Question

A client has pain and decreased active ROM of bilateral

shoulders, spine, and knees secondary to severe osteoarthritis.
Symptoms interfere with the client’s ability to independently
complete lower b

Answer 1

The search results provided are related to the topic of osteoarthritis and its relationship with mechanical loading.

Step-by-step explanation:

The search results provided are related to the topic of osteoarthritis and its relationship with mechanical loading. The articles discuss the role of mechanical loading in the onset and progression of osteoarthritis, the use of dynamic load to predict radiographic disease progression in medial compartment knee osteoarthritis, the mechanobiological mechanisms of load-induced osteoarthritis in the mouse knee, and the promotion of osteoarthritis through the gremlin-1-NF-κB pathway. Additionally, one of the search results provides information about unloader knee braces for osteoarthritis support.

Answer 2

The COTA should use an approach which is to `` Select assistive devices to help improve functional performance.``

The answer is option ⇒C

Step-by-step explanation:

Selecting assistive devices can provide immediate support and help compensate for the client's pain and limited range of motion. By identifying and providing appropriate assistive devices, such as adaptive clothing with Velcro closures or elastic shoelaces, the client can maintain independence and overcome the barriers posed by severe osteoarthritis.

While options A, B, and D are also important considerations, they may require more time and effort to implement effectively. Engaging the client in a ROM and strengthening program (option A) can be beneficial in the long term to preserve joint integrity, but it may not directly address the immediate need for self-dressing. Identifying clothing preferences and dressing routines (option B) is important for personalization but may not immediately improve the client's ability to dress independently. Teaching joint protection strategies (option D) is valuable, but it may be more appropriate after the client has received the necessary assistive devices.

By starting with assistive devices (option C), the COTA can provide immediate support, enhance the client's independence, and lay the foundation for further interventions to address the underlying issues in the long term.

The answer is option ⇒C

Your question is incomplete, but most probably the full question was:

A client has pain and decreased active ROM of bilateral shoulders, spine, and knees secondary to severe osteoarthritis. Symptoms interfere with the client's ability to independently complete lower body dressing. Which approach should the COTA use FIRST to improve the client's ability to self-dress?

• A. Engage the client in a ROM and strengthening program to preserve joint integrity.
• B. Identify the client's clothing preferences and typical dressing routine.
• C. Select assistive devices to help improve functional performance.
• D. Teach the client a variety of joint protection strategies for dressing.