Patient Case Study of Knee Injury

Patient Case Study of Knee Injury Short case description: 25 years old, female injured her right knee during basketball game. She left playing, required little assistance to get her car. PCP evaluated her, gave her non-steroidal anti-inflammatory with P.T referral. Brief summary of patient history: injury occurred when she planted her right leg and rotated to the right to evade a defender. She denied hearing a pop, she reported immediate pain was 8 out of 10 on a visual analog scale. Her current pain level is 5 out of 10. Patient came 2 days after injury, with knee swelling and locking. . Patient pain and mechanism of injury are consistent with a meniscus injury. Examination: Key Examination elements ICF category assessing Finding Pain Body structure function 5/10 with non-steroidal medication Effusion Body structure function Present (first grade) Active knee flexion Body structure function 10-110 Active knee extension Body structure function 0-10 Passive knee flexion Body structure function 10-120 Passive knee extension Body structure function 0-5 Manual Muscle test for knee flexion Body structure function 4/5 Manual Muscle test for knee extension Body structure function 3+/5 McMurrays test Health condition Positive with palpable click Joint line tenderness test Body structure function Positive with reproduction of pain on medial tibiofemoral joint Apleys compression test Health condition Positive with reproduction of pain consistent with medial meniscal injury Ambulation Activity limitation Assistive tool (single cane) Limping, antalgic gait squatting Activity limitation Quite a bit difficult Walking a mile Activity limitation Extreme difficulty Going up or down   10 stairs Activity limitation Quite a bit difficulty Standing one hour Activity limitation Extreme difficulty Running over even ground Activity limitation Extreme difficulty Ability to kook at home kitchen participation-involvement Quite a bit difficulty Ability to attend social meetings participation-involvement Quite a bit difficulty Usual sports activity participation-involvement Extreme difficulty Assessment/evaluation: 25 Y/O female had right medial meniscus sprain with positive special Tests, pain, effusion, weakness, limited knee range of movement of flexion and extension and limited activities of daily living with inability to participate in usual sports activities. Interventions: physical therapy treatment include: Modalities to reduce pain (whirlpool, electric stimulation, and cryotherapy). Modalities to reduce knee effusion (whirlpool, taping, pulsed ultra sound, and static quadriceps drill exercise). Intervention to restore range of motion deficits: therapeutic exercise progression, joint mobilization/ manual therapy. Therapeutic exercise to restore muscular strength and aerobic fitness. Functional strengthening exercise to return to previous level of function and participate in usual sports routine. Outcomes: After 7 weeks of rehabilitation patient get improved with following outcomes: Outcome ICF category Changes at D/C Pain Body structure function 2/10 with strenuous activity Effusion Body structure function Absent Active knee flexion Body structure function 0-140 Active knee extension Body structure function 0 Passive knee flexion Body structure function 0-140 Passive knee extension Body structure function 0 Manual Muscle test for knee extension/ flexion Body structure function 5/5 McMurrays test Health condition , disease, injury negative Joint line tenderness test Body structure function negative Apleys compression test Health condition , disease, injury negative Ambulation Activity limitation Normal gait without cane squatting Activity limitation No difficulty Walking a mile Activity limitation No difficulty Going up or down   10 stairs Activity limitation No difficulty Standing one hour Activity limitation No difficulty Running over even ground Activity limitation No difficulty Usual sports activity participation-involvement No difficulty Ability to attend social meetings participation-involvement Participating with no difficulty Ability to kook at home kitchen participation-involvement Participating with no difficulty LEFS SCALE activity Changes at D/C 20 points improvement to be 76/80 After 7 weeks of successful rehabilitation, patient was able to participate in routine sports activities and her daily living with no need to more medical or physical therapy assistance.

Coles’ Ideas in The Tradition: Fact and Fiction Essay -- Photography J

Coles’ Ideas in The Tradition: Fact and Fiction â€Å"The documentary tradition as a continually developing â€Å"record† that is made in so many ways, with different voices and vision, intents and concerns, and with each contributor, finally, needing to meet a personal text† (Coles 218). Coles writes â€Å"The Tradition: Fact and Fiction† and describes the process of documenting, and what it is to be a documentarian. He clearly explains through many examples and across disciplines that there is no â€Å"fact or fiction† but it is intertwined, all in the eye of the maker. The documentarian shows human actuality; they each design their own work to their own standards based on personal opinion, values, interest and whom they want the art to appeal to. Coles uses famous, well-known photographers such as Dorthea Lange and Walker Evans, who show the political angle in their documentations and the method of cropping in the process of making the photo capture exactly what the photographer wants the audience to view. In this paper I will use outside sources that support and expand on Coles ideas with focus on human actuality, the interiority of a photograph, and the emotional impact of cropping. According to Coles and an outside source I found, Lange is a documentarian who vividly portrays human actuality in her writing. Lange is depicted through Robert Coles as a caring individual, whose innermost thoughts, concerns and beliefs are transferred onto her photographs, especially in her photograph of the â€Å"Migrant Mother,† which is from her most well-known photograph during the dustbowl era. Jack Hurley’s book, Portrait of a Decade, describes more about Lange’s motives and background, thus making me able to better understand Coles’ ideas and the other parts of the essay regarding Lange: When economic disaster struck the country†¦ Dorothea Lang knew that somehow she had to be a part of the fight to win better conditions for the poor†¦Lange had very strong feelings about social injustice and her feelings came through clearly in her photographs. Because she did not come to Washington until the next spring, Lange did not take part in those early, highly important discussions and critiques. Her work was done separately in the early days and primarily on the West Coast. Even so, Lange’s pictures spoke for her and had a tremendous influence on the formative period of historical section. ... ... more about them by studying the photograph. In this paper I used outside sources such as Hurley’s book, Gawthrop’s, Jacobson and Moakley articles to clarify and develop deeper thinking about Coles’ ideas in â€Å"The Tradition: Fact and Fiction,† with focal points being: human actuality, the interiority of a photograph, and the emotional impact of cropping. Throughout Coles’ essay he portrays a documentarian as one who creates their work to meet their own standards based on personal opinion, values, interest and their audience. He also shows, in correlation to the title, that there is no line between fact or fiction in documentary work; they are loosely mingled, overlapping and only seen separately from a biased standpoint. Work Cited Coles, Robert. â€Å"The Tradition: Fact and Fiction.† Ways of Reading (2002) 175-218. Gawthrop, Louis. â€Å"Dorothea Lange and visionary change.† Society 30 (1993): 64. Hurley, Jack. Portrait of a Decade. Baton Rouge: Louisiana State University Press, 1972. Jacobson, Colin. â€Å"A different way of seeing.† Lancet 357 (2001): 1454. Moakley, Paul. â€Å"End fame: A room of one’s own: Todd Eberle on Walker Evans.† Photo District News 23(2003): 128.

My Growth As A Writer Essay

Writing has seemed to be a difficult process for me over the years. This is why it was my choice to enroll myself in creative writing classes over the last 6 years. The most difficult process for me in writing is generating ideas. You can learn to use proper structures for sentences but sadly creativity is something you can learn. In my play, The Doctor and the Patient, I displayed my best writing, and it gives a good example of what I have learned in this class. â€Å"THE PATIENT: Look,  man—we’re all different. Each individual can’t be typed into a group. All minds—souls, even— are different. But we all have something in common: we’re human. And it’s beautiful. † Is an allegory, often used in poetry. Due to the depressed nature of the patient, he finds something that can bring light into his world. Though he is stubborn, and rejects medicating and therapy sessions, he finds a false sense of security. My style of writing is usually freeform, in my spare time I usually write  post-apocalyptic situations, dark comedy, or serious. I have grown majorly at imagery and developing characters and dialogue. The tone of my writing is usually mellow, and flows rather quickly. And I have learned to construct a story arc that does not change too erratically. Future goals of mine would to get a few of my works published in a few small newsletters. Overall, I think my writing has improved drastically, I have learned how to style many different types of stories and writings.

The Fittest By Charles Darwin Essay - 1352 Words

When thinking about what happened during the Holocaust, majority of people wonder why. Why would a person do something so terrible to those who have done nothing to them? What makes a person have so much hatred for a certain group that they’d think it’s okay to torture them and murder them? Or even how could someone get away with all of it? Millions of questions are in order when learning about this subject. People learn about what occurred in the concentration camps and point of views from victims, but unless someone is going into depth with their research, they wouldn’t know the full reasoning behind Hitler and his followers’ motive. The Nazis ideology focused on Social Darwinism, creating the â€Å"perfect race†, eliminating anyone who didn’t fit their criteria, and enforcing certain values. To begin, Hitler and his Nazis based their ideas off of Social Darwinism, which is an evolutionary theory created by Charles Darwin. The theory states â€Å"survival of the fittest†, meaning that each person has acquired specific traits that made them more superior over others who were considered too weak or not â€Å"fit† enough to survive. Darwinists defined â€Å"survival of the fittest† by going off of negative and positive stereotypes. Social Darwinists used how an ethnic group appeared, a person’s behavior, and their culture. The Nazis on the other hand, used more detail when it came to defining what characteristics they wanted out of a â€Å"race†. Their idea of a race was determined by whether aShow MoreRelatedThe Theory of Evolution and Survival of the Fittest Essay1046 Words   |  5 Pagesand has descended from a common ancestor. The theory of evolution and survival of the fittest has been around since the time of the ancient Greeks and maybe earlier. Evolution has provided people of the world with an explanation of how everyone and everything got here. 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