Podcast
Questions and Answers
Tell patients to get at least 15 minutes of sunlight for adequate vitamin ______
Tell patients to get at least 15 minutes of sunlight for adequate vitamin ______
D
Weightlifting helps strengthen both bone and ______
Weightlifting helps strengthen both bone and ______
muscle
Patients with osteoporosis may need braces to prevent ______ fractures
Patients with osteoporosis may need braces to prevent ______ fractures
pathological
Osteoporosis is characterized by demineralization of the ______
Osteoporosis is characterized by demineralization of the ______
Osteomalacia is a condition characterized by the softening of ______
Osteomalacia is a condition characterized by the softening of ______
Patients with osteomalacia may need a back brace or leg braces for bone ______
Patients with osteomalacia may need a back brace or leg braces for bone ______
Paget's disease involves overgrowth of new bone and delayed breakdown of old ______
Paget's disease involves overgrowth of new bone and delayed breakdown of old ______
Musculoskeletal disorders can lead to osteoarthritis and rheumatoid ______
Musculoskeletal disorders can lead to osteoarthritis and rheumatoid ______
Arthritis is essentially inflammation of the ______
Arthritis is essentially inflammation of the ______
Decreased mobility in arthritis patients can result in pain and joint ______
Decreased mobility in arthritis patients can result in pain and joint ______
A decrease in mobility can lead to risks such as pressure ulcer and ______
A decrease in mobility can lead to risks such as pressure ulcer and ______
Nursing considerations must focus on the specific disease or illness process to address ______
Nursing considerations must focus on the specific disease or illness process to address ______
Patients with arthritis may experience decreased range of ______
Patients with arthritis may experience decreased range of ______
Interventions are needed to mitigate the effects of decreased mobility in arthritis patients, such as promoting ______
Interventions are needed to mitigate the effects of decreased mobility in arthritis patients, such as promoting ______
Patients with osteoarthritis will usually be diagnosed with this in their ______ and geriatric years.
Patients with osteoarthritis will usually be diagnosed with this in their ______ and geriatric years.
RA symptomologies make patients with rheumatoid arthritis feel as though they're an ______.
RA symptomologies make patients with rheumatoid arthritis feel as though they're an ______.
Gout is also known as rich man's disease due to the breakdown of ______.
Gout is also known as rich man's disease due to the breakdown of ______.
Recurrent gout exacerbations along paired with the healing phase and recovery phase can lead to tissue and joint ______.
Recurrent gout exacerbations along paired with the healing phase and recovery phase can lead to tissue and joint ______.
During an acute gout attack, patients experience an acute ______ state.
During an acute gout attack, patients experience an acute ______ state.
NSAIDs help with the pain and the ______ process in gout.
NSAIDs help with the pain and the ______ process in gout.
Allopurinol is the long-term medication for ______ of gout.
Allopurinol is the long-term medication for ______ of gout.
Patients with softened bones may experience complications in areas of bone overgrowth that impact other body systems, such as over the __________ where the heart and the lungs lie.
Patients with softened bones may experience complications in areas of bone overgrowth that impact other body systems, such as over the __________ where the heart and the lungs lie.
Pathological fractures are associated with _________.
Pathological fractures are associated with _________.
Fractures can be complete or incomplete, closed or open, and comminuted where the bone __________.
Fractures can be complete or incomplete, closed or open, and comminuted where the bone __________.
Stress fractures occur due to intense pressure on the bone and can lead to a ________ in response to that pressure.
Stress fractures occur due to intense pressure on the bone and can lead to a ________ in response to that pressure.
Nerve involvement in fractures can lead to symptoms like paresthesia, ________, and paralysis.
Nerve involvement in fractures can lead to symptoms like paresthesia, ________, and paralysis.
Primary healing may require a patient to undergo ORIF, which stands for open reduction internal fixation, involving surgery and the application of materials like pin screws, plates, and ________.
Primary healing may require a patient to undergo ORIF, which stands for open reduction internal fixation, involving surgery and the application of materials like pin screws, plates, and ________.
Postoperative concerns after primary healing include early ambulation and joint mobility to prevent ________ where the joint has been operated on.
Postoperative concerns after primary healing include early ambulation and joint mobility to prevent ________ where the joint has been operated on.
The surgical site popping out of place can be prevented by using _____
The surgical site popping out of place can be prevented by using _____
For healing process, patients need supplemental vitamins like B vitamins, vitamin C, magnesium, phosphorus, calcium, and _____
For healing process, patients need supplemental vitamins like B vitamins, vitamin C, magnesium, phosphorus, calcium, and _____
Increasing protein levels supports the healing process and helps what cells to function?
Increasing protein levels supports the healing process and helps what cells to function?
To keep the body well-hydrated during healing, patients need increased _____
To keep the body well-hydrated during healing, patients need increased _____
_____ reduction involves realigning the bone by putting opposing pressure to the affected site.
_____ reduction involves realigning the bone by putting opposing pressure to the affected site.
A cast is applied externally to a body part and concerns about perfusion and circulation arise, particularly about the development of _____ syndrome.
A cast is applied externally to a body part and concerns about perfusion and circulation arise, particularly about the development of _____ syndrome.
Traction is an external pulley system applied to hold a body part in place while the joint or bone _____ itself.
Traction is an external pulley system applied to hold a body part in place while the joint or bone _____ itself.
Patients with fractures may need ______ traction to hold the fracture or misaligned joint in place.
Patients with fractures may need ______ traction to hold the fracture or misaligned joint in place.
With bucks traction, there is discomfort due to a weight pulling at the patient's body part, leading to pain and ______.
With bucks traction, there is discomfort due to a weight pulling at the patient's body part, leading to pain and ______.
Considerations for skin integrity are important due to tape and adhesive applied directly to the patient's ______.
Considerations for skin integrity are important due to tape and adhesive applied directly to the patient's ______.
Skin maceration and tearing are concerns with the adhesive used in traction, leading to potential skin ______.
Skin maceration and tearing are concerns with the adhesive used in traction, leading to potential skin ______.
Patients in traction may develop pressure injuries due to prolonged ______ in bed.
Patients in traction may develop pressure injuries due to prolonged ______ in bed.
Infection of the insertion site or bone are additional considerations with ______ traction.
Infection of the insertion site or bone are additional considerations with ______ traction.
The priority consideration with both bucks traction and skeletal traction is to ensure the appropriate amount of ______ is being exerted.
The priority consideration with both bucks traction and skeletal traction is to ensure the appropriate amount of ______ is being exerted.
Making sure the weights are hanging at the appropriate level and never touching the ground helps maintain the correct ______ in traction.
Making sure the weights are hanging at the appropriate level and never touching the ground helps maintain the correct ______ in traction.
If the weights in traction are either too much or too little, an inappropriate ______ is applied to the patient's affected body part.
If the weights in traction are either too much or too little, an inappropriate ______ is applied to the patient's affected body part.
The doctor's orders should always be followed to ensure the appropriate amounts of weight are on the ______ system in traction.
The doctor's orders should always be followed to ensure the appropriate amounts of weight are on the ______ system in traction.
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Study Notes
Educating Patients with Chronic Pain
- Educate patients about diet, medication administration, and symptom management to alleviate chronic pain
- Teach patients how to manage pain with NSAIDs and avoid exacerbations when sitting, walking, or resting
- Emphasize the importance of rest periods and planned mobility to prevent complications like atelectasis and pressure injuries
- Encourage patients to premedicate before engaging in activities that may provoke pain
Metabolic Bone Diseases
- Osteoporosis: demineralization of bones, loss of bone mass
- Osteomalacia: softening of bones, often due to vitamin D deficiency
- Paget's disease: overgrowth of new bone and delayed breakdown of old bone
- Importance of vitamin D and calcium supplementation in managing these conditions
- Fall prevention measures, such as braces, surgery, and weight resistance exercises, to prevent pathological fractures
Arthritis
- Osteoarthritis: wear and tear disease, typically diagnosed in middle to geriatric years
- Rheumatoid arthritis: autoimmune disease, diagnosed in twenties to thirties
- Decreased mobility, decreased range of motion, and chronic pain are common symptoms
- Interventions: NSAIDs, steroids, physical therapy, and counseling to address body image and self-esteem issues
- Gout: buildup of uric acid crystals in synovial fluid, often affecting smaller joints
- Acute gout attacks: inflammatory response, pain, and swelling
- Long-term management: diet modification, weight control, and medication (allopurinol, colchicine)
Paget's Disease
- Causes unknown, suspected genetic and environmental factors
- Complications: pathological fractures, nerve compression, hearing loss, and headaches
- Priority nursing considerations: patient education, fall prevention, and management of chronic pain
- Fracture management: complete or incomplete, closed or open, comminuted or non-comminuted
- Clinical manifestations: pain, deformity, nerve involvement, and decreased mobility
- Treatment: ORIF (open reduction internal fixation), primary and secondary healing, and postoperative care
Casts and Traction
- Casts: external devices to immobilize and facilitate healing
- Traction: external pulley system to hold body part in place
- Skin traction: tape and gauze or tape and acrylic, with pulley system and weights
- Skeletal traction: pins and needles surgically inserted into bone to hold fracture or joint in place
- Considerations for skin integrity, pressure injuries, and infection
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