Bilateral Knee Replacement Case Studies

Total joint replacements are very common in the United States, and are becoming even more common with increasing obesity rates and an increase in life expectancy. Long-lasting and high-performance implants are needed for the younger, active population that receives them. The Agency for Healthcare Research and Quality states more than 285,000 total hip arthroplasties (THA) and 600,000 total knee arthroplasties (TKA) are performed in the United States alone each year (2). Longevity of these joint replacements is dependent on several factors: the durability of the fixation of the implant surface to the bone, the bearing surface’s wear rate, and the accuracy of the surgeon in implantation of the total joint (2). Of these total joint replacements, periprosthetic osteolysis and aseptic loosening occurs in about twenty percent of cases, and aseptic loosening is responsible for about seventy-five percent of total joint replacement failures (2). This is

A Total Knee Replacement, a surgical process in which the diseased knee joint of the patient is substituted with artificial materials. In a total knee replacement, the lower end of femur bone is detached and replaced with a metal shell. The end of the lower leg bone (tibia) is also detached and substituted with a channeled plastic piece with a metal stem. According to the condition of the kneecap portion of the knee joint, a plastic sheet may also be added under the kneecap

Oliver et al. (2014), exemplifies how some physicians may not be aware of their implicit bias that could be causing healthcare disparities. This study determines whether physicians’ implicit racial views of African Americans affect their decision making, regarding total knee replacement (TKR) as a treatment option for OA. They also assessed whether not, if the Racial Implicit Association test would impact TKR recommendations. In the study implicit bias was determined by the racial implicit association test (IAT) and explicit bias was tested using a questionnaire that asked physicians which race they preferred (black or white) using a 5-point Likert scale and 10-point thermometer scaled to grade physician’s feelings.

I am a second year nursing student in my third week of the practicum placement on a surgical ward with my co-student and the morning shift registered nurses. We had just finished analysing the patients handover report (Levett-Jones & Bourgeois, 2015) and I had been assigned to work with the registered nurse. I was looking after Mrs. Brown (pseudonym) is 82 years old New Zealander was admitted to surgical ward on the 08/06/16 for multiple SCC removals from L) hand and L) foot with skin grafts.

John Doe, a 70 years old Caucasian male admitted to the acute rehab unit after Ischemic CVA of the right pareito-occipital region. He has left hemiparesis and newly diagnosed Type II Diabetes. He is a school teacher, and teaches Art and paintings. He is alert and oriented times four. His past medical history is Essential Hypertension, GERD, and Hyperlipidemia. He is non-compliant with his medications, he did not take his blood pressor medication properly. He is overweight and does not exercise. He lives with his wife, and have two sons and four grandchildren. His current medications include, Cozaar, Norvasc, Pepcid, Lipitor and he takes Aleve for pain. He has blood sugar checks before meals and at bedtime with a sliding scale coverage of Humalog insulin subcutaneously. His diet is Carbohydrate consistent, Fat Cholesterol modified, 2 gm Sodium.

Total knee replacements are known as the most effective orthopedic procedures in the world. These surgeries are most often preformed on geriatric patients. Over time, because the knee is one of the lowest joints in the body, it is typically more prone to wear compared to joints holding less body weight. In the United States, the overall amount of total knee replacements exceeds over four times the overall number of total hip replacements. In the year of 2015, the estimated number of total knee replacements was predicted to be about 719,000 ("Inpatient Surgery." Centers for Disease Control and Prevention). Ordinarily knee replacements are used to ease pain and disability caused by arthritis or other joint problems, while preserving movement.

It’s like my whole world has just fallen in on me.” It is apparent that a care conference should be held to discuss the issues at hand, however the physician was quick to suggest passing the buck to the facility at which the incident occurred. The hospital should feel obligated

As a member of the staff I am able to see the impact that medicine can have on an individual during a crucial moment in life. A patient post-resuscitation arrived in the emergency department. My top priority was to get the EKG for the physician. When a critical patient comes in, the room gets loud and crowded fast. I have learned how to handle the adrenaline, stay focused, and get my job done. The EKG I performed showed the patient had suffered a massive STEMI. Our main goal was to get the patient stabilized and transported to a bigger facility. The patient’s heart rate and blood pressure were both steady for transport but his SpO2 was 72% while intubated. The patient’s tube had proper placement and no pneumothorax was detected. The acting physician was going through trying to rule out the cause for the low oxygen saturation level. The patient was a stubborn, according to his family and never went to his primary care. With previous information and a chest X-ray, the patient was diagnosed with not only a STEMI but also a severe case of pneumonia, presenting with large amounts of fluid in his lungs. I could see the stress in the physician’s eyes while working that case, but what he couldn’t see the envy in mine. I want to be the person who is able to make critical decisions and lead a team through difficult

Before you actually undergo a knee surgery, your surgeon will talk to you about the things that you should do to recuperate after the surgery. The recovery period usually range from six weeks to eight weeks. After this period of time, the knee rehabilitation will start. In most cases, the patients are able to successfully recover from the surgery and they are able to carry on with their normal lives. While the surgery is important, the knee surgery recovery is equally as important.

Many surgeries take place every day that have the intended purpose of improving one’s physical health. There are many types of different surgeries and a common type of surgery that is heard many times is joint replacement. It could be your family member, neighbor or friend that recently just had replacement surgery. A lot of times, there are many underlying causes to why a patient needs to have joint replacement surgery. One underlying factor that is commonly seen in joint replacement surgeries is osteoarthritis. From (PATHO book) osteoarthritis is “characterized by local areas of loss and damage of articular cartilage, inflammation, new joint bone formation of joint margins (osteophytosis), subchondral bone changes, variable degrees of mild

S: TM works in Pain, performing daily inspection of cars, walking, standing, bending, spreading primer, sanding, and using DA sander. TM believes, although, there wasn’t a specific event, her bilateral knee aches are related to her bending and standing caused pressure pain and swelling in her bilateral knees dust and paint particles caused her to have chest pain which she’s been taking antacid for past 10 days for greater. She thinks this may be cause by inhaling pain from pain shop. TM denies SOB, dyspnea, cough, chest congestion, or mucus production. TM’s Knee pain started with her left knee several years back and her right knee started to hurt. TM reported transient stiffness

My clinical duties performed this shift involved practicing many of the skills I have learned throughout this nursing program and practicing time management. That morning, I was responsible for getting a good hand off report of both patients during our walking rounds. I then went on the computer charting system to acquaint myself with both of my patients and get organized with my plan of care for the day. I reviewed the laboratory results and active orders for both patients. After organizing myself, I conducted full head-to-toe assessment, which were then recorded on each of the patients’ electronic charts. With Filipina’s help, I removed medications for

This weekend started off like every other weekend, but this time my preceptor decided to shake things up a little bit. She told me to move away from task oriented procedures and focus more on assessments. I was glad she decided to take this path because it allowed me to take more responsibility for my patients. This really took me out of my comfort zone, but as the shift progressed I slowly gain a little more confidence. Instead of waiting on orders for medications, urine samples, and IV starts I would go into the room with the clients and do a health history as well as head to toe assessment to try and figure out what was going on with them. We had a patient to come in with a dislocated ankle that needed to be put back in place. I was able

Patient satisfaction is the ultimate goal of all orthopaedic procedures. Total knee arthroplasty (TKA) has revolutionized the care of patients with end-stage knee arthritis. In spite of significant advances in primary TKA, various studies show that only 82% to 89% of primary TKA patients are satisfied. In this paper this issue is re-examined after primary TKAs performed in the province of Ontario. The patient population, the overall level of satisfaction and the number of preoperative and operative factors that affect patient satisfaction and dissatisfaction are important topic to consider comparing with previous study.

In Japan, there is approximately 70,000 knee replacement surgeries completed a year. Total knee replacement (TKR), also known as total knee arthroplasty (TKA), is a common surgery performed on patients with severe osteoarthritis of the knee. Anshin Hospital in Japan made every patient sign a consent form prior to starting the research study. Total knee replacement surgery will enhance patient’s quality of life, pain relief and functional recovery over time with the use of rehabilitating gait training. This prospective cohort research study performed early treatments for 57 patients that had osteoarthritis. Joint range of motion and strengthening quadriceps muscles are significant for the best outcome of total knee replacement. In order to have the best outcomes after total knee replacement, early rehabilitation is pivotal.