iHuman Mabel Johnson Case Study Evidence Based Management of Osteoarthritis with further analysis of the case NURS 6152 (2)

Document Content and Description Below

iHuman Mabel Johnson Case Study Evidence Based Management of Osteoarthritis with further analysis of the case NURS 6152 (2) Evidence-Based Management of Osteoarthritis The case expert analysis des... cribes the different management options for Mabel Johnson's case, osteoarthritis. Apart from the rheumatic condition, Mabel Johnson has co-morbid conditions such as peptic ulcer disease and renal disease. Noninvasive options of treatment are best utilized in this case due to the existence of contraindications to most pharmacological options. The interventions primary aim at improving the quality of life for the patient through the elimination of pain, improvement of muscular functional capacity, increase in muscular size and strength. Physical therapy such as resistance training and aerobic exercise achieve the therapeutic objectives without inflicting further harm or encouraging disease progression. Noninvasive biomechanical interventions such as orthotics and knee braces offer alternative remedies. Some orthotics include elevated wedge insoles while knee braces include valgus-type and sleeve-type knee braces. Mabel Johnson A. History (Subjective) (S) 1. Identifying data (ID): Mabel Johnson, a 76-year-old African American female that resides in an apartment on the second floor. 2. Chief complaint (CC): “I am having pain in my knees and I am ready to do something about it. That is why they sent me to you. My knees have been getting worse over the past couple of years. They hurt when I walk for more than a block and when I climb stairs. “ 3. History of present illness (HPI) a. Analysis of symptom/complaint: Ms. Mable Johnson complains of pain in her knees that stared about five years ago but has gotten worse over time. The location of her pain is inside her knees, and the pain in her right knee is worse. The pain in her right knee radiates down to her ankle. Ms. Johnson describes the pain in her knees as stiff and achy. They are stiff in the morning for about 15-20 minutes. Cold weather and exercise makes her knee pain worse. She hasn’t found anything that helps with the pain. Ms. Johnson states that her pain level is usually about a 4 or 5 out of 10, and sometimes it is a 7 or 8 out of 10. Associated symptoms with the pain are swelling in her knees and sometimes her finger knuckles. [Show More]

Last updated: 1 year ago

Preview 1 out of 13 pages