Resident pleasant, alert and oriented to self and time. Resident cooperated well with assessment and able to follow one-step verbal instructions. Reported some right shoulder pain.
Resident maintained functional ROM /strength in the in key upper and lower extremity joints and muscle groups. Bilateral knee extension lag approximately -10 degrees. Bilateral hamstrings and calf muscle tightness noted. Right shoulder muscle strength maintained at 3+/5, Rest of the muscle groups in the upper extremity maintained strength 4/5 and 4-/5 in the bilateral lower extremities. She has good sitting balance, decreased standing and walking balance. Resident transfers safely with 2 person assist (pivot) using walker. Resident able to walk short distances with
During the interview, the Physical Therapist I conferred with was very thorough and straightforward in his responses to the questions that were given. I decided to interview another one of my mother’s fellow co-workers, Mr. Stephen Chan, considering his new experiences in the Physical Therapy field. I met with Mr. Stephen Chan at the Kaiser Permanente Outpatient Orthopedic Clinic that is located in Union City. The essential subject matters that we discussed consisted of his Major and Minor in college, the Residency Program that he takes part in, variations of attitudes, and advantages in the workforce.
made by staff for residents in advance. As Jeon Y.H. et al.(2012) told that ,” The association
Musculoskeletal pain affects the bones, muscles, ligaments, tendons and nerves, its commonly but not always it is caused by physical injury, which can be widespread or localised in just one body part. Joint and muscle pain is the probably the number one symptom that prompts people to seek the help of health professionals like osteopaths.
Her previous medical history includes osteoporosis which lead to poor mobility due to pain. She is currently waiting for Total Knee Replacement. After a Total Knee Replacement , patient is more likely to suffer from pain and being immobile for a period of time before commence physiotherapy. That greatly increase the chance of developing DVT(Brown, Edwards, Seaton&Buckley, 2014) .Patient education relating to physical activity includes encouraging early ambulation.
General: Patient is alert, oriented, not in acute distress. Not in labored breathing. Gait is non-antalgic. Cooperative and talkative mood affect. On exam of left knee inspection noticed some swelling compared with the right. Tenderness and swelling in left knee medial aspect. The scar from anterior knee is well healed. No sign of infection. Vascular exam is normal, dorsalis pedis pulses posterior, tibial pulses and capillary refill. Neurologic exam is within normal limits. Sensation and motor is intact. Motor and sensory are intact equal bilaterally. Hyperextension and flexion is within normal limits. Lachman test is negative. Knee anterior drawer test is negative. McIntosh test is negative. Inspection is no ecchymosis but there is a mild swelling in the medial
On admission, a complete physical assessment was performed along with a blood and metabolic panel. The assessment revealed many positive and negative findings. J.P. was positive for dyspnea and a productive cough. She also was positive for dysuria and hematuria, but negative for flank pain. After close examination of her integumentary and musculoskeletal system, the examiner discovered a shiny firm shin on the right lower extremity with +2 edema complemented by severe pain. A set of baseline vitals were also performed revealing a blood pressure of 124/80, pulse of 87 beats per minute, oxygen saturation of 99%, temperature of 97.3 degrees Fahrenheit, and respiration of 12 breaths per minute. The blood and metabolic panel exposed several abnormal labs. A red blood cell count of 3.99, white blood cell count of 22.5, hemoglobin of 10.9, hematocrit of 33.7%, sodium level of 13, potassium level of 3.1, carbon dioxide level of 10, creatinine level of 3.24, glucose level of 200, and a BUN level of 33 were the abnormal labs.
Each year, millions of Americans seek treatment for shoulder injuries or other problems. In most cases, the diagnosis is usually centered on the rotator cuff. The degree of injury and loss of movement helps in making the decision to have surgery. The final total of a shoulder impingement surgery cost is dependent on a variety of factors.
Weight 195.2 pounds, BP 118/68, pulse rate 63, temperature 97.4, respiration rate 14. The gait once again is not antalgic. He can perform a full squat without difficulty. Single leg squats reveal knee adduction bilaterally, which is mild. Palpation of the lower back shows only mild tenderness at the lower lumbar paraspinals and only at the right sciatic notch, not at the sciatic nerve trunk exit. Motor power in the lower extremities is at the 4+/5 both proximally and distally. Sensation remains diminished in the L5-S1 distribution. Reflexes were present at the knees bilaterally and absent at the right ankle, but now present at the left. Toes were downgoing. The straight leg raising maneuver was negative. The figure-of-four test revealed lower back pain
S: TM works in GA Trim 1. According to TM his both elbows and forearm area stared to have trouble gripping and picking up wires since late February. Also he was experiencing numbness and tingling sensation I his left hand. For the past several days his elbow pains were gradually getting worse that’s when he decided to come to the HMMA medical clinic; TM reports Tenderness at origin of wrist extensors, denies any difficulty with ROM.
In order to assist our staff in providing individualized, meaningful care to the residents who have made this community their home, we request that you, as a key member of the care team, provide us with a brief historical profile of the resident you represent. This biography as well as the "Life Story Book" we hope you will be interested in (please see last page), will provide us with important information to incorporate into their life with us. This will enable us to provide care that is geared to their particular needs, interests and enjoyments in life.
Most people don’t think of baseball as a high risk injury sport. Unlike football, hockey or boxing, baseball seems tame in comparison. While it’s true that baseball is not a high contact sport, a variety of injuries can occur to the players in virtually every part of the players body but most notably in the shoulder; some of these injuries can be career ending.
Julia is a 43 year old female initially referred to acute occupational therapy due to a recent onset of symmetrical numbness, tingling, and weakness in her hands and feet. Julia reported having an upper respiratory infection two months prior and reports showing symptoms shortly after. Julia lives with her husband in Washington State and has two adult children who are out of the house and reside in different states. Julia initially only had numbness and tingling in the feet but over the past eight weeks has been progressing to her hand. Julia was fully independent two months ago and now requiring moderate to maximum assistance with activities of daily living (ADL’s) and is dependent for instrumental activities of daily living (IADL’s). Julia
is in the utmost phenomenal health and is the most remarkable and courteousness woman that I have ever met. I am extremely grateful and feel honored to have had the privilege of interviewing her. Her attentiveness during the interview, jovial personality along with her sanguine outlook on life left me in such a state of awe and admiration for her. I felt such inspiration as well as serenity, followed by the tranquility peace of mind. Her love for everything, for life and for God was palpable and so beautiful that multiple times throughout the interview I was moved to tears. With no medical history, the only potential problem I have witnessed for F.C. is that she would shuffle her feet often, especially when she would get tired. She has multiple through rugs with tassels on the ends of them about her home that could contribute to the increased risk of her falling. She allowed me to call one of her children to alert them to this fact, they were thankful said that they will have them removed. The summaries of F.C. scores reveal that she is an extremely rare healthy elderly independent 86-year-old woman that is very capable of handling her daily activities and then some on her
Back with no tenderness over her kidney area. She does have a scar in her low back. Scar is surrounded by some blotchy redness, but the patient states this always looks like this. She does have pain to palpation above the scarred area and her low back. She has decreased range of motion of her low back, in general. Flexion however, causes significant pain and she is reluctant to do this. She has no pain when flexing her neck.
The primary aim for my study is to see which training method causes more shoulder pain and/or shoulder injuries for swimmers. I will be measuring their pain using the shoulder pain and disability index (SPADI) and diagnose the injury from a clinical shoulder examination.