A review of the records reveals the member to be an adult female with a birth date of 08/12/1956. The member has a diagnosis of Restless Leg Syndrome. The member’s treating provider, Josette Johnson, MD recommended the member continue the use of Gralise ER 600mg tablets. The carrier has denied coverage of Gralise ER 600mg tablets as experimental and/or investigational and not medically necessary. There is a letter from the carrier to the member dated 03/21/2016, which states in part:…
help you keep full movement of your hip joint. Follow your caregiver's or physical therapist's instructions. Perform all exercises about fifteen times, three times per day or as directed. Exercise both hips, even if you have had only one joint replacement. These exercises can be done on a training (exercise) mat, on the floor, on a table or on a bed. Use whatever works the best and is most comfortable for you. Use music or television while you are exercising so that the exercises are a pleasant…
The Pros and Cons of Joint Injuries, Joint Trauma, and Joint Conditions Treated with Cortisone Should osteoarthritis, tendinitis, bursitis and other joint conditions be treated with cortisone, and to what extent should treatment take place? Skeletal problems are intertwined in treatment before cortisone treatments are administered. There are several treatments besides cortisone, such as massage, chiropractic, physical therapy, and natural remedies. One can measure quality by how safe it is…
Caring for patients who have received a hip arthroplasty, requires some specific and unique nursing considerations and care. While it is an elective surgery, many patients opt to get it to decrease pain due to osteoarthritis and to increase mobility. Each patient will have different perioperative experiences, and as a nurse it is important to be able to know the interventions and what to consider to make their overall experience as positive as possible. Trigger Event My first week of clinical,…
shoulder pain and the right knee pain. The medical provider was able to pull up records from Covenant health system. She reports the CT scan done of the cervical spine, head and shoulder were fine. The right knee showed an old scar from a total knee replacement done in 2016 there was slight swelling and one small bruise. Counseling was recommended for the flash backs and will be scheduled to start on 1/18/17. The provider declined writing any orders for transportation or attendant care she would…
A minor fall on the right hip caused the head of the femur to deteriorate, and the right leg was reported to be 5 cm shorter than the left leg. A biopsy was taken and two weeks later a prosthetic hip replacement was performed. The biopsy revealed an increased amount of osteoclasts which are bone cells that no longer secrete extracellular matrix. The six month follow-up there was no sign of returning Gorham’s disease. The second case was reported in 1972…
This week was the only week Mary and I had difficulties meeting up. We set up a time to meet in person and Mary forgot. Then we set up a phone call for the next day which was forgot as well. Finally late Friday evening I got a call while I was putting my kids in bed which I missed. I called Mary back as soon as I could, it rang several times and I was afraid I would miss her again, but she picked up. We talked about how her memory is going. Mary told me she 's been seen by a doctor for it, they…
Aortic Aneurysm 4.) Symptoms: Source: @healthline. "Aortic Aneurysm." Healthline. N.p., 26 Jan. 2016. Web. 14 Oct. 2016. In the early stages, aortic aneurysm may have no symptoms. As they grow larger, they may cause abdominal, chest, or back pain. Most go undiagnosed until they’re discovered during a routine doctor’s visit. A ruptured aneurysm, in contrast, is a medical emergency with serious symptoms. These can include sudden and intense pain in your abdomen, dizziness, clamminess, falling…
Summary of the Evidence: 1. Purpose: To determine if pre-operative interventions for hip and knee osteoarthritis provide benefit before and after joint replacement. Even though, this research article was about both hip and knee arthroplasty, and the PICO question was more pertaining to hip arthroplasty, this article was chosen due to the quality of study and higher level of evidence demonstrated by the study. 2. Study Design and Level of Evidence: The study design was based on the…
Total Hip Replacement Hip arthroplasty is using a prosthesis to replace hip joint is one of the most common surgical procedures today (Walker, 2007). A good surgical team will increase the success rate of the total hip replacement. However, proper nursing interventions during pre-operative and post-operative phase of the surgery is very important for the patient. Nurses spend more time with patients compared to the other health care personnel. Therefore, a good nursing care will better…