Assessment4_Joints

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Author:
vanwin
ID:
215987
Filename:
Assessment4_Joints
Updated:
2013-04-26 19:21:30
Tags:
assessment
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Description:
nursing
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  1. Subjective Data Joints
    • ask: problem with joints, muscles, bones
    • Hx of injuries
    • functional assessment
    • mobility aids
  2. when to do a musculoskeletal exam?
    when patient has articular (joint) disease
  3. Joints Objective Data 6P's
    • pain
    • pulselessness
    • parasthesia
    • puffy
    • pallor
    • paralasys
  4. Range of Motion movements
    • inversion vs eversion
    • abduction vs adductino
    • extension vs flexion
    • rotation vs circumduction
    • supination vs pronation
  5. Abnormal spine alignments
    • lordosis: normal in toddlers
    • kyphosis: loss height
    • scoliosis: test ages 10-12
  6. rheumatoid vs osteoarthritis
    • Rheumatoid: systemic inflammation
    • -ulnar drift
    • - swan neck
    • Osteo/ degenerative joint disease
    • - bouchard's nodes: middle of finger
    • - Herberden's nods: tip of fingers
  7. Exams for back pain
    • patient lays down, raise leg towards ceiling
    • pain = possible herniated disc
  8. Exams for Carpel Tunnel Syndrome
    • Phalen's test: back of hands together and point down
    • Tinel's sign: tap middle nerve bottom of palm, abnorm = movements
    • Thenar atrophy
  9. Joint developmental considerations infants
    • Ortoloni maneuver: test for hipdysplasia
    • Alli's test: for hip dysplasia, knee alignment
  10. Joint Developmental consideration Older Adults
    Gibbus: collapsed vertebra bc of osteoporosis

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