Musculoskeletal.docx - Molloy College Division of Nursing...

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Molloy College Division of Nursing N290 Dr. D. Kantor Topic: Management of the Adult with Musculoskeletal and Connective Tissue Disorders Classroom Learning Objectives : After completing the required learning activities and participating in classroom activities, the student will: 1. Utilize the nursing process as a framework for the care of patients who have musculoskeletal and connective tissue disorders. 2. Describe risk factors associated with the development of musculoskeletal and connective tissue disorders. 3. Describe the pathophysiology of musculoskeletal and connective tissue disorders. 4. Discuss clinical manifestations, diagnostic studies and collaborative treatment modalities for patients who have musculoskeletal and connective tissue disorders. 5. Discuss the role of the nurse in the treatment of the patient who has a musculoskeletal or connective tissue disorder. 6. Provide age appropriate, evidenced-based nursing interventions for the patients who have musculoskeletal and connective tissue disorders. 1/07 dk
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MOLLOY COLLEGE DIVISION OF NURSING N290 Dr. D.Kantor MANAGEMENT OF THE ADULT WITH MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS OVERVIEW 1. ASSESSMENT 2. Dx. Tests EMG, Arthroscopy, Arthrocentesis, Bone Scan, Myelogram, X-ray, Blood Chemistry: electrolytes, albumin, Liver enzymes, rheumatoid factor, antinuclear antibody (ANA),and C-reactive protein; hematologic studies; WBC, RBC, platelets, PT, PTT, erythrocyte sedimentation rate (ESR), Hgb, Hct. 3. Psychosocial Implications 4. Risk Factors Modifiable: Non-modifiable:
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Management of Trauma and Related Nursing Interventions Soft Tissue Injury 1. Strain: Trauma to a muscle or to the attachment of a tendon from overstretching, overextending, or misuse. Muscle spasms occur. Depending on how bad the strain is, edema and ecchymosis is possible. Treatment: Rest, splinting, elevated and ice applied for the first 24-48 hours. Heat after 72 hours. Activity as tolerated. 2. Sprain: Ligamentous injury resulting in damage to ligament fibers or their attachment to a bone. Ankle is the most common site. The greater the stress and the longer it is applied the greater the injury. Treatment: For mild and moderate: RICE- rest, ice, compression and elevation. With exercise program afterwards to restore ROM. Severe sprain may require surgery. Fractures A fracture is a break or disruption in the continuity of a bone. Can occur with any bone, at any age. The basic pathophysiology and nursing management are similar for all fractures regardless of their type or location. Pathophysiology Fractures are classified by type and extent of the break and its location. A. Complete or Incomplete Complete: implies that the break is across the entire width of the bone (divides into 2 sections) Incomplete: the break did not divide the bone into 2 pieces, went through only part of the width.
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