Skeletal Trauma

List the “five P’s” of ischemia from a vascular injury. Pain, pallor, pulseless (distal to fracture site), paresthesia, and paralysis (Hockenberry, & Wilson, 2014). II. Which diagnostic studies are most useful for assessing skeletal trauma?
Initially, x-ray imaging is one of most useful diagnostic imaging to assess skeletal trauma. Based on the impression from the x-ray report, an MRI or a non-contrast CT scan may also be useful to assess trauma (Hockenberry, & Wilson, 2014).
III. What are the goals of fracture management?
The goals of fracture management are to prevent further injury and deformity, reestablish alignment and length of the bony fragments, retain alignment and length (immobilization), and to restore function to
What clinical manifestations would alert you to the possibility of compartment syndrome?
Clinical manifestations that would alert the nurse of the possibility of compartment syndrome include unrelieved or increased pain the limb (pain may or not be presented); pale, dusky, or edematous tissue distal to the involved area; pain with passive movement; loss of sensation (paresthesia); and pulselessness (late sign) (Silvestri,
During this stage in development, friends tend to become more important so I would encourage the parent to have Randy’s peers have playdates (Hockenberry, & Wilson, 2014). This will help with distraction and reestablishing normalcy. Independence is also very important so I would let Randy choose appropriate activities that involve partial weight bearing such as arm exercises, bed pushups, and exercise with parallel bars (Hockenberry, & Wilson, 2014).Playing age appropriate tv shows or movies are will also be helpful (Hockenberry, & Wilson, 2014). Art projects as well baking will also help to keep Randy entertained but prevent him from further injuring himself (Hockenberry, & Wilson,