Nursing Care of a Patient with Lumbar Spinal Tuberculosis and Toxic Epidermal Necrolysis Following Breast Cancer Surgery

Abstract: This article summarizes the nursing experience of a patient with lumbar spinal tuberculosis and toxic epidermal necrolysis (TEN) following breast cancer surgery, providing reference for clinical multidisciplinary collaborative nursing. The patient initially presented with unhealed postoperative wounds, cold abscess rupture in the lumbodorsal region, and extensive skin and mucosal exfoliation. Based on the Comprehensive Geriatric Assessment (CGA) framework, systematic evaluation was conducted from physiological, functional, and psychosocial dimensions, and an individualized nursing plan was formulated focusing on skin and mucosal care, nutritional support, pain management, complication prevention, and psychological intervention. After 28 days of intensive nursing care, the patient's skin wounds were basically healed, with pain score decreasing from 8 to 2, nutritional risk score from 5 to 2, and anxiety scale score from 12 to 6. The patient was discharged smoothly and transferred to outpatient follow-up. For elderly patients with comorbidities, implementing a multidisciplinary collaborative nursing model can effectively control TEN progression, promote wound healing, and improve patient prognosis.