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Get the free Hip preservation study sheet- pt intake - Western Orthopaedics

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Hip Preservation Study Sheet Brian J. White MD Name: Date: Before surgery Already had surgery: 6 weeks ago 3 months ago 6 mos ago 1 year ago More than 1 year, please specify: Modified Harris Hip Score:
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How to fill out hip preservation study sheet

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01
Start by gathering all the necessary information: Make sure you have access to the patient's medical history, including any previous hip surgeries or injuries, as well as any current symptoms or complaints they may have. This will help provide a comprehensive overview of the patient's condition.
02
Begin with the patient's demographics: Fill out the sheet with details such as the patient's name, age, gender, and contact information. This information is essential for identification and follow-up purposes.
03
Document the chief complaint or reason for the study: Ask the patient to describe their primary concerns or symptoms related to their hip. This could include pain, limited range of motion, instability, or any other issues they may be experiencing.
04
Record the patient's medical history: In this section, you will need to document any relevant medical conditions the patient may have, such as arthritis, osteoporosis, or any systemic diseases. Additionally, note any medications the patient is currently taking or has taken in the past that could impact their hip health.
05
Include the details of the hip examination: This part requires a thorough assessment of the patient's hip joint. Record the findings from physical examination, including any observations related to range of motion, deformities, joint instability, or signs of inflammation.
06
Review the imaging and diagnostic tests: If the patient has undergone any diagnostic tests, such as X-rays, MRIs, or CT scans, it is important to include these findings in the study sheet. Document any abnormalities or specific observations that may have been identified through these tests.
07
Consider any previous treatments or interventions: Ask the patient about any previous hip surgeries, injections, or physical therapy they may have had. Including this information will provide insights into the patient's treatment history and potential impact on their current hip condition.
08
Summarize the patient's functional limitations: Evaluate the patient's limitations in daily activities, such as walking, running, climbing stairs, or performing specific exercises. This assessment will help determine the impact of the hip condition on the patient's overall quality of life.
09
Provide your professional assessment and recommendations: Based on the gathered information, analyze and interpret the data to formulate a diagnosis or assessment of the patient's hip condition. Additionally, outline any recommended further tests, treatments, or referrals to other specialists that may be necessary to manage the patient's condition effectively.

Who needs hip preservation study sheet?

01
Orthopedic surgeons specializing in hip preservation techniques.
02
Physical therapists involved in postoperative rehabilitation.
03
Researchers studying hip pathology and treatment options.
04
Medical professionals involved in administering conservative management for hip conditions.
05
Patients seeking a comprehensive evaluation of their hip health.
Note: The specific individuals or groups who may need the hip preservation study sheet may vary depending on the healthcare setting, research focus, or patient population.
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The hip preservation study sheet is a document used to gather information about the patient's hip condition and treatment.
Orthopedic surgeons, physical therapists, and other healthcare professionals involved in the treatment of hip conditions are required to file the hip preservation study sheet.
The hip preservation study sheet should be filled out by documenting the patient's medical history, current symptoms, physical examination findings, imaging results, and treatment plan.
The purpose of the hip preservation study sheet is to provide a comprehensive overview of the patient's hip condition, facilitate communication among healthcare providers, and track the progress of treatment.
Information such as the patient's medical history, current symptoms, physical examination findings, imaging results, and treatment plan must be reported on the hip preservation study sheet.
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