Management of Patients With Musculoskeletal Disorders

assessment findings for client diagnosed with osteomyelitis

- Leukocytosis - localized bone pain - sepsis - localized infection

Plantar fasciitis

- inflammation of the foot-supporting fascia - presents with an onset of heel pain with the first steps of the morning

carpal tunnel syndrome (CTS)

- neuropathy - characterized by compression of the median nerve at the wrist. - reports numbness, tingling, and pain when the nurse percusses lightly over the median nerve - Tinel's sign

Involucrum

- new bone growth around the sequestrum

Tinel's sign

- numbness, tingling, and pain in response to light percussion over the median nerve) - finding for carpal tunnel syndrome

Alkaline phosphatase elevated in

- osteogenic sarcoma - bone metastasis

bunion cause

-congenital -acquired by wearing shoes that are too short or narrow - increases pressure on the bursa at the metatarsophalangeal joint

Osteomyelitis

-infection of bone - from the extension of a soft-tissue infection, direct bone contamination, or hematogenous spread - mostly from Staphylococcus aureus - if no healing with AB, debridement may be needed

recommended dose of V. D

1000 IU

mattress for Before menopause, the RDA is 1,000 mg; after menopause, it's 1,500 mg

Firm

Bunion

Hallux valgus

teaching plan for a client with osteomalacia?

Include calcium, phosphorus, and vitamin D supplements

S/S of impingement syndrome

Pain Shoulder tenderness Limited movement Muscle spasms Atrophy

encourage use of these muscles for lifting

Quadriceps

Paget disease

- Localized rapid bone turnover - most commonly affecting the skull, femur, tibia, pelvic bones, and vertebrae - bone that is highly vascularized and structurally weak, predisposing the client to pathologic fractures

best sleeping position for low back pain

- Supine - knees slightly flexed - head of the bed elevated 30 degrees

Dupuytren contracture

- a slowly progressive contracture of the palmar fascia

ganglion

- collection of gelatinous material - near the tendon sheaths and joints - appears as a round, firm compressible cystic swelling - usually on the dorsum of the wrist.

Sequestrum

- dead bone in an abscess cavity

Osteomalacia is characterized by

- decreased serum calcium and phosphorus - elevated alkaline phosphatase levels. - may need to be evaluated for an underlying cause, such as renal failure

Hammer toe

- flexion deformity of the proximal interphalangeal joint

Hallux valgus

- great toe deviates laterally

recommended dose of calcium

1200 mg

cause of loss of height

After menopause, the body's bone density, resulting in a gradual loss of height

RDA for calcium

Before menopause, the RDA is 1,000 mg; after menopause, it's 1,500 mg

disease of a nerve root

Radiculopathy - AEB radiating pain

Alendronate

bisphosphonate medication

Pes cavus

foot with an abnormally high arch and a fixed equinus deformity of the forefoot

area of the back subject to the greatest mechanical stress and the greatest degenerative changes

lower lumbar disks, L4-L5 and L5-S1

Osteomalacia

metabolic bone disease characterized by inadequate mineralization of bone

Morton neuroma

swelling of the third branch of the median plantar nerve