What important teaching point should a nurse include about the use of a thoracolumbosacral orthosis after spinal fusion?

When discussing the use of a thoracolumbosacral orthosis (TLSO) after spinal fusion, it is crucial to emphasize that the device is to be applied before getting out of bed in the morning. This teaching point is important because the TLSO is designed to provide support and stability to the spine following surgery. By putting on the device before rising from bed, the patient helps ensure their spine is adequately supported during movements that may exert stress on the surgical area.

This timing is especially critical since getting out of bed may involve movements that could jeopardize the healing process if the spine is not properly immobilized and supported. Thus, reinforcing the importance of wearing the TLSO before engaging in activities helps patients maintain appropriate spinal alignment and prevent potential complications during the recovery phase.

In this context, wearing the device 24/7 may not always be practical or recommended in every case, and there might be guidelines on when it can or cannot be removed, especially during sleep. Adjustments to the device should also ideally be made by a healthcare professional rather than the patient themselves, ensuring proper fit and function.