CEBU TECHNOLOGICAL UNIVERSITY

in consortium with
CEBU CITY MEDICAL CENTER- COLLEGE OF NURSING

Name: Joe Janaeca Reyes ID no. 19085 Section: B

Module No. 7
Module Title: Disturbances in Coordination (Musculoskeletal)

Learning Activity 1.

Assessment for Fracture: List down at least 10 Priority, Focus Assessment and with
complications.

Learning Activity 2.

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 CEBU TECHNOLOGICAL UNIVERSITY
in consortium with
CEBU CITY MEDICAL CENTER- COLLEGE OF NURSING

Name: Joe Janaeca Reyes ID no. 19085 Section: B

TYPES RHEUMATOID OSTEOARTHRITIS GOUT ARTHRITIS

Definition (RA) is a chronic, Osteoarthritis, also Gout is the most

progressive, and known as degenerative common type of
disabling autoimmune joint disease (DJD), is inflammatory arthritis. It
disease. It causes the most common type causes sudden and
inflammation, swelling, of arthritis. intense attacks of joint
and pain in and around Osteoarthritis is more pain, often in the big
the joints and can affect likely to develop as toe and at night. It can
other body organs. people age.  also strike joints in
other toes or the ankle
or knee.  It’s due to a
crystal called uric acid.
Causes RA is an autoimmune It occurs when the It occurs when the
disease.  protective cartilage that body has high levels
cushions the ends of of uric acid, or
the bones wears down hyperuricemia, uric
over time. acid crystals can
concentrate in the
joints. 
Risk factors  Your sex. Women  Older age. The risk  Family history.
are more likely than of osteoarthritis Even though your
men to develop increases with age. kidneys can be
rheumatoid arthritis.  Sex. Women are completely
 Age. Rheumatoid more likely to healthy,
arthritis can occur at develop sometimes the
any age, but it most osteoarthritis, genes you’ve
commonly begins in though it isn't clear inherited make it
middle age. why. more likely that
 Family history. If a  Obesity. Carrying your kidneys
member of your extra body weight don’t flush urate
family has contributes to out as well as they
rheumatoid arthritis, osteoarthritis in should.
you may have an several ways, and  Being overweight.
increased risk of the the more you Gout is much
disease. weigh, the greater more common in
 Smoking. Cigarette your risk. people who are
smoking increases  Joint overweight. The
your risk of injuries. Injuries, more overweight
developing such as those that you are, the more
rheumatoid arthritis, occur when playing urate your
particularly if you sports or from an body produces.
have a genetic accident, can  Gender and age.
predisposition for increase the risk of Gout is about four
developing the osteoarthritis. times more
disease. Smoking  Repeated stress common in men
also appears to be on the joint. If your than women. It
associated with job or a sport you can affect men

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 CEBU TECHNOLOGICAL UNIVERSITY
in consortium with
CEBU CITY MEDICAL CENTER- COLLEGE OF NURSING
Name: Joe Janaeca Reyes
greater disease
severity.
 Excess
weight. People who
are overweight
appear to be at a
somewhat higher risk
of developing
rheumatoid arthritis.
Signs &  Morning/sunrise
Symptoms stiffness
 Soft feeling in the
joints
 Swelling in joints
 Symmetrical joint
involvement
 Pain or achiness in
joints
Feature RA usually affects the
hands and feet first, but it
can occur in any joint. It
usually involves the
same joints on both sides
of the body.
Diagnosis Blood test - check
rheumatoid factor and
anti-citrullinated peptide
(anti-ccp) antibody
Imaging tests for bone
ID no. 19085 Section: B
play places of any age, but the
repetitive stress on risk is greater as
a joint, that joint you get
might eventually older.  Women
develop rarely develop
osteoarthritis. gout before
 Genetics. Some the menopause.
people inherit a
tendency to
develop
osteoarthritis.
 Bone
deformities. Some
people are born
with malformed
joints or defective
cartilage.
 Certain metabolic
diseases. These
include diabetes
and a condition in
which your body
has too much iron
(hemochromatosis).
 Joint pain  Intense pain.
 Stiffness  Redness.
 Tenderness  Stiffness.
 Loss of flexibility  Swelling.
 Grating sensation.  Tenderness, even
 Bone spurs.  to light touch, such
 Swelling in joints as from a bedsheet.
 Warmth, or a
feeling like the joint
is “on fire.”
Pain and stiffness in Sudden, severe attacks
joints, worsened with of pain, swelling,
activity* and relieved redness and
by rest. tenderness in one or
more joints, most often
in the big toe.
Joint aspiration.  Arthrocentesis (joint
This test will look for aspiration test)-
infection or crystals in aspirate synovial fluid
the fluid to help rule out in synovial cavity for
other medical therapeutic and
conditions or other diagnostic purposes;
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 CEBU TECHNOLOGICAL UNIVERSITY
in consortium with
CEBU CITY MEDICAL CENTER- COLLEGE OF NURSING

Name: Joe Janaeca Reyes ID no. 19085 Section: B

erosion and density: forms of arthritis. usually done for gout

 Xray arthritis to check uric
 MRI Imaging tests for bone acid crystals.
erosion and density:
 Xray Blood test to check
 MRI uric acid levels.

Imaging tests for bone

erosion and density:
 Xray
 MRI

Managemen Nursing intervention: Nursing Intervention: Nursing Intervention:

t Focus: pain, preserving Focus: pain, Focus: pain,
joints, educating, preserving joints, preserving joints,
mental status (low self- educating, mental educating, mental
esteem, fatigue, pain, status (low self- status (low self-
no cure) esteem, fatigue, pain, esteem, fatigue, pain,
 Assess pain no cure) no cure)
 Swollen/inflamed  Assess pain  Assess pain
joints:  Swollen/inflamed  Swollen/inflamed
 Heat comp. joints: joints:
(stiffness)  Heat comp.  Heat comp.
 Cold comp. (stiffness) (stiffness)
(pain/inflamed)  Cold comp.  Cold comp.
 Physical exercise (pain/inflamed) (pain/inflamed)
(don’t over exert)  Physical exercise  Physical exercise
 Rom exercise (don’t over exert) (don’t over exert)
 Low impact aerobic  Rom exercise  Rom exercise
exercise  Low impact aerobic  Low impact aerobic
 Inflammation: refer exercise exercise
drug study  Inflammation: refer  Inflammation: refer
drug study drug study
Pharma:
NSAIDS: ibuprofen, Pharma: Pharma:
celecoxib Analgesics Uric acid-lowering
drugs: Allopurinol,
Corticosteroids: NSAIDS: ibuprofen, Febuxostat
prednisone, celecoxib
dexamethasone, Analgesics
methylprednisolone Corticosteroids:
prednisone, NSAIDS: ibuprofen,
dexamethasone, celecoxib
Surgery: methylprednisolone
The following procedures Corticosteroids:
are possible: prednisone,
 arthroscopic surgery, dexamethasone,

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 CEBU TECHNOLOGICAL UNIVERSITY
in consortium with
CEBU CITY MEDICAL CENTER- COLLEGE OF NURSING

Name: Joe Janaeca Reyes ID no. 19085 Section: B

a procedure to Surgery: methylprednisolone

remove inflamed joint Joint surgery can
tissue improve pain and Surgery:
 surgery to release function. Joint Joint surgery can
tendons responsible replacement surgery improve pain and
for unusual bending replaces damaged function. Joint
in the fingers joints to restore replacement surgery
 carpal tunnel release mobility and relieve replaces damaged
to relieve nerve pain. Hips and knees joints to restore
compression in the are the joints most mobility and relieve
hand and wrist commonly replaced.  pain. Hips and knees
 arthroplasty, or total are the joints most
joint replacement EX: commonly replaced. 
Arthroscopy, Joint
Resurfacing, EX:
Osteotomy Arthroscopy, Joint
Resurfacing,
Osteotomy

Learning Activity 1.
Fill up this form completely provide pictures on each device

ASSISTIVE DEVICES

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 CEBU TECHNOLOGICAL UNIVERSITY
in consortium with
CEBU CITY MEDICAL CENTER- COLLEGE OF NURSING

Name: Joe Janaeca Reyes ID no. 19085 Section: B

Cane Walker Crutches

Canes, are used to assist A walker is a walking Crutches are a type

with walking in a variety of
reasons, which may
include impaired balance,
joint instability, pain,
fatigue, and a need to
reduce weight bearing in
the lower extremity.
aid that has four points of
contact with the ground
and usually has three
sides with the side
closest to the patient
being open. It provides a
wider base of
support than a walking
stick and so is used more
to stabilize patients with
poor balance and mobility
or lower extremity
impairment. [
of Walking Aids that serve
to increase the size of an
individual’s Base of
support. It transfers
weight from the legs to
the upper body and is
often used by people who
cannot use their legs to
support their weight (i.e.
short-term injuries to
lifelong disabilities).

REFERENCE/S:

Ignatavicius, D. D., Workman, M. L., & Rebar, C. (2017). Medical-Surgical Nursing-

E-Book: Concepts for Interprofessional Collaborative Care. Elsevier Health Sciences