NR 305 Week 7 Discussion Topic, Assessment of the Musculoskeletal System and Pain
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Course
NR 305
Institution
Chamberlain College Of Nursing
NR 305 Week 7 Discussion Topic, Assessment of the
Musculoskeletal System and Pain/NR 305 Week 7 Discussion Topic, Assessment of the
Musculoskeletal System and Pain/NR 305 Week 7 Discussion Topic, Assessment of the
Musculoskeletal System and Pain
NR 305 Week 7 Discussion Topic: Assessment of theMusculoskeletal
System & Pain
Fred is an 83-year-old male who is … to the medical-surgical unit status post fall. He is
alert & oriented & reports that while visiting a local casino with his wife Margaret earlier
this evening, he tripped over a curb & fell landing on his right side. After receiving
morphine in the emergency room prior to transfer to your unit, Fred is rating his pain at
6/10. He has multiple bruises from his jawbone to his knee as well as a slight rotation of his
right leg.
Past medical history includes: myocardial infarction (MI) x 2,—– sleep apnea, &
degenerative joint disease. Medications include: aspirin, Plavix, Lopressor, Lisinopril, &
Metformin.
After reviewing the above scenario please answer the following questions.
1. Based on the information provided, how will you prioritize your care, what
assessments will you include & in what order? Please provide rationale for your
response.
2. Considering this patient’s age, injury, past medical history, & list of current
medications, what, if any, concerns do you have related to his potential need for
surgery?
3. Should surgery to repair his right femur ….. : what type of clearance & pre-op
orders would you anticipate receiving related to his diet, meds, lab work, & so on?
, Based on the information provided, how will you prioritize your care, what assessments will you
include & in what order? Please provide rationale for your response.
Degenerative Joint Disease which is also called osteoarthritis is one of Fred’s diagnoses.
Affected joints have stiffness; swelling with hard, bony protuberances; pain with motion; &
limitation of motion (Jarvis 620). Upon receiving Fred, I will do a complete set of vital signs.
Assessing his pain will be a priority. I will like to know Fred’s past history of pain given his past
diagnosis of OA, DM & PVD. If he has a history of chronic pain, I will like to know the location
of the pain & his normal pain goal prior to recent fall. Given his current situation, I will like to
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