Which interventions should the nurse include for a client after spinal fusion?

For a client after spinal fusion, keeping the head of the bed flat and assisting with repositioning is a critical intervention. This approach helps reduce stress on the newly fused spinal segments and maintains spinal alignment, which is essential for proper healing. During the immediate post-operative period, it is vital to minimize movement that may jeopardize the integrity of the surgical site.

Elevating the head of the bed may promote discomfort or strain on the spinal cord and surgical sites, especially immediately after surgery when the patient is still recovering from anesthesia and the surgical procedure. Encouraging independent mobility right after surgery could lead to unsafe movements that might disrupt the healing process. Active range of motion exercises are typically contraindicated in the early stages following spinal fusion to prevent any undue strain on the affected area, as the fusion needs time to stabilize.

Thus, assisting with repositioning while keeping the head of the bed flat supports the healing environment and ensures patient safety during recovery.