Orthopedics

Question 1

Orthopedic disorders Assessment

Answer 1

Subjective Assessment: pain, weakness, limitation, crepitation
Objective Assessment:
Swelling, Redness
PMH/PSH, meds, diet & Exercies, supplements, Assistive Devices

Question 2

Gerontological Considerations Orthopedic Disorders

Answer 2

Mild discomfort -> Chronic Pain, immobility
Loss of strength contributes to difficulty w/ balance increasing risk for falls
Tendons and ligaments are less flexible, movement more rigid
Affects ability to perform self care

Question 3

Primary prevention for orthopedic disorders

Answer 3

Walker/Cane for assistance
Eliminate Scatter Rugs
Regular weight-bearing exercises
Maintain normal weight
Wear supportive shoes

Question 4

Stretching or tearing of ligaments

Answer 4

Sprain

Question 5

Stretching or tearing of muscle or tendon

Answer 5

Strain

Question 6

When bone slips out of a joint

Answer 6

Dislocation

Question 7

Pain caused by repetitive movement and overuse

Answer 7

Repetitive strain injury

Question 8

RICE

Answer 8

Rest
Ice
Compression
Elevation

Question 9

RICE Patent and family Education: REST

Answer 9

Limit weight-bearing for 48 hrs

Use cane/crutch on uninsured side

Question 10

RICE pt and family education: ICE

Answer 10

Ice for 20 min at a time

Don’t place directly on skin

Question 11

RICE pt and family education: COMPRESSION

Answer 11

Loosen compression bandage if numbness, tingling or swelling distal to injury develops

Question 12

RICE pt and family education: ELEVATION

Answer 12

Keep injured extremity elevated on a pillow above heart level to reduce swelling and pain

Question 13

When is the best time to place ice on a wound?

Answer 13

Immediately during the acute phase (q20min x 24-48hr)

Question 14

Repetitive use injury

Answer 14

Carpal Tunnel Syndrome

Bursitis

Question 15

Median nerve is compressed which results in weakness and tingling

Answer 15

Carpal tunnel syndrome

Question 16

Symptoms of carpal tunnel

Answer 16

Burning pain

Question 17

Treatment for Carpal Tunnel

Answer 17

Wrist splint
Change ergonomics
Corticosteroid injections
Surgical decompression

Question 18

Nursing care for Carpal Tunnel

Answer 18

Neurovascular status (nerves and circulation) - pain, tingling, numbness, pulse, color.... etc
Pain Control
Teach to avoid recurrence