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A nurse is assessing a client who practices osteopathic manipulation as a manipulative and body-based therapy for his low back pain. The nurse should perform which of the following actions when assessing osteopathic manipulation? (Select all that apply.)
Asking the client about his history and frequency of osteopathic manipulation is important to understand his reasons, goals, and satisfaction with the therapy. It can also help to identify any contraindications, precautions, or adverse effects that may affect the client's safety or response to the therapy¹.
Observing the client's posture, gait, and range of motion is important to assess the client's musculoskeletal function and identify any areas of dysfunction, asymmetry, restriction, or pain that may benefit from osteopathic manipulation².
Palpating the client's spine, joints, muscles, and fascia is important to evaluate the client's tissue texture, tenderness, temperature, and tone and to detect any somatic dysfunctions that may impair the client's health or well-being. Palpation is also a key component of osteopathic manipulation techniques².
Measuring the client's vital signs, pain level, and functional status is important to monitor the client's physiological and clinical outcomes of osteopathic manipulation. It can also help to evaluate the effectiveness and safety of the therapy and to adjust the treatment plan accordingly³.
Documenting the client's osteopathic manipulation sessions, including type, duration, and effects, is essential to maintain accurate and comprehensive records of the client's care. It can also help to communicate the progress and outcomes of the therapy to other health care providers and facilitate continuity of care⁴.
Choice A reason: Asking the client about his history and frequency of osteopathic manipulation is important to understand his reasons, goals, and satisfaction with the therapy. It can also help to identify any contraindications, precautions, or adverse effects that may affect the client's safety or response to the therapy¹.
Choice B reason: Observing the client's posture, gait, and range of motion is important to assess the client's musculoskeletal function and identify any areas of dysfunction, asymmetry, restriction, or pain that may benefit from osteopathic manipulation².
Choice C reason: Palpating the client's spine, joints, muscles, and fascia is important to evaluate the client's tissue texture, tenderness, temperature, and tone and to detect any somatic dysfunctions that may impair the client's health or well-being. Palpation is also a key component of osteopathic manipulation techniques².
Choice D reason: Measuring the client's vital signs, pain level, and functional status is important to monitor the client's physiological and clinical outcomes of osteopathic manipulation. It can also help to evaluate the effectiveness and safety of the therapy and to adjust the treatment plan accordingly³.
Choice E reason: Documenting the client's osteopathic manipulation sessions, including type, duration, and effects, is essential to maintain accurate and comprehensive records of the client's care. It can also help to communicate the progress and outcomes of the therapy to other health care providers and facilitate continuity of care⁴.