Occupational Therapy Assistant

Category - Acquiring Information

You completed a therapeutic exercise protocol with your new hand patient, Linda. At Linda’s next treatment session, she tells you that her hand hurt so bad after therapy that she could not move it for six hours. How should you respond to this information?
  1. Tell Linda, “No pain, no gain.”
  2. Inform your OT department that treatment goals need to be revised because the protocol is too much for Linda.
  3. Decrease Linda’s treatment frequency to once per week, so she will have more time to recover from exercises.
  4. Decrease the number of repetitions and amount of resistance for each exercise.
Explanation
Answer: D. You should decrease the number of repetitions and amount of resistance for each exercise. If a patient reports severe pain lasting for more than two hours after exercise, then it was too intense and should be downgraded.
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