musculoskeletal. class content n general nursing care n congenital defects n musculoskeletal...
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Musculoskeletal
Class Content
General Nursing Care Congenital Defects Musculoskeletal Dysfunction 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
Casting
Preparation Drying the cast Neurovascular
checks Assess for problems
under cast Teach patient/parent
home care of cast Prepare child for cast
removal
Traction
Maintain Traction Maintain Corrective
Alignment Neurovascular checks Skin integrity Affects of immobility
Bryant’s Traction
Other Immobilization devices Braces/Splints External Fixation Device
Pin care Pin rotation (maybe)
Congenital Defects:Developmental Dysplasia of Hip
Normal Dysplasia Subluxation Dislocation
Definition Statistics Assessment Treatment
Developmental Dysplasia of Hip
Splints/Harness Traction Spica Casts Surgery Nursing
Pavlic Harness
Congenital Defects: Toeing In
Toeing In Problems Internal Tibial Torsion Femoral Anteversion Metatarsus Adductus Congenital Club Foot
Talipes Equinovarus
Dennis Brown Splint
Corrected
Casting
Defect
Musculoskeletal Dysfunction: Trauma
Fractures
Sports Injuries
Multiple Trauma
Musculoskeletal Dysfunction
Craniosynostosis Premature closure of sutures
Micheal
Musculoskeletal Dysfunction
Legg Calve-Pertheses Pathophysiology Assessment Management
Slipped Femoral Epiphysis Pathophysiology Assessment Management
Musculoskeletal Dysfunction: Spinal Problems
Lordosis Keyphosis Normal Scoliosis
Scoliosis Types
Functional Structural
Congenital Paralytic Idiopathic (most common)
Out Patient Management Exercise & Stretching Braces
Braces
Scoliosis
Spinal fusion withspinal instrumentation
Nursing aspects Psychosocial Aspects
child family
Harrington Rod
Musculoskeletal Dysfunction: Infections
Osteomylitis Age Assessment Management
Septic Arthritis Age Assessment Management
Musculoskeletal Dysfunction: Osteogenesis Imperfecta (OI)
Mode of Inheritance Management Nursing
Dani-lee
Dani-lee at 4 yrs
http://www.oif.org/tier1/under.htm
Musculoskeletal Dysfunction:Juvenile Rheumatoid Arthritis (JRA)
Pathophysiology Types Assessment Diagnosis Management
http://www.arthritis.org/ajao/tellmemore/
Neuromuscular Dysfunction:Cerebral Palsy
General Aspects Motor Involvement Associated Problems
Cerebral Palsy
Main Causes Broad Aims of Care Management
Cerebral Palsy: Hospitalization
Required for Complications Child 1st Continue with Therapeutic Regime Special Post-op Surgical Concerns Specific Surgical Procedures
Neuromuscular Dysfunction:Duchenne Muscular Dystrophy
General Aspects Signs and Symptoms Management Child/Family Support
Gower’s Sign
Musculoskeletal