Q Case Assignments • Groups 1, 2 and 3: Case #1 • Groups 4, 5 and 6: Case #2 • Groups 7, 8, and 9: Case #3 ADDITIONAL QUESTIONS (at bottom of this page) • Groups 1, 2 and 3:1-5 • Groups 4, 5 and 6: 6-10 • Groups 7, 8 and 9: 11-16 Musculoskeletal Focused Case Study #1 Chief Complaint (CC): 67 year old female client complains of low back pain that's gotten worse over the last week. How would you focus your musculoskeletal assessment? • Subjective Data: Practice asking OLDCARTS----Remember your questions are dependent on the client's chief complaint. If a client has low back pain, what other potential problems might be going on? What specific questions would you ask to address that? o ? O ? L ? D ? C----get details-----what questions give you details about the character? ? A/A ? R ? T ? S--- Are they able to perform daily functions? Why is it important to ask this? • Objective Data: o ? Inspect: For what are you inspecting specifically with this client? Why? ? Palpate: For what are you palpating specifically with this client? Why? ? Range of Motion: What will you assess? Why? ? Muscle strength: Will you perform this? If so, what muscles? Why? Musculoskeletal Focused Case Study #2 Chief Complaint (CC): 28 year old male client came in with left knee pain after playing soccer with friends. How would you focus your musculoskeletal assessment? • Subjective Data: Practice asking OLDCARTS----Remember your questions are dependent on the client's chief complaint. If a client has knee pain, what other potential problems might be going on? What specific questions would you ask to address that? o ? O ? L ? D ? C----get details-----what questions give you details about the character? ? A/A ? R ? T ? S--- Are they able to perform daily functions? Why is it important to ask this? • Objective Data: o ? Inspect: For what are you inspecting specifically with this client? Why? ? Palpate: For what are you palpating specifically with this client? Why? ? Range of Motion: What will you assess? Why? ? Muscle strength: Will you perform this? If so, what muscles? Why? Musculoskeletal Focused Case Study #3 Chief Complaint (CC): 54 year old female client complains of foot pain (Gout----see pic) . How would you focus your musculoskeletal assessment? • Subjective Data: Practice asking OLDCARTS----Remember your questions are dependent on the client's chief complaint. If a client has gout in the foot, what other potential problems might be going on? What specific questions would you ask to address that? o ? O ? L ? D ? C----get details-----what questions give you details about the character? ? A/A ? R ? T ? S--- Are they able to perform daily functions? Why is it important to ask this? • Objective Data: o ? Inspect: For what are you inspecting specifically with this client? Why? ? Palpate: For what are you palpating specifically with this client? Why? ? Range of Motion: What will you assess? Why? ? Muscle strength: Will you perform this? If so, what muscles? Why? ADDITIONAL QUESTIONS 1. What is going on in the picture below? What are some strategies to prevent this? 2. Who is at risk for the above condition? 3. Discuss Risk Factors for Osteoporosis 4. Discuss client education regarding prevention of osteoporosis. What about education for someone who has osteoporosis? What are your teaching focus points? 5. How would you interpret the toes in the picture below? Why does this occur? 6. What are some older adult considerations regarding joint assessment? 7. Describe the assessment data expected with joint inflammation 8. What characteristics of this picture indicate rheumatoid arthritis? 9. What is the procedure for screening for the abnormal finding in the picture below 10. Distinguish between kyphosis and lordosis 11. How would you describe the muscles in the picture below? 12. How would you interpret the picture below? 13. How would you interpret the picture below? 14. How would you interpret the picture below? Why does this occur? 15. What substances and medications can decrease bone density? 16. How would you describe the muscle strength if a nurse documented a client's right leg as +2, left leg as +3 and both arms as +4? PreviousNext