3 March 2012

Osteomyelitis Nursing Care Diagnosis And Intervention

Osteomyelitis is an infection of the bone. In an adult, it is most commonly due to direct contamination of the site during trauma, such as an open fracture. Bacteria that cause infections elsewhere in the body may also enter the bloodstream and become deposited into the bone, starting a secondary infection site there. This is more common in children and adolescents. Some of the patients have been treated with antibiotics previously for the initial infection.
The causative organism is not always identified. More than three-quarters of the identified organisms are Staphylococcus aureus. Acute infection is associated with inflammatory changes in the bone and may lead to necrosis. Some patients will develop chronic osteomyelitis.

Symptoms of Osteomyelitis

Chills, sweating, nausea, vomiting, and Diarrhea
Pain, redness, and swelling over the bone is common.
Diabetics may have little or no pain.

Causes of Osteomyelitis
  • Staphylococcus aureus is the most common cause of Osteomyelitis
  • Group B Streptococcus and coliforms in neonates
  • Neisseria gonorrhoeae in sexually active adolescents
  • Mycobacterium Tuberculosis
  • Mixed infections with multiple bacterias can occur.
  • Haemophilus influenzae in children less than 3 years of age

Nursing Diagnosis of Osteomyelitis
• Activity intolerance
  Impaired mobility

Nursing Intervention of Osteomyelitis
Monitor vital signs, changes in blood pressure, elevated pulse, elevated temperature
and respiratory rate.
• Monitor wound site for redness, drainage, and odor.
• Monitor IV access site for patency.
  • Provide thorough skin care.
  • Provide complete cast care.
  • Administer prescribed analgesics for pain.
• Explain to the patient:
• Importance of completing antibiotic medication.
• How to flush venous access device.
• Signs of infiltration, clotting of venous access device.
Medical-Surgical Nursing Demystified