Orthopaedic Physiotherapy J

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Background information for video vignette .
Diagnosis:
Day 1 L TKR
Context:
Patient underwent L TKR 1 day ago and is currently on the acute orthopaedic ward awaiting initial assessment on the morning after surgery
Table 10:
Background information for orthopaedic vignette
Demographic Information
Setting
Acute orthopaedic ward
Gender
Male
Patient age
60 ‐ 70
Occupation
Manages small farm Main Presentation L TKR
Student Name
Russell
Educator Name
Mark
Patient Name
Tom Jacobs
CLINICAL HISTORY
Reason for attending physiotherapy
Patient day 1 post L TKR
History of presenting condition
Patient reported increasing level of pain and decreasing exercise tolerance secondary to pain. Pre‐op assessment demonstrated a fixed flexion deformity of 15 degrees and exercise tolerance of 200m Investigations Pre‐op: X‐ray - OA Post‐op: BP - 105/62, Hb - normal range, Saturations - normal range
Past Medical History
OA L Knee
Past Surgical History
Nil
Medications
Endone and Targin
Alcohol and Drug
Occasional alcohol, nil drugs
Social History
Lives with wife on farm, 6 stairs front and back, independent with all ADL’s. Required to manage manual duties as part of running the farm.
Functional History
Previous exercise tolerance 200m
Patient Goals
To return home and return to managing the farm