Lecture Notes Part 2
Includes fractures, sprains, strains, overuse injuries, amputations
Includes inflammatory conditions as osteomyelitis, arthritis
Includes cancer, osteoporosis, osteomalacia, rickets, and Paget's
For the person with a musculoskeletal condition:
List the effects on PERSON:
(effects entire person; especially with long term immobilization)
sychosocial leads to depression, job change, altered body image,
limination, altered due to restricted body position, pain medications,
altered diet, etc.
est, comfort, regulatory, altered due to pain control, sleep deficits
due to pain and altered body position, limited movement due to
casts, traction, braces, etc.
afety impaired due to altered gaits neurologic and sensory
xygenation, tissue perfusion deficits due to blood loss,
complications of fat emboli, factors that compromise oxygenation
utrition impaired due to markedly increase metabolic needs.
healing requires increased protein, Vitamins C and D.
Most frequent nursing diagnosis for musculoskeletal
Disuse syndrome, high risk for
Impaired skin integrity, high risk for
Infection, high risk for
**Peripheral neurovascular dysfunction, high risk for (priority)
Trauma, high risk for injury
*Alteration in tissue perfusion
Alteration in bowel elimination
* All complications of immobility apply depending upon particular dysfunction
Components of Assessment
Identify why care is sought.
Identify what was injured; how it happened and what was the mechanism, force and
direction of injury; when did it occur and what disability resulted; when did the swelling,
redness, discoloration, and temperature change develop?
What treatment was done?
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