Can you do this in 3 days
Mrs. Gladys Runngingbird is an 82-year-old Native American female who recently fell, requiring hospitalization. She has been in the skilled nursing facility for 12 days now for rehabilitation with physical therapy. Current medications include alendronate sodium (Fosamax) for osteoarthritis. Supplements are a multivitamin, vitamin D, calcium, and magnesium. She has no known food, drug, or environmental allergies. She states “I feel stiff and cold. My legs and hands don’t work the way they used to.” She reports chronic pain in both of her hands and intermittent pain in her right hip from the fall.
Vital Signs: Oral Temp 36.6 C, HR 82 BPM, RR 18, and BP 122/64.
Inspection: Active ROM in hands approximately 50% decreased from expected with flexion, extension, and hyperextension. Right hip abduction and internal rotation are limited to 15-20 degrees due to pain. Nodules visibly present in hands and knees.
Palpation: Tenderness noted over joints in bilateral hands. Muscle strength is 2/5 in bilateral hands and 3/5 bilateral legs.
NOTE: This is not a comprehensive list of all that should be included in the documentation.
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