Case Study On Knee Replacement

12/24/15 Progress Report describes that the patient has right knee pain. The pain is frequent. It is aching and burning in quality. The current pain level is 0/10 and worst pain is 4/10. Bending, squatting, walking, weight bearing, changing clothes and ROM aggravate the pain. Rest, ice,

In July 2015 there was a proposal issued for a new Comprehensive Care for Joint Replacement program. This proposal is designed to establish bundled payments fir total hip and knee replacements. The program for Comprehensive Care for Joint Replacement (CCJR) is a crucial development for Medicare and Medicaid holders.

The doctors and authors had strong evidence that when patients visited the treatment center and when directed to do physical exercise at home by a doctor, all patients whether directed to come into a clinic or do their exercises at home, all patients had shown significant improvements with the recovery of their knees. The study had proven that the patients who were directed to come into a clinic instead of doing physical therapy at home had proven to be a better off then the patients who did their physical therapy in the comfort of their own home. The patients progress was tested by a six minute walk that they completed a couple times during and after physical therapy was finished. “Both groups showed clinically and statistically significant improvements in six minute walk distances and WOMAC scores at 4 weeks; improvements were still evident in both groups at eight

In a hospital I worked at recently, I was told in report that a patient I was taking was demented and didn’t know where she was or what her situation was. The patient admitted for a post knee replacement was 86 years of age, fragile, very hard of hearing and mute. The pain in her knee was excruciating and she often cried out asking for pain medication. Moving her in the bed also caused her pain, because she was said to have dementia no one explained to her what they were doing so, she fought the staff when they moved her or changed her brief. After I came on shift I assessed her, I attempted to take her knee immobilizer off to assess her knee and she cried out in pain and smacked my hand aside. I felt so bad for her, I decided to try to yell

In the case of our 65 year old patient she has been place in a rehabilitation center due to a fall in her home that resulted in her having a hip replacement. The housing representative of the complex inquired whether or not this patient would be returning to her home.

It is a typical weekday on my active Orthopedic/Medical surgical unit, as I worked on the 7am-7pm shift. On this particular day, I was assigned, one client who is a pre-operative for total bilateral hip replacement, four clients, who had recently had orthopedic surgeries and, a client who had his operation, a total bilateral knee replacement, cancelled moments ago, due to a Transient Ischemic Attack (TIA).

If nonsurgical treatments like medications and using walking supports are no longer helpful, you may want to consider total knee replacement surgery. Joint replacement surgery is a safe and effective procedure to relieve pain, correct leg deformity, and help you resume normal activities.

Pharmacological treatments include analgesics, nonsteroidal anti-inflammatory drugs (NSAIDS), opioids hyaluronic acid, corticosteroid injections (Citiation Garcia) or disease-modifying osteoarthritis drugs (DMOADs) such as sodium pentosan polysulfate. Kumagai et al researched the efficacy of subcutaneous injections with sodium pentosan polysulfate on the improvement of cartilage while Garcia-Padilla et al researched the efficacy of intra-articular injections of bicarbonate and calcium gluconate. For treatments to be clinically significant they must alleviate the symptoms; therefore, the treatment should decrease the patient?s level of pain and/or joint stiffness from moderate to mild while resting or being active. The normal range of motion of the knee is 0 to 130 degrees for flexion and 120 to 0 degrees for extension(CITATION Mercks); therefore, within the affected joint the range of motion should increase by 10 degrees. However, the range of motion will be affected by the amount of cartilage lost and scar tissue in the knee joint; therefore, a full recovery in the range of motion should not be

Total knee arthroplasty are also known as total knee replacement. It is used as one of the option to relive the pain and to restore the function to an arthritic knee. Total knee arthroplasty or total knee replacement is used when other methods such as weight loss, physical therapy, medical or injections have failed to relive arthritis- associated knee pain. Knee replacement implant is remove of damaged cartilage and bones from surface of knee joint and followed by implantation of an artificial knee joint made with biomaterials. Femoral components and tibial component are made with metal alloy. Between the Femoral component and tibal component there is a Polyethylene layer. Inflammatory response is Phagocytes which is cells that are able to

Osteoarthritis is degenerative joint disease caused by mechanical wear and tear. Damage manifest as breakdown of cartilage, injury of subhondral bone and changes to all articular surfaces. it presents as pain in weight bearing joints that worsen with use. The joints that are mostly affected are the distal interphalanges, knees, hips, toes and spine [1]. Knee osteoarthritis is suspected after a medical history and physical examination is done. During the physical examination the doctor will examine the knee and its series of motion. He will pay close attention to areas that are swollen, tender and painful [2]. There are a variety of diagnostic tests that may help confirm the diagnosis if patient’s knee is affected. There is X-ray that

The patient is a 70-year-old gentleman who presented with left hip pain of 3 weeks duration which has been worsening over the past 5 days 10/10 nonradiating pressure-like pain is worse on exertion and improved with rest is persistent. The patient's medical history is significant for gout, hypertension, diabetes, coronary disease, hypercholesterolemia, arthritis and nephrolithiasis. The patient had a right total knee replacement, 3 caths (the last one in 2003), a right rotator cuff repair, a right thumb injury and has had 6 previous hospital admissions for the right total knee replacement. Initial blood pressure is 169/70 with pulse 64 respirations of 20. The patient is afebrile and has a weight of 112 kg. The patient's physical exam is

The most common indication for total knee replacement is osteoarthritis, or degenerative joint disease. The end stage of osteoarthritis is wearing out of cartilage (smooth, gliding bone ends) resulting in bone-to-bone contact in diseased joints. It is progressive and becomes increasingly painful as the cartilage erodes. Younger people who get knee replacements have damaged their joints by trauma (accidents that destroy joint surfaces), infection, cancer or tumor, and inflammatory conditions such as rheumatoid arthritis.

The sports orthopedics performed studies in order to improve the production of these therapeutic devices ensuring a very effective sports knee. These knee pads are designed with multiple adjustments which are secured to the leg and do not allow the knee to move. With this discomfort and vulnerability avoided, because if the brace is not well

Teaching the importance of activity and exercise has a huge significance to the patient especially she undergone surgery, left knee arthroplasty. Lack of adequate knee exercise after surgery will lead to various complications that are dangerous and life threatening such as deep vein thrombosis, stroke and pulmonary embolism. Another complication that is associated with inadequate movement of the limbs and extremities is muscle contracture (LeMone et.al, 2011 p 142). Patient has a high risk of developing these complications. We wanted to educate the patient about these so that we could lower her risk at some point. We believe that even when patient is lying down on the bed, she can do a lot of things to improved her health and prevent

Joints and joint related problems are very crucial in human bodies which need to be treated perfectly by the best knee replacement surgeons from any well known hospital. Joint pains have always known to be the hardest pains ever when it comes to following the daily routines along with bearing those pains. The starting stages can be treated really well by medicinal courses or exercising routines or by physiotherapy sessions given by various well educated, well trained and well experienced physicians of the specific field. In case the before mentioned methods do not work out well and the patients are found to be suffering to the extreme