About
A process whereby a distal and proximal joint are no longer in alignment.
Assess
Pain, joint deformity, shortened limb, decreased mobility; X-ray confirmation.
Complications
Avascular necrosis, neurovascular compromise, compartment syndrome
Diagnosis
- Acute pain related to skeletal deformity.
- Risk for injury related to complications.
- Immobility related to physical injury.
Goals
- The client will state a pain level less than 4 after medication intervention.
- The client will remain free from injury including neurovascular compromise.
- The client will be able to identify activity restrictions after reduction of joint deformity.
- The client will describe symptoms requiring immediate follow-up.
Interventions
- Immobilize the joint until able to be reduced by physician or specialist.
- Monitor neurovascular assessments every hour. Notify physician immediately if pulselessness, parasthesias, paralysis, pallor, or increased pain.
- Teach client how to monitor for decreasing circulation to extremity.
- Teach client activity restrictions and adaptive techniques to maintain mobility.
- Administer analgesics as indicated by physician.
- Prepare for surgery if indicated.
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