Poster Sessions - 2018 Research Day

Event Title

Plan of Care for a 97-year-Old Patient Diagnosed with a DVT Following Surgical Evacuation of a Hematoma Secondary to a Fall: A Case Report

Location

Hall of Governors

Start Date

4-6-2018 4:00 PM

End Date

4-6-2018 5:30 PM

Abstract

Background: Injuries from falls may require hospitalization. Trauma to the body from the fall may present as hematomas, and alterations to the blood components, limited mobility, and prolonged bed rest may increase the risk of deep vein thrombosis (DVT) formation.

Purpose: The purpose of this case report was to demonstrate the plan of care of a 97-year-old female diagnosed with a DVT in her right calf nine days after surgical irrigation and debridement of a hematoma in her right knee following a fall.

Case Description: The patient was a 97-year-old female who required surgical irrigation and debridement of a hematoma in her right knee following a fall. Nine days after the procedure, she developed a DVT in her right calf. The patient initially presented with high fall risk, with an immobilizer at the right lower extremity, pain in the right lower extremity, and required maximum assistance for sit to stand transfers.

Outcomes: After 21 days of physical therapy, the patient continued to report pain, continued to require a right knee immobilizer, was at high fall risk on the Morse Fall Scale (MFS), and was unable to perform a sit to stand transfer. After consultation with the patient and her family, the family decided to place her into hospice care for increased comfort, and was discharge from physical therapy.

Discussion: Although, the interventions were focused on maintain and increasing the patient’s functional mobility, the patient’s medical status did not improve. The lack of information in the medical history and the physical and psychological stress from the fall, the surgery, and being hospitalized could have caused a slowing in the patient’s recovery following the DVT.

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Apr 6th, 4:00 PM Apr 6th, 5:30 PM

Plan of Care for a 97-year-Old Patient Diagnosed with a DVT Following Surgical Evacuation of a Hematoma Secondary to a Fall: A Case Report

Hall of Governors

Background: Injuries from falls may require hospitalization. Trauma to the body from the fall may present as hematomas, and alterations to the blood components, limited mobility, and prolonged bed rest may increase the risk of deep vein thrombosis (DVT) formation.

Purpose: The purpose of this case report was to demonstrate the plan of care of a 97-year-old female diagnosed with a DVT in her right calf nine days after surgical irrigation and debridement of a hematoma in her right knee following a fall.

Case Description: The patient was a 97-year-old female who required surgical irrigation and debridement of a hematoma in her right knee following a fall. Nine days after the procedure, she developed a DVT in her right calf. The patient initially presented with high fall risk, with an immobilizer at the right lower extremity, pain in the right lower extremity, and required maximum assistance for sit to stand transfers.

Outcomes: After 21 days of physical therapy, the patient continued to report pain, continued to require a right knee immobilizer, was at high fall risk on the Morse Fall Scale (MFS), and was unable to perform a sit to stand transfer. After consultation with the patient and her family, the family decided to place her into hospice care for increased comfort, and was discharge from physical therapy.

Discussion: Although, the interventions were focused on maintain and increasing the patient’s functional mobility, the patient’s medical status did not improve. The lack of information in the medical history and the physical and psychological stress from the fall, the surgery, and being hospitalized could have caused a slowing in the patient’s recovery following the DVT.