Read the case notes and complete the writing task which follows.

Notes:

You are the hospital phyisotherapist.

Patient:Wilfrid Morcom (Mr)

DOB: 31 August 1947

Address: 19 Pine Crescent, Stillwater

Occupation: Retired carpenter

Social: Lives with wife (very supportive)

Relevant history:

  • Nov 2011 – R high tibial osteotomy due to medial compartment osteoarthritis (O.A.)
  • Jun 2012 – arthroscopy showed tricompartmental O.A. R knee

Pre-operation:

  • Long history knee pain, R more than L. Walked w. single point stick 100m; limited by pain.
  • Required assistance w. dressing, steps, stairs, etc.

Operation:

  • R total knee replacement 1/08/13

2/08/13

Post-operation:

O/E: R.I.B. Zimmer splint in situ.

Treatment:

  • Routine post-op chest physiotherapy.
  • Taught isometric quads, SLR, foot & ankle exercises.

Plan:

  • To commence partial weight bearing (PWB) walking in 5/7 (7/08/13).

3/08/13
Medical:

  • Complaining of central chest pain & shortness of breath (S.O.B.).
  • O2 x 2L via prongs.
  • P = 84, BP = 110/70, RR = 18, ECG – flattening T wave in V5-V6.
  • ? Ischaemic heart disease (IHD). Anginine (glyceryl trinitrate) started.

7/08/13
O/E: No chest pain, no S.O.B.

Treatment:

  • Commenced PWB in pick-up frame with Zimmer splint. Required assistance with transfers only.
  • Commenced knee flexion ex. = 25 deg. Continuous passive movement (CPM) commenced (2 hrs on,
    2 hrs off) 20°-30°.
  • Sitting out of bed with leg elevated.

8/08/13
O/E:

  • Episode of chest pain last night; relieved by Anginine.
  • Occupational therapist completed home assessment – ordered appropriate equipment.

Treatment:

  • Ambulating well with frame.
  • Polly Farmer knee brace ordered.
  • CPM (2 hrs on, 2 hrs off) 15°-50°.

9/08/13
O/E: Feeling well.

Treatment:

  • Progressed to elbow crutches. Managing well with Polly Farmer knee brace.
  • CPM (2 hrs on, 2 hrs off) 15°-65°.
  • Continue active exercise program. Flexion = 60 deg, Extension = -18 deg.
  • For discharge home tomorrow (10/08/13). To continue physiotherapy at Stillwater Rehabilitation
    Hospital x 3 per week. Review in Outpatient Clinic 9/09/13.

Writing task:
Using the information given in the case notes, write a letter of referral to the Physiotherapist-in-Charge at Stillwater Rehabilitation Hospital. Address the letter to Physiotherapist-in-Charge, Stillwater Rehabilitation Hospital, 14 Lake Road,Stillwater.

In your answer:

  • Expand the relevant notes into complete sentences
  • Do not use note form
  • Use letter format

The body of the letter should be approximately 180–200 words.




Write your response in the textbox below.

Submit
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Read the case notes and complete the writing task which follows.

Notes:

You are the hospital phyisotherapist.

Patient:Wilfrid Morcom (Mr)

DOB: 31 August 1947

Address: 19 Pine Crescent, Stillwater

Occupation: Retired carpenter

Social: Lives with wife (very supportive)

Relevant history:

  • Nov 2011 – R high tibial osteotomy due to medial compartment osteoarthritis (O.A.)
  • Jun 2012 – arthroscopy showed tricompartmental O.A. R knee

Pre-operation:

  • Long history knee pain, R more than L. Walked w. single point stick 100m; limited by pain.
  • Required assistance w. dressing, steps, stairs, etc.

Operation:

  • R total knee replacement 1/08/13

2/08/13

Post-operation:

O/E: R.I.B. Zimmer splint in situ.

Treatment:

  • Routine post-op chest physiotherapy.
  • Taught isometric quads, SLR, foot & ankle exercises.

Plan:

  • To commence partial weight bearing (PWB) walking in 5/7 (7/08/13).

3/08/13
Medical:

  • Complaining of central chest pain & shortness of breath (S.O.B.).
  • O2 x 2L via prongs.
  • P = 84, BP = 110/70, RR = 18, ECG – flattening T wave in V5-V6.
  • ? Ischaemic heart disease (IHD). Anginine (glyceryl trinitrate) started.

7/08/13
O/E: No chest pain, no S.O.B.

Treatment:

  • Commenced PWB in pick-up frame with Zimmer splint. Required assistance with transfers only.
  • Commenced knee flexion ex. = 25 deg. Continuous passive movement (CPM) commenced (2 hrs on,
    2 hrs off) 20°-30°.
  • Sitting out of bed with leg elevated.

8/08/13
O/E:

  • Episode of chest pain last night; relieved by Anginine.
  • Occupational therapist completed home assessment – ordered appropriate equipment.

Treatment:

  • Ambulating well with frame.
  • Polly Farmer knee brace ordered.
  • CPM (2 hrs on, 2 hrs off) 15°-50°.

9/08/13
O/E: Feeling well.

Treatment:

  • Progressed to elbow crutches. Managing well with Polly Farmer knee brace.
  • CPM (2 hrs on, 2 hrs off) 15°-65°.
  • Continue active exercise program. Flexion = 60 deg, Extension = -18 deg.
  • For discharge home tomorrow (10/08/13). To continue physiotherapy at Stillwater Rehabilitation
    Hospital x 3 per week. Review in Outpatient Clinic 9/09/13.

Writing task:
Using the information given in the case notes, write a letter of referral to the Physiotherapist-in-Charge at Stillwater Rehabilitation Hospital. Address the letter to Physiotherapist-in-Charge, Stillwater Rehabilitation Hospital, 14 Lake Road,Stillwater.

In your answer:

  • Expand the relevant notes into complete sentences
  • Do not use note form
  • Use letter format

The body of the letter should be approximately 180–200 words.




*The above and below containers are scrollable

Write your response in the textbox below.

Submit
0 words