A Case of Osteoarthritis

T. Mary Vincila1, Subathra Devi. M2, Maha Lakshmi3

1Nursing Supervisor, Kauvery Hospital, Cantonment

2Nurse Educator Kauvery Hospital, Cantonment

3Nursing Superintendent, Kauvery hospital, Cantonment

Abstract: Osteo arthritis (OA) a chronic degenerative joint condition characterized by joint pain and stiffness, is triggered by ageing; and joint wear and tear. It is commonly seen in the hands, knees, hips, neck and lower back.

Background: Evaluation of the clinical presentation of various lesions in the cerebellopontine angle area and evaluate the different surgical approaches for management of these lesions.

Case Presentation:

A 60-year-old female was admitted with C/O right hip pain since 3 month, patient had aggravated pain during movements and walking then, relieved by rest

Social History: Nil

Allergic History

No known medicine or environmental allergies.

Past Medical History:

She was known to have diabetic mellitus, hypertension, Right lacunar Infarct, hypothyroidism on treatment.

Past Surgical History:  Knee replacement (Right) 9 years ago, Hip replacement (left)8years ago, Cataract surgery (Lens on both eyes) 10years ago.

Physical Examination:

Vital signs

Temp: 98F

HR: 90 /min

BP: 150/90mmHg

Spo2: 96%

GCS: E4V5M6

Local Examination

ROM: Decreased in right side

Tenderness +

Crepitus +

 Investigation Pre-Op:

X-Ray Right Hip Pre -operative

Post-op follow up treatment:

Antibiotics, analgesics, PPI, & antiemetics.

Post-operative wound was healthy, dressing done. She improved with above mentioned medications. Physiotherapy – were given.

Patient GC stable, GCS: E4V5M6,

X-Ray Right Hip Post -operative

Nursing Intervention

  1. Pain Management: pain assessment, administer prescribed medications indicated for pain
  2. Mobility and Exercise: Encourage the patient to mobilization(48hours)
  3. Wound Care: Monitor surgical site for redness, swelling & leakage, Promote wound healing with proper nutrition and hydration
  4. Infection Prevention: Adhere to follow infection control measures, Monitor for signs of infection
  5. Anxiety Reduction: Provide emotional support and reassurance
  6. Pressure ulcer risk assessment measures taken to prevent bed sore.
  7. Hygiene and grooming measures taken.
  8. Physiotherapy exercise given to evaluate the muscle strength balance and mobility.as physiotherapist will train the family the exercise to continue at home.

Condition at Discharge:

Conscious, oriented, obeying commands

Moving all limbs

Afebrile

GCS: 15/15

HR: 86/min

BP: 120/80 mm/hg

SPO2 :98% room air

Conclusion:

In conclusion, our study demonstrates Osteo Arthritis is commonly occurs in adults. Adult patients with OA usually have a good prognosis, while a poor outcome is observed in pediatrics patient. The findings could be helpful for developing a subsequent management plan when treating this rare disease

Nightingale Journals

Kauvery Hospital
Find Doctor
Book Appointment