The Clinical Plan For Post Knee Arthroplasty Rehabilitation

There are many causes for heart failure. The most common cause is coronary heart disease (Moore and Roth, 2015). CHD is a disease in which the coronary arteries are blocked, preventing the heart muscles from getting the oxygenated blood they need. Heart failure can be caused by other present or past conditions like high blood pressure, diabetes, abnormal heart valves, diseased heart muscle, irregular heartbeats, heart defects, serious lung disease, poisons or substance abuse, and sleep apnea (Heart Failure Overview).

HISTORY OF PRESENT ILLNESS: David Lockman is a 44-year-old male who injured his right knee on July 21, 2015 when a circular saw came into contact with his medial right knee. He was taken to the operative suite by Dr. Lin for an emergent irrigation and debridement. He tolerated this very well. He was admitted overnight for antibiotic coverage, and discharged with instructions to weight bear as tolerated with the use of a hinged knee brace and walker. He was doing well but presents today with ongoing pain of 6-7/10. His biggest concern was that the swelling, redness, and edema was now extensive down the leg and into the ankle and foot causing him some ankle pain, as well. He has been using Norco for control of his pain. He is not taking any antibiotics currently. He is set up for

According to Su et all (2009), knee replacement is an effective way to find relief of pain and improve mobility, but most importantly giving the patient education and skills during early recovery. In comparison, all articles focused on the need of improving mobility after surgery. Assessing the patient’s abilities and the need for physical therapy and keeping an eye out for complications. A main focus was pain relief and that recovery for each patient varies, but it is important to get them ambulating with assistive devices soon after surgery. My patient at Kindred, had continuous assessment and an interdisciplinary team that assisted in her road to

Congestive heart failure (CHF) is a syndrome that occurs when the heart cannot pump sufficient blood to meet the tissues metabolic and oxygen needs. As a result, intravascular/ interstitial volume overload and poor tissue perfusion occurs. An individual with heart failure experiences reduced exercise tolerance, a reduced quality of life and shortened life span. The most common cause of heart failure is coronary artery disease (CAD). The incidence of heart failure increases with age. Approximately 1% of people over the age of 50 and 10% of people over the age of 80 experience heart failure. The prognosis depends on underlying cause and response to treatment. Heart failure may be classified according to the side of the heart affected.

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.

Imagine that you have torn your ACL, or your anterior crucial element ligament. An athletic trainer will help you until a doctor can be seen for X-rays. A surgeon will repair the injury. An anesthesiologist will keep you pain free throughout a procedure. After this, somebody is needed to assist in improving movement. That is what a physical therapist is for. Physical therapists, or PTs, are a crucial part of rehabilitation, treatment and prevention for patients with physical ailments. Individualized programs are developed by PTs that may follow a doctor’s referral, as well as a patient’s concerns and physical evaluation. Treatment plans can be made for individuals with sprained ankles to arthritis to neurological disorders. Physical therapy varies from patient to patient, as no two injuries are exactly the same, but the goal is always the same: a completely recovered patient.

If you're going to have knee replacement surgery, you should expect to have trouble getting around well enough to take care of yourself for several days after the procedure. While you'll be in the hospital a few days, once you've recovered from the actual surgery, you will be discharged to recover in a nursing facility or at home. If you don't have family to help you, hiring home health care will allow you to return home to your familiar surroundings to recuperate. Here why a home health care service is beneficial.

The patient underwent repeat MRI of his right knee on 1/28/16. As per office notes dated 7/25/16, review of system revealed that the patient has a history of weakness, shortness of breath, joint pain, muscular weakness, stiffness and muscular pain, headache and dizziness, as well as nervousness. The patient presents today stating that he would like to have his rod removed. He says that his right knee continues to give out on him and he wants to go on longer than 2 mile hikes without having knee pain and feeling instability. Examination of the right lower extremity revealed that the patient’s incisions are clean, dry, intact, and well-healed. The patient’s knee demonstrates discomfort with patellar grind-the symptoms are consistent with his last several exams, and are relatively unchanged. Knee is stable to varus and valgus stress, however, valgus stress does cause some discomfort on the lateral side. Distal neurovascular status is intact. Impression includes right displaced comminuted fracture of shaft of right femur, initial encounter for closed fracture; right chondromalacia patellae, right knee, and right sprain of other specified parts of right knee, initial

Having read the case and knowing the situation, I would say the patient damaged his patellar ligament and posterior cruciate ligament. The knee joint consists of five ligaments—the patellar ligament, fibular collateral ligament, tibial collateral ligament, anterior cruciate ligament, and posterior cruciate ligament. The patellar ligament helps extend the leg at the knee. The fibular and tibial collateral ligaments stabilize the hingelike motion of the knee (Drake pg. 303). The anterior cruciate ligament restricts anterior displacement of the tibia and the posterior cruciate ligament restricts posterior displacement of the tibia (Drake pg. 303). Most likely, the cause of the blue color in the patient’s leg and foot is from lack

I. Description: Congestive Heart Failure is more of a syndrome than a disease. Heart failure may be classified according to the side of the heart affected, (left- or right-sided failure), or by the cardiac cycle involved, (systolic or diastolic dysfunction). (Schilling-McCann p. 176). The word "failure" refers to the heart's inability to pump enough blood to meet the body's metabolic needs. (Schilling-McCann p. 176). When the heart fails to deliver adequate blood supply edema may develop. (Cadwallader p. 1141). Where edema occurs depends on what side of the heart is failing.

Musculoskeletal- erosive destructive changes in the elbows, wrist, and hands consistent with rheumatoid arthritis, has bilateral total knee replacements with stovepipe legs and perimalleolar pitting edema 1+. I feel no pluses distally in either leg.

Knee effusion means that you have excess fluid in your knee joint. This can cause pain and make your knee swollen. This may make your knee more difficult to bend and move. This is because there is increased pain and pressure in the joint. If there is fluid in your knee, it often means something is wrong inside your knee, such as severe arthritis, abnormal inflammation, or an infection. Knee effusion is also commonly caused by injury to the knee muscles, ligaments, or cartilage.

It is a joint disease and commonly the leading cause of pain in older adults. With osteoarthritis, joint cartilage becomes rough and worn. The damaged tissue causes the cells to release an enzyme which contributes to breakdown the cartilage. Inflammation is present in synovium, the lining of the joint. Overtime, the space in the joint becomes narrower. Patient with osteoarthritis experience joint stiffness and pain with weight bearing and movement. As the disease progresses, pain becomes extremely severe (VanMeter & Hubert, 2014 p 175). This the reason why patient had left knee arthroplasty. In left knee arthroplasty, the femoral and tibia component of the knee are replaced with an artificial material called prosthesis to relieve pain and allow a person to restore performance of activities of daily living (LeMone et.al, 2014 p 1356). According to Shmerling (2014), the patient’s risk for developing blood clots increases after surgery. Clots can form inside the blood vessels and this is where it becomes dangerous. Blood clots in the veins will hinder or block the return of blood to the vital organs of the body such as the heart. Due to the patient’s inactivity the flow of her blood becomes sluggish and causes the blood to pool commonly at the lower part of the body such as the leg and could lead to a clot. This is often called as Deep vein thrombosis. There is a tendency, that this clot could travel in the body and lodge in other

The patient stated that he began experiencing painful swelling in his right knee over a decade ago. A large mass grew around the knee and he underwent a total knee arthroplasty. Not long after the arthroplasty of his right knee, he began experiencing similar symptoms in his left knee and right elbow.

DN is a 68 year old Caucasian male who lives in Pomona, Missouri. On September 14, 2009, DN underwent a scheduled left total knee arthroplasty at Baxter County Regional Medical Center. A consultation appointment about a total knee arthroplasty was scheduled when DN had increasing pain in his knees while doing chores and working on his dairy farm. The increasing pain DN was having been due to a history of osteoarthritis and the wear-and-tear on his joints throughout his life, no specific injury was noted. Depending on the outcome of the left knee, DN was consulted on having his right knee done in the future