A practical nurse (PN) is reinforcing teaching for a client with right-sided hemiparesis who is learning to independently put on a front-buttoning shirt. In which order should the PN instruct the client to perform these actions? Arrange the steps in the correct sequence from first to last.
- 1Place the shirt on the lap with the inside facing up and the collar pointing toward the chest.
- 2Use the unaffected left hand to gather the fabric of the right sleeve.
- 3Insert the affected right arm into the gathered right sleeve and pull the fabric up to the shoulder.
- 4Bring the remaining fabric of the shirt around the back of the neck to the left shoulder.
- 5Slide the unaffected left arm into the remaining left sleeve.
- 6Fasten the buttons of the shirt, beginning at the bottom edge to ensure proper alignment.
Cevap
The correct sequence for donning a front-buttoning shirt with hemiparesis is to position the shirt on the lap, gather the right (affected) sleeve, insert the right arm, bring the shirt around the back, insert the left (unaffected) arm, and finally button the shirt from the bottom up.
Dressing a client with hemiparesis requires dressing the affected (weak) side first and undressing it last. By properly orienting the shirt on the lap, the client uses their strong left hand to dress the weak right arm. Once the right arm is secured, the strong arm can easily throw the garment around the back, insert itself into the remaining sleeve, and manage the fine motor task of buttoning from the bottom up to ensure alignment.
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Promoting Independence in ADLs: Dressing with Hemiparesis
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