What are some bone and soft tissue disorders?
*Strain
*Sprain
*Dislocation
*Bursitis
*Rotator cuff injury
What does “RICE” stand for?
*Rest to protect it
*Ice to decrease pain, swelling, inflammation
*Compression with elastic bandage
*Elevating affected area (if appropriate)
Identify this syndrome:
*Median nerve compression in wrist’s carpal tunnel
*Occurs with swelling in tunnel
Carpal tunnel syndrome
What kind of treatment should you use for carpal tunnel syndrome?
*Splint
*Anti-inflammatory
*Surgery
*Teach prevention
Identify the signs and symptoms of a fracture?
*Pain
*Decreased range of motion
*Limb rotation
*Deformity, shortening of limb
*Swelling
*Bruising
What are the two types of fracture and what do they do to the skin?
Open fracture: Breaks skin
Closed fracture: Does not break skin
What are the two types of diagnostic testing’s you can use to see if you have a fracture?
*X-rays
*Computed tomography (CT) scan
What are some emergency treatments you can use for fractures?
*Splint it as it lies!
*Seek medical treatment
What are some therapeutic goals for fractures?
*Realignment of bone ends
*immobilization
Name the management for this fracture:
-Metal plates, screws
-Prothesis
Open reduction with internal fixation (ORIF on the chart)
Name the management for this fracture:
-Pins, metal frame
-Allows care of wounds
Eternal fixation
Name the management for this fracture:
-Manual realignment
-Elastic wrap/splints
-Casts
-Traction
-Skin
-Skeletal
Closed reduction
What are some complications of fractures?
*Nonunion
*Neurovascular compromise
*Hemorrhage
*Infection
*Thromboembolic complications (DVT, PE)
*Acute compartment syndrome
*Fat embolism syndrome
What are some nursing diagnosis for fractures?
*Acute Pain
*Impaired Physical Mobility
*Risk for Peripheral Neurovascular Dysfunction
What are some nursing care for fractures?
*Cast, traction, pin care
-Palming wet cast (Do NOT use
fingertips- can create pressure
points)
*Pain management
*Neurovascular checks
*Skin care
*Nutrition
*Self-care deficits
*Psychosocial
What is some patient education for fractures?
*Cast care
*Pin care
*Nutrition
*Infection of bone
*Site pain, redness, warmth, swelling, fever
Osteomyelitis (infection of the bone)
What kind of therapy for osteomyelitis is Debridement, reconstruction, and antibiotic
A)Nonresponsive
B)Curative therapy
C)Palliative therapy
B)Curative therapy
What kind of therapy for osteomyelitis is Chronic suppressive antibiotic therapy?
A)Nonresponsive
B)Curative therapy
C)Palliative therapy
C)Palliative therapy
What kind of therapy for osteomyelitis is amputation?
A)Nonresponsive
B)Curative therapy
C)Palliative therapy
A)Nonresponsive
What are some nursing care for osteomyelitis?
*Prevention is key!
*Hand hygiene
*Sterile dressing changes
*Medication teaching
*Metabolic disorder of low bone mass
*Prone to fractures
Osteoporosis
What are some nonmodifiable risk factors of osteoporosis?
*Female gender
*Aging
*Caucasian or Asian
*Small boned, petite body build
*Postmenopausal status
*Low testosterone and estrogen in men
*Family history of osteoporosis or fractures
*History of fractures
What are some modified risk factors?
*Low calcium and vitamin D intake
*Excessive caffeine, protein, sodium
*Sedentary lifestyle
*Excessive alcohol use
*Cigarette smoking
