Orthopedics Flashcards
Orthopedic disorders Assessment
Subjective Assessment: pain, weakness, limitation, crepitation
Objective Assessment:
Swelling, Redness
PMH/PSH, meds, diet & Exercies, supplements, Assistive Devices
Gerontological Considerations Orthopedic Disorders
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
Primary prevention for orthopedic disorders
Walker/Cane for assistance Eliminate Scatter Rugs Regular weight-bearing exercises Maintain normal weight Wear supportive shoes
Stretching or tearing of ligaments
Sprain
Stretching or tearing of muscle or tendon
Strain
When bone slips out of a joint
Dislocation
Pain caused by repetitive movement and overuse
Repetitive strain injury
RICE
Rest
Ice
Compression
Elevation
RICE Patent and family Education: REST
Limit weight-bearing for 48 hrs
Use cane/crutch on uninsured side
RICE pt and family education: ICE
Ice for 20 min at a time
Don’t place directly on skin
RICE pt and family education: COMPRESSION
Loosen compression bandage if numbness, tingling or swelling distal to injury develops
RICE pt and family education: ELEVATION
Keep injured extremity elevated on a pillow above heart level to reduce swelling and pain
When is the best time to place ice on a wound?
Immediately during the acute phase (q20min x 24-48hr)
Repetitive use injury
Carpal Tunnel Syndrome
Bursitis
Median nerve is compressed which results in weakness and tingling
Carpal tunnel syndrome
Symptoms of carpal tunnel
Burning pain
Treatment for Carpal Tunnel
Wrist splint
Change ergonomics
Corticosteroid injections
Surgical decompression
Nursing care for Carpal Tunnel
Neurovascular status (nerves and circulation) - pain, tingling, numbness, pulse, color.... etc Pain Control Teach to avoid recurrence
