Use the following case to answer questions 43-51 Ingrid is a…

Use the following case to answer questions 43-51 Ingrid is an 81-year-old female who suffered a hip fracture and underwent a total hip replacement surgery (posterior approach) yesterday.  The physical therapist received orders to evaluate and treat the patient.   History and Examination findings: History: patient lived in an independent community living environment (widow of 10 years). She ambulated independently without an assistive device.   She was independent in all ADL’s and IADL’s except driving and she typically ate her meals at the cafeteria.  She has no history of dementia Since surgery alert and oriented to person only and has been combative with staff Low grade fever PWB on the involved LE due to severe osteoporosis. Which of the following examination findings would the PT be MOST concerned about regarding Ingrid’s potential for falling?

Use the following case to answer questions 37-44 Donald is a…

Use the following case to answer questions 37-44 Donald is a 65-year-old male.  He is fairly sedentary, he is retired, and his leisure activities include watching TV, reading, and attending local collegiate sporting events.  He has presented to outpatient physical therapy for an exercise program at the request of his son, who has been urging him for years to “do something.”  He is now motivated to “get in shape” to see his grandchildren grow up.  Examination findings PMedHX: gout, HTN, hypercholesteremia, plantar fasciitis, and OA of bilateral knees (he has received several cortisone injections). Meds:  Lopressor (Metoprolol), Lipitor, and Chondroitin supplements.  He recently had a non-remarkable stress test.  His physician cleared him to begin an exercise program. 5 feet 10 inches and weighs 240 pounds. (BMI 34.4) Vitals: BP 130/85, resting HR 80 Muscle strength testing (5/5) with the exception of bilateral hip ext. 3/5, hip abd. 4/5, ankle plantar flexors 3/5, trunk flexors 2/5, trunk extensors 2/5. Transfers were independent. Gait pattern was slow and antalgic initially upon getting out of the chair for the 1st 30 ft, and revealed decreased push off bilaterally. He was able to walk up and down a flight of stairs with a handrail, but c/o 7/10 pain during and after and utilized a “step-to” gait pattern for both ascend and decend. Which of the following is the BEST method of determining intensity for aerobic conditioning exercise presecription with Donald?

Use the following case to answer questions 37-44 Donald is a…

Use the following case to answer questions 37-44 Donald is a 65-year-old male.  He is fairly sedentary, he is retired, and his leisure activities include watching TV, reading, and attending local collegiate sporting events.  He has presented to outpatient physical therapy for an exercise program at the request of his son, who has been urging him for years to “do something.”  He is now motivated to “get in shape” to see his grandchildren grow up.  Examination findings PMedHX: gout, HTN, hypercholesteremia, plantar fasciitis, and OA of bilateral knees (he has received several cortisone injections).  Meds:  Lopressor (Metoprolol), Lipitor, and Chondroitin supplements.  He recently had a non-remarkable stress test.  His physician cleared him to begin an exercise program. 5 feet 10 inches and weighs 240 pounds. (BMI 34.4) Vitals: BP 130/85, resting HR 80 Muscle strength testing (5/5) with the exception of hip ext. 3/5, hip abd. 4/5, ankle plantar flexors 3+/5, trunk flexors 2/5, trunk extensors 2/5. Transfers were independent. Gait pattern was slow and antalgic initially upon getting out of the chair for the 1st 30 ft, and revealed decreased push off bilaterally. He was able to walk up and down a flight of stairs with a handrail, but c/o 7/10 pain during and after and utilized a “step-to” gait pattern for both ascend and decend. Which of the following responses to exercise would cause the PT to discontinue aerobic exercise with Donald?

Use the following case to answer questions 43-51 Ingrid is a…

Use the following case to answer questions 43-51 Ingrid is an 81-year-old female who suffered a hip fracture and underwent a total hip replacement surgery (posterior approach) yesterday.  The physical therapist received orders to evaluate and treat the patient.   History and Examination findings: History: patient lived in an independent community living environment (widow of 10 years). She ambulated independently without an assistive device.   She was independent in all ADL’s and IADL’s except driving and she typically ate her meals at the cafeteria.  She has no history of dementia Since surgery alert and oriented to person only and has been combative with staff Low grade fever PWB on the involved LE due to severe osteoporosis. Based on Ingrid’s diagnosis and comorbidities, which of the following is the BEST choice of assistive device for the  PT to use?

Use the following case to answer questions 37-44 Donald is a…

Use the following case to answer questions 37-44 Donald is a 65-year-old male.  He is fairly sedentary, he is retired, and his leisure activities include watching TV, reading, and attending local collegiate sporting events.  He has presented to outpatient physical therapy for an exercise program at the request of his son, who has been urging him for years to “do something.”  He is now motivated to “get in shape” to see his grandchildren grow up.  Examination findings PMedHX: gout, HTN, hypercholesteremia, plantar fasciitis, and OA of bilateral knees (he has received several cortisone injections).  Meds:  Lopressor (Metoprolol), Lipitor, and Chondroitin supplements.  He recently had a non-remarkable stress test.  His physician cleared him to begin an exercise program. 5 feet 10 inches and weighs 240 pounds. (BMI 34.4) Vitals: BP 130/85, resting HR 80 Muscle strength testing (5/5) with the exception of hip ext. 3/5, hip abd. 4/5, ankle plantar flexors 3+/5, trunk flexors 2/5, trunk extensors 2/5. Transfers were independent. Gait pattern was slow and antalgic initially upon getting out of the chair for the 1st 30 ft, and revealed decreased push off bilaterally. He was able to walk up and down a flight of stairs with a handrail, but c/o 7/10 pain during and after and utilized a “step-to” gait pattern for both ascend and decend. Which of the following mode of exercise would be the primary choice for Donald to improve his aeorbic endurance?

Use the following case to answer questions 43-51 Ingrid is a…

Use the following case to answer questions 43-51 Ingrid is an 81-year-old female who suffered a hip fracture and underwent a total hip replacement surgery (posterior approach) yesterday.  The physical therapist received orders to evaluate and treat the patient.   History and Examination findings: History: patient lived in an independent community living environment (widow of 10 years). She ambulated independently without an assistive device.   She was independent in all ADL’s and IADL’s except driving and she typically ate her meals at the cafeteria.  She has no history of dementia Since surgery alert and oriented to person only and has been combative with staff Low grade fever PWB on the involved LE due to severe osteoporosis. Ingrid’s daughter would like to proactively plan for her return to the ALF prior to discharge from the hospital. She visits ND assistive and technology at the recommendation of a friend. Which of the following is the BEST recommendation by ND assistive for the daughter to do?