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?

Solutions

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 1 year ago

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