Ch 61

Describe the nursing management of person undergoing knee replacement

Assess motor strength and flexibility of other joints is important to determine potential problems involving rehab. Pg 1148

Describe the nursing management of a person undergoing orthopedic surgery

Before surgery the nurse obtains a complete medical, drug, and allergy history from the client or a family member. The nurse also assess the clients physical condition and mental status. Help client to experience reduced pain, continue to be active, mobile, and injury free. Practice measures to reduce the potential for post op wound infection. Pg 1142 nursing guidline

Differentiate between closed and open reduction and between internal and external fixation

In closed reduction the bone is restored to its normal position by external manipulation. A bandage, cast, or traction then immbolizes the area. In an open reduction which is performed in the operating room the bone is surgically exposed and realigned. Internal fixation is needed to stabilize the reduced fracture, the surgeon secures the bone with metal screws, plates, rods, nails, or pins. External fixation the surgeon inserts metal pins into the bone or bones from outside the skin surface and then attaches a compression device to the pins.

Discuss the nursing management for client with a cast.

Pg 1134 nursing guidline

Describe nursing care for person in traction

Pg 1136 nursing guideline

Discuss amputation including reasons it's performed and nursing management.

Pg 1146

Differentiate the different type of casts.

Short arm cast-extends from below the elbow to the palmer crease and is secured around the base of the thumb. Long arm cast-extends from the upper level of the axillary fold to the proximal palmer crease. Short leg cast-extends from below the knee to the base of the toes. Long leg cast-extends from the junction of the upper and middle third thigh to the base of the toes. Walking cast-a short or long leg cast reinforced for strength Body cast-encircles the trunk Shoulder spica cast-a body cast that encloses the trunk and the shoulder and elbo. Hip spica cast-encloses the trunk and a lower extremity

Define and discuss traction

Teaction is a method of pulling structures of the musculoskeletal system

Discuss reason for doing orthopedic surgery

To correct a deformity, remove a primary bone tumor, align fractured bones, repair or replace a joint, insert a bone graft to promote healing, or stabilize a bone internally using rods pins screws nails or wores.

Discuss the reason for using splints or braces.

A splint immobilizes and supports an injured body part in a functional position. It does not rigid immobilazation, causes a large degree of swelling, requires special skin treatment. A brace provides support, control movement, and prevents additional injury for more long turn use.