Mr.Jones, who is 74 years of age, is being discharged home after having a right knee replacement. The discharge orders from the orthopedic surgeon include: continuous passive motion (CPM)at the current setting of 0-degrees extension worn when walking with crutches ( non weight bear post discharge day 1, and may begin weight bearing postdicharge day 2); and home nurse visits, as needed. Physical therapy should begin the day after the discharge at an orthopedic center. The orders will be faxed to the center. The following medications with prescriptions attached include; Lovenox (enoxaparin) 70 mg subcutaneously once daily for 7-days, Vicodin ( hydrocodone bitartrate) 10 mg every 4 hours PRN, and Colace (docusate sodium) 100 mg every day. The patient is to follow up with the orthopedic surgeon in 3 weeks. His daughter plans to stay with him for several weeks to assist him with meals and household chores, and take him to physical therapy and the orthopedic surgeon for follow up. Mr Jones has three other children who live in other states. He is a widower and attends local church.1
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