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Zorluk: OrtaSelf-Care

A practical nurse (PN) is reinforcing teaching for a client with severe osteoarthritis of the hips who is learning to use a sock aid to dress independently. In which order should the PN instruct the client to perform the following steps? (Arrange the actions in the correct chronological sequence.)

  1. 1Place the sock aid on the lap and slide the sock completely over the plastic trough.
  2. 2Hold the pull cords securely and lower the sock aid to the floor in front of the foot.
  3. 3Slip the toes and the ball of the foot into the opening of the sock.
  4. 4Pull evenly on both cords to glide the sock over the heel and up the calf.
  5. 5Slide the plastic device out of the top of the sock and set it aside.

Cevap

The correct sequence is to load the sock onto the trough on the lap, lower the device to the floor using the cords, insert the foot into the opening, pull the cords evenly to draw the sock up the leg, and finally remove the device.
The correct sequence follows the logical progression of preparing the assistive device (loading the sock), positioning it without breaking physical precautions (lowering with cords), engaging with the device (inserting the foot), executing the task (pulling the sock on), and finally removing the equipment. This step-by-step process maximizes client independence and safety by eliminating the need to bend at the waist or hips.

Adım Adım Çözüm

1
Slide the sock over the plastic trough while the device is resting on the lap.
The sock is fully loaded onto the assistive device.
Preparing the device on the lap prevents painful and potentially dangerous bending at the hips.
2
Lower the device to the floor using the pull cords.
The device is positioned directly in front of the foot.
Using the cords to lower the device eliminates the need for the client to lean forward, maintaining independence and safety.
3
Insert the foot into the sock opening.
The foot is positioned inside the trough.
Proper foot placement ensures the sock will slide smoothly over the heel in the next step.
4
Pull evenly on both pull cords.
The sock glides up over the foot and calf.
Applying even tension prevents the device from twisting and ensures the sock goes on straight.
5
Pull the device completely out of the sock.
The sock is correctly worn and the device is freed.
Removing the device completes the dressing process while allowing the client to remain upright.

Anahtar Kavram

Promoting independence in ADLs using assistive equipment
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