Question

A patient recovering from a stroke has severe shoulder pain from subluxation of the shoulder and is being cared for on the unit. To prevent further injury and pain, the nurse caring for this patient is aware of what principle of care?

A) The patient should be fitted with a cast because use of a sling should be avoided due to adduction of the affected shoulder.
B) Elevation of the arm and hand can lead to further complications associated with edema.
C) Passively exercising the affected extremity is avoided in order to minimize pain.
D) The patient should be taught to interlace fingers, place palms together, and slowly bring scapulae forward to avoid excessive force to shoulder.

Answer 1

The nurse should focus on gentle exercises and careful positioning to prevent further shoulder injury and manage pain in a patient with subluxation due to a stroke. An appropriate physical therapy plan is crucial, which respects the delicate condition of the shoulder joint and avoids excessive force.

Step-by-step explanation:

The nurse caring for a patient recovering from a stroke with severe shoulder pain due to subluxation should be aware of principles that focus on preventing further injury and managing pain. A key principle is to ensure that the affected extremity is not subjected to motions or positions that could aggravate the condition. Therefore, the appropriate physical therapy plan is essential, which would often include gentle exercises that avoid excessive force on the shoulder to maintain range of motion without causing additional pain or damage.

It is crucial to protect the subluxated shoulder from excessive abduction or adduction. Supporting the arm without causing additional strain, using physical therapy techniques like gentle passive movements, active assisted exercises, and careful positioning, are vital to recovery. A detailed understanding of the anatomy of the shoulder joint by the therapist or nurse can guide the selection of exercises and routines to aid in recovery while minimizing the risk of further injury.