A practical nurse (PN) is teaching a client with left-sided hemiparesis how to independently put on a front-button shirt. To promote the client's independence and safety, in what order should the PN instruct the client to perform the following steps? Arrange the actions in the correct sequence from first to last.
- 1Sit securely in a chair with back support.
- 2Place the shirt across the lap with the inside facing up.
- 3Use the strong right hand to slide the affected left arm into its sleeve first.
- 4Slide the unaffected right arm into its sleeve and adjust the shirt.
Cevap
The correct sequence is to first sit securely in a chair, then place the shirt across the lap, dress the affected left arm, and finally dress the unaffected right arm.
The correct physiological and safety sequence for a client with hemiparesis learning to dress themselves begins with ensuring a safe, seated position to prevent falls. Next, positioning the garment within reach minimizes exertion. The critical rule for dressing with one-sided weakness is 'affected side first' (dress the weak side, undress the strong side first). By putting the weak arm in first, the client uses their strong arm to do the work of manipulating the fabric. Finally, the strong arm is inserted, as it has the flexibility and range of motion to finish the task.
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Anahtar Kavram
Promoting independence in dressing for clients with hemiparesis