Table of Contents

I. Introduction-----------------------------------------------------------------------------
a. Overview of the case----------------------------------------------------------------
b. Objective of the study---------------------------------------------------------------
c. Scope & Limitation-------------------------------------------------------------------
II. Health History---------------------------------------------------------------------------
a. Profile of the patient-----------------------------------------------------------------
b. amily & Personal Profile----------------------------------------------------------
III. Data Base & History
a. Chief Complains ---------------------------------------------------------------------
b. !istory of Present "llness----------------------------------------------------------
IV. Developmental Data-------------------------------------------------------------------
V. Medical Management-----------------------------------------------------------------
a. #edical Orders & rationale--------------------------------------------------------
b. $ru% Study----------------------------------------------------------------------------
VI. Anatomy & physiology----------------------------------------------------------------
VII. Pathophysiology-----------------------------------------------------------------------
VIII. Nursing Assessment-----------------------------------------------------------------
I. Nursing Management----------------------------------------------------------------
a. "deal &ursin% #ana%ement-----------------------------------------------------
b. 'ctual &ursin% #ana%ement----------------------------------------------------
. !e"errals & #ollo$-up----------------------------------------------------------------
I. %valuation & Implication------------------------------------------------------------
1
I. Introduction
a. &vervie$ o" the case
'ciatica is a set of symptoms includin% pain that may be caused by %eneral
compression or irritation of one of five spinal nerve roots that %ive rise to each sciatic
nerve( or by compression or irritation of the left or ri%ht or both sciatic nerves. The pain
is felt in the lower bac)( buttoc)( or various parts of the le% and foot. "n addition to pain(
which is sometimes severe( there may be numbness( muscular wea)ness( pins and
needles or tin%lin% and difficulty in movin% or controllin% the le%. Typically( the symptoms
are only felt on one side of the body. Pain can be severe in prolon%ed e*posure to cold
weather.
'lthou%h sciatica is a relatively common form of low bac) pain and le% pain( the true
meanin% of the term is often misunderstood. Sciatica is a set of symptoms rather than a
dia%nosis for what is irritatin% the root of the nerve( causin% the pain. This point is
important( because treatment for sciatica or sciatic symptoms often differs( dependin%
upon the underlyin% cause of the symptoms and pain levels. Sciatica is also referred to
as Lumbar +adiculopathy( which involves compression of the sciatic nerve roots caused
by a herniated ,torn- or protrudin% disc in the lower bac).
(. &()ective o" the study
This case study aims to present all the details about patient.s condition( its causative
factors( and its dama%e to human physiolo%y and so with its underlyin% complication if
left untreated. This can be achieved throu%h research( with the use of the client.s
hospital records( article referred and other materials and interviewin% the client durin%
hospitali/ation also to formulate a complete and comprehensive definition of the causes.
0nderstand the medical principles that accompany Sciatica. 0sed insi%ht on appropriate
nursin% care and mana%ement that a client with the same ailments which is needed in
the future.
2
c. 'cope & *imitation o" the study
The scope of this study shows the overview of the patient.s condition( the anatomy
and patholo%y of the system affected by the said condition( the different dia%nostic test
and the interpretation of each result( the dru% study of the different dru%s administered
to the client to aid her condition( the appropriate nursin% mana%ement as well as it.s
rationale for the wellness of the client and lastly the nursin% interventions %iven durin%
the duration of our rotation. The study is limited only on the basic conditions of Sciatica
that was manifested by the client. The nursin% interventions %iven were only
fundamental care to the client just prior to our limited )nowled%e and s)ills and more
importantly( the study ensures the confidentiality of all the information divul%ed by the
patient.
3
II. Health History
a. Pro"ile &" Patient
Name + 1duardo C. 2utierre/ 3r.
Address + 4one 5 Pata% Ca%ayan de Oro City
Birthday + September 6 7855
Birth Place + Ca%ayan $e Oro City
Age + 9: years old
&ccupation + Soldier
Income per month + ;<(<<<=month
!eligion + +oman Catholic
Nationality + ilipino
Mother,s Name + Cristina 2utierre/
#ather,s Name + 1dwardo 2utierre/
Heredo-"amilial Diseases + 'rthritis ,paternal-
Height + :.ft & 5 inches
Highest degree o" education+ !i%hSchool
-ivil 'tatus + #arried
Date o" marriage + 3une ;>( 7887
Name o" $i"e + #aricel 2utierre/
Num(er o" -hildren + 7 children
(. #amily & Personal History
Patient was )nown to be a alcoholic drin)er since ;< years old. !e drin)s alcohol
bevera%es li)ed tanduay and redhorse occasionally. !e also smo)e !ard ci%arette li)e
#arlboro and Philip moris estimated ;< stic) per day. !e claims to have aller%ies to chic)en
and has a previous sur%ery at anterior cruciate li%ament ?Left@ clavicle joint last ;<77 but has
no aller%ies to medication or blood products. !e also rides a sin%le motorcycle for
transportation and has been in accident in which he had a injury at the +i%ht hip which
occurred also last year ;<77.
4
III. DA.A BA'% HI'.&!/
Name o" patientA 1duardo 2utierre/ 3r.'e0+ male Age+9: y=o !eligion+ +oman Catholic
-ivil 'tatusA #arried IncomeA ;<<<<=month Nationality+ ilipino
Date Adm. $ecember 7;( ;<7; .ime+ 77A<<am In"ormant+ Patient
.emperature+ 9B.7CC Pulse !ate+ 7<Bbpm !esp. !ate+ ;7cpm BP+ 796=>Bmm!%
Height+ :.ft & 5 inches 1eight+ B6)%s
-hie" -omplaint and History o" Present Illness+
' Case of 9: year-old Soldier from 4one 5 pata% Ca%ayan de Oro City was admitted to the
hospital last $ecember 7;(;<7; due to Lumbrasacral pain. Three days Prior to admission
patient had e*perience lumbrasacral pain radiative to the lower e*tremities causin%
discomfort on standin% and wal)in%( too) Pre%abalin w=c %ave temporary relief to his
condition( with persistence of symptoms came in for consult and was advised admission
and evacuation to 'P#C for $efinitive mana%ement
.ype o" Previous Illness2
Pregnancy2Delivery
Date .ype o" Previous Illness2
Pregnancy2Delivery
Date
Sur%ery-'CL ?L@ clavicle joint ;<77
Dehicular accident ;<77
!as received blood in the pastA EesFF&o "f Ees( list datesA ;<77
+eaction Ees G &o
'ller%iesA aller%ic to chic)en but no dru% 'ller%y
Medication Name Dose2
#re3uency
.ime o"
last
dose
Medication
Name
Dose2
#re3uency
.ime o"
last
dose
Pre%abalin :<m%( T"$
PO
7;=79=7; Dit H
comple*
:<<m% 7cap
O$ PO
7;=79=7;
Celeco*ib ;<<m%(H"$ 7;=79=7;
Admitting Diagnosis+ T=C Sciatica +i%ht
Attending Physician+ $r. La%apa
5
IV. Developmental Data
#reud,s .heory o" Psychose0ual Development
Genital phase
The fifth and last sta%e of psycho-se*ual development( the %enital sta%e( lasts
from puberty onward ,i.e. startin% at 7; years of a%e-. "t is said to continue until
development stops( which is supposedly at 7> years of a%e

when adulthood starts. This
sta%e represents a major portion of life and the basic tas) for the individual is
detachment from parents. "t is also the time when the individual tries to come to terms
with unresolved residues of early childhood. "n this sta%e( the focus is a%ain on the
%enitals( li)e in the phallic sta%e( but this time the ener%y is e*pressed in terms of adult
se*uality. 'nother crucial difference between these two sta%es is that( while phallic
%ratification is lin)ed with satisfaction of primary drives( the e%o in the %enital sta%e is
well-developed. "t uses secondary( process thin)in%( which allows for symbolic
%ratification. This symbolic %ratification may include the formation of love relationships(
development of families( or acceptance of responsibilities associated with adulthood.
%ri4son,s .heory o" Psychosocial Development
-are+ 5enerativity vs. 'tagnation 6Middle Adulthood7 89 to :9 years;
Psychosocial CrisisA 2enerativity vs. Sta%nation
#ain IuestionA JKill " produce somethin% of real valueLJ
DirtueA Care
+elated 1lements in SocietyA parentin%( educatin%( or other productive social
involvement
2enerativity is the concern of establishin% and %uidin% the ne*t %eneration. Socially-
valued wor) and disciplines are e*pressions of %enerativity. Simply havin% or
wantin% children does not in and of itself achieve %enerativity.
$urin% middle a%e the primary developmental tas) is one of contributin% to society and
helpin% to %uide future %enerations. Khen a person ma)es a contribution durin% this
period( perhaps by raisin% a family or wor)in% toward the betterment of society( a sense
of %enerativity- a sense of productivity and accomplishment- results. "n contrast( a
6
person who is self-centered and unable or unwillin% to help society move forward
develops a feelin% of sta%nation- a dissatisfaction with the relative lac) of productivity.
Central tasks of Middle Adulthood
1*press love throu%h more than se*ual contacts.
#aintain healthy life patterns.
$evelop a sense of unity with mate.
!elp %rowin% and %rown children to be responsible adults.
+elinMuish central role in lives of %rown children.
'ccept childrenNs mates and friends.
Create a comfortable home.
He proud of accomplishments of self and mate=spouse.
+everse roles with a%in% parents.
'chieve mature( civic and social responsibility.
'djust to physical chan%es of middle a%e.
0se leisure time creatively.
Love for others
1isdom+ %go Integrity vs. Despair 6seniors7 :9 years on$ards;
Psychosocial CrisisA 1%o "nte%rity vs. $espair
#ain IuestionA J!ave " lived a full lifeLJ
DirtueA Kisdom
's we %row older and become senior citi/ens we tend to slow down our productivity and
e*plore life as a retired person. "t is durin% this time that we contemplate our
accomplishments and are able to develop inte%rity if we see ourselves as leadin% a
successful life. "f we see our life as unproductive( or feel that we did not accomplish our
life %oals( we become dissatisfied with life and develop despair( often leadin% to
depression and hopelessness.
The final developmental tas) is retrospectionA people loo) bac) on their lives and
accomplishments. They develop feelin%s of contentment and inte%rity if they believe that
they have led a happy( productive life. They may instead develop a sense of despair if
they loo) bac) on a life of disappointments and unachieved %oals.
7
Havighurst,s Developmental .as4
$evelopmental Tas)s of #iddle '%e,9<-6<-
7. 'chievin% adult civic and social responsibility
;. 1stablishin% and maintainin% an economic standard of livin%
9. 'ssistin% teena%e children to become responsible and happy adults
6. $evelopin% adult leisure-time activities
:. +elatin% oneself to one.s spouse as a person
B. 'cceptin% and adjustin% to the physiolo%ic chan%es or middle a%e
5. 'djustin% to a%in% parents.
V. Medical Management
Medical &rders
7;=7;=.7;
Please admit
TP+ M Shift
$'T
CHC( 0=1( S=1
Pre%abalin :<m%Otab T"$
2ive Celeco*ib ;<<m% H"$ in lieu of Pre%abalin To )now if there is fluid e*cess or
fluid retention
or 1vacuation to 'P#C
Please +efer accordin%ly
to alleviate breathin% difficulty and
assist the need of air by the client.
7;=79=.7;
or referral to $r. $a%uma
Ditamin H comple* 7 cap O$
P-ray lumbrasacral area 'PL view
8
9
Drug Study
10
VI. Drugstudy
Name o"
Drug
Date -lassi"ica
tion
Dose2
#re3uency2
!oute
Mechanism
o" Action
'peci"ic
Indication
6$hy drug
is ordered;
-ontra-
indication
'ide
%""ects2
.o0ic
%""ects
Nursing
Precaution
Pre%abalin
,Lyrica-
7;=7;=
.7;
Pain
reliever(
antisei/ure
s
:<m% 7 tab
T"$
Pre%abalin
binds to
calcium
channels on
nerves and
may modify
the release of
neurotransmit
ters
,chemicals
that nerves
use to
communicate
with each
other-.
+educin%
communicatio
n between
nerves may
contribute to
Pre%abalin
is used for
neuropathic
pain
'lcohol and
dru%s that
cause sedation
may increase
the sedative
effects of
pre%abalin.
Pio%lita/one
and
rosi%lita/one
cause wei%ht
%ain( fluid
retention and
possibly heart
failure.
Therefore(
combinin%
pre%abalin with
these dru%s
may increase
di//iness(
drowsiness(
dry mouth(
edema
,accumulati
on of fluid-(
blurred
vision(
wei%ht %ain(
and
difficulty
concentrati
n%. Other
side effects
include
reduced
blood
platelet
counts( and
increased
7. 'ssess
patient
before
startin%
%ivin%
dru%s.
;.be alert to
adverse
reaction
.
11
pre%abalinNs
effect on pain
and sei/ures.
the occurrence
of wei%ht %ain
and fluid
retention.
blood
creatinine
)inase
levels. .
&ameA 1duardo 2utierre/ 3r.
Name o"
Drug
Date -lassi"icatio
n
Dose2
#re3uen
cy2
!oute
Mechanism o"
Action
'peci"ic
Indication
6$hy drug
is
ordered;
-ontra-
indication
'ide
%""ects2
.o0ic
%""ects
Nursing
Precaution
Celecoxib
(Celebrex)
7;=7;=.
7;
&S'"$S ;<<m% 7
tab H"$
Celeco*ib
bloc)s the
en/yme that
ma)es
prosta%landins
,cycloo*y%enas
e ;-( resultin%
in lower
concentrations
of
prosta%landins.
's a
used for
treatin%
pain

!ypersensiti
vity to the
said dru%.

The most
ommo!
"d#erse
e$ets
"re
he"d"he
%
"bdom&!
"l '"&!%
dys'e's&
"%
d&"rrhe"%
!"use"%
7. Ta)e this
medication
by mouth
as directed
by your
doctor(
usually
twice daily(
12
conseMuence(
inflammation
and its
accompanyin%
pain( fever(
swellin% and
tenderness are
reduced.
("tule!
e% "!d
&!som!&"
)e"*!es
s+
&ameA 1duardo 2utierre/ 3r.
Name o"
Drug
Date -lassi"ication Dose2
#re3uency
2
!oute
Mechanism o"
Action
'peci"ic
Indication
6$hy drug
is
ordered;
-ontra-
indication
'ide
%""ects2
.o0ic
%""ects
Nursing
Precaution
Dit H
comple*
7;=79=
7;
Ditamins
'nd
#inerals
:<<m%
"DTT M >
o
'&ST
' coen/yme
that stimulate
metabolic
function and is
needed for cell
replication(hem
atopoiesis(and
nucleoprotein
or
suppleme
ntation
Contraindica
ted to
patient
hypersensiti
ve to dru%s
CDA
peripheral
vascular
thrombosi
s( heart
failure.
2"A
Transient
7. 'ssess
patient
before
startin%
%ivin%
dru%s.
;.be alert to
adverse
13
and myelin
synthesis
diarrhea.
+espiAPul
monary
edema.
S)inA
itchin%(tra
nsitory
e*anthem
a(urticaria
.
reaction
9. 2ive
dru%s with
meal to
minimi/e 2"
distress.
14
VII. Anatomy & Physiology
.he 'ciatic
Nerve and
'ciatica
Sciatica symptoms occur
when the lar%e sciatic nerve
is irritated. The
sciatic nerve is the lar%est sin%le nerve in the body and is composed of individual nerve
roots that start by branchin% out from the spine in the lower bac) and combine to form the
?sciatic nerve@.
The sciatic nerve starts in the lower bac) at lumbar se%ment 9 ,L9-.
't each level of the lower spine a nerve root e*its from the inside of the spine and then
comes to%ether to ma)e up the lar%e sciatic nerve.
The sciatic nerve runs from the lower bac)( down the bac) of each le%
Portions of the sciatic nerve then branch out in each le% to innervate certain parts of the le% -
e.%. the buttoc)( thi%h( calf( foot( toes.
15
The spinal cord comes off the base of the brain( runs
throu%hout the cervical and thoracic spine( and ends at the
lower part of the thoracic spine. Therefore( spinal cord injury or
dama%e may accompany trauma or diseases of the cervical spine or thoracic
spine.
The spinal cord does not run throu%h the lumbar spine ,lower bac)-. 'fter
the spinal cord stops in the lower thoracic spine( the nerve roots from the
lumbar and sacral levels come off the bottom of the cord li)e a Jhorse.s tailJ
,cauda eMuina- and e*it the spine ,view the spinal nerve roots with #igure
<-.
Therefore( because the lumbar spine has no spinal cord and comprises a
lar%e amount of space for the nerve roots( even serious
conditions ,such as a lar%e disc herniation- are unli)ely to
cause paraple%ia ,loss of motor function in the le%s-.
Division o" the 'pinal -ord
The spinal cord can be divided into se%ments accordin% to the nerve
roots that branch off of it. &erves alon% the cord consists of > cervical
nerves( 7; thoracic nerves( : lumbar nerves( : sacral nerves( and 7 coccy%eal nerve.
The nerve roots run throu%h the bony canal( and at each level a pair of nerve roots e*its from
the spine.
-ervical spine nerve roots. "n the cervical spine ,nec)-( the nerve root is named for
the lower segment that it runs between ,e.%. CB nerve root at C:-CB se%ment-.
*um(ar spine nerve roots. "n the lumbar spine ,lower bac)-( the nerve is named for
the upper segment that it runs between ,e.%. L6 nerve root at L6-L: se%ment-.
VIII. Pathophysiology
+is) factors for sciatica includeA
Age. '%e-related chan%es in the spine( such as herniated dis)s and bone spurs( are the
most common causes of sciatica.
16
&(esity. Hy increasin% the stress on your spine( e*cess body wei%ht may contribute to
the spinal chan%es that tri%%er sciatica.
&ccupation. ' job that reMuires you to twist your bac)( carry heavy loads or drive a
motor vehicle for lon% periods may play a role in sciatica( but thereNs no conclusive
evidence of this lin).
Prolonged sitting. People who sit for prolon%ed periods or have a sedentary lifestyle
are more li)ely to develop sciatica than active people are.
Dia(etes. This condition( which affects the way your body uses blood su%ar( increases
your ris) of nerve dama%e.
Trauma
(,eh&ul"r "&de!t)
piriformis muscle
Shorte!s or s'"sm
Com'resses S&"t& !er#e
Tin%lin% pain
s=s &umbness %oin% down to lower e*tremities
intense pain when wal)in% or prolon% sittin%
I. Nursing Assessment
Nursing 'ystem !evie$ -hart
17
%%N.+
Q R impaired vision Q R blind
Q R pain redden Q R draina%e
Q R %ums Q R hard of hearin% Q R deaf
Q R burnin% Q R edema Q R lesion teeth
Q R assess eyes ears nose
Q R throat for abnormality
Q * R no problem
!%'P+
Q R asymmetric Q R tachypnea Q R barrel chest
Q R apnea Q R rales Q R cou%h
Q R bradypnea Q R shallow Q R rhonchi
Q R sputum Q R diminished Q R dyspnea
Q R orthopnea Q R labored Q R whee/in%
Q R pain Q R cyanotic
Q R assess resp. rate( rhythm( pulse blood
Q R breath sounds( comfort
Q* R no problem
-A!DI&VA'-=*A!+
Q R arrhythmia Q R tachycardia Q Rnumbness
Q R diminished pulses Q R edema Q R fati%ue
Q R irre%ular Q R bradycardia Q R mur mur
Q R tin%lin% Q R absent pulses Q R pain
'ssess heart sounds( rate rhythm( pulse( blood
Pressure( circ.( fluid retention( comfort
Q *R no problem
5A'.!&IN.%'.INA* .!A-.+
Q R obese Q R distention Q R mass
Q R dyspa%ea Q R ri%idity Q R pain
Q R assess abdomen( bowel habits( swallowin%
Q R bowel sounds( comfort
Q *R no problem
5%NI.& > =!INA!/ AND 5/N%
Q R pain Q R urine Q R color Q R va%inal bleedin%
Q R hematuria Q R dischar%e Q R nucturia
Q R assess urine freMuency( control( color( odor( comfort
Q R %yne bleedin%Q R dischar%e
Q * R no problem
N%=!&+
Q R paralysis Q R stuporus Q R unsteady Q R sei/ure
Q R lethar%ic Q R comatose Q R verti%o Q R treamors
Q R confused Q R vision Q R %rip
Q R assess motor( function( sensation( LOC( stren%th
Q R %rip( %ait( coordination( speech Q * R no problem
M='-=*&'?%*%.A* and '?IN+
Q R appliance Q R stiffness Q R itchin% Q R petechie
Q R hot Q R draina%e Q R prosthesis Q R swellin%
Q R lesion Q R poor tur%or Q R cool Q R flushedQ R atrophy
Q =R pain Q R ecchymosis Q R diaphoretic moist
Q R assess mobility( motion %ait( ali%nment( joint function
Q R s)in color( te*ture( tur%or( inte%rity
Q R no problem
N=!'IN5 A''%''M%N. II
SUBJECTIVE OBJECTIVE
COMMUNICATION:
- . /e"r&!g loss
- . #&su"l h"!ges
- .0l"sses - .
1"!gu"ge
18
2m"*"*&t" m"! *o
ug m"*" du!go!g 2
"s #erb"l&3ed by
the '"t&e!t
4ed!ess 5
r&ght eye
6"&! 5lumb"r
"re" r"d&"t&!g
to lo)er
extrem&t&es
7umb!es
s 5 r&ght
leg
-8. de!&ed


- .Co!t"t le!s - ./e"r&!g
"&de
4 1
6u'&l s&3e9 3mm - .S'eeh

d&:ult&es
4e"t&o!9'u'&l e;u"lly rou!d "!d
re"t&#e to l&ght "ommod"t&o!
OXYGENATION:
- . Dys'!e"
- 8. smo*&!g h&story
1 '"* " d"y
- . ough
- . S'utum
-8. De!&ed
4es'+ -8.regul"r - . &rregul"r
Desr&be9
49 symmetr&"l to le<t lu!g
19 symmetr&"l to r&ght lu!g
CIRCULATION:
- .Chest '"&!
- 8. leg '"&!
- 8. !umb!ess
&! extrem&t&es
- . de!&ed
/e"rt 4hythm -8.regul"r - .
&rregul"r
=!*le >dem" !o!e
6ulse C"r+ 4"d+ D6 ?em@
4 (A) 80b'm (A) !ot
obt"&!ed
1 (A) 80b'm (A) !ot
obt"&!ed
Comme!ts9
6uls"t&o! '"l'"ble "t "rot&d "!d
dors"l&s 'ed&s 'ulse s&ght+
@B< "''l&"ble
NUTRITION:
D&et9 D=T Comme!ts9
- . 7 - . ,
Ch"r"ter
- .4ee!t h"!ge &!
)e&ght% "''et&te
- .S)"llo)&!g d&:ulty
-8.de!&ed
- .De!tures -8. 7o!e
6"rt&"l C&th 6"t&e!t
D''er - . - .

1o)er - . - .
19
Eg" '"!&g"r&lyo *o
'ero )"l" *o g&F
ubo *"ru!G "s
#erb"l&3ed by the
'"t&e!t
2b&!hod ug s"*&t *""u
"*o!g t&&l ug l&*od '"g
mu l"*") *oG "s
#erb"l&3ed by the
'"t&e!t
2o* r"m"! !oo!
"*o!g *"u!G "s
#erb"l&3ed by the
'"t&e!t
ELIMINATION:
Dsu"l bo)el '"tter!9 Dr&!"ry
<re;ue!y9
t)&e " d"y 3 t&mes "
d"y
- . ol&gur&"
- .Co!st&'"t&o! - . urge!y
remedy - . dysur&"
- .
hem"tur&"
D"te o< l"st HI9
De 13%2012
(h"r"ter) - .
&!o!t&!e!e
- . 'olyur&"
-8. de!&ed
Comme!ts9 Ho)el sou!ds9
Abdominal Not obtained
d&ste!t&o! 'rese!t =bdom&!"l
d&ste!t&o!9
6rese!t - .
yes - . !o
Dr&!e@ (olor%
odor%

o!s&ste!y)

- . <oley
b"g &! 'l"e
MANAGEMENT AND HEALTH
ILLNESS:
-x . "lohol -. de!&ed
("mou!t% <re;ue!y)
- .SH> 1"st 6"' Sme"r9 !ot "''l&"ble
1I69 !ot "''l&"ble
Hr&e(y desr&be the '"t&e!tJs "b&l&ty
to <ollo) tre"tme!ts (d&et%
meds% et+) <or hro!& he"lth
'roblems (&< 'rese!t)+
Patient is cooperative to treatment
regimen. Under physicians
monitoring about his case.
SKIN INTEGRITY:
- .Dry Comme!ts9

- .Bth&!g
- .Kther
- 8.De!&ed
- .Dry - .Cold - .6"le
- .?lushed - .C"rm
- .Io&st - .Cy"!ot&
@ r"shes% ulers% deub&tus
(desr&be s&3e% lo"t&o!% dr"&!"ge)
ACTIVITY/ SAFE:
- .Co!#uls&o! Comme!ts9

- . d&33&!ess
-x . l&m&ted mot&o!

1&m&t"t&o! &!
- .1KC "!d or&e!t"t&o!9 patient is
oriented to time and
place upon care
0"&t9 - .)"l*er - ."!e
- .other
20
6"t&e!t h"s
!ormo "t&#e
bo)el sou!ds
7ormo "t&#e
Lello)%
moder"te &!
"mou!t
K"s&o!"l dr&!*&!g
2D& m"! *""u
m"l" "*o!g
'"!&t*"y g" lot&o!
m"! *o '"r" 'ud
mo 'ut& *oG"s
#erb"l&3ed by
2m"*"l&go m"!
*og "*o r" &s"
s"*&t l"!g gyud
"*o l&*od
'"dulo!g s" "*o
t&&l l"b") !" *u!g
m"g l"*") *oG "s
#erb"l&3ed by the
"b&l&ty to
- .=mbul"te
- .H"the sel<
- .Kther
- .De!&ed
- .Ste"dy - x .D!ste"dy
- .Se!sory "!d motor losses &! <"e
or
>xtrem&t&es9
-x .4KI l&m&t"t&o!s9 l&m&ted r"!ge
o< mot&o!
COMFORT/ SLEEP/ AWAKE:
- 8.6"&! Comme!ts9
(lo"t&o!
<re;ue!y
remed&es)
- .7otur&"
- x.Slee' d&:ult&es
- .De!&ed
- x. ?"&"l gr&m"es
-x . 0u"rd&!g
- . Kthers s&g!s o< '"&!9
S&de r"&l rele"se <orm s&g!ed (60 A
ye"rs)
COPING:
Ku'"t&o!9 Sold&ers
Iembers9 l&#&!g )&th )&<e
Iost su''ort&#e 'erso!9 C&<e
Kbser#ed !o!F#erb"l beh"#&or9
patient is cooperative during
interview and to other treatment
regimen.
21
2g" !gutF!gut
us"h"y "*o!g t&&l
mu!"!g d& *o *"
tologG "s
#erb"l&3ed by the
'"t&e!t
!o!e
Nursi!
M""!#$#%
22
. N=!'IN5 -A!% P*AN
&ameA 1duardo 2utierre/ jr.
Cues &ursin% $ia%nosis Objectives "nterventions +ationale 1valuation
'u()ective+
? 2alisod )o%
la)aw )ay sa)it
jud )aau a)on%
li)od padulon% sa
a)on% tiil@ as
verbali/ed by the
patient
&()ectives+
@restless and
moderately
an*ious
"mpaired physical
mobility related to
pain( muscle
spasm( and
reduced fle*ibility.
'hort-term 5oal+
't the end of
;hours of nursin%
intervention( the
patient will be able
toA
>lessen felt pain.
*ong-term 5oal+
't the end of
7;hours
of nursin%
intervention( the
patient will be able
toA
Sreduce pain with
evidence pain
scale of 6=7<
Independent+
>$eep Hreathin%
e*ercise advised
durin% onset of
pain
> 'dvised
diversional
activities
> 'dvised to avoid
liftin% heavy
objects
S'deMuate rest
provided
Dependent+
S2ive prescribe
pain relievers li)e
Pre%abalin
Sthis will reduce
the pain
S$ivert attention
from pain felt
STo avoid addin%
more injury
Sto help rela* the
muscle and
conserve ener%y
also sleepin% may
alleviate pain.
STo treat intense
pain
't the end of
7;hours of nursin%
intervention( the
patient was able
toA
S report pain scale
of B=7<
23
&ameA 1duardo 2utierre/ jr.
Cues &ursin%
$ia%nosis
Objectives "nterventions +ationale 1valuation
'u()ective+
?Sa)it jud
)aau a)on%
tiil labaw na
diri sa to-o@
as verbali/ed
by the patient
&()ectives+
@pain scale of
5=7<
@acial
%rimacin%
when
palpation is
performed
@%uardin%
mechanism
S+adiation-
from lower
bac) to lower
e*tremities
Onset-chronic
Chronic pain
related to
nerve=tissue
trauma in the
ri%ht le% as
evidenced by
verbal
reports(
%uardin%
behaviour(
and limited
ran%e of
motion
'hort-term 5oal+
't the end of 9<
mins of nursin%
intervention( the
patient will be
able to A
>verbali/e pain is
relieved.
>decrease guarding
and facial grimace
>pain scale from
7/10 to 3/10
*ong-term 5oal+
't the end of
6days of nursin%
intervention( the
patient will be
able to A
Swal) and stand
normally without
pain
Independent+
S1ncoura%ed deep
breathin% on onset
of pain
>promote bed rest
>1ncoura%e
freMuent chan%e in
position(assist to
move in bed
Sprovide a Muite
environment
Dependent+
'dminister anal%esi
a as ordered by the
physician
S#inimi/es= reduces
pain
Sto limit pain
SStabili/e pain and
prevent stiffness
Sto lessen stimulation.
Sto decrease or reduce
the pain immediately
't the end of 9<mins
of nursin%
intervention( the
patient was able to A
S%uardin% and facial
%rimace has
decreased
Spain scale from
5=7< to :=7<
24
&ameA 1duardo 2utierre/ jr.
Cues &ursin% $ia%nosis Objectives "nterventions +ationale 1valuation
'u()ective+
A#ahadlo) )o
basin di na)o ma
ayo ani@ as
verbali/ed by the
patient.
&()ectives+
@restless and
moderately
an*ious
@ appears tensed
and nervous
an*iety 'hort-term
5oal+
't the end of
6hours of nursin%
intervention( the
patient will be able
to A
>report reduce
an*iety
Independent+
>allow patient to
verbali/e feelin%s
>provide accurate
information
re%ardin% situation
>+eplace sharp
objects ,)nifes(
for)s( etc.- with
safer items.
Sto assist patient
in identifyin%
feelin%s and be%in
to deal with the
problem
S to present reality
and provide facts
S'void cuts and
injurin% self
't the end of
6hours of nursin%
intervention( the
patient was able
to A
>report relief of
an*iety
25
S
? 2alisod )o% la)aw )ay sa)it jud )aau a)on% li)od padulon%
sa a)on% tiil@ as verbali/ed by the patient
O
@restless and moderately an*ious
A
"mpaired physical mobility related to pain( muscle spasm( and
reduced fle*ibility.
P
'hort-term 5oal+
't the end of ;hours of nursin% intervention( the patient will
be able toA
>lessen felt pain.
*ong-term 5oal+
't the end of 7;hours of nursin% intervention( the patient will
be able toA
Sreduce pain with evidence pain scale of 6=7<
I
Independent+
>$eep Hreathin% e*ercise was advised durin% onset of pain
> 'dvised diversional activities
> 'dvised to avoid liftin% heavy objects
SKas instructed to have 'deMuate rest
E
't the end of 7;hours of nursin% intervention( the patient was
able toA
S report pain scale of :=7<
S
?Sa)it jud )aau a)on% tiil labaw na diri sa to-o@ as verbali/ed by
the patient
26
O
@pain scale of 5=7<
@acial %rimacin% when palpation is performed
@%uardin% mechanism
S+adiation- from lower bac) to lower e*tremities
Onset-chronic
A
Chronic pain related to nerve=tissue trauma in the ri%ht le% as
evidenced by verbal reports( %uardin% behaviour( and limited
ran%e of motion
P
'hort-term 5oal+
't the end of 9< mins of nursin% intervention( the patient will be
able to A
>verbali/e pain is relieved.
>decrease guarding and facial grimace
>pain scale from 7/10 to 3/10
*ong-term 5oal+
't the end of 6days of nursin% intervention( the patient will be
able to A
Swal) and stand normally without pain
I
Independent+
SKas 1ncoura%ed deep breathin% on onset of pain
>promoted bed rest
>Was 1ncoura%e freMuent chan%e in position(assist to move in
bed
SKas provide a Muite environment
E
't the end of 9<mins of nursin% intervention( the patient was
able to A
S%uardin% and facial %rimace has decreased
Spain scale from 5=7< to :=7<
S
A#ahadlo) )o basin di na)o ma ayo ani@ as verbali/ed by the
patient.
27
O
@restless and moderately an*ious
@ appears tensed and nervous
A
an*iety
P
'hort-term
5oal+
't the end of 6hours of nursin% intervention( the patient will be
able to A
>report reduce an*iety
*ong-term 5oal+
't the end of >hours of nursin% intervention( the patient will be
able toA
Srest well and comfortable
I
Independent+
>allowed patient to verbali/e feelin%s
>was provided accurate information re%ardin% situation
>+eplaced sharp objects ,)nifes( for)s( etc.- with safer items.
E
't the end of 6hours of nursin% intervention( the patient was
able to A
>report relief of an*iety
I. !e"errals & #ollo$- up
28
There are many important thin%s you can do to help minimi/e the li)elihood of
potential dama%e associated with serious complications as a result of Sciatica. Stay
informed about your condition and about new and developin% therapies. 2et support from
family( friends( counselors and other patients to maintain the very best Muality of life.Tal)
with your physician about your particular situation and what to loo) for. Kor) closely with
your healthcare providers( and do what is necessary to safe%uard your health( you can
develop a plan for what can be done to prevent complications or to treat complications if
they occur. Hoth patients and physicians have every reason to believe that the
understandin% of sciatica and the ability to mana%e sciatica and its complications will
continue to improve. This offers a very real promise that the outcomes also will continue to
improve.
II. %valuation & Implication
The si%nificance of this study promul%ates a comprehensive learnin%( s)ills and
responsibilities on the said case. "t includes a thorou%h collaborative discussion and
interaction between me( as a student nurse and my client at the #edical Kard at 'P#C.
$ifferent nursin% assessment and interventions( both ideal and actual was presented in
order to show a comparison and variability of each procedure done. &ot only on the nursin%
part was presented( a comprehensive medical and dia%nostic procedures was also
compared( both actual and ideal to show the essence of every care %iven. $urin% the
discussion of anatomy and physiolo%y( and its pathophysiolo%y related to the condition( the
case will thorou%hly deviate from the normal flow of the story and yet further analysis is
reMuired since no actual Pathophysiolo%y was thorou%hly discussed to e*plain the theory
presented. 'll the essential data reMuired are presented and tabulari/ed in order to ease up
the readers upon readin%.
The whole discussion will truly %ive innovations to the related education and field studies
and will somewhat aid the readers to enli%hten their minds about sciatica.
's a student nurse e*posed in the clinical area( )nowin% the si%nificance of each
nursin% practice will promote a %reat alteration in our future profession. 1very case
encountered whether complicated or not deals a lot for us because we deal with life here
and yet simple problem can lead onto hu%e complication if no intervention will be done
29
immediately. " really appreciate the si%nificance of this case in relation to my chosen field of
studies for it made my mind twist for awhile leavin% my head open-ended Muestion of how a
simple trauma can cause a serious e*perience and cause of sciatica. Hut later on( " develop
and find the answer to my Muestion upon further studyin%.
!andlin% and %ivin% care to a client under this condition truly challen%e my )nowled%e( s)ills
and attitude as a student nurse vital si%ns( especially the blood pressure was the most
si%nificant responsibility to be done. 't the clinical area( shift to shift monitorin% of inta)e
and output was also done to provide and monitor the metabolism of my client. +e%ular
monitorin% of "D fluid was also done to maintain fluid balance and replenish the client.s body
in a desired manner and as prescribed. !ealth teachin% and demonstratin% the proper
breathin% e*ercise( includin% the rationale of each procedure done was also shared to my
client to show competitiveness in my tas) and chosen course.
The study will provide data that can be potentially used up in durin% a future
research related to sciatica. Throu%h the comprehensive discussion and comparison of
every actual and ideal care %iven( it will be helpful in doin% client education on patient under
the same manner. 'lthou%h a new innovation of the said topic is presented( " also
recommend a further research for a better data and enhancements of the topic. The said
topic can also be used as a basis for studies and maybe helpful enou%h in the upcomin%
more studies
30