S-i was asked to Ax and Rx a83 y.o F patient who had come in with a broken femur fixed with a femoral nail 2 weeks ago. She had a past medical history of parkinsons disease and hypertension. She had broken her hip when she fell over at a resturant.
T- my supervisor asked me to continue on with the Ax and Rx.
A-I began assessing her with the subjective questions and then the objective movements, i was however very wary about her ORIF , and restricted some of the Ax and Rx movements as i didn't want my patient to dislocate.
R-as a result i didn't get my patient to complete all the exercises necessary for hip rehabilitation.
E- i dont think this session went well with the patient. However she was very gracefull and next time i saw her i made amendments, ajusting her Rx programme and her exercises.
S-I think next time i am faced with a patient who has had replacement surgury or an ORIF put in i will read up on my orthopedics restrictions and be clear about what surgury requires restrictions. i learnt very quickly that ORIFS do not have any restrictions on them!. My supervisor mentioned that i need to take into consideration her other problems as well, in this case it was parkinsons disease. If her PD wasn't being effectivley managed with medication, then this could be the reason she is having the falls.
S-
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