1. Musculoskeletal

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

3. General Nursing Care n Assessment (head to toe, V/S, plus u Neurovascular checks F 5 P’s pallor paresthesia pain pulse paralysis u Hazards of Immobility n Planning/Implementation

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

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

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

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

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

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

11. Talipes Equinovarus Dennis Brown Splint Corrected Casting Defect

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

13. Musculoskeletal Dysfunction n Craniosynostosis u Premature closure of sutures Micheal

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

15. Musculoskeletal Dysfunction: Spinal Problems Lordosis Keyphosis Normal Scoliosis

16. n Types u Functional u Structural F Congenital F Paralytic F Idiopathic (most common) n Out Patient Management u Exercise & Stretching u Braces Braces

17. Scoliosis n Spinal fusion with spinal instrumentation n Nursing aspects n Psychosocial Aspects u child u family Harrington Rod

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

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

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

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

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

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

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

25. Musculoskeletal