Anthroplasty Case Study Cynthia

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%

Jane had undergone several surgeries to her left leg due to crushing both her tibia, fibula as well as her broken ankle. Jane had also broken her femur on her left leg. Jane spent several weeks in the hospital recovering from her injuries. When she was stable enough, she was transferred to an inpatient rehabilitation facility in the hospital. Jane had spent about two weeks at that facility. During which her daughter had moved her dad in with her due to his needs. Jane was now even further away from her family. Jane had demonstrated good steady progress however, due to

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,

I was able to search until I found his website regarding different types of hips. Then, I looked at the online databases through IPFW’s library and was able to find the article that gave a very detailed report on PAO’s. This article provided a variety of statistics and also three case studies that demonstrated recovery for a PAO. Lastly, I knew that there was an international hip dysplasia institute and thought that I would be able to find sufficient information regarding hip

On Exam:  BP today was 140/86. Head and neck exam was all clear. She had no oral or nasal ulcers. She had no lymphadenopathy or bruits. Heart sounds were normal and the chest seemed clear, as did the abdominal exam. Musculoskeletal exam disclosed widespread Heberden's and Bouchard's nodes. She had no swelling or stress pain at the MCPs. She was not tender at the CMC joints. She had no swelling in the wrist, elbows or shoulders. She had no soft tissue tender points. She has bilateral knee crepitus but only slight instability and no effusions. She had actually good range of movement of both hips. She was tender in the lumber spine and has a scar at the lower lumbar spine from her previous operations. Her feet are somewhat flat with tenderness across the

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.

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

During your physical exam, your health care provider will for pain, limited motion, and instability.

The day came, it was time for her to have her first surgery on her left hip. The surgery took seven hours but it went well. Now comes the therapy and trying to get better so they can do the other side. Quinley spent a lot of time on the couch because she couldn't do anything. After awhile she started to have

6. Tammy’s doctor should treat Tammy by providing her with crutches or a wheelchair to reduce weight on her left leg to stop further displacement. In order for Tammy to heal without any disruptions crutches are advised to decrease the amount of weight on Tammy’s left leg. For a stable SCFE treatment can involve surgery (Hart, 2007). The surgery includes using an in-situ fixation to connect the femoral neck back to the proximal femoral epiphysis. This surgery treats SCFE by pinning the proximal femoral epiphysis in its original position (Bennison,

While taking regular physical assessment the therapist should be aware of the signs of DVT or PE that include redness, warmth, or swelling. Additionally, DVT can be predicted from a few laboratory tests such as International normalized ratio (INR), prothrombin time, and hemoglobin level. These laboratory tests indicate blood clotting. Homan's sign is one of the tests to rule out DVT but it is not reliable because of the low sensitivity and specificity, and the therapist should not be relied on it (Goodman & Snyder, 2013). Doppler ultrasound is the most common noninvasive and painless test for DVT. In the hospital where I was working, the treatment protocol to prevent DVT included assisted walking and leg exercises as soon as possible after surgery. Leg exercises included static quads and ankle, knee, and hip joint movements, not just to strengthen the lower extremity muscles but also to improve blood circulation in the deep veins and avoid blood clotting. Continuous passive movement

Pt undergoes PT, OT, RT and ST to recover his independence in ADL’s before return home. Patient’s left hemiparesis; aphasia, dysarthria and dysphagia have been improving since her admission to Health South. She only keeps light balance problems during ambulation and transfers. She is oriented x 4, and alert, with good facial expression. Her language was clear and coherent, keeping good mods all the time. She is allergic to adhesive bandage and Talwin NX. Pt used to ambulate without assistance and now use walker during transfers, and wheelchair to move out of her room.

Denies arm, neck, or leg pain, cramping, weakness, joint swelling. Denies weakness, numbness and tingling in the extremities