The Clinical Plan For Post Knee Arthroplasty Rehabilitation

The clinical scenario presented by Sarah is very interesting and has got every chance a physical therapist might face such similar situation in outpatient clinical practice. When a patient comes for post knee arthroplasty rehabilitation, the physical therapist can often get too much focused on therapy goals and overlook important clinical signs and symptoms that must be addressed and referred in a timely manner. A weight gain of 20 pounds in 18 days was not a good indication of Mr. Knee’s general health status. Presence of localized edema is common to see in knee arthroplasty patients. However, this patient has 2+ pitting edema even after taking Lasix 40 mg twice a day. The evaluation did not specify more about of swelling, whether it has any increased or decreased depends upon the time of the day. A weight gain of 2 pounds or more in 48 hours must be considered as a red flag, which may be an indication of heart failure. Vital signs assessment consistently demonstrated higher blood pressure and heart rate. The evaluation is not clearly indicative of exercise induced asthma for patient. Weight gain, consistent higher levels of blood pressure and heart rate along with exercise induced exertion can be signs of acute cardiac failure. According to King, Kingery Casey, 2012, heart failure is a common clinical syndrome characterized by dyspnea, fatigue, and signs of volume overload, which may include peripheral edema and pulmonary rales. In this case, theS how MoreRelatedEssay about Nursing Instructor3006 Words   |  13 PagesNursing Instructor PHYSICAL HISTORY: My clinical rotation was at St. Francis Hospital on the orthopedic/medical-surgical floor, 5-1. I was assigned JB for a patient 10/7 and 10/8. He was one day post-op from an elective bilateral knee arthroplasty. JB is a 69 year old Caucasian male who stands 6 feet tall and weighs 251 pounds. He has a history of hypertension, benign prostatic hyperplasia, degenerative joint disease, and renal calculi. Medications taken at home: Nifedipine 60 mg. QDRead MoreMusic and Well-Being Essay1667 Words   |  7 Pageseliminating the pre- and post-operative phases. Moreover, the choice and loudness of music played is subject to the medical team’s choices. Besides, since music is not present in the holding bay and recovery room, patients are faced with the annoyance of hearing disturbing noises produced by medical equipment and healthcare personnel communicating between themselves and other patients. This is mostly caused by the structure of the building itself, since both areas are based on an open plan. Nonetheless, theRead MoreSymptoms And Treatment Of Pain Management1791 Words   |  8 Pagesindirect ways. Persistent post-surgical chronic pain is more common in thoracic, breast, inguinal he rnia, knee arthroplasty and amputations. Acute pain can affect the psychology of the patients by causing anxiety, helplessness, sleep problems, mood problems and loss of autonomy. Elderly critically ill patients could have postoperative cognitive dysfunction due to various causes, pain being one of the most important among them. PRINICIPLES OF ACUTE PAIN MANAGEMENT In many post-surgical patients, itRead MoreGerontology Study Guide Essay3095 Words   |  13 Pagesproviders, case managers, nurse leaders, educators, patient advocates, administrators. 3. What are the American Nurses Association (ANA) Standards of Clinical Gerontological Nursing Care? A. Standard I: Assessment. a. The gerontological nurse collects patient health data. b. Enhances the nurse’s ability to make sound clinical judgments c. Culturally and ethnically appropriate B. Standard I: Assessment a. Types of assessments: Interviewing, FunctionalRead MoreMedical Test with Answers Essay example16933 Words   |  68 Pagesper day for each kilogram between 10 and 20. To determine an hourly rate, divide the total milliliters per day by 24. 19.5 kg x 50 ml/kg = 475 ml + 1000 ml = 1475 ml / 24 hours = 61 ml/hour The nurse is caring for a client who is unable to void. The plan of care establishes an objective for the client to ingest at least 1000 ml of fluid between 7:00 am and 3:30 pm. Which client response should the nurse document that indicates a successful outcome? A. Demonstrates adequate fluid intake and output.Read MoreComprehensive 1 Essay18452 Words   |  74 Pages475 ml + 1000 ml = 1475 ml / 24 hours = 61 ml/hour.nbsp; font face=Verdana color=#333333Category:nbsp; Fundamentals/font Awarded 1.0 out of 1.0 possible points. C. 13.ID: 311023617 The nurse is caring for a client who is unable to void. The plan of care establishes an objective for the client to ingest at least 1000 ml of fluid between 7:00 am and 3:30 pm. Which client response should the nurse document that indicates a successful outcome? A.   Demonstrates adequate fluid intake and output