Patient Case Study Sample
DOI: 4/24/2008. Patient is a 59-year old male chief manager who sustained a work-related injury while standing on a ladder and it collapsed on him causing him to fall backwards catching himself with his left arm. Per OMNI, he is status post left shoulder rotator cuff repair on 11/02/09 and manipulation under anesthesia on 06/14/10.
Based on the medical report dated 10/14/16, the patient has continued to do quite well, since the last visit although recently because of the cold, damp weather, he has had a little bit of increase in the aching pain in the neck, but this seems to be well controlled with current conservative care. He had been using ice packs and hot packs and daily stretching and strengthening exercises. He feels that it is currently
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All of this was consistent with his medication usage, and there does not appear to be any evidence of aberrant behavior. The patient reported is functional improvement score today at 75%, and his reduction in pain score at 70%.
His mood is significantly improved. He reports that he was previously very depressed and his outlook was very bleak in the past because he was very isolated and confined to bed most of the time. At this point, he has a very positive outlook about his future, and he has been more active socially with family and friends. At this point, he has become more self-sufficient, and after the facet joint injections, he was able to rotate the head enough where he is able to turn his head and be able to drive on his own. Overall, he has had significant functional improvement with a combination of the injection, therapies, and medications that have helped him manage his chronic pain after the injury that he suffered.
On examination, range of motion remains good in the neck with rotation to 60 degrees on the left and 30 degrees on the right. Extension of the neck is good at 60 degrees and flexion to one fingerbreadth of the
Nursing Case Memo
647 Words | 3 PagesPer procedure reports, the patient is status post therapeutic bilateral sacroiliac intra-articular injection on 02/18/16, diagnostic bilateral sacroiliac intra-articular injection on 02/05/16, confirmatory bilateral L3-5 medial branch nerve block on 01/25/16, diagnostic bilateral L3-5 medial branch nerve block on 01/11/16, bilateral L5-S1 transforaminal epidural injection on 04/06/15, bilateral L5 dorsal ramus
Low Back Pain Case Studies
934 Words | 4 Pages2. EMG/NCV studies consistent with peripheral motor and sensory neuropathies, from October 2008 12/15/15 Progress Report described that the patient has ongoing low back pain. He was last seen on 10/28/15. The patient stated that his current medication regimen has been helpful. He rated the pain 9/10-scale level, which is brought down to 6/10-scale level with the medications.
Room 3b Case Study
859 Words | 4 PagesShe was unable to abduct (move her arms away from the middle of her body) her arms so we were concerned there was a dislocation in the shoulder joints since they have a shallow articulation (movement). She could pronate (turn her palms up) and supinate (turn her palms down) her palms, but her grip strength is
Jimmie Bowman Case Study
362 Words | 2 PagesFollowup in one year to make sure he is not having any worsening of the strength or sensation of his extremities. I have advised him to contact me soon than this, though, should he have worsening of the strength or sensation of his extremities, especially of his distal lower extremities or other neurological difficulties before then. Thank you for allowing me to participate in this patient 's care, Craig Johnson,
Percocet Case Summary
284 Words | 2 PagesDOI: 5/19/2010. Patient is a 57-year-old male electrician who sustained injury when he was struck in the back by a car in a parking lot. He underwent a L5 laminectomy and decompression of the neutral elements 2011. Per the progress report dated 5/18/16, the patient complained of low back and left leg pain.
Iw Case Studies
312 Words | 2 PagesThe patient has completed physical therapy, time, rest, medications, chiropractic care, and acupuncture with no alleviation of the pain. Significant pathology on the MRI is noted with degenerative disk disease, neural foraminal stenosis and a nerve root impingement in the cervical spine. Treatment plan includes epidural at the bilateral C5-C6 level, continuation with home exercise program and medications and follow up in 2 weeks.
Work Related Injury Case Summary
340 Words | 2 PagesDOI: 12/13/2012. This is a case of a 63-year-old male security officer who sustained a work-related injury to the right knee when he missed a step and fell down the stairs. As per Omni, the patient had a right knee meniscus tear. The patient had right knee replacement on 11/19/14.
Left Wrist Case Summary
247 Words | 1 PagesDOI: 7/28/2014. Patient is a 33-year old male laborer who sustained injury when his left wrist twisted and snapped while using a drill. Per OMNI, he was initially diagnosed with dislocation of the left wrist. He underwent a tendon graft reconstruction on 08/07/14 and hardware removal on 09/11/14.
57-Year-Old Male Bookbinding Operator's Injury Of Di
261 Words | 2 PagesDOI: 08/29/2006. Patient is a 57-year-old male bookbinding operator/route salesman who sustained injury when he was startled by a cat while making a delivery and fell. Per OMNI, he was initially diagnosed with lumbar herniated disk. The patient is currently temporary totally disabled due to knee surgery in April 2013. Based on the progress report dated 03/21/16, the patient reports that his low back pain tweaked again, after making the bed.
Investigative Tort
527 Words | 3 PagesAll health providers describe neck strain radiating down his shoulder. He had physical therapy three times a week for 6 months but still experienced pain at the end of 2012 to the beginning of 2013 when his physical therapy ended. DHD referred him to Dr. Katzman who discussed the need of surgery to his left shoulder which he didn’t have because no fault cut him off. He also had an MRI of his cervical spine and
Systematic Stretching Research Paper
681 Words | 3 PagesPre-exercise warm up protocols are commonly practiced, despite limited scientific evidence recommend and support one protocol over another. For this reason, warm up protocols vary according to the great variation of sport activities and tend to reflect the experience of individual trainers and athletes (7). Traditionally, the inclusion of warming up involving static-stretching exercises has been commonplace in a large number of sport activities. This stemmed from the belief that static stretching will lead to a better performance and decrease the risk of injury (4, 14, 13, 1, 12, 8). Although a joint is inherently capable of continued motion, the range of motion may still be limited by the resistance of the surrounding tissues which need to be stretched to their limit.
Evidence Based Practice Case Study
1794 Words | 8 PagesReview of Symptoms General: denies fever, night sweats, significant weight gain or loss, exercise intolerance, depression, sleep disturbances, or fatigue HEENT: denies dry eyes, irritation, vision changes, difficulty hearing, ear pain, sore throat, runny nose, or sinus pressure Neck: denies swollen glands or stiff neck Pulmonary: denies cough, wheezing, or shortness of breath Cardiovascular: denies chest pain or palpitations Gastrointestinal: denies abdominal pain, nausea, vomiting, diarrhea, constipation, acid reflux, or melena Genitourinary: reports dysuria and vaginal itching, denies incontinence, hematuria, increased frequency, abnormal bleeding, or vaginal odor Musculoskeletal: denies muscle aches, weakness, joint pain, back pain, or edema Integumentary: denies any rashes, lesions, or change in hair Neurological: denies numbness, headache, seizures, tingling or sensation changes Endocrine: denies bruising, excessive sweating, thirst, hunger, heat or cold intolerance Objective Data Physical Exam Vitals: blood pressure - 130/77, heart rate - 97, respiratory rate - 17, temperature – 97.9 , oxygen saturation –97% on room air, weight – 183 pounds, height – 5 feet 4 inches, body mass index –
Magnet Treatment Letters
390 Words | 2 PagesDr. Johnson and her acupuncture and magnet treatment have been a blessing to me. The warmth of Tao Wellnes Center and Melanie 's dedication made this treatment an unforgettable experience. Acupuncture not only helped me achieve hormonal balance, but it allowed me to achieve a pregnancy! Thank you so much Melanie, Gaby Viteri Since I started treatment with Dr. Melanie Johnson almost 3 months ago, I have felt like never before.
Monoamine Theory
544 Words | 3 PagesThe patient in the case study presents with insomnia, weight loss, feelings of guilt, exhaustion, frequently being tearful, and no longer enjoying
Trigger Point Release Theory
2059 Words | 9 PagesHowever he found that if the compression is only held for a short period of time and relases then the lengthened position will quickly return to its shortened state therefore he stated that the gentle compression must be sustained until the clinician and patient feels a release in tension indicating that the tension has been released and the sarcomere has returned to its optimal length thus resulting in improvd range of motion, improved
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