NURS 261 Musculoskeletal System_2020 | NURS261 Musculoskeletal System

NURS 261 Musculoskeletal System MUSCULOSKELETAL SYSTEM Muscles: - Smooth - Cardiac - Skeletal Non-Synovial and Synovial joints: - Tempormandivular joint - Spine - Shoulder - Elbow - Wrist and carpal - Hip - Knee - Ankle and foot Movements: - Inversion: - Eversion: - Rotation: - Protraction: - Retraction: - Elevation: - Depression: HEALTH Hx: - Any chronic diseases? Loss of bone density? Osteoporosis? - Taking medications? Pain meds? - Changes in ability to move/participant in usual activities? - Changes in muscle strength? How did you adapt to changes? - Accidents? Trauma? Surgery on bones or joints? - if yes, outcome? FAMILY Hx: - Arthritis? Rheumatoid? Gout? Osteoarthritis? Assess risk factors - Curvature of spine? - Back problems? PERSONAL/PSYCH Hx: - Exercise? Sports? Lift, push, bend, pull or stoop frequently as part of daily routine? PROBLEM-BASED: PAIN - Where was the pain felt? First noticed? related to a specific movement? - Did pain occur suddenly or gradually? During day? When do you feel pain? - Does pain move from one joint to another? Any injury? Overuse? Strain? - What makes pain worse? General movement? Lack of mov? Weather? - What was done to relive pain? How effective? How severe? PROBLEMS W/ MOVEMENT: - How long have you had movements problems? Joints swollen? Red? Hot? - Have you had recent sore throat? If yes, and it was 10-14 days prior, think of rheumatic fever - Muscle weakness? Which ones? Does it get worse? - Do knees or ankles give away with pressure? What makes it happen? PROBLEMS w/ ADLs: - Are activities limited by M/S disorder? - To what extent? How do you compensate? - How has illness affected interactions with family? Friends? INFANTS/CHILDREN: - Trauma during labor and delivery - Achievement of motor milestones - Fractures or distortions - Bone deformity or spinal curvature ADOLESCENTS: - Are you involved in any sports at school or afterschool? How frequently? - Do you use special equipment? Any training program exist for your sport? - Treatment of injuries AGING ADULT: - Uses functional assessment hx questions to elicit any loss function, self-care deficit, or safety risk - Have you had any change in weakness over past months? - Have you had any increase in falls or stumbling in past months? - Do you use any mobility aids to help you get aoud such as a cane or walker? - - - - -- - - - Continued