1. Care of Clients with Problems Related to the Musculoskeletal System Irene M. Magbanua, RN Review Specialist St Paul University Manila

2. Review of the Anatomy and Physiology

3. Assessment :

12. Bryant traction Buttocks slightly elevatated and clear of bed Knee slightly flexed

14. Buck’s Extension Traction

16. Dunlop Traction

20. Russell Traction

23. Crutchfield Tong

25. Balanced Skeletal Traction

27. b. Cast- Comparison of Cast Materials Less likely to indent into skin Lighter in weight Less restrictive Does not crumble Nonabsorbent Can be immersed in water Less costly More effective for immobilizing severely displaced bones Smooth surface Does not require expensive equipment for application Advantages 7-15 mins of setting 15-30 mins for weight bearing 24-48 hours Drying time Polyester and cotton, fiberglass or plastic. Polyester and cotton is impregnated with water- activated polyurethane resin Plastic of Paris, comprised of powdered calcium sulfate crystals impregnated into the bandages Material Synthetic Plaster

48. Colchicine Avoid purine diet Allopurinol Symptomatic Aspirin, NSAIDs Paraffin bath Management Great toe Weight bearing joint (hips, wrist, spine) Joints of hands Areas affected Tophi Heberden’s nodule Bouchard’s nodule Subcutaneaous nodules Morning stiffness Swan neck deformity Signs and symptoms Men over 40 Men or more in women 35-45 women Incidence Metabolic or familial, purine metabolism Degenerative senescence Autoimmune + Rh factor Etiology Gouty Osteoarthritis Rheumatoid COMPARING ARTHRITIS