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Nursing Student Needs Help With Ortho Assessment



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Oct 04, 2004 07:08 PM

Nursing Student Needs Help With Ortho Assessment

by Krysten

My instructer wants us to do a complete orthopedic assessment and than a orthopedic assessment of a pt who has a fracture hip and shoulder. My question... is there a different type of assessment on a person who has a fracture hip and shoulder than a general orth assessment? also are there any websites for a orth assessment? Thank you


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3 Comments
No. 1
from znov11
Old Sep 13, 2008, 09:23 AM

Default Re: Nursing Student Needs Help With Ortho Assessment
We have the same question. I hope someone gives us sites and references for orthopedic assessment. ^^
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No. 2
Old Sep 15, 2008, 08:13 AM

Default Re: Nursing Student Needs Help With Ortho Assessment
maybe your instructor means doing an assessment of the patients extremity for color, pulses, sensation, movement, etc.. that isn't part of a "normal" assessment, but after surgery to a body part it's important to look at. like for a knee replacement, you'd look for pedal pulses, movement of the foot/toes, skin color, capillary refill, you'd ask the patient if they had any numbness/tingling in the extremity. if the patient is in a cast following surgery, you'd probably want to do neurovascular checks for 24hrs following surgery, to make sure the cast isn't so tight it's impeding on circulation/etc.. hope this helps!
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No. 3
from P_RN
Old Sep 18, 2008, 06:46 PM

Default Re: Nursing Student Needs Help With Ortho Assessment
Start at the head and work down to the piggy toe. Of course with the hip and the shoulder you won't get full movement and probably not full sensation, though that would be nice to see.
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