Physical Therapy For A Left Total Hip Arthroplasty Surgery
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Introduction: Physical therapist working in various clinical setting should be familiar with the patient 's medical condition including medications that they are actively taking to ensure that any symptoms associated with the drug are appropriately and safely considered. Here is an example of an acute care patient in the orthopedic ward anticipating for a left total hip arthroplasty surgery.
HPI: S.J. is a 67 y/o Caucasian male with a history of left hip pain for two years. He has difficulty walking due to left hip pain and utilizes a cane, can walk five blocks, climbs stairs leading with the right leg. He denies any surgeries on the left lower extremity. He sought physical therapy, but he does not feel that it is improving his pain but does believe it is improving his strength. He is scheduled for a left total hip arthroplasty due to the progression of severe osteoarthritis of the left hip as confirmed by a pelvic x-ray and MRI of the lower extremity without contrast. S.J. has taken various medications that are listed on the current medication section of this note.
PMH: Osteoarthritis, hyperlipidemia, hypothyroidism, sciatica and hypertension.
CURRENT MEDICATIONS:
• Acetaminophen 325 mg tablet PO TID as needed for pain. Max Acetaminophen 4000 mg/day (2000 mg if has liver disease)
• Atorvastatin Calcium 40 mg tablet PO QD for cholesterol
• Chlorthalidone 25 mg tablet PO QD for blood pressure
• Diclofenac Na 75 mg EC tablet PO BID after meals for pain or
street when a bakery truck backed into barrel and the barrel hit his both knees. Per OMNI, he underwent left knee arthroscopy on 12/10/2007, left total knee replacement on 1/05/2010, and right total knee replacement on 1/18/2011. He had infection on the right knee and had surgery to replace sleeve on 12/2011.
Per the medical report dated 9/25/2014 by Dr. Kastenbaum, patient is undergoing physical therapy 3 times weekly. On examination of the right knee, there is minimal warmth and swelling noted. Range
Matthew Potzler
Term Paper
MSE 561
Hip Prostheses
The hip joint is used in everyday life. The most common need for replacement comes from this wear and tear of the joint resulting in osteoarthritis, necessitating a total hip replacement. Part of this replacement involves selecting an implant of proper material and size to fit the patient, with more and more implants heading toward metal on metal load bearing surfaces to increase life of the implant. The implant lasts an average of 15 years before
Chapter 63: Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
Test Bank
MULTIPLE CHOICE
1. When teaching seniors at a community recreation center, which information will the nurse
include about ways to prevent fractures?
a. Tack down scatter rugs in the home.
b. Most falls happen outside the home.
c. Buy shoes that provide good support and are comfortable to wear.
d. Range-of-motion exercises should be taught by a physical therapist.
ANS: C
Comfortable shoes with good support will help
Human Cosmetic Surgery and Prosthetic Device Implants
The human body is a collection of remarkable biological mechanisms that integrates features that can not be duplicated exactly. However, many modern prosthetic devices can add years to an individual's life, improve physical comfort and function, or in the case of aesthetic implants, improve emotional health. There are many types of implants that server a variety of functions that offer risks and benefits.
Implants can server many purposes
Robotics in Surgery
Snehal S. Mayekar
Department of Biomedical Engineering,
YTIET, Bhivpuri Road, Karjat.
sm.little.snail@gmail.com
Abstract-- Objective: Tracking the progress of new Robotic Surgery techniques, their limitations and future scope. Background: The field of robotics has the potential
at a reasonable rate.
2. Mr. Jones is admitted to the hospital by the orthopedic surgeon
for severe hip pain. The ortho surgeon provides an
initial hospital visit during which it’s determined that Mr.
Jones has a fractured hip that will require surgical intervention.
Mr. Jones is taken later that day to the OR, where the
doctor performs the surgical procedure to repair Mr. Jones’
hip. Which modifier would you use for the hospital
important for the nurse to select?
A. Micro drop factor.
B. Drop factor of 15 gtt/ml.
C. An intact inline filter.
D. A buretrol attachment. Correct
A buretrol attachment is used to restrict the total volume of IV fluids that a client receives (D). (A and B) control the rate of administration, but not the total volume infused. (C) reduces the risk of infusion of particulates but does not control the volume infused. Category: Fundamentals
¶
Which action should the nurse implement when administering a
important for the nurse to select?
A. Micro drop factor.
B. Drop factor of 15 gtt/ml.
C. An intact inline filter.
D. A buretrol attachment. Correct
A buretrol attachment is used to restrict the total volume of IV fluids that a client receives (D). (A and B) control the rate of administration, but not the total volume infused. (C) reduces the risk of infusion of particulates but does not control the volume