NUR 322 Lecture 7: Chapter 29
Document Summary
Chapter 29: caring for the child with a musculoskeletal condition. Common musculoskeletal conditions found in children: club foot. Instruct family to keep cast clean: use double diapering; change diaper frequently, give sponge bath, provide emotional support, use distraction techniques and age appropriate toys to meet developmental milestones. S/s: hip or knee soreness or stiffness, pain that increased with activity and decreases with rest, painful limp. Nursing care: obtain history, pain description by child, assess rom, non-weight bearing using brace, assess skin for breakdown, bedrest, manage pain, after surgery, hip-spica cast is required. Education/discharge: avoid weight bearing activities; mobility restrictions maintained, rom, emotional support and diversional activities, slipped femoral capital epiphysis. S/s: pain in groin or referred pain to thigh or knee, pain during internal rotation of hip. Nursing care: no weight bearing permitted, prevent further slippage, bed rest with child in traction, russell"s tra(cid:272)tio(cid:374) is used (cid:271)efore surgery, surgery (pinning, pain management, neurovascular status, crutch walking.
