Chapter 62 Nursing Assessment Musculoskeletal System

The nurse would have arranged for Mr. Thomas to receive training, so that he is able to transfer his wife safety from the bed to a chair. Educating Mr. Thomas to safely participate in his wife’s care will prevent caregiver and patient injuries and will help Mr. Thomas not rely on paid staff to

The officers set up the bed and asked the clinical staff to bring in the patient into the room and lay her down in supine position on the bed. Once the patient was on the bed, the officers and clinical staff started applying the restraints and the patient was co-operative. The writer applied the left arm and lap belt, while RPN. Holly Klashinsky applied right arm, SSO

Such as in the S for Sleeping Disorders, the nurse found out that patient is having difficulty sleeping, with the assist of pain medication. The nurse requested that she will refer a sleep regiment, and make sure the environment has less distractions. Next was P for Problem with eating, the nurse found out that the patient must eat her food in small pieces, and prefer a soft consistency, and has issue using her eating utensils, due to weakness in her fingers. The nurse recommended the RNA to assist her with that at dinner time. Next, the I for Incontinence, the nurse found out that patient has issue with getting to the bathroom in time before she has an accident. The nurse recommended for patient to have a bathroom regiment and bed side commode. In C for Confusion the nurse found out that due to patient being on pain medication, she is sleeping so much, and she is confused as to where she is, along with the date and time. In E for Evidence of Falls, she assesses history of fall within 6 months and the use of assisted devices, then recommended physical therapy consult due to weakness and strength. In S for Skin Breakdown, the nurse recommended soft care mattress, heel lift boot and frequent skin assessment due to patient concern with her skin easily can

Plan your initial assessment so that you can use the position change and turning time with an assistant or auscultate the posterior chest with someone to help you turn and hold the immobile patient. Auscultate left lateral when the patient is lying on his or her right side, and vice versa. Document the findings based on the lung fields; do not describe the lobes because

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel's guide to physical examination (8th ed.). St. Louis, MO: Elsevier

Medical Surgical Nursing clinical has allowed the author with the opportunity to take care of several patients suffering from a variety of diseases processes. This paper will discuss the pathophysiology of a chosen patient’s medical diagnosis and comorbidities, as well as the nursing diagnosis and interventions individualized for the patient. The chosen patient will be referred to as J.C. throughout this paper to ensure patient privacy.

Intervention #2: My nurse and I assessed pain frequently. This is often done at the same at the same time as vital signs are obtained, and during activity and rest. We also assessed for pain with interventions or procedures likely to cause pain.

After analyzing findings from the initial evaluation the patient’s primary issue is severe right hip/knee pain which is limiting his ability to participate in PT, as well as perform functional activities. Therefore, identifying the source of pain is the main priority since the patient’s pain is 5/10 at rest and 7/10 with bed mobility, transfers, and ambulation. Taking into consideration the high pain levels and unknown source; the patient was discharged and recommended to follow up with his MD. This being said, below are potential concerns involving the combination of medications and impairments during interventions if this patient remained in Neuro Clinic with minimal pain.

Chronic pain related to nerve compression as evidence by verbal reports of pain, changes in facial expression of pain, and anxiousness (Wilkinson, 2017, pg. 600).

In class the test result was considered negative, as the patient was stable. There was no real body swaying.

While completing the hourly exercises in the hospital, please call a nurse if you feel any of the following

According to John Hopkins Medicine (n.d.), pain is an uncomfortable feeling that tells you something may be wrong. It can be fixed, throbbing, stabbing, aching, pinching, or described in many other ways. Pain is categorized as either acute or chronic. Acute pain is usually severe and brief, and is often a signal that your body has been injured. Chronic pain can vary from mild to severe and is there for long periods of time (John Hopkins Medicine, n.d). This paper will discuss a scenario that entails which person is experiencing the most pain, how two people can have the same procedure experience different levels of pain, factors that contribute to each person’s pain level, and two complementary/alternative methods of pain control.

Another modification that can be applied to this test is to measure the hip position goniometrically or the patient can passively flex the hip

b. Have the patient sit in a chair with the feet flat on the floor.

position, then their blood pressure would ne higher than when it was measured from the reclined