History of osteoarthritis

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NP Richards is managing the care of Mrs. Richie, a 68 yo with a 15 year history of Osteoarthritis (OA). Mrs. Richie is currently experiencing recalcitrant symptoms of right hip pain, has functional impairment and a decline in mobility. Current treatment and supportive devices are ineffective. NP Richards next step in the plan of care should include: Prescribe a COX-2 Inhibitor and follow-up in 2 weeks Prescribe topical capsaicin and follow-up in 2 weeks Refer patient to Orthopedic surgeon for consideration of hip replacement surgery Provide intra-articular injection to right hip - 40 mg triamcinolone f/u in 2 weeks

Reference no: EM133764618

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