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NOTES

Mr. George Chen, a 54-year-old accountant, was admitted to St. Andrews Hospital for a total knee replacement surgery on his right knee due to severe osteoarthritis. He developed some swelling and discomfort in his knee and back during his hospital stay. He is now medically stable for discharge but requires acute rehabilitation to improve his mobility and range of motion in his knee.

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Trixter Garcia
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105 views1 page

NOTES

Mr. George Chen, a 54-year-old accountant, was admitted to St. Andrews Hospital for a total knee replacement surgery on his right knee due to severe osteoarthritis. He developed some swelling and discomfort in his knee and back during his hospital stay. He is now medically stable for discharge but requires acute rehabilitation to improve his mobility and range of motion in his knee.

Uploaded by

Trixter Garcia
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© © All Rights Reserved
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NOTES: History of shingles

Mr. George Chen is a 54-years-old patient in the medical ward in which you Admission details:
work. Post night total knee surgery
Impaired mobility/self-care activities
Hospital: Postoperative anemia
St. Andrews Hospital, 280 Pechey Street, Templestowe. Right knee, moderate swelling – fluid

Patient Details: Medical progress:


Moderate anemia
Name: Discomfort of skin on his back
Mr. George Chien Moderate swelling knee – ice pack treatment
Incision well healed, clean, dry.
Marital Status: Arixtra (fondaparinux) prescribed during hospitalization, discontinued just
Married prior to discharge.

Residence: Nursing management:


Templestowe Supervised level for bed mobility/modified independent level for transfers.
Can ambulate < 100 meters with front-wheel walker.
Next of kin: Limited range of motion of knee.
Thomas (26, single, lives in Taiwan) Susan (22, single, lives at home, student) Patient at supervised level for grooming, bathing.
Minimal assistance level for lower body dressing.
Admission date: Eager to go home.
10 January 2018 Prescription painkiller and thyroid support 60 mg. daily and multiple
supplements
Discharge:
12 January 2018 Assessment:
Medically stable.
Social background:
Accountant Discharge plan:
Alcohon-2-3 units socially Patient discharged home w/ family assistance.
Non-smoker Regular diet as tolerated.
Enjoys watching soccer, walking dog Needs acute, comprehensive rehabilitation.
Patient has front-wheel walker.
Medical background:
Osteoarthritis Writing task:
Right knee: progressive, severe pain – total knee replacement (TKT) Using the information given in the case notes, write a referral letter to Ms.
(27.12.17) Loretta Pasquale, who is a physiotherapist at Templestowe District Medicial
Severe difficulty w. mobility (right lower extremity) Cinic, 43 Anderson Street, Templestower, regarding Mr Chien’s
Glandular fever (2014) rehabilitation

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