Resting comfortable. Pain relatively well managed. Gradually improving.
General Appearance: well-nourished, well developed in no acute distress
Orientation: oriented to person, place and time. Mood / Affect: calm
Dressing clean, dry and intact
Strength LE: 5/5 EHL, tibialis anterior, plantar flexion
Sensation: Subjective normal distal sensation bilaterally
Vasculature: <2 second capillary bilaterally
Soft tissues: Normal .
s/p Total Joint Replacement
Doing well and improving.
PT, gait training.
Plan d/c home with outpatient PT.
Follow up in 2 weeks.