Question

A client is diagnosed with amyotrophic lateral sclerosis. He used to work in his company's head office but had to start working from home due to severe weakness in his arms and legs. During the evaluation, the OTR finds that the client has 2+/5 muscle grade in the wrists and hands. The client also states that although he can complete most of his self-care, he needs more time since he is easily fatigued. He lives with his wife and children in a 2-story home and has difficulty going up and down the stairs. The client states, "I feel like I am catching my breath every time I go up the stairs. It is hard, you know. Our bedroom and the kids' rooms are on the second floor. I still try to do some work in my office upstairs." Which intervention activity would be MOST important for this client?

1) Energy conservation
2) Home modification
3) Endurance training
4) Strengthening program

Answer 1

The most important intervention activity for the client with ALS would be home modification to improve accessibility and reduce physical strain.

Step-by-step explanation:

The most important intervention activity for the client with amyotrophic lateral sclerosis (ALS) would be 2) Home modification. Since the client has difficulty going up and down the stairs and experiences fatigue, modifying the home environment to improve accessibility and reduce the need for strenuous physical activity is crucial. This could involve installing a stair lift or ramp to make it easier for the client to navigate between the floors and relocating the client's office to a more accessible area on the first floor.