After a scoliosis repair with Harrington rod instrumentation, what intervention should a nurse include in the postoperative care plan for the adolescent?

The choice to initiate the use of a PCA (Patient-Controlled Analgesia) pump for pain control after a scoliosis repair with Harrington rod instrumentation is an appropriate postoperative intervention for several reasons.

After major spinal surgery, effective pain management is critical to recovery. A PCA pump allows the adolescent to control their pain relief by self-administering small doses of analgesic medication when they need it, within prescribed limits. This method not only helps in managing pain more effectively but also empowers the patient, giving them a sense of control over their comfort levels during the healing process. Following surgery, particularly in the case of spinal procedures, pain levels can be significant, and ensuring adequate pain control can facilitate earlier mobilization, reduced anxiety, and improved overall recovery.

Other options, although important in their context, do not offer the same level of immediate and tailored pain management as the PCA pump. For example, administering oral pain medication may not be sufficient right after surgery when pain levels are likely to be higher, and it may take time for the medication to take effect. Encouraging ambulation immediately can be beneficial; however, it should only be done when the patient's pain is adequately managed to avoid additional discomfort and promote safety. Restricting fluid intake is