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
