intro & gordon's final
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7/24/2019 Intro & Gordon's FINAL
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CONS OF ARTHROSCOPY
%isks and complications can include bacterial colonization of the bone, infection,
stiffness and loss of range of motion, non!union, malunion, damage to the muscles, nerve
damage and palsy, arthritis, tendonitis, chronic pain associated with plates, screws, and pins,
compartment syndrome, deformity, audible popping and snapping, and possible future surgeries
to remove the hardware.
RCO!RY RAT AND PROCSS OF ORIF SUR"RY
%ecovery from a bone fracture after an open reduction internal fixation can be &uite
painful, and pain management becomes a concern. 'ommonly, acetaminophen with codeine is
prescribed, as research has shown ibuprofen or other non!steroid anti!inflammatory drugs
()*A"+s may slow down or inhibit the rate of healing. "t is important to take the drugs as
prescribed to help manage the pain cycle.
-hysical therapy is also an important part of the recovery process after an open reduction
internal fixation. *ince the part of the body that has been injured is usually held still or
immobilized for a long period of time, the muscles, tendons, and ligaments can become weak.
-hysical therapy helps to restore the strength, range of motion, and endurance of the affected
area. "t can also help with pain management. -hysical therapy can consist of exercises, hot or
cold packs, ultrasound, and nerve stimulation, or a combination of treatments.
http://www.orthopaedics.com.sg/treatmentshttp://www.orthopaedics.com.sg/treatments -
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ORIF SUR"RY CO#P$ICATIONS
'omplications of O%" can include infection, swelling, and movement of the installed
hardware. The recovery process can take months, because bones grow slowly. Other factors that
can affect recovery are the location and severity of the break, the age of the person, and the type
of bone broken.
-atellar fractures account for about /0 of all fractures. They are most common in people
who are 12 to 32 years old. 4en are twice as likely as women to fracture the kneecap.
"n the -hilippines, current data from the national health insurance system recorded 15,672
fractures (non!hip, non!spine from 1225812/1 in individuals aged 32 years and older. -revious
data from 1226 )ational )utrition and 9ealth *urvey ())9$* indicated the overall prevalence
of fragility factures was //.160 in women and :.;50 in men.
-atient accidentally fell off his bicycle and hit his right knee on the ground, resulting in
right patellar fracture in which O%" *urgery was performed at $%4 9ospital last
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"ORDONS FUNCTIONA$ HA$TH PATTRN
"ORDONS
FUNCTIONA$
ASSSS#NT
%FOR
HOSPITA$I&ATION
DURIN"
HOSPITA$I&ATION
NURSIN"
DIA"NOSIS
9ealth -erception !
9ealth 4anagement
-attern
* > ?9uminto na ako sa
paninigarilyo. @ihira
lang ako uminom,
tuwing may okasyon
lang. @ihira lang ako
magkasakit sa loob ng
isang taon. *a tuwing
nagkakasakit ako,
umiinom agad ako ng
gamot at nagpapahinga.
#a' aller' ao *a
penicillin+,As
verbalized.
O> 'lient is a previous
smoker, stopped /3 years
ago. 9e drinks alcoholic
beverages occasionally.
9e has compliance with
medication regimen and
uses health promotion
*> ?anun pa rin naman,
walang pinagbago.
"niinom ko yung mga
gamot ko sa tamang oras.B
as verbalized.
O> 'lient has compliance
with medication regimen.
%eadiness for
enhanced self!
health
management
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activities. He -a*
aller' .it- penicillin/
a*pirin and a0oxicillin+
)utritional !
4etabolic -attern
*> ?Tatlong beses akong
kumakain sa loob ng
isang araw. Canin, gulay
at isda ang madalas kong
mga kinakain. 4ahilig
din akong uminom ng
tubig.B as verbalized.
O> 'lient eats 6x a day
with snacks in between.
9e drinks at least :
glasses of water a day.
*> ?Dala namang
pinagbago. Tatlong beses
pa rin naman ako
kumakain sa loob ng isang
araw at mahilig pa rin ako
uminom ng tubig.B as
verbalized.
O> 'lient eats 6x a day
and drinks at least :
glasses of water.
%eadiness for
enhanced
nutrition
$limination -attern *> ?4ahilig ako
uminom ng tubig kaya
madalas din ako umihi sa
loob ng isang araw. 4ga
3!= na beses. %egular
naman ang pagdumi ko.B
as verbalized.
O> 'lient voids 3!=x a
day. 9e experiences no
pain during urination.
*> ?anun pa rin ang
pag!ihi ko walang
pinagbago. %egular pa rin
ang pagdumi ko.B as
verbalized.
O> 'lient voids 3!=x a
day. 9e experiences no
pain during urination.
%egular bowel movement.
%eadiness for
enhanced
urinary
elimination
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%egular bowel
movement.
Activity ! $xercise
-attern
*> ?)agba!bike ako
every day, mga 12
minutes every morning.
Eun na ang exercise ko.B
As verbalized.
O> 'lient uses his
bicycle every morning as
a form of exercise.
*> 1Naa-ia lan ao
dito *a a0a+ Hindi o
0a*'adon inaala.
'un paa o a*i
u0iirot+"naalalayan
naman ako ng asawa ko sa
tuwing may kailangan
ako.B As verbalized.
O> 'lient is ambulatory
with assistance.
I0paired
p-'*ical
0o2ilit'
*leep 8 %est -attern *> ?4aayos naman ang
tulog ko. )akakatulog
naman ako ng walong
oras sa loob ng isang
araw.B As verbalized.
O> 'lient has good
sleeping pattern. 9e
sleeps at :pm!7am.
*> 1Hindi ao
0a*'adon naaatulo
n 0aa'o* dito+ #ainit
a*i tapo* 0in*an
u0iirot3irot din
'un tu-od o+
O> Patient -a*
inter0ittent *leep due to
en4iron0ental factor*+
Di*tur2ed
*leep pattern
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'ognitive !
-erceptual -attern
*> 1#ala2o 'un 0a
0ata o+Dala naman
akong problema sa
pandinig.B as verbalized.
O> Patient -a*
i0paired 4i*ion+ !i*ual
acuit' of 567 on t-e
ri-t e'e and 587 on
t-e left e'e+There is no
lateralization of sound
heard on both ears.
*> ?anun pa rin. naman.
9u0iirot3irot 'un
tu-od o+,as verbalized.
Pain Scale of 7:5;
O> Patient -a* i0paired
4i*ion+ !i*ual acuit' of
567 on t-e ri-t e'e and
587 on t-e left e'e+There
is no lateralization of
sound heard on both ears.
Acute pain
Di*tur2ed
*en*or'
perception
*elf!-erception ! *elf
'oncept -attern
*> ?4asayahin akong
tao. 4agaling akong
makisama sa kapwa.
Cuntento na ko sa mga
bagay na meron ako
ngayon.B as verbalized.
O> 'lient has fair
economic status and
contented with his life.
*> 1I*a *a 0a concern
o/ *ana 0aa2ali pa
ao *a dati+,as
verbalized.
O> Client -a* .orried
expre**ion*+
Anxiet'
%ole ! %elationship
-attern
*> ?Casama ko sa bahay
ang asawa ko at mga
anak ko. 4aayos naman
*> ?@inabantayan ako ng
asawa ko dito sa ospital,
tapos dinadalaw ako ng
%eadiness for
enhanced
family
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ang samahan naming
lahat.B as verbalized.
O> 'lient is married. 9e
has a good relationship
with his family.
mga anak ko.B as
verbalized.
O> 'lient has good
relationship with his
family.
processes
*exuality !
%eproductive -attern
*> ?Dala naman akong
history ng *T+ at hindi
kami gumagamit ng
contraceptives.B as
verbalized.
O> 'lient has no history
of *T+Fs and has low
libido.
*> ?anun pa rin.B as
verbalized.
O> 'lient has no history
of *T+Fs and has low
libido.
)GA
'oping ! *tress
-attern
*> ?9indi naman ako
madamdamin na tao.
@ihira ako ma!stress.
-ero ang ginagawa ko
kapag na stress ako,
nagdadasal ako.
-inapaubaya ko sa +iyos
ang lahat ng problema
ko. *iya lang kasi ang
*> ?)andito naman ang
asawa ko para alagaan ako
kaya hindi naman ako
naiistress.An inii*ip o
lan talaa a' un
0aaa2ali pa ao *a
dati+,As verbalized.
O> Client i* .orried if
-e .ill reco4er fro0 -i*
Ri* for
co0pro0i*ed
re*ilience
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makakatulong sakin.B As
verbalized.
O> 'lient has good
coping skills. 9e usually
pray to manage stress.
pre3accident *tate+
Halue ! @elief -attern *> ?Catoliko ako.
)aniniwala ako sa
+iyos. )agdadasal ako
palagi.B as verbalized.
O> 'lient is religious
and has a strong faith in
od.
*> ?Dala namang
pagbabago sa paniniwala
ko sa +iyos.B
O> 'lient is religious and
has a strong faith in od.
%eadiness for
enhanced
religiosity
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