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Slide Notes
outcomes:
1) think about the effects of immobility, and apply nursing theory to the care of children have lost mobility because of injury or degenerative disease.
2) Think about Casts, and Discuss proper care of a cast.
3) Explain functions of traction
4) Discuss congential deformities, and their prognosis
5) Describe Scoliosis, and the effects it can have on mobility
6) Explore juvenlile arthritis and lupus.
1) think about the effects of immobility, and apply nursing theory to the care of children have lost mobility because of injury or degenerative disease.
2) Think about Casts, and Discuss proper care of a cast.
3) Explain functions of traction
4) Discuss congential deformities, and their prognosis
5) Describe Scoliosis, and the effects it can have on mobility
6) Explore juvenlile arthritis and lupus.
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The Hazards of Immobility
Musculoskeletal
outcomes:
1) think about the effects of immobility, and apply nursing theory to the care of children have lost mobility because of injury or degenerative disease.
2) Think about Casts, and Discuss proper care of a cast.
3) Explain functions of traction
4) Discuss congential deformities, and their prognosis
5) Describe Scoliosis, and the effects it can have on mobility
6) Explore juvenlile arthritis and lupus.
1) think about the effects of immobility, and apply nursing theory to the care of children have lost mobility because of injury or degenerative disease.
2) Think about Casts, and Discuss proper care of a cast.
3) Explain functions of traction
4) Discuss congential deformities, and their prognosis
5) Describe Scoliosis, and the effects it can have on mobility
6) Explore juvenlile arthritis and lupus.
Photo by Great Beyond
The Hazards of Immobility
Musculoskeletal
outcomes:
1) think about the effects of immobility, and apply nursing theory to the care of children have lost mobility because of injury or degenerative disease.
2) Think about Casts, and Discuss proper care of a cast.
3) Explain functions of traction
4) Discuss congential deformities, and their prognosis
5) Describe Scoliosis, and the effects it can have on mobility
6) Explore juvenlile arthritis and lupus.
Sitting Disease...
http://www.mayoclinic.org/healthy-living/nutrition-and-healthy-eating/exper...
Nurse Injury...
Think about YOUR body:
http://www.nhnurses.org/Documents/Announcement-Flyers/Alert.aspx
when you think immobile- You as the nurse should think about DVT-- lovenox anyone?
1) think about the effects of immobility, and apply nursing theory to the care of children have lost mobility because of injury or degenerative disease.
2) Think about Casts, and Discuss proper care of a cast.
3) Explain functions of traction
4) Discuss congential deformities, and their prognosis
5) Describe Scoliosis, and the effects it can have on mobility
6) Explore juvenlile arthritis and lupus.
Sitting Disease...
http://www.mayoclinic.org/healthy-living/nutrition-and-healthy-eating/exper...
Nurse Injury...
Think about YOUR body:
http://www.nhnurses.org/Documents/Announcement-Flyers/Alert.aspx
when you think immobile- You as the nurse should think about DVT-- lovenox anyone?
Photo by Great Beyond
Think Why
congenital Disease vs. Degenerative Disease
Congenital- Born With
Degenerative- acquired (can still be genetic) but also may be environmental triggers.
* hip dysplasia: http://www.choa.org/Patients-Families/New-Parents/Swaddling
Remember! A NEURO assessment is a big part of a musculoskeletal assessment. Neurologic dysfunction is a big part of musculoskeletal dysfunction.
review:
1) spina bifidia or myelomeningocele and its presentation. You need to review what it is, how it's treated and WHAT THE NURSES ROLE is in caring for these children.
2) SMA-or spinal muscular atrophy. review it's presentation and why these little frog legged kiddos really can't move a muscle.
3) Muscular Dystrophy
4) DMD- sub type- think about nursing care, prolonged bed rest and fracture.
Degenerative- acquired (can still be genetic) but also may be environmental triggers.
* hip dysplasia: http://www.choa.org/Patients-Families/New-Parents/Swaddling
Remember! A NEURO assessment is a big part of a musculoskeletal assessment. Neurologic dysfunction is a big part of musculoskeletal dysfunction.
review:
1) spina bifidia or myelomeningocele and its presentation. You need to review what it is, how it's treated and WHAT THE NURSES ROLE is in caring for these children.
2) SMA-or spinal muscular atrophy. review it's presentation and why these little frog legged kiddos really can't move a muscle.
3) Muscular Dystrophy
4) DMD- sub type- think about nursing care, prolonged bed rest and fracture.
Photo by delayed gratification
Congenital Disease
what are some that we've talked about?
https://www.youtube.com/watch?v=6Ii_v3t9hpU
^^^^^ spina bifida- remind those mommies to take their folic acid! * remember with myelo kids you want to preserve the highest level of function you can. Parents are tempted to "do for them" but that is not the right thing to do. A baby may fuss for example about having to work hard to take a bottle and want to rely on tube feedings. However- if the child CAN bottle feed they should in order to preserve that function. If they can not-it's important that they suck on a pacifier when getting tube feedings so they can eat by mouth when they are stronger.
Think about what causes congenital disease: genetics, environmental factors in the womb, teratogens
https://www.youtube.com/watch?v=Rsk3VQ-gr34
^^^ what is cerebral palsy "CP kid"
^^^^^ spina bifida- remind those mommies to take their folic acid! * remember with myelo kids you want to preserve the highest level of function you can. Parents are tempted to "do for them" but that is not the right thing to do. A baby may fuss for example about having to work hard to take a bottle and want to rely on tube feedings. However- if the child CAN bottle feed they should in order to preserve that function. If they can not-it's important that they suck on a pacifier when getting tube feedings so they can eat by mouth when they are stronger.
Think about what causes congenital disease: genetics, environmental factors in the womb, teratogens
https://www.youtube.com/watch?v=Rsk3VQ-gr34
^^^ what is cerebral palsy "CP kid"
Photo by F. C. Photography
Degenerative
think about the effects on their body
* muscular dystrophy
*mitochondrial disease
http://www.telegraph.co.uk/news/science/science-video/11385737/How-the-thre...
"healing broken battery disease" (DEBATE!)
SMA-different types
Diabetes -can be degenerative
LUPUS can be degenerative (autoimmune)
Marfan Syndrome
*mitochondrial disease
http://www.telegraph.co.uk/news/science/science-video/11385737/How-the-thre...
"healing broken battery disease" (DEBATE!)
SMA-different types
Diabetes -can be degenerative
LUPUS can be degenerative (autoimmune)
Marfan Syndrome
Photo by Sheila Steele
Infection
how can that cause immobility?
Botulism, Tetanus, Polio,
MENINGITIS!!! Think ABOUT the infection DESTROYING the nervous system and then resulting in permanent musculoskeletal impairment and immobility.
Gullian-barre-syndrome- very scary!
http://www.webmd.com/brain/tc/guillain-barre-syndrome-topic-overview
viral infection, bacterial infection- anything that destroys the nervous systems or musculature can cause PERMANENT immobility.
https://www.youtube.com/watch?v=zr2KUoRB-70--. very informative
^^^^^ a look at what POLIO used to do....
also a wonderful look at how an infectious agent can really cause impaired mobility.
MENINGITIS!!! Think ABOUT the infection DESTROYING the nervous system and then resulting in permanent musculoskeletal impairment and immobility.
Gullian-barre-syndrome- very scary!
http://www.webmd.com/brain/tc/guillain-barre-syndrome-topic-overview
viral infection, bacterial infection- anything that destroys the nervous systems or musculature can cause PERMANENT immobility.
https://www.youtube.com/watch?v=zr2KUoRB-70--. very informative
^^^^^ a look at what POLIO used to do....
also a wonderful look at how an infectious agent can really cause impaired mobility.
Photo by FDR Presidential Library & Museum
Sports Injury
the nurse's role in assessment...
http://www.cdc.gov/headsup/highschoolsports/index.html
http://kidshealth.org/parent/firstaid_safe/safe_play/sports_safety.html
ICE
well really RICE (rest)...
Ice to arrest blood flow + heat to encourage blood flow. If it's swollen it's not automatically ice.
If someone is in a sling or a cast remind them to keep it ELEVATED when sleeping or at rest. Blood return can be compromised and we don't want any swelling or damage to the tissue.
http://kidshealth.org/parent/firstaid_safe/safe_play/sports_safety.html
ICE
well really RICE (rest)...
Ice to arrest blood flow + heat to encourage blood flow. If it's swollen it's not automatically ice.
If someone is in a sling or a cast remind them to keep it ELEVATED when sleeping or at rest. Blood return can be compromised and we don't want any swelling or damage to the tissue.
Photo by PhotosbyJOhn.net
Contusion
More than a bruise...explosion into the soft Tissue
EXPLOSION OF PERIPHERAL BLOOD FLOW....
http://www.mayoclinic.org/first-aid/first-aid-bruise/basics/art-20056663
^^^^ remember Leukemia Nursing student. Every Bruise should have a story and every story should MATCH its bruise. Always be mindful that abuse is a possibility with ANY patient of any AGE, size, or socioeconomic status.
http://www.mayoclinic.org/first-aid/first-aid-bruise/basics/art-20056663
^^^^ remember Leukemia Nursing student. Every Bruise should have a story and every story should MATCH its bruise. Always be mindful that abuse is a possibility with ANY patient of any AGE, size, or socioeconomic status.
Photo by A.Currell
crush injuries
these injuries can damage multiple systems in the body at one time
https://www.aap.org/en-us/about-the-aap/aap-press-room/pages/AAP-Updates-Re...
http://www.gahighwaysafety.org/research/ga-crashes/injuries/fatalities/
It happens every day. :(
http://www.gahighwaysafety.org/research/ga-crashes/injuries/fatalities/
It happens every day. :(
Photo by Dystopos
Dislocations
Sprains, and Strains
https://www.youtube.com/watch?v=2MO-4B_qz6c
^^^^ a little boring but informative.... this information may come in handy when you are the nurse on the job on the sidelines of the local sports team! :)
^^^^ a little boring but informative.... this information may come in handy when you are the nurse on the job on the sidelines of the local sports team! :)
Photo by Foxtongue
Fracture
hairline and up...
http://learnpediatrics.com/files/2012/04/fractures.pdf
^^^^^ very helpful! You may want to make flash cards for the different kinds of fracture. Green stick fracture, vs Simple fracture etc. You will have questions on your exam that require you to know the different KINDS of fracture so familiarize yourself with those.
^^^^^ very helpful! You may want to make flash cards for the different kinds of fracture. Green stick fracture, vs Simple fracture etc. You will have questions on your exam that require you to know the different KINDS of fracture so familiarize yourself with those.
Photo by Erik Charlton
Fracture
what does it do to the body?
Fracture can mirror infection. Remember the contents INSIDE of your body that leak out of the place are extremely TOXIC to your own cells and your body will see it as a pathogen. Think about things that could be MASKING the body's cry for help such as sedation.
Photo by Enthuan
Epiphyseal Injury
weakest point of a long bone
NCLEX! You should have committed this to your deepest long term memory chamber by now.
Photo by gregor_y
Compartment Syndrome
Permanent Damage in 4-6 hours
http://www.uchicagokidshospital.org/specialties/orthopaedics/patient-guides...
^^^ the DO's and DON'Ts --very helpful
http://orthoinfo.aaos.org/topic.cfm?topic=a00204
compartment syndrome from the ORTHO people.
(they take it pretty seriously)
Check PULSES, CAP REFILL, SWELLING, SENSATIONS!
NEURO And MUSC assessment go together!!!
YOU may have to cut one of these off someone so learn the DO's and DON'TS!!!
^^^ the DO's and DON'Ts --very helpful
http://orthoinfo.aaos.org/topic.cfm?topic=a00204
compartment syndrome from the ORTHO people.
(they take it pretty seriously)
Check PULSES, CAP REFILL, SWELLING, SENSATIONS!
NEURO And MUSC assessment go together!!!
YOU may have to cut one of these off someone so learn the DO's and DON'TS!!!
Photo by abbilder
Spica Cast
all the way up the trunk
We talked a lot about this. Big reminder...see the nice bar there- NEVER GRAB IT!
^^^^ teach parents that as well (never trust grandma!)
Also know about HIp Dysplasia and why we use SPICA cast....
^^^^ teach parents that as well (never trust grandma!)
Also know about HIp Dysplasia and why we use SPICA cast....
Photo by downing.amanda
Let me see your Halo..
Cervical Traction
HALO traction. Remember skin integrity, infection can occur at the pin sites. Very vulnerable with a foreign body attached to the skeleton.
Photo by cindy47452
not the kind of distraction
we are talking about
https://www.youtube.com/watch?v=q8ATrjSoBww
MANDIBULAR DISTRACTION- warning very GORY- do not watch right after eating or anything.
Remember CLICKS are NOT TURNS....
MANDIBULAR DISTRACTION- warning very GORY- do not watch right after eating or anything.
Remember CLICKS are NOT TURNS....
Photo by birgerking
Hip Dysplasia
+ Ortolani manuever one leg will be shorter than the other if unilateral
Photo by Adam Melancon
Barlow
What about MR. Barlow? He has a maneuever as well...
You know you have to know these....
Photo by Kacper Gunia
Pavlik harness
"whew-if I was over 6 months I'd be in a spica cast!"
Skin integrity!!!!
Photo by mliu92
Club Foot
Get ready for some Latin!
What is Club foot
What is Club foot
????
https://www.youtube.com/watch?v=4pIfWquXtdA
^^^ boring warning- But thorough! Also uses the LATIN Terms!!!
https://www.youtube.com/watch?v=DRzFtczuli8
^^^ nursing management of....
What is Club foot
????
https://www.youtube.com/watch?v=4pIfWquXtdA
^^^ boring warning- But thorough! Also uses the LATIN Terms!!!
https://www.youtube.com/watch?v=DRzFtczuli8
^^^ nursing management of....
Photo by Wen-Yan King
Types
- Talipes varus: inversion or bending inward
- Talipes valgus: eversion or bending out
- Talipes equinus plantar flexion with toes lower than the heel
- Talipes calcaneus: dorsiflexion with toes higher than the heel
- I don't know why we kept them latin, but he thinks they're great.
okay- we got this! Talipes = foot
soo
TEV - famous one!!!
soo
TEV - famous one!!!
Photo by lentina_x
Prostethics
we've come a long way
can you imagine how infectious these things were???
Photo by MuseumWales
can't fix?
replace...
https://www.youtube.com/watch?v=16dlxeDxuWM
^^^^ just amazing.
Remember -their pain is REAL....they are REALLY feeling these sensations. Compassion is key.
^^^^ just amazing.
Remember -their pain is REAL....they are REALLY feeling these sensations. Compassion is key.
Photo by An Unreliable Witness
osteogenesis
imperfecta
https://www.youtube.com/watch?v=IAhs-piej1o
^^^ very sweet, and a good way to learn the PEDI slant on this disorder.
^^^ very sweet, and a good way to learn the PEDI slant on this disorder.
Photo by nickwheeleroz
curvature of the spine
the nurse's role...
https://www.youtube.com/watch?v=eIIy7axuT2A
she's baaaaaack but if you don't like reading...here you go.
:)
she's baaaaaack but if you don't like reading...here you go.
:)
Photo by estonia76
Bone Infection
osteomyELitis
http://www.webmd.com/pain-management/osteomyeltis-treatment-diagnosis-sympt...
Remember BONES are TISSUE and can become infected. If you get a Blood bone infection it is very devastating, and DEADLY.
Remember BONES are TISSUE and can become infected. If you get a Blood bone infection it is very devastating, and DEADLY.
Photo by euthman
no using your limb
until the infection is healed silly.
REST! REST IS BEST!
remember
Healthy Bodies move-be a good role model!
And be careful with your BACKS and Bodies!!!
Photo by brizzle born and bred
