Rotator cuff tear

THE PATIENT WILL NOT BE ABLE TO EXTERNALLY ROTATE THE SHOULDER,OR PERFORM ABDUCTION

MANAGEMENT OF ROTATOR CUFF TEAR

REST,SLING IF ORDERED,ANTI INFLAMMATORY THERAPY

ACL INJURY

pop, rapid swelling,instability (give out), limited extension

How do you diagnose acl injury

mri,Arthroscopy is performed at which time the repair may be done.Grafting may be done if there is complete tearing

How do you manage an acl injury?

brace, pain/swelling control, rehabilitation plan

Exercise for Acl injury

Isometric exercises are prescribed in the recovery period including quadriceps bent knee exercises and foot exercises

A long leg brace with fixed knee flexion may be used

meniscal injury

JOint. pain, catching, locking , clickking

Management for meniscal injury

pain swelling control,physical therapy as order Arthroscopy may repair or trim tear

Achilles tendon rupture

sudden, posterior ankle/calf pain; cannot stand on toes

Bursitis

THE SACLIKE STRUCTURES THAT LINE FREELY MOVEABLE JOINTS FROM OVER USE OR PRESSURE

WHEN YOU HAVE BURSITIS WHAT HURTS

LOCALIZED PAIN, SWELLING AND TENDERNESS

MANAGEMENT FOR BURSITIS

REST,ICE, ACTIVITY MODIFICATION,

ANTI INFLAMMATORY THERAPY, INJECTIONS MAY BE CONSIDERED

BUNION THE COMMON FOOT PROBLEM

PAINFUL SWELLING OF THE BURSA THAT OCCURS IN THE GREAT TOE, AT THE METATARSAL JOINT,

WHAT CAN CAUSE PEOPLE TO GET BUNIONS?

HEREDITARY, FOOTWEAR THAT COMPRESSES TOES

HOW DO YOU MANAGE HAVIG BUNIONS

WIDER SHOES, PADDING, PAIN CONTROL

IF BUNION SUPER BADDDDD

YOU WILL GET SURGERY WHEN PAIN AND FUNCTION IMPAIRMENT ARE SIGNIFICANT

CARPAL TUNNEL SYNDROME

COMPRESSION OF THE MEDIAN NERVE AS IT PASSES THROUGH THE CARPAL TUNNEL IN WRIST

WHAT ARE SIGNS OF CARPAL TUNNEL SYNDROME

PAIN TINGLING OFTEN AT NIGHT

HOW DO YOU DIAGNOSE CARPAL TUNNEL SYNDROME

PHYSICAL EXAMINATION, COMPRESSION TEST, ELECTROMYOGRAPHY .

HOW DO YOU MANAGE CARPAL TUNNEL

SPLINT IN NEUTRAL , ACTIVITY MODIFICATION, INJECTION OR SURGER IF IT IS SEVERE

WHAT ARE CAUSES OF FRACTURES

TRAUMA,BONE WEAKNESS, EX OSTEOPOROSIS

WHAT IS A FRACTURE

IT IS A BREAK

WHAT. HAPPENS TO THE BODY WITH A FRACTURE

TISSUE INJURY,BLEEDING,POSSIBLE PERFUSION COMPROMISE

WHat are risk factors to hurting your achilles tendon

Diabetes, inflammatory disease,Medications like (Cipro) SIde effect can cause tendonitis

Management of Achilles tendon Rupture

immobilization, or surgery followed by casting, rehabilitation after (6to8 weeks)

HOW THE YOU FRACTURE WITH INTERNAL FIXATION

PINS, NAILS, OR METAL PLATES TO STABALIZE THE POSITION OF THE TWO BROKEN ENDS, OPEN REDUCTION AND INTERNAL FIXATION,IV ANTIBIOTICS AND RISK FOR INFECTION IS STANDARD

NURSING CARE FOR INTERNAL FIXATION

maintain good alignment of effected leg, prevent complications of immobility

control pain

Fractures with external Fixation

Massive open fractures with extensive soft -tissue damage, infected fractures that do not heal properly

Examples of external fixation fracture examples

MUltiple traumas such as burns,chest injury, or head injury.

footdrop

peroneal nerve damage

unable to dorsiflex foot

What happens in time with osteoarthritis

The joints become thickend and withstand weight poorly causing more damage to the cartilage

What do people with osteoarthritis produce less off

They produce less collagen to strengthin and protect joints

What are risk factors for osteoarthritis

Heredity, aging, female gender, obesity, previous joint injury and recreational occupational usage

What is osteoarthritis etiology

non inflammatory degenerative joint disease that can affect any weight bearing joint

What are causes of footdrop

improper positioning , prolonged immobility pressure

what can prevent footdrop

footboard, proper alignment, rom exerciss

osteoarthritis with pain

Asymmetrical degenerative joint disease cartilage break down in the joints

pain pain worse with use; brief stiffness after inactivity, joint deformity

What is management for osteoarthritis ?

pacing, strengthening, low impact exercise, weight management; heat/cold/ analgesics as ordered

what can you do for pain with osteoarthritis

give them salicylates, asparin, or nsaid ibrophen

What happens with Rheumatoid arthritis

Symmetric joint swelling and warmth, Autoimmune inflammatory joint disease with systemic effect and prolonged morning stiffness and fatigue

What is the nurse goal with rheumatoid arthritis

Reduce inflammation and preserve function

How does the nurse care for a patient with rheumatoid arthritis

balance rest and exercise aimed at pain relief, heat/cold applications; splints during flare ups, monitor medication ordered

what should you teach with rheumatoid arthritis

Teach infection precautions with immunosuppressive therapy

what are the first line of meds for rheumatoid arthritis

IBUPROfen ,salicylaytes,costeroids

long term steroid use with rheumatoid arthritis

Long term effects diminish over time requiring increase of the dose to obtain the same results which leads to increase risk of diabetes mellitus, osteoporosis, hypertension, acne, cataracts and weight gain

diagnostics for osteoporosis

xray, dexascan and reported is the t score

signs and symptoms of lyme disease

flu like

bull eye rash

pain and stiffness in joints and muscles 1-2 weeks

lyme disease

bite of a deer tick, spiroche,

nursing management for osteoporosis

Teach the benefits of a healthy lifestyle, need for calcium supplements, and weight bearing exercise

foods you. should eat with osteoporosis

Diary products are the best source of calcium, cheese, yogurt, sardines anchoives are also sources of calcium

goals for osteoporosis

stop bone density loss, increase formation, prevent fractures, estrogen replacement therapy, adequate dietary and supplemetal calcium and vitamin d

what to monitor with medications and osteoporosis

bisphosphonate take with water; remain upright, report swallowing pain or severe heartburn

t score< -2.5

osteoporosis

t score -1.0 to -2.5

osteopenia

How do you manage osteoporis

exercise vitamin d and fall prevention

WHats osteoporosis

decreased bone density which increases the fracture risk

If an elderly patient has gout

and their creatine clearance should not take allopurinol

if you have gout you should stay away from what ?

High purine foods and increase fluid intake to 2000 to 3000cc

signs and symtoms of gout

Tight redden skin over an inflamed, edematous joint accompanied by elevated temperature and extreme pain the joint

Patient teaching with gout

hydration, diet changes, limit alcohol

gout

sudden sever pain, swelling, redness often the great toe

treatment for lyme disease

oral antibiotics doxycline,ceforime if treated 2 to 12 weeks later can lead to stage 2 carditis meningitis,peripheral neuritis

paget disease and bone tumors

abnormal remodelig (weakbones) pain and fracture risk , bone tuors pain swelling and warmth

diagnostics for pagets disease

xray, usually diagnosed and the time of fracture

24 hour urine presence of hydroxyproline prescence indicates osteoclastic activity

nursing management for paget disease

firm mattress may relieve back pain,light brace or corset, avoid lifting and twisting proper body mechanics

safety focus for total hip replacement

its ok to lay on your operated side for 3 months, you should not cross your legs put a pillow between legs when rolling over or lie on your side you can bend hip but not beyond a 93 angle avoid sittiing in low chairs

treatment pajet end get disease

surgery,radiation,chomotherapy

total hip replacement safety focus

Weight bearing status determined by surgeon may be non weight bearing or 25 and up full weight bearing or 25 percent dependent on prothesis use

joint replacement post opp joint replacement

heparin to prevent dvt,may or maynot be weight bearing

whats the primary reason for joint replacemnt

Is to relieve the chronic pain

Total joint replacement

neurovascular checks and pain control

early mobility per order , (atelectasis)- means fluid in ungs