NUR2356_Module 05 Assignment (1)

Purpose of Assignment 1. Assist students with coordination of care for clients with musculoskeletal disorders. 2. Enhance understanding of the nursing process in coordinating care for a client. Course Competency  Ex ...

Purpose of Assignment 1. Assist students with coordination of care for clients with musculoskeletal disorders. 2. Enhance understanding of the nursing process in coordinating care for a client. Course Competency  Explain components of multidimensional nursing care for clients with musculoskeletal disorders.  Select appropriate nursing interventions when providing multidimensional care to clients experiencing alterations in mobility Instructions After reviewing the medical conditions presented in the textbook, including osteoporosis, osteomyelitis, disorders of the feet, plantar fasciitis, carpal tunnel disorder, rotator cuff injury, or other musculoskeletal disorders, develop a care map using the template directly after these instructions. For this assignment, include the following: common assessment findings, a nursing diagnosis, outcomes, and nursing interventions with rationale for a client with a musculoskeletal disorder. Use at least two scholarly sources to support your care map. Be sure to cite your sources intext and on a reference page using APA format. You can find useful reference materials for this assignment in the School of Nursing guide: https://guides.rasmussen.edu/nursing/referenceebooks Have questions about APA? Visit the online APA guide: https://guides.rasmussen.edu/apa This study source was downloaded by 100000830772748 from CourseHero.com on 04-25-2022 06:59:22 GMT -05:00 https://www.coursehero.com/file/62240952/NUR2356-Module-05-Assignment-1docx/ Rheumatoid Arthritis Subjective Muscle weakness, muscle cramp. Rheumatoid Arthritis Subjective Pt. denies help with ambulation. Rheumatoid Arthritis Subjective Pain in both ankles joint stiffness. Objective Decreased ROM, unable to bear weight on left leg. Objective Unsteady gait, uses of assistive device (cane). Objective Presence of edema in left feet. Diagnostic Diagnostic Diagnostic Impaired physical mobility (Doenges, Moorhouse, & Murr 2019). Risk for Fall (Makic, Ladwig, & Ackley 2017) Acute pain (Doenges, Moorhouse, & Murr 2019). Nursing Diagnosis Nursing Diagnosis Nursing Diagnosis Impaired physical mobility r/t use of assistive device as evidence by muscle weakness in left lower extremities. Risk for fall r/t uses of assistive device. Acute pain r/t swelling of tissues by the inflammation buildup in the joint as evidence by joint stiffness with pain. SMART Goal SMART Goal SMART Goal Pt will maintain ability to move purposefully in his environment independently through the activities of daily living such as getting dressed, brush hair, brush teeth, eat food, every morning during my shift. Pt will remain free of fall while using cane in a correct way, eliminating clutters, spill, use save transfer technique daily during hospital stay. Pt will report there is relieved from pain and able to control pain at the end of shift. Nursing Interventions Nursing Interventions Nursing Interventions Evaluate the need for assistive devices every Complete a fall risk assessment every week using Evaluate the location, This study source was downloaded by 100000830772748 from CourseHero.com on 04-25-2022 06:59:22 GMT -05:00 https://www.coursehero.com/file/62240952/NUR2356-Module-05-Assignment-1docx/ morning, using assistive device such as cane, wheelchairs will promote activities. Perform passive ROM in upper and lower extremities every 3 hours to maintain mobility and prevent injury. Support affected part and joint using pillow while the patient is on bed to reduce the risk of pressure ulcer and also maintain position. Reposition the client every 2 hours to prevent skin breakdown. Assist with patient daily care and allow the patient to perform as tolerated every morning. It will improve patient health. Hendrich II Fall Risk Model. It determines the risk of fall. Assist patient with ambulation every time patient call for assistance, also check on patient every 2 hours to monitoring. This will prevent patient from falling. Follow up with the patient lab value every day to indicate which value may cause fall. Provide the patient with supportive footwear whenever ambulation is needed. It will prevent the patient from fall. Maintain a regular exercise such as walking routine every 3 days, to improve patient health. intensity and rate of the pain using pain scale (1-10), to understand the ways pain can be managed. Assist with the use of pillows to support the affected area every time, this maintains a comfort position. Use of pillow can decrease pain and ease damage to joint. Assist the patient to reposition in bed, by supporting the affected joints whenever call light is on, preventing rough movements prevents joint stiffness. Offer gentle massage once during each shift. It promotes relaxation and will diminishes muscle tension. Apply ice or cold packs as needed. Cold may alleviate pain and swelling during acute occurrences.