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Muskuloskeletal Assessment

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Muskuloskeletal Assessment Health History Physical Assessment Inspection Palpation Range of Motion Muscular Strength Rachel S. Natividad, RN, MSN Physical Assessment ... – PowerPoint PPT presentation

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Title: Muskuloskeletal Assessment


1
Muskuloskeletal Assessment
  • Health History
  • Physical Assessment
  • Inspection
  • Palpation
  • Range of Motion
  • Muscular Strength

Rachel S. Natividad, RN, MSN
2
Physical Assessment- Cont.
  • Cervical spine
  • Shoulders
  • Elbows
  • Wrists/hands
  • Hips
  • Knees
  • Ankles/feet
  • Spine
  • Functional assessment

3
Inspection/Palpation
  • Note size and symmetry color, swelling, masses
    deformities of joints, limbs and body regions
  • Palpate for temperature, pain, tenderness,

4
Spine
5
ROMs
  • Have the pt perform active ROM
  • If unable to, use passive ROM

6
Assessing Muscles
  • Strength against gravity, full resistance
  • note as 0/5-5/5
  • 5/5 normal

7
Rheumatoid arthritis
  • Chronic, systemic, inflammatory disease that
    attacks the joints, and surrounding tissues,
    hand, knees, hips, and feet

8
Deformitiesof RA
Ulnar Shift
Boutinniere Deformity
Swan neck deformity
9
Osteoarthritis
  • A chronic degeneration of joint cartilage caused
    by aging or trauma

10
Osteoarthritis
  • Heberdens nodes on distal interphalangeal joints
    (DIPs )
  • Bouchards nodes on proximal interphalangeal
    joints (PIPs) as disease progresses

11
Osteoporosis
  • A decrease in bone mass, porous, brittle, and
    prone to fracture

12
Contractures
13
Assessment Guide Activity Rest
  • Objective Data
  • Activity Level and Tolerance
  • ambulates with walker independently/ with minimal
    assistance bedrest up in wheelchair

14
Assessment Guide Activity Rest Muscles and
joints
  • Description fair muscle tone, no atrophy
    atrophy to RLE. No stiffness or contractures R
    wrist contracted
  • Movement limited ROM to RUE FROM all
    extremities
  • Strength strong UE, LE weak RUE RLE
  • Coordination able to perform most ADLs can comb
    hair and reach for water glass

15
Assessment Guide Activity Rest
  • Posture/Gait
  • Slumped, kyphosis, erect gait unsteady,
    shuffling, ataxia

16
Assessment Guide Activity Rest
  • Circulation, Sensation, and Movement
  • Describe
  • CSM intact
  • no sensation to R big toe and second toe
  • numbness and tingling to LEs
  • Decreased ROM to LUE due to contractures

17
Assessment Guide Activity Rest
  • Rest/Sleep Patterns
  • Sleeps most of the day
  • Takes midday naps

18
Assessment Guide Activity Rest
  • Interventions in use
  • Assistive device, equipment
  • Cast, trapeze, foot cradle,
  • Special beds
  • Air bed, eggcrate mattress
  • Med List
  • Glucosamine, Allopurinol, NSAIDS, etc.
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