Nursing Diagnosis and Interventions for Osteomyelitis
A bone infection in the medical world is known as osteomyelitis and it affects children and adults alike. One way a bone can become infected is if bacteria gets into the blood stream and spreads to the bone. The other way an infection can occur is if a bone is exposed due to a fracture and/or recent surgery. The first step in treating a patient with osteomyelitis is to determine where the infection is in the bone.
Symptoms of Osteomyelitis
- Malaise and a general weakness, often mistaken for chronic fatigue syndrome in the early stages.
- Sweating due to fever or chills, particularly “night sweats.”
- Pain deep within the bone, usually an ache or throbbing sensation.
- Increased pain when pressure is applied around the area of injury or when the patient is standing,
- The area adjacent to a fracture or surgery site becomes swollen and inflamed.
- The skin around the affected area turns red and/or pus drains from the wound.
1. Acute Pain raleted to inflammation and swelling
2. Impaired physical mobility related to pain, immobilization devices and load weight limits
3. Risk for Infection
- pain is reduced
- Improvement of physical mobility within the limits of therapeutic
- Infection can be controlled
Nursing Interventions for Osteomyelitis
1. Immobilization with a splint the affected area to reduce pain and muscle spasms.
2. Joints above and below the affected area should be made so that still can be moved according to the range yet gently. The wound itself is sometimes very painful and must be handled carefully and slowly.
3. Elevate the affected area to reduce swelling and discomfort.
4. Monitor the affected extremity neurovascular status.
5. Do pain management techniques such as massage, distraction, relaxation, hypnosis to reduce pain perception and collaboration with medical for providing analgesic.
6. Protect bones by means of immobilization and avoid stress on the bone because bones become weak due to the infection process.