Understanding Scoliosis: Additional Assessment Finding
What additional assessment finding would the nurse anticipate for a patient with a lateral curve of the thoracic and lumbar segments of the spine while standing?
A. The curve disappears when the patient bends forward.
B. The curve becomes more pronounced when the patient is lying down.
C. The curve disappears when the patient is sitting upright.
D. The curve disappears when the patient performs lateral bending exercises.
Answer:
The nurse would expect the lateral curve of the thoracic and lumbar segments of the spine to reappear when the patient returns to a standing position after bending forward.
Given the information provided, the nurse would anticipate that an additional assessment finding would be that the lateral curve of the thoracic and lumbar segments of the spine reappears when the patient returns to a standing position after bending forward. This is a characteristic feature of scoliosis, which is an abnormal lateral curvature of the spine accompanied by twisting of the vertebral column. The lateral curve becomes more pronounced when the patient is in a standing position, and therefore, bending forward temporarily reduces its visibility.
Scoliosis is a condition that can affect individuals of all ages, but it is most commonly diagnosed in adolescents during growth spurts. It can lead to various complications if left untreated, including back pain, respiratory issues, and changes in posture. Early detection and treatment are essential to prevent progression and worsening of the curvature.
If you suspect scoliosis or have been diagnosed with it, it is important to consult with a healthcare professional for an accurate diagnosis and appropriate management plan. Treatment options may include monitoring the curvature, bracing, physical therapy, or in severe cases, surgery.