Professional Documents
Culture Documents
Unit IV
Musculoskeletal
Care Modalities
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Cast
A rigid, external immobilizing device
Uses
Cast
A rigid, external immobilizing device
Uses
Casts
Leg Casts
Body or Spica Casts
Splints and Braces
External Fixator
Traction
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Nursing ProcessAssessment of
the Patient With a Cast
Prior to casting
Knowledge
Monitor neurovascular status and the potential
for complications
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Nursing ProcessAssessment of
the Patient With a Cast
Prior to casting
Knowledge
Monitor neurovascular status and the potential
for complications
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Deficient knowledge
Acute pain
Self-care deficit
Collaborative Problems/Potential
Complications
Compartment syndrome
Pressure ulcer
Disuse syndrome
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Question
Is the following statement True or False?
A patients unrelieved pain should be
reported to the physician 30 minutes after
administered pain medication.
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Answer
False
A patients unrelieved pain must be
immediately reported to the physician to
avoid possible paralysis and necrosis
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Nerves and
Blood Vessels
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Interventions
Relieve pain
Administer analgesics
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Interventions (cont.)
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Five Ps
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Explain exercises
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Question
Is the following statement True or False?
The nurse never adjusts the clamps on the
external fixator frame.
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Answer
True
The nurse never adjusts the clamps on the
external fixator frame. It is the physicians
responsibility to do so.
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Traction
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Types of Traction
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Skin traction
Pelvic traction
Skeletal traction
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Preventative Interventions
Pin care
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Nursing ProcessAssessment
of the Patient in Traction
Assess knowledge
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Deficient knowledge
Anxiety
Acute pain
Self-care deficit
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Collaborative Problems/Potential
Complications
Pressure ulcer
Atelectasis
Pneumonia
Constipation
Anorexia
Urinary stasis and infection
DVT
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Interventions
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Interventions (cont.)
High-fiber diet
Encourage fluids
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Joint Replacements
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Prevention of infection
Prevention of DVT
Patient teaching and rehabilitation
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Hip Prosthesis
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Nursing interventions
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Knee Prostheses
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CPM Device
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Knowledge
Support and coping
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Pain
Vital signs, including respirations and breath
sounds
Level of consciousness
Neurovascular status and tissue perfusion
Signs and symptoms of bleeding: wound drainage
Mobility and understanding of mobility restrictions
Bowel sounds and bowel elimination
Urinary output
Signs and symptoms of complications: DVT or
infection
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Acute pain
Risk for peripheral neurovascular dysfunction
Risk for ineffective therapeutic regimen
management
Impaired physical mobility
Risk for situational low self-esteem and/or
disturbed body image
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Postoperative Collaborative
Problems/Potential Complications
Hypovolemic shock
Atelectasis
Pneumonia
Urinary retention
Infection
Thromboembolism: DVT or PE
Constipation or fecal impaction
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Relief of Pain
Administration of medications
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Interventions
Encourage the patient to set realistic goals and perform selfcare care within limits of the therapeutic regimen
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Interventions (cont.)
Constipation
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