Clinical assessment in trauma and orthopaedic nursing

Flynn, Sandra; Pugh, Hannah; Jester, Rebecca

doi:10.1016/j.ijotn.2015.03.008

Cited by 8 publications

(2 citation statements)

References 16 publications

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The clinical assessment series began with a paper by Flynn et al (2015) setting out the components of clinical assessment including:• History taking • Physical Examination (Observation/Inspection, palpation, range of movement, special tests)

• Clinical investigations (laboratory tests, x-rays and scans)In addition to these core components of assessment, Patient Reported Outcomes Measures (PROMs) are increasingly being used, both in initial assessment of patients presenting to orthopaedic services and to measure improvement following interventions such as joint replacement and surgery or other interventions for injury. PROMs have been widely used in the speciality of orthopaedics and trauma internationally for over 2 decades.

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The use of patient reported outcome measures (PROMs) in clinical assessment

Jester

Santy‐Tomlinson

Drozd

2018

International Journal of Orthopaedic and Trauma Nursing

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The clinical assessment series began with a paper by Flynn et al. (2015) setting out the components of clinical assessment including:• History taking • Physical Examination (Observation/Inspection, palpation, range of movement, special tests) • Clinical investigations (laboratory tests, x-rays and scans)In addition to these core components of assessment, Patient Reported Outcomes Measures (PROMs) are increasingly being used, both in initial assessment of patients presenting to orthopaedic services and to measure improvement following interventions such as joint replacement and surgery or other interventions for injury. PROMs have been widely used in the speciality of orthopaedics and trauma internationally for over 2 decades. This paper aims to provide an overview of the purpose of PROMs, a summary of PROMs commonly used in orthopaedic and musculoskeletal trauma services and to discuss their use and value in clinical assessment. It will also consider some of the challenges faced when using PROMs, particularly with patients with multiple joint disease, comorbidities or cognitive, learning and/or communication difficulties.

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confidence: 99%

“…The clinical assessment series began with a paper by Flynn et al (2015) setting out the components of clinical assessment including:…”

mentioning

confidence: 99%

The use of patient reported outcome measures (PROMs) in clinical assessment

Jester

Santy‐Tomlinson

Drozd

2018

International Journal of Orthopaedic and Trauma Nursing

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Clinical Assessment of the Orthopaedic and Trauma Patient

Jester¹

2022

Orthopaedic and Trauma Nursing

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Neurological assessment

Maher¹

2016

International Journal of Orthopaedic and Trauma Nursing

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Neurological system assessment is an important skill for the orthopaedic nurse because the nervous system has such an overlap with the musculoskeletal system. Nurses whose scope of practice includes such advanced evaluation, e.g. nurse practitioners, may conduct the examination described here but the information will also be useful for nurses caring for patients who have abnormal neurological assessment findings. Within the context of orthopaedic physical assessment, possible neurological findings are evaluated as they complement the patient's history and the examiner's findings. Specific neurological assessment is integral to diagnosis of some orthopaedic conditions such as carpal tunnel syndrome. In other situations such as crushing injury to the extremities, there is high risk of associated neurological or neurovascular injury. These patients need anticipatory examination and monitoring to prevent complications. This article describes a basic neurological assessment; emphasis is on sensory and motor findings that may overlap with an orthopaedic presentation. The orthopaedic nurse may incorporate all the testing covered here or choose those parts that further elucidate specific diagnostic questions suggested by the patient's history, general evaluation and focused musculoskeletal examination. Abnormal findings help to suggest further testing, consultation with colleagues or referral to a specialist.

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Clinical assessment in trauma and orthopaedic nursing

Cited by 8 publications

References 16 publications

The use of patient reported outcome measures (PROMs) in clinical assessment

The use of patient reported outcome measures (PROMs) in clinical assessment

Clinical Assessment of the Orthopaedic and Trauma Patient

Neurological assessment

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