Hip Replacement Case Paper

On 11/23/16 I met Mr. Westover and his daughter Jackie Syms. Mr. Westover has made good progress with the continued physical therapy. He has resumed driving locally. Mr. Westover reported he had been in the hospital for 5 days recently for pneumonia. He is not using his cane now unless it is slick outside. He reports still feeling weak in the left leg. The Neurontin did work but Mr. Westover reported he stopped taking it and feels fine. Per Ms. Syms Mr. Westover’s PCP has him taking the blood thinner again. Mr. Westover agreed to take it until January 2017. Mr. Westover asked to have his home physical therapy continue, he doesn’t want to drive on winter roads. The last update from therapy asked for 3 more weeks and then they would

He is total care with his ADLS, he is able to verbalized his needs but unable to perform them. He reports that he had a colostomy placed in 2011 and urostomy placed in 2014. His father provides hygiene care and changes for both his colostomy and urostomy bag. He has bilateral arm/hand contractures and he has gotten weaker. He is getting OT and PT from kindred home health. He uses a hospital bed with air mattress and his father changes his position every 3 hours. He reports pain in his legs and back that is constant, dull and aching. His pain is worse with movement and dressing change. His current pain level is 8/10 on a pain scale. His pain regimen consists of fentanyl 75 mcg patch every 72 hours and oxycodone 5 mg p.o every 6 hours as needed for breakthrough pain. He has been taking 2 prn doses daily because he did not want to run out of medication. He states that 2 prn dose is not effective in relieving his breakthrough pain. He previously was getting his medication from his PCP but since his condition has deteriorated his parent who are elderly is not able to get him to the

Pt is a 84 year old Cascasion female living with her husband in their home. Husband reported the Pts Alzhemers has be pergresing for the last 8-9 years. Pt had open heart surgery in 2012, which contributed to the memory loss decline and increasing level of Alzhemer symtoms, husband verbalized. Husband reports they have been married for 19 years. Pt has a sister living Florda, two daughters living in Texas and Wyoming and one son in New York. The children stay in contact with them every other day. Pt reports she worked as a RN at the VA Hospital in New Mexico. Pt is not independent in the home without the husbands assistance. Pt does ambulate well in the home, but does have a walker in needed. Husband assists the Pt all her ADL's in the home and drives her to the store and for MD appointments. Husband currently suffers from Hemochromatosis (too much iron in one's body). Husband reports he manages well with his illness while taking care of Pt at the sametime. Husband reports the Pt's Alzehmers level appears to be stable at this time, but is quite forgetful at times and needs his assistance. Husband said they are managing

Before getting into the details about his medical plan, we learned more about his past medical history. It turns out that Tom was a two-time Hodgkin’s lymphoma survivor, the first bout occurring at age 17 and then later at 29. We also learned that he fractured his lower back in his late 20’s, an injury from which he never fully recovered (as he didn’t seek prompt medical attention). Because of this, Tom explained that this injury likely caused long-term nerve damage which eliminated much of the sensation from his feet. About eight months ago, he underwent a hip replacement surgery (perhaps for related injuries) to help restore normal function his lower limbs. And while in any other instance this surgery could have been considered a blessing, it quickly changed when he received news that his wife had suffered an accident while intoxicated and passed away. Following this traumatic

Most of the maintenance that is done around the house is Bob's job. With the assistance of someone to be his arms and legs, things eventually get done, but at his own pace. Everyone in the family has equal tasks and say in what happens within the home.

The field of healthcare administration is growing at a steady pace to bring about efficient service to all the patients (Harris, 2015). Currently, many specialists have emerged to ensure good health to all individuals at affordable rates. For instance, there is the healthcare documentation specialist, formally known as medical transcriptionists, who are highly-skilled health personnel, dealing with the process of transcribing, verifying, or converting spoken (voice-recorded reports) as dictated by a healthcare professional (Skurka, 2017). The prepared report henceforth becomes part of the permanent health record or history of the patient that can be used in future reference.

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.

SC received called from Pa on 5/6/2016. SC completed monitoring phone call with the Pa. The Pa reported that last month he was brought to the ER at Penn Presbyterian Medical Center by ambulance. The Pa reported the he fell and hit his head and he called for help and was taken to the hospital. He reported that after he was examined by the doctor, he was sent home with instruction to take OC pain killer for pain. The Pa reported no recent hospitalization, change in health status or medication. SC informed the Pa that his nutritionist from DaVita Dialysis called the SC and expresses concern that he is not getting adequate nutrition from his meal intake and suggest that he gets HDM. The Pa stated that he had met with the nutritionist early in the

My client is Margie M, a 69-year-old widower with chronic venous stasis ulcers. PMH: Asthma, Cataracts, Arthritis, Tremors, Narcolepsy, Congestive Heart Failure, Diabetes Mellitus, Peripheral Vascular Disease, Hyperlipidemia, Hypothyroidism, Gastric Ulcers, Irritable Bowel Syndrome, Micro colitis, Restless Leg Syndrome, Hypertension, Atrial Fibrillation, Anxiety, Depression, Cardiac Stents, and Cerebral Aneurysm. She lives in a two bed, one bathroom house with her daughter Becky, Becky’s husband Jim, and her twenty-five year old grandson Jason. Margie’s daughter, Terri, Jason’s mother is deceased. Jason has mild developmental delays. Margie has one son, Buster, who is not involved in her care. We met for lunch at McDonald’s

My client is Margie M, a 69-year-old widower with chronic venous stasis ulcers. PMH: Asthma, Cataracts, Arthritis, Tremors, Narcolepsy, Congestive Heart Failure, Diabetes Mellitus, Peripheral Vascular Disease, Hyperlipidemia, Hypothyroidism, Gastric Ulcers, Irritable Bowel Syndrome, Micro colitis, Restless Leg Syndrome, Hypertension, Atrial Fibrillation, Anxiety, Depression, Cardiac Stents, and Cerebral Aneurysm. She lives in a two bed, one bathroom house with her daughter Becky, Becky’s husband Jim, and her twenty-five year old grandson Jason. Margie’s daughter Terri, Jason’s mother is deceased. Jason has mild developmental delays. Margie has one son, Buster, who is not involved in her care. We met for lunch at McDonald’s for the

Patient has a history of a myocardial infarction (MI, or also known as a heart attack) in 2004, she had a hip pinning in 2005, and a traumatic amputation of fingers on her left hand in 1974 from a lawnmower accident.

The patient is an 88-year-old gentleman who is brought to St. Joe's ER complaining of inability to walk. The patient 6 days ago began to having trouble walking with his walker. He reported left arm pain which radiated up his left arm. The patient had pain in the left foot. The patient was taken to St. Joseph's Hospital in Wayne. In the ER he was diagnosed with gout and begun on Colchicine. Since that time he has shown no improvement. He has become essentially chair-bound and unable to walk so he is brought to St. Joe's ER. His medical history is significant for atrial fibrillation, hypertension, hyperlipidemia, coronary artery disease and the patient also has a colostomy bag he had a procedure done and they were unable to connect is

Ronald X is a self-sufficient man who values his liberty. After he broke his leg, everything changed. The free and autonomous life that he was enjoying was now going to change. His medical comorbidity of artheriosclerosis causes him to be confused at times. The doctor and his children did not want him to be discharged home until they found an appropriate nursing home. Ronald X is aware of his problems and

In the house he is able to help by taking out the garbage, clean the dishes and helps his mother to cook.

The knee replacement surgery is done with the aim of reducing the pain, improvement in the movement, as well as to allow the patient to get around more easily, but any surgical procedure carries risks which can range from infection and pain to blood clots. The knee specialists in Gurgaon suggested that the best way for a patient to ensure a positive outcome is to follow the surgeon's instructions. If there are any questions about caring for the new knee, the individual should ask the doctor.