He said he was discharged with Motrin and Valium with instructions to follow up with his family doctor. DIAGNOSIS/DIAGNOSTIC STUDIES/ SURGICAL INTERVENTIONS…
. MEDICAL UPDATE: Client continues to report arthritis in her left leg and hand, high blood pressure, stomach hernia and hip replacement surgery. Client continues to report she needs surgery and she can wait to be housed so she can schedule both surgeries stomach and hip replacement.…
He is tender to palpation diffusely along the lateral and posterior lateral aspects of the ankle. No deltoid tenderness is noted. He has a negative Drawer 's test of the ankle. Motion is…
Acupuncture needling was performed on this visit, as well as gentle stretches performed after the treatment. IW will continue acupuncture and PT. Based on the medical report dated 12/29/16, the patient complains of active lumbar pain, rated 6-7/10 with active and worse right leg radiculopathy, rated 6-8/10. Right leg is noted to have weakness, with history of buckling.…
He is unable to kneel and squat. He has difficulty descending stairs and walks with an uneven gait sometimes. The patient rates the pain in his right knee at…
Database and Assessment Table 1 – Physical Nursing Assessment Data GENERAL: Patient is an 88 year-old Caucasian male. Vital signs stable at 97.3°F, 82BPM, 22 breaths/min, 84/54mmHg, 100% on 1.5lL O2, 0/10 pain, patient weight 58kg. SKIN/HAIR/NAILS: Skin was thin and fragile, warm and moist, skin color slightly pale, skin tear on left upper arm measuring 3 inches, no bleeding or pain.…
4. How do health-care organizations support and promote optimal assessment and management of foot ulcers in clients with…
During the clinical setting, there was a patient who was diabetic as well having hypertension. This middle-aged adult had osteomyelitis related to big toe cellulitis. This male client exclaimed that he did not know how a little cut on his skin lead him in the hospital with osteomyelitis on his right big toe. Part of the reason why this client did not know something so small could lead to something so big was because of the importance of client education. Its important for nurses to properly educate their clients about the importance of managing their comorbidities that they have such as diabetes and hypertension in this case because it can prolong healing time when they get a suspected infection.…
He complains of on and off lower back pain, on and off right knee pain with some improvement and right ankle pain and occasional swelling upon prolonged standing and walking. Patient has difficulty with bending, prolonged standing and walking. On examination of the lumbar spine, flexion and extension is restricted by 10/10 degrees.…
They call them “Tap-taps,” the brightly painted open back trucks that transport passengers through the dusty streets of Haiti. A traveler taps the side of the vehicle to board, pays, rides and then taps to jump off at a desired destination. For one particular man who sat with his face covered by a towel, that destination was the Diegue clinic in Port-au-Prince. All I knew from intake was that this patient was here for a foot issue. I noticed the adult sitting uncomfortably, a towel wrapping his foot, as his eyes scanned around the room.…
2.3 Osteomyelitis The patients with SCI are prone to osteomyelitis due. Osteomyelitis may develop by extension of infection from pressure ulcers (31). After spinal fixation surgery, osteomyelitis may be developed, as a complication of surgery. Osteomyelitis increases the treatment cost and may lead to other complications (32).…
Osteomyelitis, or inflammation of the bone caused by infecting microorganism, remains one of the most challenging clinical problems among providers. Multi-specialty involvement, including but not limited to the Vascular surgery, Foot and Ankle surgery, and Infectious disease services, reduces mortality from osteomyelitis. Regardless of its etiology or staging, discussion of treatment with antibiotics versus cure with surgical intervention is warranted between the provider and their patient. In the presence of systemic response to osteomyelitis, resection of the affected bone must be performed. Resection of nonessential bones in the foot and ankle, like metatarsals, tarsals, partial calcaneus , and fibula, can be done with satisfactory retention…
On 10/16/17 I met Ms. Perez at the office of Dr. Malik wound specialist. This was an extremely long appointment and after 2 hours I had to leave to attend another appointment. Ms. Perez arrived with her husband transported by MMR on a stretcher. She reported she was having a lot of pain today. She reports that her right knee and the right arm are very tender and painful.…
“Osteomyelitis is a bacterial infection of the bone. The causative organism is most often Staphylococcus aureus, which enters the bloodstream from a distant focus of infection, such as a boil or furuncle, or from an open wound, as in an open (compound) fracture”. This occurs usually in the fibula, tibia, humerus, vertebrae, or near prosthesis. 50% of cases are due to unknown bacteria.…
Define the pathological condition, disease or syndrome. Osteomyelitis is an infection of the bone. This can be from externally introduced bacteria fungi, parasites and viruses, or from a pathogen introduced via the blood stream from an infection of another body system (McCance and Huether, 2014). The pathogen invades the bone and elicits the inflammatory response (McCance, and Huether, 2014). For bone tissue, this includes engorged vessels, active leukocytes, thrombosis of small blood vessels and formation of an abscess (McCance, and Huether, 2014).…