• Image-1455

  • Carlyn
    Client ID 017

  • Name:
    Carlyn
    Age:
    76
    Primary Diagnosis:
    R total hip replacement
    Gender Identity:
    Female
    Insurance: 
    Medicare
    Pronouns:
    She/her/hers
    Referring Physician: 
    M. Wiley, MD
    Race/Ethnicity:
    White

  • History of present illness:
    75yo WF admitted to the hospital 2 days ago for posterolateral total hip replacement due to osteoarthritis and chronic pain in R hip that could not be relieved by outpatient PT.

    Past medical/surgical history:
    Osteoarthritis B hips, knees, ankles, R ankle replacement 2 years ago, R TKR 3 years ago

  • Marital status: Widowed 7 months

    Primary language: English

    Prior level of function: Modified independent for toileting, bathing, dressing, cooking, household tasks, and grocery shopping. Drove independently. Ambulated short distances within homes. When in community, walked short distances with FWW and frequent rest breaks. Utilized electric mobility vehicles while in stores.

    Employment/work/school: High school education. Retired textile factory technician.

    Play/leisure/interests: Enjoys cross stitch, reading, and attending weekly book club at the senior center.

    Environmental factors: Lives alone in two-story home with no STE, 13 steps to second floor. Primary living spaces, bedroom, and bathroom are on first floor. Walk-in shower (2” ledge), shower curtain, handheld shower head, shower chair, grab bars, and BSC. Has supportive neighbors and daughter who lives 10 min away and visits 2-3x/week.

  • OOB
    Post hip precautions
    Vitals q shift
    Regular diet

  • Tylenol 650mg TID
    Hydrocodone 10mg q6 PRN

  • X-ray: artificial R hip with hardware well-aligned and intact

  • Disclaimer: Although the individuals in ICE videos are real patients, the exact history has been altered to protect their identities.

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