1. Department of Orthopedic 정형외과

2. What is an orthopedic nurse? Orthopedic nurses are healthcare professionals who treat illnesses and injuries that mainly affect the bones or muscles. These professionals provide care for patients suffering from arthritis, injuries, fracture, and osteoporosis including birth defects which may affect the bone or muscles and care for patients undergoing a joint-replacement surgery.

3. Joint Pain 1. What seems to be Mr. Richmond's problem? ① Broken knees ② Fatigue ③ Joint pain 3. How long has he been having this problem? ① three or four years ② three or four months ③ three or four weeks 5. Which phrase best describes the amount of exercise the patient gets? ① He works out a lot. ② He gets some exercise, not a lot. ③ He doesn't get any exercise. 2. Which joints are bothering him the most? ① Elbow ② Wrist ③ Knees 4. Which other problem does the patient mention? ① He's felt under the weather. ② He's been vomiting. ③ He doesn't mention another problem. Patient: Good morning. Doctor Smith? Doctor: Yes, please come in. Patient: Thank you. Doctor: What have you come in for today Mr. Richmond? Patient: I've been having some pain in my joints, especially the knees. Doctor: How long have you been having the pain? Patient: I'd say it started three or four months ago. It's been getting worse recently. Doctor: Are you having any other problems like weakness, fatigue or headaches? Patient: Well I've certainly felt under the weather. Doctor: Right. How much physical activity do you get? Do you play any sports? Patient: Some. I like to play tennis about once a week. I take my dog on a walk every morning. Doctor: OK. Let's have a look. Can you point to the area where you are having pain?

4. Orthopedic question from NCLEX Exam Answer: D Post-surgical nursing assessment after hip replacement should be principally concerned with the risk of neurovascular complications and the development of infection. A temperature of 101.8 F (38.7 C) postoperatively is higher than the low grade that is to be expected and should raise concern. Some pain during repositioning and following physical therapy is to be expected and can be managed with analgesics. A small amount of bloody drainage on the surgical dressing is a result of normal healing. A nurse is caring for a patient who has had hip replacement. The nurse should be most concerned about which of the following findings? A. Complaints of pain during repositioning. B. Scant bloody discharge on the surgical dressing. C. Complaints of pain following physical therapy. D. Temperature of 101.8 F (38.7 C).

5. Mrs. Adams Story Nurse: Good morning. What bring you to the doctor this morning? Mrs. Adams: Hello. I’ve got a pain in my back. It’s really terrible during the day. Nurse: Does it hurt all the time? Mrs. Adams: Yes, especially after doing housework. When I try to stand up, oh, it’s so painful. Nurse: Let me just feel here. Is this where the pain is? Mrs. Adams: Ouch! That’s it. Nurse: Please wait here the doctor will be right with you. (After examining the patient) Doctor: You’ve strained your back rather badly. Mrs. Adam: That’s what I thought. Doctor: I advise you to take plenty of rest. Don’t do any heavy lifting. Mrs. Adam: OK. Doctor: When you feel better you should do some exercise to strengthen your back. Mrs. Adam: What kind of exercise, Doctor? Doctor: There are a couple of exercises that you can try. Sit up and stretch your body, for a start. Also walking or riding the stationary bicycle. Mrs. Adam: I see. Doctor: You can go to the physical therapy room.

6. The patient’s name Adams. She is complaining of back pain / pain in her back. It feels bad during the daytime/night time, and especially after doing house work. The doctor recommends her not to do heavy lifting, He also tell her to do some exercise such as sit-up, stretching, walking, or stationary bicycle. ★ What happened at the clinic today? Summarize the patient’s condition below. ★ What do you recommend someone who has a backache? Hot or Cold Packs (or Both)- Hot or cold packs can soothe sore, stiff backs. Heat reduces muscle spasms and pain. Cold helps reduce swelling and numbs deep pain. Exercise- Proper exercise can help ease chronic pain but should not be used for acute backpain. Medications-Over-the-counter drugs such as acetaminophen and aspirin or prescription pain medications. Creams, ointments, and salves rubbed onto the skin over the site of pain Complementary and Alternative Medical Treatments Professionals use their hands to adjust or massage the spine or nearby tissues. (Chiropractic, Acupuncture, Massage Therapy) Surgery-Most people with chronic back pain do not need surgery. It is usually used for chronic back pain if other treatments do not work.

7. Orthopedic question from NCLEX Exam Answer: D Post-surgical nursing assessment after hip replacement should be principally concerned with the risk of neurovascular complications and the development of infection. A temperature of 101.8 F (38.7 C) postoperatively is higher than the low grade that is to be expected and should raise concern. Some pain during repositioning and following physical therapy is to be expected and can be managed with analgesics. A small amount of bloody drainage on the surgical dressing is a result of normal healing. A nurse is caring for a patient who has had hip replacement. The nurse should be most concerned about which of the following findings? A. Complaints of pain during repositioning. B. Scant bloody discharge on the surgical dressing. C. Complaints of pain following physical therapy. D. Temperature of 101.8 F (38.7 C).

8. Assignment Read and understand the case study below. I’m going to ask you questions next week!!!!!