Module 07 Nursing Clinical Rounds

Introduction

The musculoskeletal system is central to movement, stability, and daily function. For nurses, understanding this system's anatomy, physiology, and assessment is essential to providing safe, person-centered care. Mobility issues—whether due to injury, age-related degeneration, or chronic disease—can impact a patient’s independence and quality of life. Nurses must skillfully assess, diagnose, and implement care plans that promote musculoskeletal health, prevent complications, and restore function. This discussion emphasizes comprehensive nursing management strategies related to musculoskeletal health and mobility challenges.

???? Case Study: Musculoskeletal and Mobility Assessment in an Older Adult

Client: Mrs. Helena Griggs, 76 years old

History:

• Osteoporosis
• Osteoarthritis

Presenting Concerns:

• Increased difficulty walking
• Morning joint stiffness
• Recent fall at home

Assessment Findings:

• Kyphosis
• Decreased grip strength
• Crepitus in both knees
• Shuffling gait
• Inconsistent use of cane

Orders and Plan:

• Lab tests: Serum calcium, vitamin D
• Imaging: Bone mineral density (DEXA), X-rays of the knees
• Full musculoskeletal and mobility assessment
• Nursing plan to include:
• Pain management
• Fall prevention strategies
• Therapeutic exercise
• Interdisciplinary referrals (PT, nutrition counseling)

???? Discussion Prompt

Answer the following in your initial post:

1. Describe the major structures and functions of the musculoskeletal system. How do age-related changes contribute to Helena’s current symptoms, and what findings from your physical assessment are most clinically significant?
2. Discuss the essential components of the nursing musculoskeletal assessment, including neurovascular checks, strength testing, and observation of posture and gait. What laboratory and diagnostic tests would help clarify Helena’s condition?
3. Identify nursing interventions to support Helena’s mobility and promote musculoskeletal health. How would you evaluate the effectiveness of these interventions? Include education on fall prevention, the role of exercise, and dietary needs.

???? Instructions for Participation

• Post your initial discussion by Saturday at 11:59 PM CST.