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Physical Therapy Self-Management Strategies for a Patient With a Total Hip Replacement and Heart Failure: A Case Report

Bartlett, Andrew S., PT, PhD, MPA; Parton, Sara, DPT; Lattuca, Joseph, MSPT

doi: 10.1097/NHH.0000000000000674

Heart failure (HF) is the most common reason for admission to the hospital in people over the age of 65 and has been found to be a possible complication following a joint replacement. Self-management education has been shown to reduce hospital readmissions rates among patients with HF and to cause significant improvements. The purpose of this case report was to describe physical therapy (PT) self-management education in the care of a patient with both a recent hip replacement (THR) surgery and HF. Case Description: 85-year-old female with a THR and HF. Objective measurements included Timed Up and Go Test (TUG); 10-meter walk test (10MWT) and the 6-minute walk test (6MWT). Standard PT care for THR and self-management education strategies was provided. The patient was seen two times per week for nine weeks. Improvements were noted in all outcome measures: (TUG, 10MWT, 6MWT). The patient was able to meet all ambulation goals and become independent in transfers. In this case, self-management education was shown to provide positive benefits by increasing functional mobility and helping prevent further complications from HF. Self- management education in the home health setting is important for older adult patients who had a THR.

Andrew S. Bartlett, PT, PhD, MPA, is an Associate Professor, Physical Therapy Department, Nazareth College, Rochester, New York.

Sara Parton, DPT, is a Physical Therapist, Strong Memorial Hospital, Rochester, New York.

Joseph Lattuca, MSPT, is a Physical Therapist, Home Care of Rochester, Rochester, New York.

The authors declare no conflicts of interest.

Address for correspondence: Andrew S. Bartlett, PT, PhD, MPA, Physical Therapy Department, Nazareth College, 4245 East Avenue, Rochester, NY 14618 (

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