S.T. is a 72-year-old female patient. Her husband died 6 months ago and she lives alone...

S.T. is a 72-year-old female patient. Her husband died 6 months ago and she lives alone now. She is seeing the health care provider for her annual physical exam. She has a history of hypertension and osteoarthritis. She currently takes the following medications: Furosemide 20 mg PO daily every morning Inderal LA 80 mg PO daily every morning Celecoxib 200 mg PO daily every morning Subjective Data Has “some” pain in her right knee States “It looks like I lost a half an inch this past year” Objective Data Temperature 98.2° F, pulse 72, respirations 16, blood pressure 130/76 Height 5 feet 2½ inches, weight 170 lbs, BMI 30.6 kg/m2 Unsteady gait, walks with a limp Discussion Questions What is some important subjective data to ask S.T. related to her musculoskeletal system? Describe what you would include in S.T.’s musculoskeletal assessment. What are some musculoskeletal findings would you expect as part of the normal aging process? Based on her past medical history and diagnosis of osteoarthritis as well as the subjective data and physical assessment findings of right knee swelling and tenderness to palpation and decreased range of motion, S.T. is at risk for falls. What are some fall prevention strategies you could teach S.T.? What could you teach S.T. to help improve some of her symptoms? Based on the subjective and objective data S.T.’s health care provider orders an x-ray of the right knee and after reading the x-ray, recommends S.T. have a right knee arthroscopy with possible debridement in order to visualize the contents of the knee to determine the cause of the pain and identify treatment options. What should you explain to S.T. about this procedure?

Expert Solution

#The important subjective data which has to be asked in regards to her musculoskeletal system are

Any redness , swelling in the joints
Difficulty in mobilization and doing daily activities
Ability of doing physical activity or exercise in daily life
Ask for the range of motion
Any past injury or accident, surgery on the limbs

The following has to be included in the musculoskeletal assessment of the patient

Range of motion in all joints
Flexion, extension, rotation
Palpation of the joint
Assessment for any deformity
Hand grip assessment
Tinel's sign assessment

Some of the musculoskeletal finding which can be found as a part of normal ageing process are as following

Loss of skin tone and tugor
Rigid muscle
Decreased muscle mass and muscle strength
The bones are very soft and easy to fracture
Changes in the body posture or curvature
Decrease in height of an individual as they age
Difficulty in easy joint movement

Some of the fall prevention strategies are as following

Use of proper fitting shoes
Clutter free room ,to prevent fall
Fall proof floor
Handle bars in restroom ,place where patient move around
Use of assistive device as per order
Correction of vision problems and wear eye glasses
Adequate lighting

Some of the ways to improve her symptoms are

Take medication as directed
Nutritional rich diet
Adequate rest
No strenuous activity or exercise

ST has to be explained the following

It is done to rule out the cause of pain in the knee and provide medication, corrective treatment at the same time
The wastes are removed calleda s debridement so that articulation of the bone is enhanced and thus improve the mobility.

Nightingale answered 2 years ago

Lorraine Terrance, an 83-year-old widow who has lived alone since her husband died 6 months ago,...

Lorraine Terrance, an 83-year-old widow who has lived alone since her husband died 6 months ago, is in the early stages of Alzheimer’s disease. She has a history of cardiovascular disease and hypertension and has been admitted to the local hospital for observation after complaints of chest pain. At present, she is very anxious and agitated. The admitting nurse received a telephone call from Mrs. Terrence’s daughter, who lives out of town. The daughter states that her mother has experienced...

Mrs. Smith is an 88- year-old female who lives alone in her home. She walks with...

Mrs. Smith is an 88- year-old female who lives alone in her home. She walks with a walker. Last night Mrs. Smith needed to go to the bathroom. She got out of her bed and walked to the bathroom without using her walker. In the morning her daughter came to the house to check up on her. She found her mom on the bathroom floor. She called the ambulance and her mom was taken to the emergency room. In the...

D.G., a 72-year-old man whose wife died 6 months ago, is brought to the health care...

D.G., a 72-year-old man whose wife died 6 months ago, is brought to the health care provider by his daughter because he is not eating much and has been lethargic and sleeping a lot. He has a history of hyperlipidemia for which he takes niacin–lovastatin 500/20 mg PO daily at bedtime. Subjective Data Has been unusually tired for the past couple of months Is frequently short of breath and sometimes feels like his “heart is pounding” Has lost weight because...

Anemia Patient Profile D.G., a 72-year-old male whose wife died six months ago, is brought to...

Anemia Patient Profile D.G., a 72-year-old male whose wife died six months ago, is brought to the health care provider by his daughter because he is not eating much and has been lethargic and sleeping a lot. He has a history of hyperlipidemia for which he takes niacin/lovastatin 500/20 mg PO daily at bedtime. Subjective Data Has been unusually tired for the past couple of months Is frequently short of breath and sometimes feels like his “heart is pounding” Has...

Mrs. Khadija is 80 years old female, who lives alone, her husband who was 95 years...

Mrs. Khadija is 80 years old female, who lives alone, her husband who was 95 years old passed away last month. She is retired and her husband was retired from his work several years before his death. She cannot afford to travel as much as she had dreamed. She enjoys good health explains to her primary care provider that she attributes her health status to her regular intake of berries, fruit juices, and green tea, which she states "help cleanse...

Jane is a 69-year-old black, married, retired female who lives with her husband. She was referred...

Jane is a 69-year-old black, married, retired female who lives with her husband. She was referred to you for individual counseling to work on severe anxiety and moderate depression. Jane's physical health has been declining after injuring her knee a year ago. Jane has been doing water aerobics weekly, and was working a part-time job and active in her prior to the onset of the medical problem. Jane underwent surgery to repair the injury, however, she still reports weakness and...

Mrs. Angel is a 89-year-old woman. She has a retirement pension. Her husband died a year...

Mrs. Angel is a 89-year-old woman. She has a retirement pension. Her husband died a year ago. She stays at her daughter's house. Her daughter works in a factory. Her daughter's husband, Ahmet, is an unemployed, alcoholic man with sexual problems. They have a four-year-old child. Mrs Angel is brought to the emergency unit by her daughter and Ahmet with severe abdominal pain. On physical examination, she was found to have vaginal bleeding, as well as bruises on her legs...

Mrs. Brown is a 61 year old lady who lives at home with her husband. She...

Mrs. Brown is a 61 year old lady who lives at home with her husband. She has a history of hypertension that is controlled with medication. Mrs. Brown was walking through her home and tripped on the corner of one of her area rugs resulting in a fall with complaints of right hip pain. Her husband called an ambulance and Mrs. Brown was transferred to hospital. In the emergency department she was diagnosed with a minor pelvis fracture. She was...

Shirley’s husband died unexpectedly 2 months ago, which is the she entered an assisted living facility....

Shirley’s husband died unexpectedly 2 months ago, which is the she entered an assisted living facility. Shirley states she has become depressed form the loss of her husband and the inability to physically do activities she desires due to the COPD. Shirley presents to the ER with difficulty breathing and Shortness of breath at the rest, and increase fatigue. The patient is currently on 2 liters of O2 nasal canula at all times. Shirly smoked cigarettes for 32 years and...

Case Scenario: The patient is a 72-year-old widowed Native American woman named Rose Smith. Mrs.Smith lives alone...

Case Scenario: The patient is a 72-year-old widowed Native American woman named Rose Smith. Mrs.Smith lives alone near Traverse City. Her son, daughter-in-law, daughter and their children all live outside of Michigan. Her income is $15,000 per year and her healthcare coverage is traditional Medicare (Parts A, B and D). She does not have access to a car. Mrs. Smith is diabetic and routinely receives care at the local health clinic. For hospital care she must travel to Traverse City. Mrs. Smith tripped in her...

Question