musculoskeletal. class content n general nursing care n congenital defects n musculoskeletal...

25
Musculoskel etal

Upload: philippa-sibyl-hutchinson

Post on 04-Jan-2016

228 views

Category:

Documents


1 download

TRANSCRIPT

Page 1: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Musculoskeletal

Page 2: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Class Content

General Nursing Care Congenital Defects Musculoskeletal Dysfunction Neuromuscular Dysfunction

Page 3: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

General Nursing Care Assessment (head to toe, V/S, plus

Neurovascular checks 5 P’s

• pallor• paresthesia• pain• pulse• paralysis

Hazards of Immobility Planning/Implementation

Page 4: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Casting

Preparation Drying the cast Neurovascular

checks Assess for problems

under cast Teach patient/parent

home care of cast Prepare child for cast

removal

Page 5: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction
Page 6: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Traction

Maintain Traction Maintain Corrective

Alignment Neurovascular checks Skin integrity Affects of immobility

Bryant’s Traction

Page 7: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Other Immobilization devices Braces/Splints External Fixation Device

Pin care Pin rotation (maybe)

Page 8: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Congenital Defects:Developmental Dysplasia of Hip

Normal Dysplasia Subluxation Dislocation

Definition Statistics Assessment Treatment

Page 9: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Developmental Dysplasia of Hip

Splints/Harness Traction Spica Casts Surgery Nursing

Pavlic Harness

Page 10: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Congenital Defects: Toeing In

Toeing In Problems Internal Tibial Torsion Femoral Anteversion Metatarsus Adductus Congenital Club Foot

Page 11: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Talipes Equinovarus

Dennis Brown Splint

Corrected

Casting

Defect

Page 12: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Musculoskeletal Dysfunction: Trauma

Fractures

Sports Injuries

Multiple Trauma

Page 13: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Musculoskeletal Dysfunction

Craniosynostosis Premature closure of sutures

Micheal

Page 14: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Musculoskeletal Dysfunction

Legg Calve-Pertheses Pathophysiology Assessment Management

Slipped Femoral Epiphysis Pathophysiology Assessment Management

Page 15: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Musculoskeletal Dysfunction: Spinal Problems

Lordosis Keyphosis Normal Scoliosis

Page 16: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Scoliosis Types

Functional Structural

Congenital Paralytic Idiopathic (most common)

Out Patient Management Exercise & Stretching Braces

Braces

Page 17: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Scoliosis

Spinal fusion withspinal instrumentation

Nursing aspects Psychosocial Aspects

child family

Harrington Rod

Page 18: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Musculoskeletal Dysfunction: Infections

Osteomylitis Age Assessment Management

Septic Arthritis Age Assessment Management

Page 19: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Musculoskeletal Dysfunction: Osteogenesis Imperfecta (OI)

Mode of Inheritance Management Nursing

Dani-lee

Dani-lee at 4 yrs

http://www.oif.org/tier1/under.htm

Page 20: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Musculoskeletal Dysfunction:Juvenile Rheumatoid Arthritis (JRA)

Pathophysiology Types Assessment Diagnosis Management

http://www.arthritis.org/ajao/tellmemore/

Page 21: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Neuromuscular Dysfunction:Cerebral Palsy

General Aspects Motor Involvement Associated Problems

Page 22: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Cerebral Palsy

Main Causes Broad Aims of Care Management

Page 23: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Cerebral Palsy: Hospitalization

Required for Complications Child 1st Continue with Therapeutic Regime Special Post-op Surgical Concerns Specific Surgical Procedures

Page 24: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Neuromuscular Dysfunction:Duchenne Muscular Dystrophy

General Aspects Signs and Symptoms Management Child/Family Support

Gower’s Sign

Page 25: Musculoskeletal. Class Content n General Nursing Care n Congenital Defects n Musculoskeletal Dysfunction n Neuromuscular Dysfunction

Musculoskeletal