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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

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Musculoskeletal

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  1. Musculoskeletal

  2. Class Content • General Nursing Care • Congenital Defects • Musculoskeletal Dysfunction • Neuromuscular Dysfunction

  3. 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

  4. Casting • Preparation • Drying the cast • Neurovascular checks • Assess for problems under cast • Teach patient/parent home care of cast • Prepare child for cast removal

  5. Spica Cast

  6. Traction • Maintain Traction • Maintain Corrective Alignment • Neurovascular checks • Skin integrity • Affects of immobility Bryant’s Traction

  7. Other Immobilization devices • Braces/Splints • External Fixation Device • Pin care • Pin rotation (maybe)

  8. Congenital Defects:Developmental Dysplasia of Hip • Definition • Statistics • Assessment • Treatment Normal Dysplasia Subluxation Dislocation

  9. Developmental Dysplasia of Hip • Splints/Harness • Traction • Spica Casts • Surgery • Nursing Pavlic Harness

  10. Congenital Defects: Toeing In • Toeing In Problems • Internal Tibial Torsion • Femoral Anteversion • Metatarsus Adductus • Congenital Club Foot

  11. Talipes Equinovarus Defect Casting Corrected Dennis Brown Splint

  12. Musculoskeletal Dysfunction: Trauma • Fractures • Sports Injuries • Multiple Trauma

  13. Musculoskeletal Dysfunction • Craniosynostosis • Premature closure of sutures Micheal

  14. Musculoskeletal Dysfunction • Legg Calve-Pertheses • Pathophysiology • Assessment • Management • Slipped Femoral Epiphysis • Pathophysiology • Assessment • Management

  15. Musculoskeletal Dysfunction: Spinal Problems Scoliosis Lordosis Keyphosis Normal

  16. Scoliosis • Types • Functional • Structural • Congenital • Paralytic • Idiopathic (most common) • Out Patient Management • Exercise & Stretching • Braces Braces

  17. Scoliosis • Spinal fusion withspinal instrumentation • Nursing aspects • Psychosocial Aspects • child • family Harrington Rod

  18. Musculoskeletal Dysfunction: Infections • Osteomylitis • Age • Assessment • Management • Septic Arthritis • Age • Assessment • Management

  19. Musculoskeletal Dysfunction: Osteogenesis Imperfecta (OI) • Mode of Inheritance • Management • Nursing Dani-lee at 4 yrs Dani-lee http://www.oif.org/tier1/under.htm

  20. Musculoskeletal Dysfunction:Juvenile Rheumatoid Arthritis (JRA) • Pathophysiology • Types • Assessment • Diagnosis • Management http://www.arthritis.org/ajao/tellmemore/

  21. Neuromuscular Dysfunction:Cerebral Palsy • General Aspects • Motor Involvement • Associated Problems

  22. Cerebral Palsy • Main Causes • Broad Aims of Care • Management

  23. Cerebral Palsy: Hospitalization • Required for Complications • Child 1st • Continue with Therapeutic Regime • Special Post-op Surgical Concerns • Specific Surgical Procedures

  24. Neuromuscular Dysfunction:Duchenne Muscular Dystrophy • General Aspects • Signs and Symptoms • Management • Child/Family Support Gower’s Sign

  25. Musculoskeletal The End

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