COMPREHENSIVE NCLEX RN
MUSCULOSKELETAL PROMBLEM OF THE ADULTS
CLIENT 8
TH EDITION
UNIT XVI
Musculoskeletal Problems of the Adult
Client
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Introduction
The Pyramid to Success focuses on the emergency care for a client who sustains a
fracture or other musculoskeletal injury, monitoring for complications, and carrying
out interventions if complications occur. Nursing care related to casts and traction is
emphasized. Skill related to instructing the client in the use of an assistive device
such as a cane, walker, or crutches is a Pyramid Point. Pyramid Points also include
postoperative care following hip surgery or amputation and care of the client with
rheumatoid arthritis or osteoporosis. Focus on the points related to the psychosocial
effects as a result of the musculoskeletal disorder, such as unexpected body image
changes, and the appropriate and available support services needed for the client.
Client Needs: Learning Objectives
Safe and Effective Care Environment
Communicating with the interprofessional health care team
Ensuring that informed consent is obtained for treatments and procedures
Establishing priorities
Handling hazardous and infectious materials safely
Maintaining asepsis related to wounds
Maintaining confidentiality
Maintaining standard and other precautions
Preventing accidents and injuries
Providing physical therapy and occupational therapy referrals
Upholding client rights
Health Promotion and Maintenance
Performing physical assessment related to the musculoskeletal system
Preventing diseases that occur as a result of the aging process
Promoting health related to diet and activity
Providing home care instructions regarding care related to a musculoskeletal
disorder
Reinforcing the importance of prescribed therapy
Pyramid to Success
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Psychosocial Integrity
Assessing available support systems and use of community resources
Assessing the client’s ability to cope with mobility limitations and restrictions,
feelings of isolation, and loss of independence
Considering cultural, religious, and spiritual influences
Discussing situational role changes as a result of the musculoskeletal disorder
Discussing unexpected body image changes as a result of injury or disease
Identifying sensory and perceptual alterations
Mobilizing coping mechanisms
Physiological Integrity
Identifying complications of procedures, injuries, or a fracture
Providing care following diagnostic testing and procedures and surgical
interventions
Providing care related to casts and traction
Promoting normal elimination patterns
Promoting self-care measures
Providing emergency care for a fracture or other injury
Providing emergency care if complications following injuries or surgical
interventions arise
Providing measures to promote comfort
Teaching about the use of assistive devices for mobility such as canes, walkers,
and crutches
Teaching pharmacological therapy
CHAPTER 60
Musculoskeletal Problem [Show Less]