1 / 20

Timby /Smith : Introductory Medical-Surgical Nursing, 10/e

Timby /Smith : Introductory Medical-Surgical Nursing, 10/e. Chapter 60: Introduction to the Musculoskeletal System By: P.K. Williams, RN 01/20 Pg 959. 04 Objectives: 02/20 Pg 959. On completion of this chapter, you will be able to:

ianfields
Télécharger la présentation

Timby /Smith : Introductory Medical-Surgical Nursing, 10/e

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Timby/Smith:Introductory Medical-Surgical Nursing, 10/e Chapter 60: Introduction to the Musculoskeletal System By: P.K. Williams, RN 01/20 Pg 959

  2. 04 Objectives: 02/20 Pg 959 • On completion of this chapter, you will be able to: • Describe major structures and functions of the musculoskeletal system. • 2. Discuss elements of the nursing assessment of the musculoskeletal system. • 3. Identify common diagnostic and laboratory tests used in the evaluation of musculoskeletal disorders. • 4. Discuss the nursing management of clients undergoing tests for musculoskeletal disorders

  3. 20 Words to know: 03/20 Pg 959 Arthrocentisis Arthrogram Arthroscopy Bone scan Cancellous bone Bursa Cartilage Cortical bone Diaphyses Epiphyses Joint Ligament Osteclasts Osteocytes Periosteum Red bone marrow Yellow bone marrow Skeletal Muscles Tendon [Box 60-2 Pg 961] Adduction; Abduction; Dorsiflexion, Flexion/extension Hyperextension; Supination/Pronation; Rotation -- outward/inward

  4. Anatomy, Physiology *** 04/20 Pg 959

  5. Anatomy, Physiology 05/20 Pg 959 • Bones*** 206 bones in the human body • Classification: Short bones; Long bones; Flat bones; Irregular bones • Two types of bony tissue*** • Cancellous [Spongy- light – Many spaces- Ends of bones- epiphyses] • Cortical[compact-dense-hard-bone shafts- diaphyses ] • Composition of bones • Types of bone cells • Bone marrow

  6. Question 06/20 Pg 959 Is the following statement true or false? There are two types of bones in the body.

  7. Answer 07/20 Pg 959 False. Bones are classified as short bones, long bones, flat bones, and irregular bones. There are two types of bony tissue in the body.

  8. Anatomy, Physiology 08/20 Pg 960 • Muscles: Skeletal[voluntary] ; Smooth[involuntary] walls of organs, controlled by neurotransmitters/ mechanisms i ; Cardiac[involuntary] • Joints [articulations] • The junction between two or more bones • Free-moving or diarthrodial joints • Tendons • Cord-like structures that attach muscles to the periosteum of the bone • Attachments of the muscle • Origin and insertion

  9. Question 09/20 Pg 961 Is the following statement true or false? Tendons attach bone-to-bone.

  10. Answer 10/20 Pg 959 False. Tendons are cord-like structures that attach muscles to the periosteum of the bone. Tendons connect muscles to their corresponding bone.

  11. Anatomy, Physiology***11/20 Pg 961 • Ligaments: Fibrous tissue connecting two adjacent, freely movable bones [keep them in proper alignment] • Cartilage • Firm, dense type of connective tissue • Types: Hyaline or articular; Costal; Semilunar [knee]; Fibrous [vertebrae]; Elastic {larynx, epiglottis, outer ear} [Reduce friction between articular surfaces] • Bursae • Small sac filled with synovial fluid • Reduces friction between areas [inflamation= bursitis]

  12. Question 12/20 Pg 961 Is the following statement true or false? Ligaments attach bone-to-bone.

  13. Answer 12/20 Pg 961 True. Ligaments attach bone-to-bone. The connection is of two adjacent, freely movable bones.

  14. Assessment 13/20 Pg 961 • History • Chronic disorder: Medical, drug, allergy; Familial; Occupational • Recent injury: Occurrence of trauma • Open injury • Date of last tetanus immunization • Compilation of list of symptoms • Determining the effect of activity on symptoms

  15. Assessment***13/20 Pg 962 • Physical Examination • Assessment: Musculoskeletal • Motor skills; Muscle strength, wasting • Symmetry; Size; ROM; Alignment • Pain, tenderness; Swelling; Redness • Spinal inspection [Fig 60-1] : Kyphosis [upper back “hump]; Lordosis [lower back “sway”]; Scoliosis [upper/lower curve left/right] • Neurovascular: Spasms; Tremors

  16. Assessment***16/20 Pg 964 • Physical Examination (Cont’d) • Assessment: Traumatic injury • Vital signs; Swelling; External bleeding, bruising; Open wounds, debris, protrusion of bone or tissue • Peripheral circulation, sensation; Malalignment of the injured limb • Injury beyond the original area • Pain: Type and location

  17. Assessment***17/20 Pg 964-965

  18. Nursing Management***18/20 Pg 964 • Diagnostic Tests • Diagnostic examination protocols • Send specimens to the laboratory • Ensure safe recovery after procedure • Chronic Disorder • General medical history • Current symptoms • Compile drug [Rx, Herbal, OTC ]; allergy [iodine/ seafood] histories

  19. Nursing Management***19/20 Pg 966 • Invasive Joint Examination • Inspect: Swelling, bleeding, or drainage • Change or reinforce dressings • Traumatic Injury • Information regarding injury [mechanism of injury] • Monitor: Vital signs; Neurovascular status • Provide comfort and support

  20. End of Presentation NOW ENCLEX By: P.K. Williams, RN 20/20 Pg 967 pkwilliams@DNI.edu

More Related