Final answer:
To prevent external hip rotation in a patient with right-sided paralysis and limited mobility due to a CVA, using a positioning strategy called neutral positioning is recommended. This involves keeping the hip in a neutral or slightly internally rotated position using pillows or wedges for support. This helps minimize the risk of external rotation and associated complications.
Step-by-step explanation:
To prevent the complication of external hip rotation in caring for a patient with right-sided paralysis and limited mobility due to a CVA, a positioning strategy called neutral positioning can be used. This involves keeping the hip in a neutral or slightly internally rotated position. By doing so, the risk of external hip rotation is minimized.
In practice, this can be achieved by using pillows or wedges to support the affected hip and leg, keeping them slightly adducted (closer to the midline of the body) and internally rotated. This helps to maintain a more aligned and stable hip joint, reducing the risk of external rotation and associated issues.
For example, placing a pillow between the patient's knees while lying on the unaffected side can help maintain a neutral position of the hip joint. Similarly, using a hip abduction pillow or a wedge under the affected hip in a sitting or semi-sitting position can achieve the same effect.