Practice Quiz

Occupational Therapy Assistant

Category - Implementing Interventions

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Marcie is a 46-year-old patient who has been in a coma for 12 years. She has multiple contractures and is at high risk for developing skin breakdown around the joints of her arms and hands. How do you position Marcie’s upper extremities to prevent skin breakdown?
  1. You position Marcie’s upper extremities in full extension using thermoplastic splints to fully open skin creases at the joints.
  2. You rest Marcie’s upper extremities on pillows to prevent them from falling into her lap and contracting.
  3. You position Marcie’s upper extremities on elevated arm supports to hold them away from her body and prevent edema.
  4. You position Marcie’s upper extremities with the elbows in slight flexion, the wrists in resting position, the hands open, and the fingers in slight flexion; use soft foam splints and positioners.
Explanation
Answer: D. You position Marcie’s upper extremities with the elbows in slight flexion, the wrists in resting position, the hands open, and the fingers in slight flexion. Also, use soft foam splints and positioners. This position will allow Marcie to rest comfortably while keeping the areas at high risk for skin breakdown open. The soft foam splints will help cushion Marcie’s skin and prevent pressure areas.
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