Knee pain is an immobilizing symptom from various of diseases and particularly important to treat in the elderly population. Knee pain accounts for 1.9 million visits to general practitioners and 1 million visits to emergency departments annually. Through history taking, focusing on red flags that the patients might present with, through physical examination, and understanding knee anatomy, physicians are able to make the diagnosis and formulate an appropriate management strategy (Gross & Ma, 2013).
The important part of management strategies is to identify realistic functional goals for therapy. A multidisciplinary approach that includes medications, counseling, physical therapy, …show more content…
There is a guideline for surgeons to help them decide when it is necessary for surgical interventions and in this case is the total knee replacement. In VW’s case, the surgeons have decided to put off surgery as she has the ability to recover through rehabilitation with assistance of pain killers. One of the many ethical principles that physicians ought to adhere to is respecting patients; it is difficult to place values on health and medical care and weigh the benefits and risk of medical interventions (Lo & Grady, …show more content…
In the geriatric wards the first thing we were thought is the importance of bowel movements which to me made a huge impact in how I see the importance of morning rounds. No bowel movements or BNO (bowels not open) could lead to delirium which results in poor treatment outcomes and danger to the patient, as well as other patients and members of staff.
I realized the importance of symptomatic treatments could better the patient’s quality of life and how it is more important than just prolonging life. It is true that when a physician sees a patient, they treat the patient and not the disease.
One of the issues I had was dealing with cognitively impaired patients. I felt like the history I would take sometimes is disconnected and patients tend to leave out things. I rose to solve this by seeking advice from the interns and their solution to my problem was that I should be seeing patients during family visits. This would allow me to gain collateral history and get a picture of the social support the patient has. I realized the importance of having the ability to empathize with patients in order to better understand their