Musculoskeletal Demo

Musculoskeletal Demo - f Wrist—bend wrist and move in...

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PSYCHOMOTOR EXAMINATION Musculoskeletal System Approach to client 1. Introduced self 2. Explained exam 3. Gave proper instructions 4. Assembled needed equipment 5. Arranged proper environment 6. Followed logical exam sequence 7. Performs exam in a professional manner History (R.O.S.) 1. Reviewed musculoskeletal system 2. Determined injuries 3. Determined exercise level 4. Probed positive symptoms 5. Probed positive historical and family history items Exam 1. Assessed posture and gait. Screened for Scoliosis. 2. Muscle mass and bone structure Range of motion, joint tenderness, crepitous, redness, heat, swelling of: a. TMJ—“can you open and close your mouth please?” when you palpate, you’re feeling for crepitus, swellness, redness, b. Neck—move neck forward, backward, to the right, to the left, move it around in a circle c. Shoulders—“can you put your arms out to the side, put them forward, touch your spine behind you, can you go around in a circle d. Elbow—“can I get to bend your arm for me e. Fingers—palapate the fingers and feel for nodes or warmth
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Unformatted text preview: f. Wrist—bend wrist and move in circle. g. Spine—can you bend over (check over for scrolosis. Ask her to talk there and back. Legs—bring it forward, bring it back, abduct, adduct. h. Hip-ask patient to lay down and passively assess it. You as the nurse move it up and move it to the side. Circumduct hip. Bend knee up. Ask if you can move her ankle—dorsal flex, plantar flex, circumduct. i. Knees j. Ankle k. Feet 3. Test muscle strength of: (if it’s a muscle, oppose it) Push down on a. Deltoid b. Biceps c. Triceps—ask patient to make a fist, and ask them to push away from you. d. Wrist e. Fingers—ask patient to squeeze finger and push apart. f. Hip (adbuctors, adductors)—“push hand away” g. Hamstring—put hand on bottom of calf and ask patient to push down back to table. h. Quadriceps—have them raise their leg up at the knee i. Ankle and foot Records the assessment findings accurately...
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Musculoskeletal Demo - f Wrist—bend wrist and move in...

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