Musculoskeletal

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

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

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

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

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

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

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

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

Talipes Equinovarus Dennis Brown Splint Corrected Casting Defect

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

Musculoskeletal Dysfunction n Craniosynostosis u Premature closure of sutures Micheal

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

Musculoskeletal Dysfunction: Spinal Problems Lordosis Keyphosis Normal Scoliosis

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

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

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

Musculoskeletal Dysfunction: Osteogenesis Imperfecta (OI) n Mode of Inheritance n Management n Nursing Dani-lee Dani-lee at 4 yrs

Musculoskeletal Dysfunction: Juvenile Rheumatoid Arthritis (JRA) n Pathophysiology n Types n Assessment n Diagnosis n Management

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

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

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

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

Musculoskeletal