Occupational Therapy Assistant

Category - Implementing Interventions

Lucy is a 93-year-old nursing home patient who wants to be independent in her kitchen at home. How do you structure strengthening exercises, so Lucy can lift her arms to reach into her cupboards?
  1. Have Lucy complete dowel exercises with a one-pound weight.
  2. Have Lucy wear ½-pound wrist weights while she lifts plastic dishes to shelves at heights that are graded upward.
  3. Have Lucy stand on a step stool and lift weights to waist height only.
  4. Have Lucy do pulley exercises with 10 pounds of resistance.
Explanation
Answer: B. To simulate the motion Lucy will use to reach into her cupboards, you would have her lift plastic dishes to shelves at heights that are graded upward. You would also add resistance to this activity by having Lucy wear ½-pound wrist weights. You do not want to increase the weight by too much, but you do want to build Lucy’s endurance through repetition of the activity.
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