Occupational Therapy Assistant

Category - Implementing Interventions

Max is your 67-year-old hip replacement patient. His doctor has ordered full hip precautions with toe touch weight bearing on the affected leg. How do you teach Max to put on his pants?
  1. Place his feet in his pants and use his unaffected leg to push them up to where he can reach them with his hands. Then stand on both feet, and pull them up.
  2. Use a reacher to hold his pants to put his feet in, and then stand on one foot to pull them up. Sit and use the reacher again to hold his pants to put his feet in, then stand on one foot to pull them up.
  3. Use a reacher to hold his pants and put his feet in. Then use the reacher to hold the pants and put his feet in. Use the reacher to pull up the pants until he can reach them with his hand. Stand with weight on the unaffected leg and the toe of the affected leg just touching the floor for balance. Pull up the pants.
  4. Lie on the bed on his side and bend to put both feet in the pants, and then lay on his back to pull them up.
Explanation
Answer: C. Max’s precautions mean he cannot bend past 90 degrees on the affected hip, and he can only touch a toe on the floor for balance on the affected side. To put on his pants, he will need to use a reacher to hold his pants and put his feet in. Then he will need to pull the pants up using the reacher until he can grasp them with his hand. He will then need to stand up once, bearing weight on his unaffected leg and touching his toe down with his affected leg for balance.
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