Lecture-Musculoskeletal 10.09

Lecture-Musculoskeletal 10.09 - Curry College Division of...

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Curry College Division of Nursing NSG 2002-Introduction to Health Assessment Musculoskeletal Assessment
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Learning Objectives n Describe the structure and functions of the bones, skeletal muscles, and joints. n Discuss risk factors for osteoporosis and ways to reduce these risk factors. n Obtain an accurate nursing history of the client’s muscles, joints, and bones. n Explain how to prepare the client for an examination of the muscles, joints, and bones.
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Learning Objectives n Describe the two physical examination techniques (inspection and palpation) used to complete a musculoskeletal assessment. n Assess the client’s gait. n Assess the client’s joints for position, ROM, muscle developments and strength. n Describe expected aging changes of the musculoskeletal system.
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Musculoskeletal System n The musculoskeletal system. n Bones n Joints n Muscles n Controlled and innervated by the nervous system. All evaluated together
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Bones n Provide structure n Protection, n Store calcium, n Produce blood cells. n 206 bones in the body n More than 1/2 in hands and feet
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Joints n Where two or more bones meet. n Permit range of motion.
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Joints n Fibrous (or Immovable) Joints: n Held together by strong connective tissue . n No movement n Cartilaginous Joints: n Articular surfaces attached to each other by discs and ligaments n Limited degree of movement . n Synovial: n Bones don’t touch each other, cushioned by cartilage , supported by ligaments . n Freely movable
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Bursa n Located between friction points n Fluid filled sac n Bursitis – inflammation of bursa
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Muscles n Assist with posture, n Produce body heat, n Allow movement. (see display 24-1, p. 553-554)
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Subjective Data n Pain (myalgia – muscle pain) n Stiffness n Decreased ROM n Swelling n Weakness n Numbness/Tingling
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Subjective Data n Assess effect of joint problems on functional abilities n Ask what patient can’t do anymore Functional assessment = ADL’S
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n Past medical history: n Problems or injuries? n
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Lecture-Musculoskeletal 10.09 - Curry College Division of...

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