Orthopaedic Physiotherapy B

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  • Опубликовано: 4 сен 2024
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    Background information for video vignette .
    Diagnosis:
    Day 1 L TKR
    Context:
    Patient underwent L TKR 1 day ago and is currently on the acute orthopaedic ward awaiting initial assessment on the morning after surgery
    Table 10:
    Background information for orthopaedic vignette
    Demographic Information
    Setting
    Acute orthopaedic ward
    Gender
    Male
    Patient age
    60 ‐ 70
    Occupation
    Manages small farm Main Presentation L TKR
    Student Name
    Russell
    Educator Name
    Mark
    Patient Name
    Tom Jacobs
    CLINICAL HISTORY
    Reason for attending physiotherapy
    Patient day 1 post L TKR
    History of presenting condition
    Patient reported increasing level of pain and decreasing exercise tolerance secondary to pain. Pre‐op assessment demonstrated a fixed flexion deformity of 15 degrees and exercise tolerance of 200m Investigations Pre‐op: X‐ray - OA Post‐op: BP - 105/62, Hb - normal range, Saturations - normal range
    Past Medical History
    OA L Knee
    Past Surgical History
    Nil
    Medications
    Endone and Targin
    Alcohol and Drug
    Occasional alcohol, nil drugs
    Social History
    Lives with wife on farm, 6 stairs front and back, independent with all ADL’s. Required to manage manual duties as part of running the farm.
    Functional History
    Previous exercise tolerance 200m
    Patient Goals
    To return home and return to managing the farm

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