Occupational Therapy Assistant

Category - Implementing Interventions

Your student, Carli, is not due for a new wheelchair for four more years. Her chair has a custom seat, but her hips adduct while she is seated in the chair. This causes pressure areas on the medial aspect of both knees. How could you resolve this problem for Carli?
  1. Place a rolled towel between Carli’s knees.
  2. Purchase a new wheelchair cushion for Carli, even though a new cushion is expensive.
  3. Purchase a portable abductor for Carli.
  4. Put moleskin over Carli’s pressure areas.
Explanation
Answer: C. To resolve Carli’s pressure areas, you could purchase a portable abductor for her. The abductor is curved to fit between Carli’s legs, just above the knees, to separate them and place the hips in alignment. The positioning the abductor provides would prevent Carli from developing further pressure areas.
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