Anthroplasty Case Study

S.P. is admitted to the orthopedic ward. She has fallen at home and she has sustained an intracapsular fracture of the hip at the femoral neck. The following history is obtained from her: She is a 75-year-old widow with three children living nearby. Her father died of cancer at age 62; mother died of heart failure at age 79. Her height is 5’3 and weighs 118 pounds. She has a 50 pack year smoking history and denies alcohol use. She has severe Rheumatoid Arthritis (RA) and had an upper GI bleed in 1993 and had Coronary Artery Disease with CABG 9 months ago. Since that time, she has engaged in “very mild exercise at home.” Vital signs are 128/60, 98, 14, 99 degree farenheight (32.7 degrees C) SAO2 94%

When I entered the client’s room for wound care; I saw that she was on her bed, in semi-fowler position with the bottom of the bed elevated as well. I pressed the bed remote to bring the bottom of the bed down and straight. We had everything ready on the table for the procedure; we washed our hands and wore PPE, gloves. Client’s legs were very stiff and contracted, we tried to extend but it didn’t work. It was documented on client’s chart that she has severe contracture which “is an abnormal flexion and fixation of a joint caused by muscle atrophy and shortening” (LeMone, p. 1330). When I assisted client with passive ROM exercises before wound care, it was very difficult to straighten her legs. We perform aseptic technique for cleaning and dressing the wound. We placed extra bed pad under client’s leg and I used the

HISTORY OF PRESENT ILLNESS: Patient is a candidate for a total right hip revision. She has 2 units of directed packed red blood cells. It is not autologous. She does had Hepatitis B. She has arthrogryposis. She had a right total hip replacement many years ago by Dr. Dodd at the University of Miami. She has had multiple other surgical procedures as follows. A: She had bilateral foot surgery In the remote past. B: She had left hip surgery a year ago. C: She had right foot

no problems with mobility noted, patient ambulates w/o assistance, ROM of joints intact, patient pt able to rotate feet,

Starting within four weeks of being sent to my ward on November 5th, 2017, Ms. Murakami had left total hip replacement (THR). Since the surgery, she has experienced subnormal recovery time, increased weakness, and lethargy; limiting mobility and weight-bearing exercises.

After coming home two and a half months from the hospital, the pain did not stop there. Amy had gotten two prosthetic legs, but that did not stop Amy from

After surgery, I was unable to move for over a week, and then I was barely able to move on crutches. Eight days after surgery, I decided to go to the MA

MEDICAL UPDATE: Client continues to report arthritis in her left leg and hand, high blood pressure. She also reports she will need surgery but she is waiting to be housed.

Mrs. Nellie Ostalowich has required left hip surgery after failing while shoveling snow. Prior to the fall Nellie favored laying on her left side or back when sleeping. After her surgery, Mrs. Ostalowich has been spending much more time lying on her back without changing positions. Nellie has also requested to wear a protective undergarment as she has trouble with dribbling and struggles to make it to the bathroom on time.

As many know, I had surgery this past week. Surgery is extremely rough, especially for those who have been constantly battling their problem. My knee has been a mystery for my doctor for over two years and I can not fathom why this crazy mishap happened to me of all people.These last two years have been the worst years of my life due to unexpected illnesses and surgeries.

When the client presented to her emergency department on the night in question the CNS undertook a rudimentary examine where she as stated in the case study she observed that the calf was dusky in colour (2012, p. 8)but she also admits she did no further examinations including but not limited to standard observations such as blood pressure, heart rate and respiratory observations, (2012, p. 13) neither did she obtain a past health history on anything other than the that of the femoral-popliteal bypass surgery and vascular surgeon visit three weeks earlier (2012, pp. 8-9).

Per medical records (2008-2014), the claimant had a history of multiple medical issues, including migraines, right hand tremors, alcohol abuse, obesity, gastro-esophageal reflux disease (GERD), nausea, abdominal pain, endometriosis and degenerative changes in the left knee. In 2014, she was evaluated for hip

HPI: S.J. is a 67 y/o Caucasian male with a history of left hip pain for two years. He has difficulty walking due to left hip pain and utilizes a cane, can walk five blocks, climbs stairs leading with the right leg. He denies any surgeries on the left lower extremity. He sought physical therapy, but he does not feel that it is improving his pain but does believe it is improving his strength. He is scheduled for a left total hip arthroplasty due to the progression of severe osteoarthritis of the left hip as confirmed by a pelvic x-ray and MRI of the lower extremity without contrast. S.J. has taken various medications that are listed on the current medication section of this note.

The patient is a 74-year-old female who tells me she did see Dr.[____] and she did get a shot into her hip. She states symptoms are "1000 times better". She does tell me he was done ultrasound and thought she might have a [____] tear, which at this point, if this does not work, she will need likely to have a hip replacement, as he did not think this is fixable at her age.

On April 11, 2014, I had the privilege of direct observation of a patient’s orthopedic surgery, from the pre-operative to post-operative setting. The patient with the initials N.R, which we will call Mrs. R, arrived to the hospital just prior to 6:30a.m. As the name implies, Mrs. R was a female patient, 76 years old with an admitting diagnosis of right hip osteoarthritis. Due to arthritis in her hip, Mrs. R’s ability to perform daily activities and participate in hobbies such as dancing has been extremely compromised over the last 2 years. The overall goal of Mrs. R’s surgery