骨科護(hù)理英文

匯報人：xxx20xx-03-27骨科護(hù)理英文IntroductiontoOrthopedicNursingPatientAssessmentinOrthopedicsCommonOrthopedicConditionsandTreatmentsNursingCareforOrthopedicPatientsRehabilitationandRecoveryinOrthopedicsPatientSafetyandQualityImprovementinOrthopedics目錄01IntroductiontoOrthopedicNursingOrthopedicnursingisaspecializedfieldofnursingthatfocusesonthecareofpatientswithmusculoskeletaldisordersOrthopedicnursesworkclosurewithorthopedicsurgeons,physicians,therapists,andotherhealthcareprofessionalstoprovideprehensivecaretopatientsItenpassedtheassessment,diagnosis,treatment,prevention,andrehabilitationofinjuriesanddiseasesaffectingthebones,joints,muscles,ligaments,tensions,andnervesDefinitionandScopeofOrthopedicNursingOrthopedicnursesplayacriticalroleinensuringthatpatientsreceivethebestpossiblecareandoutesfollowingorthopedicsurgeriesortreatmentsTheyareresponsibleformonitoringpatients'conditions,administeringmedicine,managingpainanddisfort,andprovidingeducationandsupporttopatientsandtheirfamiliesOrthopedicnursesalsoplayakeyroleinpreventingplicationsandpromotingrecoveryandrehabilitationImportanceofOrthopedicNursingTheorthopedicnumberisresponsibleforassessingandmonitoringthepatient'scondition,includingvitalsigns,soundhealing,andneurologicalstatusOrthopedicnursesalsoprovidepatienteducationontopicssuchaswoncare,paymanagement,andrehabilitationexercisesTheycollaboratewithotherhealthcareprofessionalstodevelopandimplementtreatmentplansandensurecontinuityofcareTheyprovidepreandpostoperationalcare,includingpreparingpatientsforsurgery,administeringanesthesia,andassistingwithsurgicalproceduresRoleoftheOrthopedicNumber02PatientAssessmentinOrthopedics03EvaluationofvitalsignsCheckforanyabnormalitiesthatmayindicateamoreseriouscondition01AssessmentofchildplaintDeterminethenatureandseverityofthepatient'sorthopedicproblem02ObservationofgeneralappearanceNoteanyobjectivedeformations,switching,ordisarrationInitialPatientEvaluationHistoryTakingandPhysicalExaminationDetailedhistoryGatherinformationabouttheonset,duration,andprogressofsymptomsPastmedicalhistoryIdentifyanypreviousorthopedicinjuriesorsurgeries,aswellasanychronichealthconditionsPhysicalexaminationPerformathroughexaminationoftheaffectedarea,includingrangeofmotion,strength,andsensitivitytestingCommonlyusedtoassessframes,locations,andgenerativechangesinbonesX-raysProvidedetailedimagesofsoftissues,joints,andbonestructuresformoreplexcasesMRIandCTscansMaybeorderedtoruleoutinfectionorothersystemicconditionsthatcouldbeaffectingtheorthopedicproblemBloodtestsUsedtoassessnerveandmusclefunctionincasesofsuspectednervedamageormuscledisordersElectromyography(EMG)DiagnosticTestingandImagingTechniques03CommonOrthopedicConditionsandTreatmentsABCDTypesofFramesComplete,inplete,mitted,pound,andstressframesTreatmentOptionsCasting,spraying,surgery(internalfixationwithplates,screws,ornails),andtractionComplicationsInfection,nonunion,malunion,andavascularnecrosisPlacementFramescanbedisplayedornondisplayed,dependingonwhichbonefragmentshavebeenmovedoutofalignmentFracturesandDisplacementsTypesofArthritisOsteoarthritis,RheumatoidArthritis,PsychologicalArthritis,andgoutSymptomsJointpain,stiffness,swinging,redness,andwarmthTreatmentOptionsMedications(analytics,NSAIDs,corticosteroids),physicaltherapy,jointprotectiontechniques,andsurgery(jointreplacementorfusion)OtherJointDisappearancesBursitis,tendinitis,andligamentspraysorteamsArthritisandOtherJointDiseasesCommonSpinalConditionsHereniatedDiscos,SpinalStenosis,Scoriosis,andSpoondylolisthesisSymptomsBackpain,radiation(nerverootinfection),weakness,numbness,andtinglingTreatmentOptionsMedications(analytics,musclerelaxants),physicaltherapy,periodicsteroidinjections,andsurgery(density,latency,fusion)PreventionandRehabilitationCorestrengtheningexercises,properliftingtechniques,andmaintaininggoodprospectsSpinalConditionsandTreatmentsSportsInquiriesandRehabilitationCommonSportsInquiriesSprains,strands,teams(ACL,meniscus),fractures,andlocationsRehabilitationPhysicaltherapytorestorerangeofmotion,strength,andfunctionPreventionPropwarmupandcooldownroutines,useofprotectivegear,andavoidingoverlappingorrepetitivemovementsReturntoSportCriteriabasedprogressionthroughrehabilitationphasestoensuresafereturntosportparticipation04NursingCareforOrthopedicPatientsPatientEducationProvidepatientswithinformationabouttheupingprocedure,includingwhattoexpectduringandaftersurgeryPreoperativeAssessmentEvaluatethepatient'soverallhealthstatus,includinganypreexistingconditionsthatcouldaffectsurgeryorrecoveryPreliminaryPreparationAssistwithnecessarypreliminaryproceduressuchasfast,skinpreparation,andadministrationofpreliminaryexaminationsEmotionalSupportOfferemotionalsupportandassurancetohelppatientsmanageanxietyandstressrelatedtotheupingsurgeryPreoperationalCareMonitorVitalSignsCloselymonitorthepatient'svitalsigns,includingheartrate,bloodpressure,andrespiratoryratetoensurestablerecoveryAdministerpaintmedicineassubscribedandmonitorthepatient'sresponsetoensureeffectivepaintcontrolMonitorthesurgicalsiteforsignsofinfectionorplicationsandprovideappropriatewoncareasneededAssistpatientswithinflammationandexercisesastolledtopromotecirculationandpreventstiffnessormuscleatrophyPainManagementWonCareMobilityAssistancePostoperativeCarePharmaceuticalInterventionsAdministerpaymedicinesuchasopioids,non-steroidalantiinflammatorydrugs(NSAIDs),orlocalanestheticsassubscribedbythehealthcareproviderNonPharmaceuticalInterventionsUtilizenonpharmaceuticalpainmanagementstrategiessuchasicepacks,heattherapy,mass,orinsurancetopletepharmaceuticalinterventionsandenhancepainreliefPatientEducationEducatepatientsandtheirfamiliesaboutpaintmanagementtechniques,includingrelaxationtechniquesanddispersionmethods,toempowerthemintheirownpaintcontrolPainManagementStrategiesOngoingAssessmentandAdjustmentContinuouslyassessthepatient'spaintlevelandadjustpaintmanagementstrategiesasneededtoensureoptimalfortandfunctionPainManagementStrategiesCleanandDressWoundsCleanwoundsregularlywithsterilesalesorotherappropriatecleanersanddressthemwithclean,drybandstopromotehealingandpreventinfectionMonitorforSignsofInfectionCloselymonitorsoundsforsignsofinfectionsuchasredness,sweeping,warmth,drainage,orincreasedpayandreportanyconcernsprompttothehealthcareproviderAdministratorAntibioticsasPrescribedAdministratorAntibioticsassubscribedbythehealthcareprovidertopreventortreatwoundinfectionsWoundCareandInfectionPreventionEducatePatientsonWoundCareEducatepatientsandtheirfamiliesonproperwoundcaretechnologies,includinghowtocleananddresswoundsathome,toensurecontinuityofcareandpromoteoptimalhealingoutesWoundCareandInfectionPrevention05RehabilitationandRecoveryinOrthopedicsManualTherapyHandsontechniquessuchasjointmobilityandsoftissuemobilitytoimprovejointfunctionandreducepainModificationsTheuseofelectricalstimulation,ultrasonic,heat,orcoldtoreceivepaint,reduceswitching,andpromoteheatingTherapeuticExerciseIncludesrangeofmotion,strengthening,andenduranceexercisestailedtothepatient'sconditionandgoalsPhysicalTherapyModalitiesAdaptiveEquipmentTrainingTeachingpatientshowtouseassistivedevicessuchasreactors,grabbers,anddressingaidsHomeModificationsRemendingchangestothepatient'shomeenvironmenttoimprovesafetyandaccessibilityActivityAnalysisEvaluatingthepatient'sabilitytoperformdailyactivitiesandidentifyingbarrierstoindependenceOccupationalTherapyInterventionsInstrumentationpatientsonpayrelieftechniquessuchasrelaxation,deepbreathing,andmedicalusagePainManagementProvidingguidanceonproperwoundcleaninganddressingchangestopreventinfectionandpromotehealingWoundCareTeachingpatientsspecificexercisestoperformathometomaintainstrength,flexibility,andrangeofmotionExerciseProgramsPatientEducationforSelfManagementMobilityAidsEvaluatingtheneedforandpredictingmobilityaidssuchaswalkers,canes,orwheelchairsOngoingRehabilitationDiscussingtheimportanceofcontinuedrehabilitationtomaintainfunctionandpreventfurtherdeclineChronicPainManagementAddressingthechallengesofmanagingongingpainthroughmedicine,lifestylechanges,andcoping