Arthritis Case Study

Katz, J. N., Wright, E. A., Polaris, J. J., Harris, M. B., & Losina, E. (2014, May 22). Prevalence and risk factors for periprosthetic fracture in older recipients of total hip replacement: a cohort study. BMC Musculoskeletal Disorders, 15(1), 1-9. http://dx.doi.org/10.1186/1471-2474-15-168Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., Bucher, L., & Camera, I. M. (2011). Medical-surgical nursing: Assessment and management of clinical problems (8th ed.). St. Louis, MO: else

The bony collar of long bones helps them withstand compressive stress by the mechanism described in #4A above (i.e. hydroxyapatite, weight-bearing pillars). In addition, long bones also withstand compressive forces by virtue of the spongy ("cancellous") bone in the epiphyses. The interlocking network of bony plates (called "trabeculae") found in spongy bone help to distribute the weight of the body out to the tough bony collar of the diaphysis. In this way, bony plates act much like the trusses or struts in old-time railroad bridges which distribute the weight of the train evenly over the entire bridge.

Mrs. Pink, aged 75 was admitted to the orthopaedic ward after suffering a fall at home, resulting in an intracapsular fracture of the hip at the femoral neck. Mrs. Pink has a history of cancer and cardiac diseases and has severe rheumatoid arthritis. Due to ageing patients putting a great deal of strain on the health care system, the incidences of hip fractures in the elderly are a major concern and requires careful consideration regarding treatment. Known as a major cause of disability in the elderly, hip fractures and their subsequent need for surgery result in chronic pain and an altered quality of life (Strike, Sieber, Gottschalk & Mears, 2013). Although important to improve a patient’s quality of life and physical independence, pain related to a total hip replacement (THR), also known as hip arthroplasty (HA) can lead to delays in ambulation, longer hospital stays, poor functional outcomes and quality of life. The purpose of this essay is to identify the rationale behind nursing interventions provided to post-operative THR patients as well as the pathology of a femoral neck hip fracture and their procedure for assessment and diagnosis.

This was then measured and 85 mm was found to be the appropriate length. The core was cut for the sliding screw without complication using a pre-set reamor set at 85 mm. The tap was then used to tap the way for the proximal screw and an 85 mm sliding screw was inserted across the fracture sight into the head and neck without complication. A four hole 135 degree side plate was then attached. We slid it over the depwheeze sliding screw and attached it to the proximal femur using a lommen turkey claw clamp. With the fixation in place AP and lateral fluoroscopic images throughout the fracture sight and hardware position confirmed good reduction and good placement of the hardware. At this point the side plate was then secured to the proximal femur using the 3-2 drill bit to drill a hole measuring the approximate length with the depth gauge and placing 4-5 cortical screws of the appropriate length without complication. At this point the compression screw was inserted. All traction was left off and the compression screw was tightened impacting the fracture nicely. All screws were then tightened with the screwdriver. The lommen was removed, as was all hardware. Multiple views in the AP and lateral plains of the fracture

Slipped capital femoral epiphysis (SCFE) and Legg-Calve-Perthes (LCP) disease are developmental conditions (1, 2) with SCFE being described as a common source of pain and disability, and the most common cause of degenerative hip disease in middle-aged patients (3, 4). Proximal femoral osteotomies following SCFE aim to restore more normal anatomy, improve function and reduce the morbidity and complications of pain, reduced range of movement, early arthritis and leg length discrepancy (3). Up to 50% of involved hips do well with no intervention but these hips are always at risk of developing secondary arthritis and similarly adult hip joints of patients with SCFE are more prone to develop advanced osteoarthritis (5). In general outcomes of

The studies have shown that one of the most seen cause of the death, immobility among the elderly population is the proximal femoral fractures. A notable number of the patients who had femoral fracture won’t be able to return to their pre-fracture functional condition. Within a year after surgery, less than 50% of the patients can walk without help, and only 40% can perform their ADLs activities independently.

Osteoarthritis occurs when the cartilage wears away to the point when the bare bones make contact. Turmeric helps maintainingWith the aid of turmeric for arthritis in the maintenance of existing cartilage by protecting the synovial fluid, which fills joint Holten, lubricates feeds the joints and cartilage.

According to the CDC, 52.5 million adults live with arthritis. If you're one of them, you know how debilitating it can be. The pain, swelling, stiffness, and reduced range of motion can make tasks that were once easy to do seem impossible.

patient who are above 10 years old and with more than 50 % femoral head necrosis.

At 6:40am during my routine med pass on Al, I was notified via walk by Romona another staff who was on shift on LG at the time of the incident. I was told to come to LG as it regard a resident. Upon arriving to Theresa Russo's room i was informed by Romona that she made several attempts to get Mrs. Russo up and dress but she refused due to the pain she was experiencing in both arms. I question Mrs. Russo myself to get a more in depth understanding to how she was feeling and her replies was the same as Romona mentioned. Mrs. Russo did mentioned she has a history of arthritis, with that information given i then went to check her mars to see if there is any Tylenol or other medication in that nature that is normally dispense at the beginning of

mobility due to arthritis. Geriatric physical therapy specializes in helping people overcome some of the issues later in life like the weakened bones and muscles due to osteoporosis (Biomotion). Cardiopulmonary physical therapy contribute health, wellness, prevention, and rehabilitative services to patients of all ages who are at risk for, or diagnosed with, cardiopulmonary impairments. Vestibular physical therapists help people that have damage to the mechanisms of the inner ear, this affects balance and coordination (Biomotion). Decongestive medicine deals with problems with the lymph nodes, and accumulating fluids in the arms and legs. Decongestive therapists can drain these fluids when it becomes too painful.

The EAST guidelines show that early fixation of femoral fractures in poly-trauma patients may be associated with a potentially lower risk of mortality, infection and VTE. However, the association was not statistically significant to be applicable and

Other factors that have served to weaken the findings of many of the studies are that some of the seemingly important personality traits believed to be associated with rheumatoid arthritis are often not often found in personality inventories (Tillmann et al., 2013). As a result, there is a definite need for further research to be conducted in order for one to make a valid conclusion about whether or not an arthritic personality does exist and that it precedes the development of rheumatoid arthritis in a majority of patients.

Structural failure (collapse) of the femoral head (FH). 6 studies (with 421 participants) provided relevant data (Yamasaki et al. 2010, Gangji et al. 2011, Zhao et al. 2012, Lim et al. 2013, Liu et al. 2013, Ma et al. 2014). The pooled estimate of effect size for structural failure of the FH favored the cell therapy group, as, in this treatment group, the odds of progression of the femoral head to the collapse stage were shown to be decreased by 5 times compared to the control (CD) group (OR = 0.2, 95% CI: 0.08–0.6; p = 0.02). However, this result should be interpreted with caution due to the presence of significant statistical heterogeneity (I2 = 68%, Q-test = 16, df = 5, and p = 0.008) (Figure 4).

In 1991, Dr. Nigel Leigh Cox, administered a lethal dose of potassium chloride to Mrs. Lillian Boyes, at the Royal Hampshire County Hospital, in Winchester. England. Mrs. Lillian Boyes, then 70, was a patient of Dr. Cox for over 13 years and they had a strong bond of respect for one another. Mrs. Boyes refused all therapeutic treatment, although she was suffering intolerably from the worst case of rheumatoid arthritis. Mrs. Lillian had been admitted to the hospital over 20 times regarding her pain from the arthritis. In the last few days Mrs. Boyes’pain became more intense.