The nurse is documenting the interdisciplinary team report on an adolescent client who has a 35-degree Cobb angle confirmed by x-ray. Which interventions are appropriate for this client?
Select all that apply.
A) Obtaining a physical therapy consult prior to surgical intervention
B) Maintaining the existing curvature with no increase
C) Bracing for 12-23 hours per day and support group referral
D) Administering non-opioid analgesics and TLSO or Milwaukee brace
E) Instructing on exercises and appropriate support groups
Answer: C, D, E
Treatment of children with a Cobb angle between 25 and 45 degrees consists of bracing for 12-23 hours per day with a TLSO or Milwaukee brace, mild pain medication, counseling or support group referral, and exercise to improve posture and maintain or increase spine flexibility. Mild scoliosis is observed every 3-6 months. Severe scoliosis requires surgical intervention and subsequent physical therapy. Calcium supplements are not indicated for scoliosis. Support groups or counseling is suggested for clients with moderate or severe scoliosis or as needed.
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