Selected Areas of Care - Musculoskeletal Management

Musculoskeletal Management

1. Assess the affected area of designated extremity(ies) for:
• presence or absence of abnormalities (e.g. atrophy)
• level of mobility
• pain with movement
2. Directs the patient to move the joints of the designated extremity(ies) through active range of motion by including at least one pair of the following:
• abduction and adduction or
• flexion and extention OR
3. Performs passive range of motion by
• moving the joints of the designated extremity(ies) though range of motion at least once by including at least one pair of the following:
• abduction and adduction or
• flexion and extention
• supporting the weight of the extremity at joints during range of motion
4. Applies supportive or therapeutic devices to the designated body part(s)
5. Applies heat or cold when assigned by
• protecting the skin surface of the body part to be treated
• applying treatment to the designated body part to be treated
• applying treatment at the designated temperature (approximate)
• maintaining treatment for at least 20 minutes unless otherwise designated
6. Maintains prescribed traction by
• verifying the prescribed traction weight
• assuring that ropes are unobstructed
• assuring theat weights are hanging freely
• positioning the patient to provide countertraction
• maintaining the patient in the correct alignment
7. Records
• data related to
• presence or absence of abnormalities (e.g. atrophy) of the designated extremity(ies)
• level of mobility of the of the designated extremity(ies)
• pain with movement of the designated extremity(ies)
• musculoskeletal measures implemented
• patient response(s) to measures implemented

Mneumonics -

BEAMR MAP

Balance
Extraneous movement
Assistive devices
Moved where
Response
Movement
Abnormalities
Pain

MAP HATR (think of a muscular mad hatter from Alice in Wonderland)

Mobility status
Abnormalities
Pain with movement
Heat or cold
Apply devices (like knee brace) if needed
Traction - just make sure the lines are unobstructed, weight hans free
Range of motion - passive or active as directed by CE