Pain Management Education in Healthcare
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Questions and Answers

When thinking about nursing considerations for musculoskeletal disorders, decreased ______ is a priority

mobility

Arthritis is essentially inflammation of the ______

joint

In patients with arthritis, there is a risk of pressure ______

ulcer

Patients with arthritis may experience joint ______

<p>stiffening</p> Signup and view all the answers

For patients with decreased mobility, there is a risk of ______

<p>atelectasis</p> Signup and view all the answers

Specific nursing considerations are related to the specific disease or ______ process

<p>illness</p> Signup and view all the answers

Patients with rheumatoid and osteoarthritis may experience decreased range of ______

<p>motion</p> Signup and view all the answers

Osteoarthritis is commonly diagnosed in patients in their middle and geriatric years, which may lead to changes in ____________ image.

<p>body</p> Signup and view all the answers

Patients with rheumatoid arthritis may feel like outsiders in social circles due to their symptomologies, affecting their ____________.

<p>self-esteem</p> Signup and view all the answers

Patients with chronic conditions like osteoarthritis and RA may experience both biological and ____________ stress.

<p>physical</p> Signup and view all the answers

Gout is known as the 'rich man's disease' due to its association with rich fatty foods like beef and ____________.

<p>butter</p> Signup and view all the answers

The buildup of uric acid in synovial fluid can cause an inflammatory process, leading to swelling and edema in ____________ spaces.

<p>joint</p> Signup and view all the answers

So what should they take for their ______?

<p>pain</p> Signup and view all the answers

Recurrent gout exacerbations can lead to tissue and joint damage, known as ____________ gout.

<p>tophaceous</p> Signup and view all the answers

How should they manage their pain in terms of ______ and all of that kind of stuff?

<p>NSAIDs</p> Signup and view all the answers

During an acute gout attack, patients experience an acute inflammatory state that correlates with ____________.

<p>pain</p> Signup and view all the answers

What can they do to decrease the discomfort when they're ______?

<p>walking</p> Signup and view all the answers

What can they do to avoid pain exacerbations when they're sitting in ______?

<p>bed</p> Signup and view all the answers

Patients may experience ______, they will have a higher risk for pathological fractures and they may have changes in the structure of the bone such as ______.

<p>pain, kyphosis</p> Signup and view all the answers

With page's disease, remember this is overgrowth of new bone and delayed breakdown and recycling of old ______.

<p>bone</p> Signup and view all the answers

Remember we're talking about ______. Additional considerations. Additional treatments may be braces for your patient that has osteomalacia.

<p>bone</p> Signup and view all the answers

Patients with softened bones may experience complications in areas of bone ______.

<p>overgrowth</p> Signup and view all the answers

Paget's disease involves both softened bones and ______ of bones.

<p>overgrowth</p> Signup and view all the answers

Pathological fractures are associated with ______.

<p>osteomalacia</p> Signup and view all the answers

Stress fractures occur due to ______ pressure on the bone.

<p>intense</p> Signup and view all the answers

In fracture management, ORIF stands for Open Reduction ______ Fixation.

<p>Internal</p> Signup and view all the answers

Primary healing may require the patient to undergo ______ surgery.

<p>surgery</p> Signup and view all the answers

Postoperative concerns include early ambulation and maintaining joint ______.

<p>mobility</p> Signup and view all the answers

Surgical pins and needles are inserted into the patient's bone, through their muscle, to hold the fracture or misaligned joint in place until sufficient healing has occurred. This process is known as ______

<p>traction</p> Signup and view all the answers

With bucks traction, there's discomfort due to a weight pulling at the patient's body part, resulting in pain and ______

<p>discomfort</p> Signup and view all the answers

Considerations for skin integrity include the risk of skin maceration and tearing due to tape and adhesive applied directly to the patient's skin. This is to prevent skin ______

<p>tearing</p> Signup and view all the answers

Patients with traction in place have to sit in bed for extended periods, leading to concerns about pressure injuries and the need for frequent ______

<p>repositioning</p> Signup and view all the answers

Additional considerations with skeletal traction include the risk of infection at the insertion site and the bone, known as contiguous ______

<p>osteomyelitis</p> Signup and view all the answers

For both bucks traction and skeletal traction, the priority consideration is to ensure the appropriate amount of pressure or counterbalance is being exerted. This includes ensuring the weights are hanging at the appropriate ______

<p>level</p> Signup and view all the answers

One of the risks associated with using traction is the potential for skin ______ due to the tape and adhesive applied directly to the skin

<p>maceration</p> Signup and view all the answers

Proper repositioning of patients with traction is crucial to prevent pressure injuries and ensure the patient's ______ is maintained

<p>comfort</p> Signup and view all the answers

Infection of the bone and insertion site are risks associated with skeletal traction and can lead to serious complications like ______

<p>osteomyelitis</p> Signup and view all the answers

Appropriate management of the weights and pulley system is essential to ensure the right amount of pressure is applied and to avoid any risk of ______

<p>improper</p> Signup and view all the answers

Traction is an external pulley system that is applied to some part of the body to hold a body part in place while the joint or the bone heals itself. This is another way of facilitating secondary healing or indirect healing and using an external device to hold everything in place as the bone naturally heals itself. With skin traction, there are two main types. There's skeletal traction and then there's skin traction with skin traction, essentially tape and gauze or tape and acrylic or some kind of external traction device are used along with a pulley system. The pulley system is basically cords and weights that applied tension to a body part to hold the body in alignment. So the most common type of skin traction is bucks traction where tape and curettes are used to input along the patient's leg or neck or whatever the case is. And then cord with a weight at the end of it is hung over the end of the bed. Weight is not touching the floor weight is free hanging and that is to apply a certain amount of tension, a certain amount of pull to hold the patient's bone in place. This stays in place 24 hours a day until whatever timeframe the physician has ordered has expired. Physician will remove the traction or the nurse will if they've been trained to, and the doctor is given an order for them to remove it. But this stays in place 24 hours a day until the patient's bone is sufficiently healed to stay in alignment on its own. The more invasive form of ___ is skeletal traction.

<p>traction</p> Signup and view all the answers

The immune system and immune cells are going to be acting for a longer period of time and more intensely. So we need to make sure that the body has the fluids that it needs to function at a macro level as well as a micro level. And then with secondary indirect healing. So this is where there's closed reduction. So the physician or the doctor or the healthcare provider will essentially realign the bone, whether it's a fracture or a dislocation. Realign the bone by putting pressure, opposing pressure to the affected site to pop everything back in alignment or back in place. And then some external device like a brace or a cast or traction will be applied until the bone has time to heal itself. Now I'm going to let you go over ______ on your own. This is pretty straightforward. We all should know what a cast is. Remember with ______, this is something that's being applied to the outside of some body part. We have concerns about perfusion and circulation. So blood being perfused throughout the body appropriately and blood being able to be returned back to the heart appropriately. As it relates to circulation and perfusion, I am concerned about compartment syndrome. You as the registered nurse, you're concerned about the development of compartment syndrome. Alright?

<p>casts</p> Signup and view all the answers

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