Podcast
Questions and Answers
What is the reported pain level for the patient's right knee at rest?
What is the reported pain level for the patient's right knee at rest?
What is the maximum knee flexion achieved in the right leg during the assessment?
What is the maximum knee flexion achieved in the right leg during the assessment?
Which joint has a range of motion limitation due to pain in the assessment?
Which joint has a range of motion limitation due to pain in the assessment?
What is the degree of passive range of motion (PROM) for knee extension on the right side?
What is the degree of passive range of motion (PROM) for knee extension on the right side?
Signup and view all the answers
How does the muscle strength of the left elbow compare to the right elbow based on the findings?
How does the muscle strength of the left elbow compare to the right elbow based on the findings?
Signup and view all the answers
Which of the following indicates a significant limitation in the knee flexion strength?
Which of the following indicates a significant limitation in the knee flexion strength?
Signup and view all the answers
In terms of functional mobility interventions, what is the primary concern based on the pain levels and range of motion?
In terms of functional mobility interventions, what is the primary concern based on the pain levels and range of motion?
Signup and view all the answers
What does a passive range of motion (PROM) of +10 degrees indicate for the left knee?
What does a passive range of motion (PROM) of +10 degrees indicate for the left knee?
Signup and view all the answers
Which assessment finding shows no activity limitations for the patient?
Which assessment finding shows no activity limitations for the patient?
Signup and view all the answers
What is the level of muscle strength in both wrists according to the assessment?
What is the level of muscle strength in both wrists according to the assessment?
Signup and view all the answers
What was the pain level reported at the fusion site during resting?
What was the pain level reported at the fusion site during resting?
Signup and view all the answers
What is the range of motion for hip flexion on both the right and left side?
What is the range of motion for hip flexion on both the right and left side?
Signup and view all the answers
Which muscle strength assessment scored lower than the maximum on the hip flexors?
Which muscle strength assessment scored lower than the maximum on the hip flexors?
Signup and view all the answers
What is indicated by the terms 'WNL' for knee flexion/extension and ankle dorsiflexion/plantarflexion?
What is indicated by the terms 'WNL' for knee flexion/extension and ankle dorsiflexion/plantarflexion?
Signup and view all the answers
In which area was muscle strength tested but fell short compared to other muscle groups?
In which area was muscle strength tested but fell short compared to other muscle groups?
Signup and view all the answers
What does a strength score of '5' indicate for the tested muscle groups?
What does a strength score of '5' indicate for the tested muscle groups?
Signup and view all the answers
What limitation was indicated for hip range of motion during assessments?
What limitation was indicated for hip range of motion during assessments?
Signup and view all the answers
What is the primary concern when assessing mobility post-surgery?
What is the primary concern when assessing mobility post-surgery?
Signup and view all the answers
Which functional mobility assessment's outcome was noted as 'No'?
Which functional mobility assessment's outcome was noted as 'No'?
Signup and view all the answers
Which joint movement assessed showed limitations on both sides?
Which joint movement assessed showed limitations on both sides?
Signup and view all the answers
How is a joint's range measured during assessments?
How is a joint's range measured during assessments?
Signup and view all the answers
What is the purpose of conducting a musculoskeletal assessment?
What is the purpose of conducting a musculoskeletal assessment?
Signup and view all the answers
What ankle movement was observed as normal during assessments?
What ankle movement was observed as normal during assessments?
Signup and view all the answers
What is the main goal during post-surgery rehabilitation?
What is the main goal during post-surgery rehabilitation?
Signup and view all the answers
What does a 'limited by pain' status indicate during muscle strength testing?
What does a 'limited by pain' status indicate during muscle strength testing?
Signup and view all the answers
What is the primary approach described for the surgery?
What is the primary approach described for the surgery?
Signup and view all the answers
Which measure suggests that the patient is capable of safe mobility post-surgery?
Which measure suggests that the patient is capable of safe mobility post-surgery?
Signup and view all the answers
What is the appropriate duration for the standard hip precautions as noted in the surgical plan?
What is the appropriate duration for the standard hip precautions as noted in the surgical plan?
Signup and view all the answers
Which of the following medications was administered 1 hour ago for pain management?
Which of the following medications was administered 1 hour ago for pain management?
Signup and view all the answers
What significant vital sign indicates the patient's respiratory condition?
What significant vital sign indicates the patient's respiratory condition?
Signup and view all the answers
What is the primary complaint regarding the patient's mobility assessment?
What is the primary complaint regarding the patient's mobility assessment?
Signup and view all the answers
Which of the following assessments indicates a limitation in hip extension?
Which of the following assessments indicates a limitation in hip extension?
Signup and view all the answers
Which hip strength assessment score suggests normal functionality?
Which hip strength assessment score suggests normal functionality?
Signup and view all the answers
What rehabilitation intervention is suggested following the surgery?
What rehabilitation intervention is suggested following the surgery?
Signup and view all the answers
What is a key component of fall risk assessment for the patient living alone?
What is a key component of fall risk assessment for the patient living alone?
Signup and view all the answers
What symptom was noted in the nursing assessment that may indicate underlying respiratory issues?
What symptom was noted in the nursing assessment that may indicate underlying respiratory issues?
Signup and view all the answers
What aspect of the patient's social history is relevant for rehabilitation planning?
What aspect of the patient's social history is relevant for rehabilitation planning?
Signup and view all the answers
What indicates that the patient's pain management protocol is effective?
What indicates that the patient's pain management protocol is effective?
Signup and view all the answers
What is a potential complication that needs to be monitored following the surgery?
What is a potential complication that needs to be monitored following the surgery?
Signup and view all the answers
Study Notes
Impairments and Activity Limitations
- Pain rating at fusion site: 2/10 at rest for the right hip, NAD (no abnormalities detected) for the left.
- Knee pain: 4/10 for the right knee at rest, NAD for the left knee.
Joint Range of Motion
- Right and left hip flex: 45 degrees
- Right and left hip abduction: 25 degrees
- Knee flexion: Right 65 degrees (limited), Left 130 degrees (full range)
- Knee extension: Right -10 degrees (limited), Left +10 degrees (full range)
- Ankle dorsiflexion/plantarflexion: Both within normal limits (WNL)
Muscle Strength Assessment
- Shoulder flexion and abduction strength: 5 for both sides
- Elbow flexion and extension strength: 5 for both sides
- Hip flexion: Right 3- (limited by pain), Left 5
- Hip extension: Right 3- (limited by pain), Left 5
- Knee flexion: Right 3 limited (due to pain), Left 5
- Knee extension: Right 2 limited (due to pain), Left 5
- Ankle and finger strength: 5 for both sides
Functional Assessment
- Previous independent mobility without assistance, able to perform activities of daily living (ADLs) and drive
- Lives alone in a split-level house with specific stairs and railings
- Engages in social activities like bingo and walking with friends
- BMI is 18
Surgical and Recovery Context
- Underwent surgery with a posterior approach; no complications reported
- Post-operative management includes oral analgesia, weight bearing as tolerated (WBAT), and standard post-operative hip precautions for 6 weeks
- Use of TED (thromboembolic deterrent) socks recommended
Vital Signs and Nursing Notes
- Heart rate: 69 bpm, oxygen saturation: 99%, respiratory rate: 18 breaths/min, blood pressure: 118/70 (lying)
- Temperature: 37.6°C, ECG shows normal sinus rhythm
- Recent pain management included Panadol 500mg and Endone 10mg taken 1 hour prior with good effect
- Observed decreased breath sounds and coarse crackles in the lower zones of the lungs
Past Medical History
- Relevant conditions include hypothyroidism and a history of smoking (quit 15 years ago, 14 pack-years)
Summary of Functional Ability
- Currently experiencing limitations in hip function and strength, particularly affecting mobility and daily activities due to pain and range of motion challenges.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
This quiz focuses on evaluating musculoskeletal impairments and activity limitations. It aims to help assess current conditions and monitor progress over time. Ideal for healthcare professionals involved in rehabilitation and therapy.