NURS 128
Terms
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- What type of symptom is normally present with musculoskeletal problems
- Pain
- Six areas of physical assessment for musculoskeletal assessment include what
- Posture, gait, inspection and palpation of joints, ROM, muscle strength, and ability to do ADLs
- On inspection of joints, what should you look for
- Deformity, edema, redness, swan neck, and ulnar drift
- During palpation of joints what should you look for
- Temp, fluid, nodules, bony enlargements, bursal swelling, synovial cysts, tohpi deposits, Heberden and Bouchard nodes
- Abnormal anterior, concavity of the lumbar part of the back
- Lordosis
- Abnormal condition of the vertbral column, characterized by increased convexity in the curvature of the thoracic spine as viewed from the side: humpback
- Kyphosis
- Lateral curvature of the spine
- Scoliosis
- Abnormal finger condition: flexion of the distal interphalangeal joint and hyperextension of the proximal interphalangeal joint
- Swan neck
- Ulnar drift
- Long axis of the fingers makes an angle with the long axis of the wrist so that the fingers are deviated to the ulnar side of the hand
- An abnormal cartilaginous or bony enlargement of a distal interphalangeal joint of a finger, usually ocurring in a degenerative disease of the joints.
- Heberden's node
- An abnormal cartilaginous or bony enlargement of a proximal interphalangeal joint of a finger, usually occurring with degenerative diseases of joints.
- Bouchard nodes
- How and what do you assess during a neurocirculatory assessment
- Compare affected limb with unaffected limb: color, temperature, capillary refill, pulse, sensation, movement
- The 5 P's of a nerocirculatory assessment
- Pain, pallor, pulselessness, parethesia, paralysis
- Age related muscle changes
- Decrease in muscle strength, mass, and ROM
- Age related changes of bones
- Bone density decreases, overgrowth (bony spurs), narrowing of joint spaces (particularly weight bearing joints or joints with sustained trauma)
- Spinal changes of the older adult
- Kyphosis (humpback)
- Increased bone prominence
- An age related change with the musculoskeletal system
- Loss of bone density, leaving the bone porous and easily fractured
- Osteoporosis
- 3 bones most likely involve with fractures relating to osteoporosis
- Wrist, hip, vertebrae