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Musculoskeletal for Med Surg

AB
Psychosocial Assessment data for musculoskeletal injury*how will it affect your ADL's * is this a body image disturbance * is there chronic pain that will hinder patient's activities *will there be a loss of income *do they have support systems
Crepitus (crepitation)When referring to the musculoskeletal system, a popping, crackling sound made by erosion of cartilage
Nursing Diagnoses common to musculoskeletal disordersImpaired physical mobility, Activity intolerance, pain, disturbed body image, self-care deficits, risk for disuse syndrome, impaired home maintenance
Assessment of posture may find thiskyphosis (rounded upper back)
Assessment of mobility to include thisdoes patient require assistive devices to get around, such as a cane, brace, splint, walker
Assessment of range of motion to include thisdoes the patient have full range of motion of all joints
Assessment of joint appearance to include thisedema, redness, deformity or loss of movement
UltrasonographyShows soft tissues to detect abnormalities - uses sound waves - no preperation necessary
XraySimplest form of diagnostic imaging - no preparation necessary - will not show much detail
CT (computed tomographyMay or may not use a dye - if so, check for iodine allergies - patient must lie on a hard table for possibly up to 60 minutes - images are enhanced by computers
Bone scanUsed to detect tumors, metastatic growths (cancers), and other bone diseases - can detect things earlier than other tests-lie still 30-60 minutes
MRI (magnetic resonance imaging)More detailed than CT imaging - images are enhanced by computers - uses magnetic fields and radiowaves - patient cannot have metal in or on them - lie still 15-60 minutes
ArthroscopyInspects interior of joint - local anesthesia given, then incision made and scope introduced - may walk afterwards but don't overuse - observe for swelling of S/S infection - assess circulation


School of Practical Nursing
James Rumsey Technical Institute
Martinsburg, WV

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