Neurosensory Tingling, stiffness, weakness of limbs, decreased deep tendon reflexes, muscle weakness, hypotonia, tenderness / paravertebralis muscle spasms and decrease the perception of pain. 4. Pain / discomfort Pain like a knife wound that will be worsened by coughing, sneezing, crouching, lifting, defecation, lifting legs or neck flexion. Pain that there is no ending or the presence of more severe episodes of pain is intermi