Discuss how the musculoskeletal and nervous systems mature for each of the developmental stages listed.
Give examples of dialogue between a nurse and parents of a child with an abnormal gait.
Discuss assessment of muscular tone while assessing reflexes.
How might these diagnostic tests eliminate or confirm a musculoskeletal disorder?
Discuss these treatments. What is the nurse’s role in caring for children who have undergone these treatments?
Describe epiphyses and periosteum.
Discuss the differences among contusion, sprain, and strain. What methods would you use to provide immediate treatment for these injuries?
Discuss and provide the rationale regarding fractures that affect the cartilaginous epiphysis (growth plate) in children.
Discuss the fractures listed in Figure 24-2 on page 565. Give an example of how each might occur.
Discuss the nursing care and assessment of a child in Bryant’s traction. Refer to Figure 24-6 on page 565. Audience Response Question #1 Complete the analogy. Bryant's traction : Volksmann ischemia as _________ : compartment syndrome 1. Buck's traction 2. casts 3. splints 4. surgery
Discuss the nursing care and assessment of a child in Buck’s extension.
When would this type of traction be preferred to Buck’s extension traction? Refer to Figure 24-4 on page 566.
What methods are used to prevent infection with these types of traction?
Discuss Figure 24-8 on page 567.
Discuss techniques to assess the neurovascular status of the extremity. Discuss the rationale for antiembolic measures in these types of patients. How is constipation prevented?
Discuss Figure 24-10 on page 569.
Discuss assessment of an extremity to rule out compartment syndrome.
If fiberglass, the child can bathe and go in water. If plaster, child cannot get cast wet.
In what situation might a child be prone to osteomyelitis?
What methods are used to prevent transmission of these organisms to the injury?
Discuss the difference between an x-ray and a bone scan. What methods are used to remove purulent drainage from the bone? Give examples of diversional activities.
How might a parent detect delayed motor development?
Discuss the nurse’s role in preparing and caring for children who will have these procedures.
Give examples of supportive care for these children. What is the nurse’s role in educating the parents of a child with MD?
How does Buck’s traction assist children with this condition?
Discuss the nurse’s role regarding the child with a cast or braces.
Audience Response Question #2 Complete the analogy. Osteosarcoma : long bones as _______________ : bone marrow. 1. Ewing's sarcoma 2. osteomyelitis 3. leukemia 4. sepsis
What is phantom pain?
How does JIA affect the child’s joints?
Discuss manifestations for each type of JIA.
What methods can reduce joint pain and swelling? Give examples of how joint function can be preserved.
Discuss the pathophysiology regarding breech and/or forceps delivery leading to this condition.
Discuss ROM for a child with this disorder.
Discuss Figures 24-11 and 24-12 on page 575.
Discuss poor posture and this disorder.
Review use of the Milwaukee brace on page 575.
Discuss each of the common injuries and types of sports which could cause these injuries.
Review the Health Promotion box on page 577.
What is the difference between neglect and maltreatment?
Discuss the factors that could trigger child abuse.
Describe each of the types of child abuse listed.
Give examples of anxiety-reducing techniques. What are some examples of assertive skills? How could you enhance a child’s coping mechanisms?
Discuss Figure 24-14 on page 581.
What are some examples of cultural practices that could be misconstrued as physical abuse? Give an example of documentation of suspected abuse.
Chapter 24 Power Point
Chapter 24Chapter 24
The Child with a MusculoskeletalThe Child with a Musculoskeletal