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Focus: Musculoskeletal

Focus: Musculoskeletal
Introduction Kaylene McCallum is a 64-year-old female admitted under Dr. Tracy Taylor
Situation Kaylene presented as an inpatient to surgical Ward 7 days ago for a right
knee replacement. Discharge has been delayed due to multiple
complications. Kaylene was diagnosed with angina and was treated
successfully with glyceryl trinitrate (GTN).
Background Kaylene has a history of hypertension, asthma and osteoporosis. She lives
alone with her dog Sam. Nil Known allergies. Kaylene receives an annual
zoledronic acid infusion for her osteoporosis and she takes irbesartan for
her blood pressure. She uses a Seretide inhaler daily and salbutamol PRN to
manage her asthma. Appendectomy at 12 years of age.
Assessment Vital Observations
Respiratory rate – 14 breaths per minute
Oxygen saturation – 99% on room air
Pulse – 78 bpm, weak and regular
Blood pressure – 110/75 mmHg
Temperature – 37.7°C
Dressing to right knee remains dry and intact.
Pain to right knee – 1/10 at rest increasing to 2/10 on
ambulation/movement
Recommendations Arrange for outpatient cardiology review
You arrived at clinical placement for an AM shift and Kaylene has been allocated as one of your
patients. You have been assisting Kaylene with bed exercises as she recovers from her post-operative
complications. Today you are required to assess her mobility status and her readiness to ambulate.
UOL1
Explain and use frameworks to assist the
systematic collection of data
required for comprehensive and focused health
assessment.
Question five
Identify the indications for a mobility
assessment and the specific mobility
assessment tool you would utilise.
Explain how you would undertake a mobility
ULO2 assessment on Kaylene, prior to am

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