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Jennifer, a 38-year old veteran, who was injured during an explosion while deployed overseas, has been classified as being legally blind in her left eye due to a torn cornea. She is consulting with an OT at the VA hospital , wanting to find out how she can look after her 14-month-old child without assistance, making sure that her child is kept safe. Jennifer lives with her husband and child in a single-level home. She shares home responsibilities with her husband and does not need any assistance with any of her ADLs. Which of the following strategies would be the BEST recommendation to ensure safety in the home for both the patient and the baby?

a. Learn one-handed techniques to cook at the stove while holding her baby in her right arm
b. Ensure enough lighting is available using a gooseneck lamp versus overhead lighting while managing the baby’s diaper change
c. Have the patient change seating positions on a swivel chair when feeding her baby at midline while maintaining line-of-sight
d. Use contrasting colors when dressing the child to be able to monitor the child’s whereabouts in the home

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Asked on May 3, 2019 11:32 am
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C. Have the patient change seating positions on a swivel chair when feeding her baby at midline while maintaining line-of-sight Positional changes by moving the entire trunk on a swivel chair and keeping the utensils and food at midline will reduce the chance of the patient having neck strain while feeding her baby. She can also monitor feeding as the baby will always be in her line of sight. A. Would be unsafe to perform. B. As long as there is not glare, it is not necessary to localize the lighting as visual perception and field in her right eye is intact. D. Although contrasting colors would be helpful in object identification and scanning, it would be better to have mirrors optimally placed, doors locked, or auditory alarms such as via a home security phone app, to determine the baby’s whereabouts. https://www.research.va.gov/topics/visionloss.cfm https://www.aota.org/Publications-News/otp/Archive/2014/11-10-14/vision-tbi.aspx

( at May 3, 2019 11:32 am)
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b

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Answered on May 8, 2019 3:30 pm
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