Nursing Case Study In Nursing

1980 Words8 Pages
Mrs Tan is a 79 year-old Chinese lady with known osteoarthritis of the knee (knee OA). Her past medical history includes type 2 diabetes mellitus, hypertension, hypercholesterolemia, gastritis and Parkinson’s disease. She is a non-smoker and does not drink. Her usual medications are Amaryl 2mg once a day, Norvasc 5mg once a day, Lipitor 20mg once a day, Madopar 250mg three times a day, and Apo-Trihex 2mg twice a day. She had been prescribed acetaminophen in the past for knee OA. However, Mrs Tan now presents with worsening knee pain. The pain is affecting her movements and quality of life. A local pharmacist recommended her to take oral non-steroidal anti-inflammatory drugs (NSAIDS) to manage her condition. She also found out from some friends that intra-articular hyaluronic acid injections (IAHAI) help to relieve the pain, and will improve her mobility and quality of life. She is not very keen on…show more content…
She is able to walk despite the pain, her age (79 years old) is within the age range of 50 to 80, is postmenopausal, and has never received any forms of NSAIDS or IAHAI in the past. Intra-articular hyaluronic acid injection is feasible in the clinical setting as they are readily available. However, the cost of the injections may be an issue for some of the patients as it is quite expensive when compared to oral medications. The main outcomes assessed in this trial were the efficacy and short-term safety of IAHAI. No serious adverse events, such as gastrointestinal hospitalisation, were recorded. There is only 1 complaint of stiffness in affected knee after IAHAI treatment. Future randomised trials need to be carried out with a larger sample size and longer duration of follow-up, in order to ensure the long-term safety of IAHAI and identify the best knee OA treatment
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