Assessment of Musculoskeletal System: Subjective Data Latest Updates

Assessment of Musculoskeletal System: Subjective Data Latest Updates subjective data for joints - pain, stiffness, swelling, heat, redness, limited movement, injuries to knee joint subjective data for muscles - pain (cramps), weakness, subjective date for bones - pain, deformity, trauma (fractures, sprains, dislocations other subjective data - ADLs, patient-centered care why assess joints? - joint pain and loss of function are the most common musculoskeletal concerns that prompt person to seek care Step 1: when assessing joints questions to ask - location quality severity timing is pain aggrevated by movement, rest, position, weather? How is it relieved (rest, meds, ice, heat) stiffness? swelling tick bite limited movement activities that give problems why ask about tick bite when assessing joints? - Lyme Disease questions to ask if patient reports knee injury - how did you injure? hit inside? outside? twisting or pivoting? overuse? do you hear a pop? can you stand on that lege? flex the knee? point where it hurts what might a "pop" sound with the knee mean? - could be a tear in ligament or fracture when to obtain an xray on the knee - when patient cannot flex knee to 90 deg., unable to bear weight, pain in fibula head or patella, or if patient is 55 yrs and older Step 2: questions to ask about the muscles - pain, cramping, weakness in calf - pain w/walking go away with rest? associated with fever, chills, the "flu" location are muscles smaller