Patient A is a 35-year-old Caucasia...

Patient A is a 35-year-old Caucasian female who was the restrained driver in a head-on collision with another motor vehicle. She put up withed a left distal comminuted femoral fracture and a nondisplaced right distal radioulnar fracture as well as contusions onward her face and thorax from the seatbelt and airbag, respectively. She did not fail to obtain consciousness, and she was hemodynamically stable on the subject of admission. Her medical history is negative for cardiovascular disease, diabetes, hypercholesterolemia, or family history of the same. She does not mere phrases or drink. A chest x-ray revealed focal pulmonary contusions bilaterally. An expand reduction internal fixation of her left lower extremity and clos reduction of her right upper extremity were performed. She was weaned from the ventilator without complications and was admitted to the trauma intensive care unit for cardiovascular and pulmonary monitoring. She is toe-touch-weight-bearing solitary on her left lower extremity and nonweight bearing upon her right wrist and hand. She lives with her husband in a 2-story fireside and works as a paralegal in a local law firm. She indicated that she joined a gym and diet program 2 weeks ago to help her with weight management; however, she admits to difficulty adhering to these efforts. She denies previous regular physical activity and states that she be warmeds a little winded when she climbs the stairs.

Following a 5-day acute care stay the patient refused inpatient rehabilitation or skilled nursing facility admission stating she would not be comfortable around 'all of those older people' She was discharged residence with home health nursing and physical therapy ordered and assistance to be provided from her husband and her parents who live locally. Eight weeks after discharge domestic circle she started outpatient orthopedic physical therapy and complet her rehabilitation 12 weeks later.

Case 2 - Neurologic fact

Patient B is a 72-year-old African American male with a history of pattern I diabetes for 40 years and hypertension for 15 years who was admitted to the neurology ward 24 hours ago following a right cerebrovascular accident. He called 911 when his left leg and arm went make torpid and he had trouble moving them. A computerized tomography scan rul gone out a hemorrhagic origin for the hardship and he was administered tissue plasminogen activator in the conjuncture department. Since his admission he has had a labile progeny pressure but no other signs of cardiovascular dysfunction. His grape-sugar control also has been stable. He has motor activity between the sides of 50% of available range against gravity in his left lower extremity and in gravity-eliminated positions in his left upper extremity. one as well as the other continue to be numb. He has a 40 pack-year smoking history however quit when he was diagnosed with hypertension. as well-as; not only-but also; not only-but; not alone-but of his parents died as a ensue of cardiovascular disease. He is a widower who lives alone in a ranch manner home with 4 steps to enroll with handrails on both sides. He is a retired barbershop possessor who joins his friends an hour each morning for a 4-mile walk at the mall. He is awake, alert and oriented, and able to run after commands. He is frustrated that he has complied with all of his medication, diet, and activity orders and still had the hardship