QQ-3559. Ms Jennifer Smith - Nursing – Saritha Chinnan – Bilateral Osteoarthritis

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Ms.Jennifer Smith

Nurse-in -charge

Grant Transitional Care Home

42Greenwell Avenue

Leeds.

23January 2018

Dear Ms Jennifer Smith,

Re: Mrs.Evelyn Brown,who has been underwent procedure a right knee viscosuplementation of hyaluronic acid.who is being discharged back to your care for ongoing care and management.

On admission Mrs.Brown presented with complaints of a right knee pain for walking he was using four leg walking stick post procedure he was under observation for brusing and fluid accumulation were noted.Pain rated on scale 6/10 he was prescribed on tramadol every sixth hourly.

Mrs.Brown is single , widowed three year ago,in 2013 she was diagnosed bilateral osteoarthritis , right knee genu varum with palpable creptus and antalogic gait,she is slightly obese.she has been with knee unloader brace with she was on medication acetaminophen 325 mg thrice a day, naproxen 250mg twice a day with physiotherapy.In 2016 she was treated for severe effusion in right knee,she was treated with intraarticular injections with increased dose of naproxen to 500mg twice a day.

Mrs Brown advised to avoid weight bearing on patella femoral joint also , squatting and using stairs ,as well as, acetaminophen 325 mg three times a day, tramadol 50mg every 6 hourly when required, in addition to she has scheduled for follow-up injection on 28 January 2018 and 4 February 2018. Requested to use toilet seat,she has physiotherapy every two weeks to ensure range of motion exercises, in addition to that add water aerobic and isokinetics exercises gradually increase strength.Provided counseling regarding on weight loss to ease the load on knees her targeted weight to be 77kg.Review with Gp in one month.

In view above mentioned details , if you have any queries regarding Mrs.Brown's , please do not hesitate to contact me.

Yours sincerely,

Nurse

St.James Hospital.

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