Author Question: Leon Simon, 84 years old, has been cared for in his home by his wife. He was admitted to a long-term ... (Read 35 times)

oliviahorn72 · **on:** Jul 11, 2018

Leon Simon, 84 years old, has been cared for in his home by his wife. He was admitted to a long-term care facility with pressure ulcers on his coccyx and both of his hips. Which of the following interventions would be inappropriate for Mr.

Simon's plan of care?
a. Bed rest with dressing changes twice a day
b. Hourly turning and repositioning program
c. Assisted active range of motion and assisted ambulation
d. Toileting program to reduce incontinent episodes

Question 2

Mrs. White, 80 years old, is unable to leave her house, but she has good mobility in her home. The visiting nurse realizes Mrs. White needs some exercise and teaches her to

a. Do 15 push-ups two times a day
b. Do a range of motion with a can of soup
c. Do deep knee bends
d. Do nothing; after all, she is 80 years old and it does not matter

diesoon · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A
Bed rest would cause Mr. Simon to have all of the negative outcomes of immobility. The complexity and extensive nature of Mr. Simon's skin breakdown would make rehabilitation a challenge, but responses B, C, and D should be part of his rehabilitation plan of care.

Answer to Question 2

B
Simple exercises with a small can assist a older adult in strength building. Push-ups and deep knee bends may be a little aggressive for an older adult who is home alone. Response D is a poor choice because exercise, when appropriately planned, can be done with all agesregardless of circumstances.