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A client with muscular dystrophy is concerned about becoming totally dependent and is reluctant to call the nurse to assist with activities of daily living (ADLs). To achieve maximum mobility and independence, which intervention is most important for the nurse to include in the client's plan of care?

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Final answer:

The most important intervention for a client with Duchenne muscular dystrophy to maintain maximum mobility and independence is engaging in dedicated physiotherapy. Targeted exercises help sustain muscle strength and function, which is crucial due to the progressive muscular weakness caused by the disorder. Additional supportive measures and psychological assurance for seeking help are also integral aspects of client care.

Step-by-step explanation:

To achieve maximum mobility and independence for a client with Duchenne muscular dystrophy (DMD), which is characterized by progressive skeletal muscle weakness, the most important intervention to include in the client's plan of care is physiotherapy. This disease leads to muscle damage and functional impairments over time due to a lack of the protein dystrophin. Physiotherapists work to maintain muscle strength and prevent atrophy by designing specialized exercises that stimulate the muscles. By incorporating consistent and targeted physical therapy regimes, patients can maintain mobility for as long as possible and potentially delay the progression to full dependency.

Engaging in physical therapy is especially critical in the early stages of muscular dystrophy to optimize physical capabilities and improve quality of life. It is also important to address any psychological barriers the client may have about asking for help and demonstrate that seeking assistance is a means to sustain independence rather than a sign of dependency. Effective case management and supportive assistive technologies can also be key in preserving the client's independence.

Although there is no cure currently available for muscular dystrophy, some treatments like drug therapy or orthopedic surgery may alleviate symptoms. The Muscular Dystrophy Association (MDA) is actively funding research worldwide to find a cure for this group of disorders.

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