musculoskeletal disorders 2

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created 9 months ago by Akosua_Ruby
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1

what is happening in fibromyalgia?

amplified pain and abnormal sensory process, they are feeling things a lot stronger

2

clinical manifestation of fibromyalgia

  • widespread burning pain
  • tenderness at 11 or more of 18 points
3

how do you diagnose fibromyalgia

  • pain in 11 of 18 tender points
  • widespread pain for at least 3 months
  • muscle biopsy
4

collaborative care of fibromyalgia

  • drug therapy
  • rest, stress management, support group
  • low impact exercise, PT
5

a person with fibromyalgia should limit the intake of

sugar, caffeine, and alcohol

6

bone scan is used to diagnose what conditions?

osteoporosis (DXA), osteoarthritis, RA

7

collaborative care of osteoporosis

  • exercise
  • fall and fracture prevention
  • drug therapy
8

osteporosis

  • decreased bone mass and density
  • bone resorption > bone deposition
9

clinical manifestations of fracture

  • pain, edema, ecchymosis, muscle spasms
  • deformity, crepitation, loss of function
10

fracture healing

  • hematoma
  • granulation tissue
  • callus formation
  • ossification
  • consolidation
  • remodeling
11

hematoma

  • within 72 hrs
12

granulation tissue

3-14 days after. new blood vessels and osteoblasts are forming

13

callus formation

2 weeks after. new bone formation

14

ossification and consolidation

bone units

15

remodeling

bone is back to normal state

16

diagnostic test for fractures

X-ray, CT, MRI

17

collaborative care of fractures

  • fracture reduction
  • fracture immobilization
  • open fracture
  • neurovascular assessments
  • adequate nutrition and fluid intake
18

closed reduction

manually realign the bone. make sure pt is heavily medicated before procedure

19

open reduction internal fixation

surgical procedure, put in wires, pins, to get back into place

20

traction

  • skin traction (buck's traction)
  • skeletal traction: put the pins on the inside so weight is coming off the pins
21

open fractures

think about infection. make sure patient has tetanus immunization, antibiotics

22

neurovascular assessment

  • assessing an extremity
  • color, temperature, sensation, capillary refill, pulses
23

traction care: skin assessment

check for breakdown

24

traction care: pin site

check drainage, look for infection, lose pins. use only one swab per pin if they have more than one pin (every 8-12hrs). use chlorohexidine for cleaning.

25

cast care

  • elevate extremities
  • ROM exercises of other extremities
  • use hair dryer on cool setting if itching
  • report signs of complications
26

do NOT

  • get cast wet
  • remove padding on cast
  • insert objects incast
  • bear weight first 48hrs
  • cover cast with plastic for long periods
27

symptoms of hip fractures

external rotation, muscle spasms, shortening of affected extremity, severe pain and tenderness

28

pre-op care of hip fractures

buck's traction until physical conditoin is stable for surgery

29

post op care of hip fractures

  • neurovascular assessment
  • PT
30

prevention of dislocation of hip

  • pillows or abductor pillow between legs when turning
  • towel rolls or pillows placed on lateral side of legs
  • avoid turning patient on affected side until approved by surgeon
  • keep hip in neutral, straight position