Page 2097 - Saunders Comprehensive Review For NCLEX-RN

Introduction

Pyramid to Success

The Pyramid to Success focuses on the emergency care for a client who sustains a
fracture or other musculoskeletal injury, monitoring for complications, and carrying
out interventions if complications occur. Nursing care related to casts and traction is
emphasized. Skill related to instructing the client in the use of an assistive device
such as a cane, walker, or crutches is a Pyramid Point. Pyramid Points also include
postoperative care following hip surgery or amputation and care of the client with
rheumatoid arthritis or osteoporosis. Focus on the points related to the psychosocial
effects as a result of the musculoskeletal disorder, such as unexpected body image
changes, and the appropriate and available support services needed for the client.

Client Needs: Learning Objectives

Safe and Effective Care Environment

Communicating with the interprofessional health care team
Ensuring that informed consent is obtained for treatments and procedures
Establishing priorities
Handling hazardous and infectious materials safely
Maintaining asepsis related to wounds
Maintaining confidentiality
Maintaining standard and other precautions
Preventing accidents and injuries
Providing physical therapy and occupational therapy referrals
Upholding client rights

Health Promotion and Maintenance

Performing physical assessment related to the musculoskeletal system
Preventing diseases that occur as a result of the aging process
Promoting health related to diet and activity
Providing home care instructions regarding care related to a musculoskeletal
disorder
Reinforcing the importance of prescribed therapy

Psychosocial Integrity

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