Nursing 1180A/B Lecture Notes - Lecture 8: Health Promotion, Spasticity, Muscle Tone
9 Dec 2016
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Hypo tonicity diminished tone of skeletal; muscles. Spasticity hypertonic, so the muscles are stiff and movements awkward. Spasm sudden violent involuntary contraction of a muscle. Possibilities: areas of focus for the physical examination. Noticing: alignment, symmetry, injury and/or bleeding, rom, passive can also be palpate during this assessment, active, strength (how does this affect your activities of daily living (adls), function. Head and neck msk assessment: observe posture & gait as client enters room, determine presenting problem, take complete hx (social, medication, family history etc, palpate area (temp, observe rom, assess function. Upper/lower body msk assessment: observe rom, test strengths, assess function. Complete steps 1-4 above before proceeding to rom. Common musculoskeletal symptoms/signs: pain/discomfort (arthraigia, myaigia, weakness, stiffness or limited movement, deformity, swelling, joint pain accompanied by fever, chills, weight loss, anorexia and rash, lack of balance and coordination (get pt to stand on tippy toes, bruising.
