Narrative
Vocal Characteristics
Language
EnglishVoice Age
Middle Aged (35-54)Accents
North American (General)Transcript
Note: Transcripts are generated using speech recognition software and may contain errors.
case study with accompanying medical report Amelia Long and Evelyn Auden have just met for the first time in the examining room. Often, orthopedic surgeon Miss Aaden has an appointment to be evaluated for a possible total knee replacement. T K are because of her worsening osteoarthritis. Although she has had some success in controlling the pain through the use of acupuncture, Miss Auden's physician believes that it might be time to consider surgery. Emilia recently graduated from a medical assistant office management program and is anxious to use her skills. She begins her assessment of Miss Jordan by taking her medical history and entering the information on the computer. Amelia listens and takes notes as Miss Auden tells her that she has been experiencing pain in her knees for several years. Ah, common symptoms of osteoarthritis also cold the wear and tear disease. Miss Orden also says that she has been taking an assortment of medications, but because she has stomach irritation with these drugs, she has sought help from an acupuncturist recommended by a friend. Unfortunately, this has not relieved her pain. After taking Miss Arden's history, Amelia takes her vital signs, including blood pressure, polls, respiration and temperature. She enters the results on the computer and prints out a hard copy for the orthopedic surgeon to review. When she examines Miss Alden, Miss Arden undergoes a follow up arthroscopy that shows extensive deterioration of the joint since her last visit. After reviewing the results of the arthroscopy X rays and an M. R I, her orthopedic surgeon advises a TKR, Miss Arden is nervous but decides she can no longer put up with the pain. She agrees to have the surgery. Miss own has her TKR done two weeks after her appointment immediately after surgery. Ah, compression bandage is attached to completely immobilized her knee and extension. By the time she goes home from the hospital, this is removed and replaced by a plastic show. Almost immediately, Miss Orden begins physical therapy to strengthen the joint muscles and give the new joint mobility at home. Exercises include ROM exercises, muscle strengthening and stationery bicycling. Her recovery time takes several weeks, but on follow up, she says. I just wish I had done this sooner