5 Nursing Problem of pott’s disease

1. Risk of infection

Pott’s disease or spinal tuberculosis, poses a risk of infection primarily because it is caused my
mycobacterium tuberculosis, the same bacterium responsible for pulmonary tuberculosis.

A.) Infection prevention

-Implementing strict infection control measures, such as adhering to airborne precautions and
ensuring a clean and sterile environment, can help prevent the spread of infection.

b.) Education on hand hygiene

Educating the patient and their caregivers about proper hand hygiene practices, including
frequent handwashing with soap and water or using hand sanitizers, can help reduce the risk of
infection transmission.

c) Adherence to treatment regimen

Ensuring that the patient understands the importance of taking anti-TB medications as prescribed
and completing the full course of treatment can help suppress the infection and reduce the risk of
further complications.

D) Monitoring and managing nutrition Malnutrition can weaken the immune system, making the
patient more susceptible to infections. Monitoring the patient’s nutritional status and providing a
well-balanced diet can help support their immune system and reduce the risk of infection.

e) Regular assessment and monitoring Regularly assessing the patient for signs and symptoms of
infection, such as fever, increased pain, or changes in wound appearance, can help detect
infections early. Prompt intervention and appropriate treatment can then be initiated to prevent
complications.

2. Impaired mobility
Pott’s disease often affects the spine, leading to deformities in limitation in movements.

a.) Assisting with positioning

Helping the patient find comfortable and supportive positions can reduce pain and discomfort,
promoting mobility and preventing further complications.

b.) Providing mobility aids

Recommending and assisting the patient in using appropriate mobility aids, such as crutches or
walkers, can help support their mobility and independence.

c.) Collaborating with physical therapy

Working closely with physical therapists to develop a tailored exercise program can help
improve strength, flexibility, and mobility in patients with Pott’s disease.

D.) Educating on proper body mechanics Teaching the patient and their caregivers about proper
body mechanics when performing daily activities can help prevent further strain or injury to the
spine and promote safe mobility.

d.) Ensuring a safe environment

Assessing the patient’s environment for any potential hazards or obstacles and making necessary
modifications can help create a safe and accessible space for the patient to move around.

3. Impaired skin integrity

Pott’s disease can cause bony prominences or irregularities that can put pressure on the skin. This
pressure can lead to skin irritation, breakdown and the formation of wounds.
 A.) Regular skin assessments
Conducting frequent skin assessments allows for early detection of any changes or signs of
breakdown. This enables prompt intervention and prevents further deterioration of the skin.

b.) Maintain proper hygiene routines

To keep the skin clean and prevent infections.

c.) Instruct patient to use moisture barriers and creams.

To maintain skin integrity and prevent excessive dryness or moisture.

d.) Optimal nutrition

Providing a well-balanced diet rich in essential nutrients, including protein, vitamins, and
minerals, promotes wound healing and supports healthy skin integrity. Adequate hydration is also
important for maintaining skin moisture.

e.) Maintain accurate and detailed documentation of skin assessments, interventions,

and outcomes.
To track progress and improvement