Problem
A nursing case A 65-year old female is transferred to your facility for evaluation prior to hip replacement surgery. Her medical history reveals a history of smoking (1 pack/day for 30 years) and is significant for hypertension and diabetes, both controlled with medication. Her medical history is also significant because she has been prone toheterotopic bone formation (the presence of bone where bone does not normally exist). The primary care physician is concerned that the risk of more heterotopic bone growth will negatively impact the success of the joint replacement surgery. The physician orders treatment for the heterotopic bone growth prior to the joint replacement surgery.