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Medical Terminology for Health Professions 8th Edition by Ann Ehrlich ,Carol Schroeder,Laura Ehrlich ,Katrina Schroeder
Edition 8ISBN: 978-1305634350Medical Terminology for Health Professions 8th Edition by Ann Ehrlich ,Carol Schroeder,Laura Ehrlich ,Katrina Schroeder
Edition 8ISBN: 978-1305634350 Exercise 3
The following story and questions are designed to stimulate critical thinking through class discussion or as a brief essay response. There are no right or wrong answers to these questions.
Dr. Johnstone didn't like what he saw. The x-rays of Gladys Gwynn's hip showed a fracture of the femoral neck and severe osteoporosis of the hip. Mrs. Gwynn had been admitted to the orthopedic ward of Hamilton Hospital after a fall that morning at Sunny Meadows, an assisted-living facility. The accident had occurred when Sheri Smith, a new aide, lost her grip while helping Mrs. Gwynn in the shower.
A frail but alert and cheerful woman of 85, Mrs. Gwynn has osteoarthritis and osteoporosis that have forced her to rely on a walker. Although her finances were limited, she has been living at Sunny Meadows since her husband's death 4 years ago. Dr. Johnstone knew that she didn't have any close relatives, and he did not think that she had signed a Health Care Power of Attorney designating someone to help with medical decisions like this.
A total hip replacement would be the logical treatment for a younger patient because it could restore some of her lost mobility. However, for a frail patient like Mrs. Gwynn, internal fixation of the fracture might be the treatment of choice. This would repair the break, but not improve her mobility.
Dr. Johnstone needs to make a decision soon, but he knows that Mrs. Gwynn is groggy from pain medication. With one more look at the x-ray, Dr. Johnstone sighed and walked toward Mrs. Gwynn's room.
The recovery time for internal fixation surgery is shorter than that following a total hip replacement. The surgery is also less expensive and has a less strenuous recovery period; however, Mrs. Gwynn probably will not be able to walk again. Given the patient's condition, and the limited dollars available for health care, which procedure should be performed?
Dr. Johnstone didn't like what he saw. The x-rays of Gladys Gwynn's hip showed a fracture of the femoral neck and severe osteoporosis of the hip. Mrs. Gwynn had been admitted to the orthopedic ward of Hamilton Hospital after a fall that morning at Sunny Meadows, an assisted-living facility. The accident had occurred when Sheri Smith, a new aide, lost her grip while helping Mrs. Gwynn in the shower.
A frail but alert and cheerful woman of 85, Mrs. Gwynn has osteoarthritis and osteoporosis that have forced her to rely on a walker. Although her finances were limited, she has been living at Sunny Meadows since her husband's death 4 years ago. Dr. Johnstone knew that she didn't have any close relatives, and he did not think that she had signed a Health Care Power of Attorney designating someone to help with medical decisions like this.
A total hip replacement would be the logical treatment for a younger patient because it could restore some of her lost mobility. However, for a frail patient like Mrs. Gwynn, internal fixation of the fracture might be the treatment of choice. This would repair the break, but not improve her mobility.
Dr. Johnstone needs to make a decision soon, but he knows that Mrs. Gwynn is groggy from pain medication. With one more look at the x-ray, Dr. Johnstone sighed and walked toward Mrs. Gwynn's room.
The recovery time for internal fixation surgery is shorter than that following a total hip replacement. The surgery is also less expensive and has a less strenuous recovery period; however, Mrs. Gwynn probably will not be able to walk again. Given the patient's condition, and the limited dollars available for health care, which procedure should be performed?
Explanation
Verified
Verified
It is better to go for internal fixation...
Medical Terminology for Health Professions 8th Edition by Ann Ehrlich ,Carol Schroeder,Laura Ehrlich ,Katrina Schroeder
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