Mrs. Runningbird Case Study: Bone Pain

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Firstly, I will assess if Mrs. Runningbird has a pain or discomfort by asking: Do you have any pain or discomfort in your muscles, bones, or joints? Where is it located? What does it feel like? Pain can result from bone, muscle, or joint problems. Bone pain is not usually associated with movement unless there is a fracture, but muscle pain is. Current or recent illness can cause muscle aches. Bone pain is deep, dull, and throbbing; muscle pain takes the form of cramping or soreness (Jenson, 2015).
Secondary, I will assess if she has any muscle weakness, when the weakness occurs, does it limit her activities? Muscle weakness associated with certain diseases migrates from muscle to muscle or to groups of muscles. Proximal weakness is usually
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Unusual gait or inability to perform ADLs may result from a balance or coordination problem, which may indicate a neurological disorder (Jenson, 2015). We can assess it by ask the patient: Do you have any difficulties maintaining balances? How did you fall recently? We may also have the patient stand by ne foot and walk to assess the balance and body gait. There are some expected abnormal finding For Mrs. Runningbird base on her age and diagnosis of osteoarthritis. Osteoarthritis is the most common form of arthritis, affecting millions of people worldwide. It occurs when the protective cartilage on the ends of your bones wears down over time. Although osteoarthritis can damage any joint in your body, the disorder most commonly affects joints in your hands, knees, hips and spine. The patient may report pain with motion. Also, reduced range of motion and crepitus are frequently present.
The nurse may consult with physical therapy to keep the patient active. Occupational therapy will also helpful to help the patient about daily activities. Social worker and case manager will need to be consult; the patient will need to go to a rehab place or go back to her nursing skill facility at discharge base on her condition at that time. An Orthopedic or bone specialists may also need to be consulted for a further treatment and long-term care for her

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