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

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