intro & gordon's final

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

intro & gordon's final

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