Class Talk Fall 2016

I took the majority of last night from about 7pm, until about 5pm today to “disconnect” from TV, email, text, and internet. At first it was a little difficult to not have the urge to check emails or go online, yet when I truly let go and simply focused on my daily interactions with my family and those round me, it was a great chance to get to connect with other people and put a smile on their face. As a society, we can be so blind to emotions and feelings of those around us due to media and distractions; genuinely taking the opportunity to say “thank you” or “how are you” to someone can go a long way not only for our career, but in any occupation as well! This activity was very eye opening, and could benefit many people I think!

I took the majority of last night from about 7pm, until about 5pm today to “disconnect” from TV, email, text, and internet. At first it was a little difficult to not have the urge to check emails or go online, yet when I truly let go and simply focused on my daily interactions with my family and those round me, it was a great chance to get to connect with other people and put a smile on their face. As a society, we can be so blind to emotions and feelings of those around us due to media and distractions; genuinely taking the opportunity to say “thank you” or “how are you” to someone can go a long way not only for our career, but in any occupation as well! This activity was very eye opening, and could benefit many people I think!

1. Image that represents the topic.
   • 
2. Priority Assessment.
   • Postoperative
     1. Respiratory Depression
     2. Pain, neuro in lower extremity, mobility, self-esteem
     3. Edema, bleeding, DVT or PE
3. Limitations related to mobility.
   1. Pins, screws, rods, and plates are used to maintain position of bone but cannot fully support body weight.
   2. Swelling, pain, and confidence in new knee can make patients reluctant to move after surgery.
4. Discharge Teaching.
   1. Education to recognize complications that should be reported, health promotion, healthy diet.
   2. Adherence to medication regimen.
   3. Proper wound care.
   4. Safe transfers.
   5. Exercises for mobility and to strengthen.

Hinkle, J. L., & Cheever, K. H. (2013). Brunner & Suddarth’s textbook of medical-surgical nursing. Lippincott Williams & Wilkins.

1. Image that represents the topic.
   • 
2. Priority Assessment.
   • Postoperative
     1. Respiratory Depression
     2. Pain, neuro in lower extremity, mobility, self-esteem
     3. Edema, bleeding, DVT or PE
3. Limitations related to mobility.
   1. Pins, screws, rods, and plates are used to maintain position of bone but cannot fully support body weight.
   2. Swelling, pain, and confidence in new knee can make patients reluctant to move after surgery.
4. Discharge Teaching.
   1. Education to recognize complications that should be reported, health promotion, healthy diet.
   2. Adherence to medication regimen.
   3. Proper wound care.
   4. Safe transfers.
   5. Exercises for mobility and to strengthen.

Hinkle, J. L., & Cheever, K. H. (2013). Brunner & Suddarth’s textbook of medical-surgical nursing. Lippincott Williams & Wilkins.

1. Image that represents the topic.
   • 
2. Priority Assessment.
   • Postoperative
     1. Respiratory Depression
     2. Pain, neuro in lower extremity, mobility, self-esteem
     3. Edema, bleeding, DVT or PE
3. Limitations related to mobility.
   1. Pins, screws, rods, and plates are used to maintain position of bone but cannot fully support body weight.
   2. Swelling, pain, and confidence in new knee can make patients reluctant to move after surgery.
4. Discharge Teaching.
   1. Education to recognize complications that should be reported, health promotion, healthy diet.
   2. Adherence to medication regimen.
   3. Proper wound care.
   4. Safe transfers.
   5. Exercises for mobility and to strengthen.

Hinkle, J. L., & Cheever, K. H. (2013). Brunner & Suddarth’s textbook of medical-surgical nursing. Lippincott Williams & Wilkins.

1. Image that represents the topic.
   • 
2. Priority Assessment.
   • Postoperative
     1. Respiratory Depression
     2. Pain, neuro in lower extremity, mobility, self-esteem
     3. Edema, bleeding, DVT or PE
3. Limitations related to mobility.
   1. Pins, screws, rods, and plates are used to maintain position of bone but cannot fully support body weight.
   2. Swelling, pain, and confidence in new knee can make patients reluctant to move after surgery.
4. Discharge Teaching.
   1. Education to recognize complications that should be reported, health promotion, healthy diet.
   2. Adherence to medication regimen.
   3. Proper wound care.
   4. Safe transfers.
   5. Exercises for mobility and to strengthen.

Hinkle, J. L., & Cheever, K. H. (2013). Brunner & Suddarth’s textbook of medical-surgical nursing. Lippincott Williams & Wilkins.

Assessment

• Physical findings
  • Bone pain, tenderness to touch, bowing of the bones, and pathological fractures
  • Physical deformities (spinal kyphosis and bowed legs)
• X-rays and Bone Scans
  • Demineralization of bone
• Urine
  • Excretion of calcium and creatine low
• Labs
  • Low Calcium levels
  • Low Phosphorus
  • Moderately elevated ALP

Mobility Limitations

• Pain and waddling gait due to physical deformities
• Risk for fractures and falls

Discharge instruction

• Increasing doses of Vitamin D along with supplemental Calcium
• Reduce caffeine, alcohol, cigarette, carbonated soft drinks to reduce the risk of fractures
• Regular weight bearing exercise
• Exposure to sunlight
• If kidney disease is the cause, patient will need to take Calcitriol

Assessment

• Physical findings
  • Bone pain, tenderness to touch, bowing of the bones, and pathological fractures
  • Physical deformities (spinal kyphosis and bowed legs)
• X-rays and Bone Scans
  • Demineralization of bone
• Urine
  • Excretion of calcium and creatine low
• Labs
  • Low Calcium levels
  • Low Phosphorus
  • Moderately elevated ALP

Mobility Limitations

• Pain and waddling gait due to physical deformities
• Risk for fractures and falls

Discharge instruction

• Increasing doses of Vitamin D along with supplemental Calcium
• Reduce caffeine, alcohol, cigarette, carbonated soft drinks to reduce the risk of fractures
• Regular weight bearing exercise
• Exposure to sunlight
• If kidney disease is the cause, patient will need to take Calcitriol

Assessment

• Physical findings
  • Bone pain, tenderness to touch, bowing of the bones, and pathological fractures
  • Physical deformities (spinal kyphosis and bowed legs)
• X-rays and Bone Scans
  • Demineralization of bone
• Urine
  • Excretion of calcium and creatine low
• Labs
  • Low Calcium levels
  • Low Phosphorus
  • Moderately elevated ALP

Mobility Limitations

• Pain and waddling gait due to physical deformities
• Risk for fractures and falls

Discharge instruction

• Increasing doses of Vitamin D along with supplemental Calcium
• Reduce caffeine, alcohol, cigarette, carbonated soft drinks to reduce the risk of fractures
• Regular weight bearing exercise
• Exposure to sunlight
• If kidney disease is the cause, patient will need to take Calcitriol

By Annie Alward, Hanna Persin, and Jane Shon

1. 
2. The nurse’s priority involves frequent assessment of the neurovascular function. This is done by looking at the “five P’s.” these include assessing pain, pallor, pulselessness, paresthesias, and paralysis. Pallor may suggest a decrease in arterial perfusion, pulselessness (a late sign) may suggest lack of distal tissue perfusion, paresthesias suggests nerve involvement, and paralysis, also a late sign, indicates nerve damage.
3. If compartment syndrome occurs in the legs, limitations in movement may occur such as walking. Cramping or aching may develop as the symptoms worsen over time.
4. Discharge would include educating patients on signs and symptoms (if wound is draining/pus/smells abnormal). Instructing patients of things such as if pain or swelling does not go away, if color of injured arm or leg turns blue or white and/or feels cold or numb, and if there is blood soaking through the cast/bandage. If there is a fever, excessive swelling, rash/itch, etc., contact or seek care immediately. Take medicine as prescribed and directed. Elevate arm or leg at the level of heart for as long as doctor recommends, decreases swelling and pain. Do not raise it higher than heart. Elevate with pillows or blankets. Check that brace/bandage fits by checking if 2 fingers can fit between skin/brace/bandage. Never poke or scratch under bandage.