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A 16 year old male sustained a 65% total body surface area burn 2.5 months ago. The patient recently developed heterotopic ossification of his non-dominant extremity as a secondary complication. Evaluation results conclude that the patient can flex his non-dominant extremity of his shoulder from 0° to 90° and the elbow of his non-dominant extremity from 40° to 85°. Currently the patient requires moderate assistance with eating and grooming. The adolescent currently requires assistance with feeding and grooming. What would be the most beneficial compensatory strategy to recommend to this patient to complete his feeding and grooming activities?
A) Elevate the surface on which he completes his activities
B) Provide the patient with an elbow sling
C) Teach the patient to use a long handed reacher
D) Educate the patient to use a mobile arm support

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Posted by (Questions: 108, Answers: 97)
Asked on January 3, 2017 1:40 pm
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A

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Answered on January 5, 2017 12:17 pm
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A

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Answered on January 4, 2017 6:31 pm
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The reacher, sling and mobile arm support are all adaptive equipment, not a compensatory strategy. Since the patient still has some limited shoulder and elbow active range of motion, elevating the eating surface would allow the patient to complete hand to mouth actions within his range of motion limits. This will help to preserve the functional movement that the patient still has and will allow him to feed himself without relying on mechanical devices.

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Posted by (Questions: 108, Answers: 97)
Answered on January 3, 2017 1:44 pm
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