Viva case studies Flashcards
Thomas / Theresa
Age, surgery, WB status
62, elective R total hip replacement, WBAT
Thomas / Theresa
Additional medical history (3)
Painful osteoarthritis in R hip and R knee for 7 years (right knee still painful)
Elbow pain on R – secondary to chronic tennis elbow
Hearing impairment – L ear worse – no hearing aids
Thomas / Theresa
Social history - work, living situation, previous sports history
Works part-time as a school volunteer – teaches after school tennis
Fully independent, drives, lives alone, house on 2 levels
Plays social tennis – previous Masters Level tennis champion – has been unable to play for the last year due to hip pain.
Thomas / Theresa
Walking aid, gait pattern and reasoning
Walking cane – wants to be mobile as soon they can. Happy to start mobilising in medical notes.
Physically fit as they used to play social tennis and cognition is fine for a cane.
Gait pattern – normal gait, using walking cane to support contralateral hip. Step through.
We are also avoiding their right tennis elbow arm
Stanley / Stephanie
Age, surgery, WB status
58, emergency L hip pin and plate surgery due to falling off bike 2 days ago, WBAT
Stanley / Stephanie
Additional medical history (3)
Knee osteoarthritis both knees, pain managed with exercise – cycling - worse when unable to exercise
Very short sighted/ no glasses right now
Possible sprained right wrist in crash
Stanley / Stephanie
Social history
Works full time as a delivery driver – needs to drive asap – no sick leave or pay
Lives alone in a second floor apartment
Cycles to and from work daily plus longer rides (50-100kms) with cycling group at the weekends
Stanley / Stephanie
Walking aid, gait pattern
Walking aid: walking stick to be used on the affected side, easily transportable and their left wrist is not compromised.
Gait pattern: walking stick steps with affected leg and okay leg follows
Martin / Mary
age, surgery, WB status
74, emergency left ankle pin and plate surgery, Non WB
Martin / Mary
Additional medical history (3)
Hand osteoarthritis both hands & wrists
Existing lung disease – chronic bronchitis – exacerbations x2 per year
Moderate anxiety disorder
Martin / Mary
Social history
Carer at home for husband/wife who has dementia, no home assistance
Daughter has been staying while Martin / Mary in hospital
Has been finding it increasingly difficult to manage at home with their spouse
They report that their anxiety and cough has also become worse
Home is one-storey with rails and assistance devices
Martin / Mary
Walking aid, gait pattern
Walking aid: knee scooter for left leg – allows non weight bearing and less stress on upper body which will relieve unwanted stress on his/her wrists and won’t be too strenuous considering chronic bronchitis
Gait pattern: Push with non-affected leg and step-to
One storey and has rails and assistance devices and no steps reported.
Larry / Larisa
age, surgery, WB status
56, elective right total knee replacement, WBAT
Larry / Larisa
Additional medical history (3)
Painful osteoarthritis in both knees knee for 5 years, R worse than L
Also long history of back pain & right shoulder pain
Slight hearing impairment – L ear worse – no hearing aids
Larry / Larisa
Social history
Lives with partner, no children, works full-time as a nurse in nursing home
Fully independent, drives, house is on 2 levels
Used to enjoy long distance walking / hiking – is aiming to walk Camino Way once
able to fly to Europe again
Larry / Larisa
Walking aid, risk management, gait pattern
Walking aid: seat walker/rollator - mobility, weight distribution in upper body (can lean more on the left side), can use the breaks when going up stairs, can fold when using the car. If pain in knees and back become too much, he can sit down in the on the seat walker until pain subsides.
Risk management: Making sure the house is tidy with know trip hazards
Gait pattern: Normal gait pattern although weight through right side as tolerated.
