...A hip fracture is when the femur thigh bone breaks in the upper quarter. The hip is a ball-socket joint which allows a bend and rotation in the upper leg at the pelvis. When the top of the thigh bone is pushed out if its socket in the hip it is called a hip dislocation. Articular cartilage covers the surface of the ball-socket which makes friction that helps the bones glide smoothly across each other. A hip fracture can be a life threatening injury. The older a person becomes the more the possibility of a fracture rises. Bones become weaker as people age which makes the elderly at higher risk for hip fracture. Tripping and falling could cause a hip fracture and most of the time tripping and falling comes from poor balance and taking many different medications. Most of the time fracturing a hip requires surgical repair or replacement of the hip which is a hip arthroplasty. Plenty of physical therapy comes with getting a repair or replacement. A hip dislocation is when the hip pops out of place. The most common result of a hip dislocation is a motor vehicle collision. The dislocation happens if the knee hits a dashboard. A fall from a decent height causes a hip dislocation. When the dislocation happens there are other related injuries that can occur such as fractures in the...
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...Case Study hip Fracture NSG/340 Case Study Risk Factors for Hip Fracture Age, sex (women>men), osteoporosis, poor nutrition (decreased in calcium & Vitamin D), smoking, medications (such as cortisone), limited or very little physical activities or brittle bone area all risk factors. Risk Factors for Hip Fracture related to S.P. *Age/Sex (women>men), *smoking, *medication (prednisone), *limited activity. Post-surgical anticoagulation S.P. is receiving Lovenox and Coumadin as thromboprophylaxis, a common practice after surgeries. Lovenox is used to prevent clot formation and will be an injection form, while Coumadin is taken orally, interferes with the synthesis of vitamin K clotting factor. In addition, it is recommended because of increase with coagulation factor. Anticoagulation is continued for approximately 30 days. INR is measured with the use of Coumadin with a goal of 2-3. A (arthroplasty) versus O (open reduction and internal fixation) A is also known as total hip replacement. O is metal pins, screws, rods and plates are used to immobilize the fracture. A is replacement of the entire hip joint with a prosthetic (artificial) joint system. Intraoperative blood salvage a. The blood that is lost from surgery is immediately re-administered to the patient. b. The blood lost from surgery is collected into a cell saver. c. The salvaged blood must be reinfused within 6 hours of collection. Postoperative problems Dislocation of the hip, infection...
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...Introduction: Total hip replacements (THR) happen for a multitude of reasons. Patient’s requiring a THR are in pain within the hip joint from a specific cause. For example, a THR could be done to relieve arthritis pain, repair a break in the bone, or repair the joint from a traumatic injury or disease. The hip joint is a ball and socket joint, made up of the head of the femur (ball) which moves within the acetabulum (socket) in the pelvis (Hasan & Akbar). Functionally, this joint allows movement of the lower body in relation to the trunk in a circumduction motion. At the time of the repair, usually patient’s have decreased function of that lower extremity because of pain. The joint itself does not have nerve endings, but bone does....
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...catheter in patients with hip fracture Critical Appraisal In this quantitative research article, the authors have dealt with one of the most common clinical problem i.e. clamping of urinary catheter after hip surgery. Hip surgery is very common among the people of old age group especially above 75 years. Further, older women are more susceptible to hip fracture and commonly undergo hip injury (Johansson & Christensson, 2010). Bladder catheterization is a common clinical practice in surgeries. It helpful in monitoring urine output in patients. However, it is also associated with one of the major clinical problems, i.e. operative urinary retention (POUR). It can be defined as the inability of a patient to pass urine in spite of full bladder (Baldini, Bagry, Aprikian, & Carli, 2009). It is has been reported that patient of hip surgery are at higher risk of urinary retention (Balderi & Carli, 2010; Johansson & Christensson, 2010; Singh et al., 2010). In the case of hip replacement the incidence of POUR has been reported to be between 12- 84%. Similarly, in case of hip fracture the prevalence of POUR is 18% to 56% (Borghi et al., 2004; Oishi et al., 1995). The most effective intervention reported till date for reducing the risk of urinary retention is clamping of urinary catheter. The main objective of this paper was to investigate the efficacy of clamping of urinary catheter through randomized controlled trial in patients undergone hip surgery for fracture. Title:...
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...the arm. The patient had radiographs made an weeks prior to our consultation that showed the glenoid uninhabited. We found an old or neglected dislocation of the left shoulder. as attitude, we decided to try in vain for a reduction (after a re- Another recent x-ray) under general anesthesia despite the time elapsed. Faced with this therapeutic impasse due to the formation of a néoarthose one hand and the filling of the glenoid by fibrous tissue on the other hand, solutions treatment remaining: Abstention when the pain is simply tolerated by the patient; In our environment resected humeral head (shoulder dangling) that will solve the problem of pain but not functional; when pain gene the patient; Or a total hip replacement (arthroplasty of the shoulder) achievable under other skies likely due to osteopenia of the head and neck already installed (ideal treatment). , April 6, 2012...
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...qualitative research uses words instead of numbers. This paper is going to analyze the planning and design of a qualitative research paper titled: Patient’s experience of pain and pain relief following hip replacement surgery, published in the Journal of Clinical Nursing on October, 2010. Research questions Although the research question or questions are not clearly labeled in the study, the research questions were as follows: 1) How do patients describe their experience with pain after hip replacement surgery?, 2) How do patients describe their pain relief following hip replacement surgery?, 3) How does pain affect patients after hip replacement surgery? Problem A research problem is “an area of concern in which there is a gap in the knowledge base needed for nursing practice” (Burns & Grove, 2011). In this research, it was identified that many patients undergo hip replacement every year and previous research has focused largely on the long-term effects of pain for these patients but not so much on their subjective, early postoperative pain experience. Purpose A research purpose is “a clear, concise statement of the specific goal or focus of a study” (Burns & Grove, 2011). The purpose of the research study was to describe patients’ experience of pain and pain relief following hip replacement surgery (Joelsson, Olsson, & Jakobson, 2010). Hypothesis A hypothesis is “a formal statement of the...
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...Hip replacement is a kind of surgical procedure in which the damaged portion of the hip joint are removed and replaced with a new artificial parts made of biomaterials. These artificial parts which are used to treat damaged hip are called the prosthesis. Generally, the hip replacement surgery is done to improve the function of damaged hip joint, increase mobility and to relieve pain caused due to damaged hip. [1] Depending on the condition of the patients, hip replacement surgery can be hemi or half replacement or total replacement. There are various reasons behind conducting these surgeries which includes injury or fracture to the hip, wearing down of the joints over time or osteoarthritis and may be due to age-related joint disease which...
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...Mandatory Pre-op for Total Knee Replacement The decision to undergo elective knee surgery can be very stressful for many patients. It is important for patients to be well prepared. Total knee arthroplasty has increased by eighty-four percent from 1997 to 2009 (Fawzi, 2012, para. 1). By making the Pre-op Total knee Arthroplasty class mandatory patients and their family members will be more educated and prepared for surgery and recovery. During the class patients will be able to ask any questions they may have, learn how to better prepare for surgery and ways to prevent infection during their hospitalization. Physical therapist will also discuss exercises and pain management techniques. By using the John Hopkins evidence based practice model a change can be made in the pre-op process for all total knee replacement patients. Change Model Overview The John Hopkins Nursing Evidence-Based Practice Process is defined as a problem-solving approach to clinical decision-making within a health care organization (Dearholt, & Dang, 2012, p. 4). Nurses often use this model to facilitate change within their organization....
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...Analysis of AML Total Hip Replacement BMEN 3311: Biomaterials Professor: Wei Shen Trevor Springer: sprin222@umn.edu Kristen Williams: will3893@umn.edu 1 Background Every year within the United States, over 332,000 people receive a hip replacement1. Hip replacements, arthroplasty, are a medical procedure where diseased parts of the hip joint are removed from the patients and replaced with an artificial hip. The main causes for needing a hip replacement is for the wearing down of the hip joint. This wear down can result from osteoarthritis, rheumatoid arthritis, avascular necrosis, injury, and bone tumors2. DePuy Synthes first introduced a total hip replacement in the 1970s, later introducing the AML Total Hip system in 1983. According to DePuy,...
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...Clin Orthop Relat Res (2010) 468:2430–2436 DOI 10.1007/s11999-009-1220-0 CLINICAL RESEARCH Natural Course of Asymptomatic Deep Venous Thrombosis in Hip Surgery without Pharmacologic Thromboprophylaxis in an Asian Population Kosuke Tsuda MD, Tomio Kawasaki MD, Nobuo Nakamura MD, Hideki Yoshikawa MD, Nobuhiko Sugano MD Received: 8 August 2009 / Accepted: 22 December 2009 / Published online: 8 January 2010 Ó The Association of Bone and Joint Surgeons1 2010 Abstract Background The clinical importance of asymptomatic deep venous thrombosis in elective hip surgery is not clearly known. Questions/purposes We determined the preoperative and postoperative incidences of asymptomatic deep venous thrombosis, identified preoperative factors associated with postoperative deep venous thrombosis or pulmonary embolism, and established its natural course in patients who underwent elective hip surgery without receiving pharmacologic thromboprophylaxis. This work was performed at Osaka University Hospital and Kyowakai Hospital. Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. Each author certifies that his or her institution approved the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research. K. Tsuda, H. Yoshikawa Department...
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...and understand what causes them, what signs to look for, what species to look for them in, how to treat them, and how to prevent them from happening, IF you can even prevent them. Some diseases and conditions have vaccines to help with prevention and some do not, while some diseases are zoonotic meaning that they can be transmitted from animal to human. While there are hundreds upon hundreds of diseases to be looked at, the ten researched below are the ones once prevalent among the veterinary technicians job in the clinic; Hip Dysplasia and Ethylene Glycol poisoning in dogs, Hyperthyroidism and Rabies in cats, Strangles and Equine Recurrent Uveitits in Horses, Cryptosporidium and Fasciola Hepatica in Ruminants and Swine, Idiopathic Epilepsy in Aviaries, and Lymphoma in Ferrets. Hip Dysplasia in dogs is a congenial condition caused by a femur that does not fit correctly into the pelvic socket, or poorly developed muscles in the pelvic area. The causes of hip dysplasia are considered heritable, but new research conclusively suggests that environment also plays a role. Although to what degree is caused by genetics versus what portion is caused by environmental factors are a topic of debate....
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...Chapter 4: Seating devices: Are general purpose extrinsic enabler (used in self care, work, school, play and leisure). Rehabilitation assistant: Job is to setup and adjust (functioning, technology and feedback) for client needs 3 Categories of seating intervention: 1) Postural control: Use physical skills or Mat assessment: (orthopedic measures, respiratory and circulatory). SUPINE Evaluation: starting with lumbar spine and pelvis, ROM of hips, knees, ankles, Upper extremities and neck. Alignment of head, shoulders, and trunk with pelvis. Sitting Evaluation: ROM and skeletal alignment (Important for TBI, ALS or motor control loss). Ask how much support needed to be comfortable. * Response to changes in posture. * Use MAT assessment for skin tissue integrity. * Avoid pressure behind knee * lateral aspects of knee, ankles and feet should not be in contact with the wheelchair. Contexts * Visual perception, Proprioception, tactile and vestibular contributes to balance and sitting posture. * Cognitive (safety, judgment) * Psychosocial ( behavior technology) * Environmental (social (family support) * Physical (outdoors indoors) * Institutional (funding, laws) consumer needs (match device, restraints) Review (Box 4-3) pg. 73. Kinematics: Study of motion/body in space. * Trunk to midline. * Velocity: rate of change in displacement. * Linear: same direction and rotational (movement in an angle) ...
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...Exercise – Feet in straps Inhale to flex hips, bringing feet towards the ceiling. Maintain knees straight and feet relaxed. Exhale and press feet back down towards the footbar, extending the hips. Core Awareness Engage the abdominals before moving the legs. Exhale and pull the abdominals in, then move the legs. Your core is like the corset which is covering the transversus abdominals and oblique abdominals below the chest and above the pelvis and ties back to the thora-columbar fascia. The tie endings of the corset are also tied on the reformer, not allowing any movement of the core and pelvis. Place your fingers on the lower abdominals and as you lower your legs feel these muscles in action. Imagine that the lower abdominals is like a big solid rock that maintain the pelvis stable on the reformer. Disassociation of the hips Draw the hip bones together and stabilize the back before pulling the straps with your feet. Do not move the upper body as you raise your legs. Imagine that your back is glued on the reformer and that your hips are separated from the upper body and free to support the legs movement. Imagine your legs to be the safety bar in front of a railway passage, your pelvis to be the solid platform that does not move and the hips to be the joint between the platform and the bar, which supports the bar vertical movement. Raise your leg to raise the safety bar and let the cars pass through. Lower your legs in order to lower the bar and give priority...
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...University of Phoenix Material The Muscular System Exercises Exercise 6.1: Skeletal Muscle—Head and Neck, Anterior View Layer 1 (p. 257) A. Surface projection of superciliary arch . B. Philtrum . C. Surface projection of mental protuberance . Layer 2 (p. 257) A. Frontalis m. . B. Orbicularis oculi m. . C. Zygomaticus major m. . D. Levator labii superioris m. . E. Nasalis m. . F. Levator labii superioris alaeque nasi m. . G. Orbicularis oris m. . H. Buccinator m. . I. Platysma m. . J. Zygomaticus minor m. . Layer 3 (p. 258) A. Depressor anguli oris m. ...
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...Hip Pain Bio -201 360 Case Study 03/03/2016 Higus Mekonen Community College of Aurora Bill Case summery Bill is suffering with hip and shoulder pain. His doctor assessment showed that Bills thigh bone has avascular necrosis, and his doctor is curious to know if bill had a trauma in the past. However, Bill was forgetting about the incident he had in the scuba diving. Bill had sever bends some months a ago, and this problem is caused Bill’s bone tissue to die because lack of blood supply flowing to the bone tissue. The characteristic of...
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