Kyphoplasty
• Minimally invasive surgical procedure for vertebral compression fractures
• Alleviates/eliminates back pain
• Restores vertebral height
• Improves patient’s posture
Rehabilitation Post-Op:
• Avoid strenuous activity- heavy lifting, bending, pushing, stretching or pulling movements for the first several weeks.
• Sitting or standing for longer than 20-30 minutes should be kept to a minimum after the procedure for approximately 3-4 days.
• Most patients stay in the hospital overnight for observation and are released the next morning. Some patients can be released home the same day.
• Early ambulation, proper body mechanics, bed mobility (log rolling), and posture training are crucial for recovery
• Doing strength and range-of-motion exercises (physical therapy) as told by your health care provider.
If physical therapy was prescribed, do exercises as told by your health care provider or physical therapist.
Another concern that some patients may have is that recovering from this procedure will be extremely lengthy and painful. However, this is usually not the case, and patients should expect the worst soreness from this procedure to start subsiding within a few days of the procedure. If you notice the pain worsening or discoloration starting to show, you should immediately contact your doctor because this may indicate an infection has developed.
Independent and out of bed as tolerated, the client was ambulating well. J.S. was considered a fall risk because of her decreased level of consciousness upon arrival to the unit and possibility of decreased blood
Usually, wake up time is around 5:30 AM or earlier on a weekday with an arrival time at the hospital of 6:00 AM. After entering the hospital, the doctor changes into his or her scrubs and flower cap and grabs his OR (operating room) schedule. The anesthesiologist then heads to the operating room to check all equipment and drugs for the day. This process takes about 20-40 minutes. At around 6:30 AM, there is a morning lecture where the doctor meets with the patient to talk about the anesthetic plans as well as review the patient’s medical history. Then the patient goes into the OR. During the surgery, the doctor may take a fifteen minute break sometime in the morning. However, he or she must always be easily accessible in the case of an emergency. There is also a lunch break in the afternoon, but again, the doctor is on standby in case anything goes awry during the surgery. Most cases, the surgery ends between 3:30 to 5 PM and a resident comes to take his spot after 5 PM. Before the doctor leaves, he or she must check tomorrow’s schedule and review patient’s history. This takes about 30-45 minutes. During this time, the anesthesiologist also discusses the patient’s conditions with other members of the surgical team. Sometimes in the afternoon, the anesthesiologist will have to do some teaching to instruct residents and medical school students. At around 5-6 PM, he or she is allowed to head home for the day. However, sometimes, the anesthesiologist may be on call and have to come back to the hospital for an
Your health care provider may recommend that you limit physical activity for a few days after the procedure. Ask your health care provider what activities are safe for you.
• Avoid sitting or standing in one position for very long. Take breaks to get up, stretch, and walk around at least once every hour. Take breaks if you are driving for long periods of time.
PNF rolling started with the patient lying supine and instructed to roll towards right side lying with the left elbow and knee coming in contact once right side lying was attained, and terminating the sequence by rolling back into supine. Once the patient was able to complete the sequence of movements correctly, he was instructed on inhaling during the rest period and exhaling as he rolls. When the entire sequence was demonstrated correctly, manual resistance was added to the left anterior shoulder girdle and hip. The patient performed ten repetitions rolling to the right and then to the left. Then manual resistance was removed, and the patient then performed ten alternating rolls to each side. After the first week of treatment, the patient fully understood the sequence of movements and required less practice before initiating manual resistance. This style of PNF was chosen to integrate core and trunk engagement during more functional activities.10 The coordination of trunk engagement during rotational and reciprocating movement is necessary to accomplish the pre-established long-term goals of stair climbing, running, and return to recreational
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
Female Genital Mutilation is believed to have started in Egypt 2,000 years ago and spread from there. Only a few years ago, FGM was considered a cultural tradition, but now the United Nations has labeled it as a violation of human rights. Canada, Denmark, the Netherlands, and the United States has declared Female Genital Mutilation grounds for seeking asylum and is a punishable offense (1).
There is practically no downtime with this procedure. The numbing cream should wear off after 15 minutes or so and then you can go about your daily life afterward but avoid making any big plans (like a wedding) in case there is some temporary
As a Hospitalist NP, the patients that I admit for our group are not critically ill. Most times, the conditions for which are they are admitted warrant an admission, but they are treatable conditions. If the treatment is successful, the patients are discharged within two to four days. If they decompensate during their hospitalization, a rapid response code is called. Their disposition
Today alone 6000 girls around the world are being held down screaming, crying, and blacking out from the pain pleading for their elders to stop. Their voices fall on deaf ears as their right to sexual pleasure is sliced, chopped, pricked, scraped and burnt away.
Female Genital Mutilation (FGM), also known as female circumcision, is a destructive and invasive procedure involving the removal or alteration of female genital. The procedure is carried out at a variety of ages, ranging from shortly after birth to some time during the first pregnancy, but most commonly occurs between the ages of four and eight. There are three main types of FGC that are practiced: Type I (Sunna circumcision), Type II (Excision), and Type III (Infibulation). These three operation range in intensity, from the "mildness" of Type I, to the extreme Type III.
FGM originated in Africa. It was, and remains, a cultural, not a religious practice. Female genital mutilation (FGM) is also known as female circumcision is performed on young women before they reach puberty. There are three types of FGM practiced. One is Sunna circumcision in which the tip of the clitoris and/or its covering (prepuce) are removed, Clitoridectomy where the entire clitoris, the prepuce and adjacent labia are removed, and Infibulation (a.k.a. Pharaonic circumcision) which is a clitoridectomy followed by sewing up of the vulva. Only a small opening is left to allow urine and menstrual blood to pass. In all types of FGM, the vagina is sown up until the female is ready to have sexual intercourse