1. ASSESSMENT OF MUSCULOSKELETAL FUNCTION CONNIE K. CUPPLES, MS, MSN, RN

2. STRUCTURE OF LONG BONE

3. NURSING HISTORY PAIN Bone - dull, deep ache Muscle – cramping, sore, aching ALTERED SENSATIONS Paresthesias – burning, numbness, tingling

4. PHYSICAL ASSESSMENT POSTURE – kyphosis, lordosis, scoliosis

5. PHYSICAL ASSESSMENT Gait Bone Integrity Joint Function (ROM, symmetry, position, edema, crepitus,nodules) Muscle Strength & Size (clonus & fasciculations, girth) Skin (edema, color, temp, intactness) Neurovascular Status

6. DIAGNOSTIC EVALUATION RadiographicArthrocentesis CT ScanEMG MRIBiopsy ArthrographyLab Bone DensitometryCBC Bone scanChemistry Arthroscopy

7. NURSING IMPLICATIONS Patient education before tests to allay anxiety Inquire about allergies to iodine or seafood before scans, MRI, arthrography Remove all metal before MRI Signed consent prior to invasive procedures

8. NURSING INTERVENTIONS POST ARTHROSCOPY Compression dressing (elastic wrap) Ice packs Analgesics as ordered Extension & elevation of joint Activity & weight-bearing restriction as ordered Teach pt to watch for swelling, numbness, cool skin, elevated temp