Nursing Case Interview Paper

On 8/10/16 I met Mr. Abraham at the office of Dr. Yacisen. Mr. Abraham arrived with his mother. He wore the brace to the right leg and used a cane to ambulate. Mr. Abraham said his left shoulder has improved dramatically since he started physical therapy. An x-ray of the shoulder was taken and did not show any defect. The right knee still had slight swelling which Mr. Abraham said goes down when he has the brace off. Examination showed the MCL was scarred down. The patella was stable. Dr. Yaisen said he wants Mr. Abraham to really work more aggressively in physical therapy. He demonstrated and had him repeat back new exercises to do at home. Dr. Yacisen also wants him to remove the brace and discontinue use of the cane. He told Mr. Abraham unless he gets aggressive with building the

Abraham said his appointment with Dr. Yacisen has been moved to 9/12/16 by Dr. Yacisen’s office. Mr. Abraham arrived to the appointment on 9/12/16 with his Mother. He walks stiff legged to the right knee. He reports his pain in the right knee is about a 2 to 3 with twisting. Examination showed the knee to be slightly swollen but stable. Dr. Yacisen still feels he may need to have a scope done. With discussion on the length he will be working and the type of work he does Dr. Yacsien may still do an ACL repair. Mr. Abraham said he is very apprehensive about going back to work. Much discussion was given to restrictions and when he would go back. Dr. Yacisen would like physical therapy to continue and added a work conditioning also. He wants Mr. Abraham to have a custom ACL brace and must be wearing it to return to work. The brace was measured but would take about 3 weeks to come in. The left shoulder has good range of motion. Mr. Abraham said he has slight pain in the shoulder, he declined a injection. He was given a home exercise program to do by Dr. Yacisen in conjunction with formal physical therapy. Mr. Abraham said he is also driving