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[Answered]: Use the case below to answer all 5 questions:…

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Use the case below to answer all 5 questions: Geoff is a 71 y.o. male client who has recently been admitted to the inpatient rehab facility (IRF) with a dx of L MCA CVA. His occupational profile indicates that he has a strong support system, a full-time caregiver in his wife who is in good health, a one-level home, independent PLOF for ADLs, and enjoyed playing pool/billiards. He has 1+ spasticity ( Slight increase in muscle tone manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM) in his R biceps and finger flexors. His deficits include Broca’s aphasia, R UE hemianesthesia (loss of sensation), and R UE hemiparesis (weakness) with the following MMT scores: scapular movements: 2-/5 (The part moves less than full ROM in a gravity-eliminated plane, no resistance.) shoulder elevation: 3-/5 (The part moves less than full range of motion against gravity.) elbow flexion/extension: 2-/5 (The part moves less than full ROM in a gravity-eliminated plane, no resistance.) wrist flex/extension: 2-/5 (The part moves less than full ROM in a gravity-eliminated plane, no resistance.) poor gross grasp with a .5″ deficit for composite fist and unable to complete serial opposition; no active extension in the digits Which of the following interventions would you want to avoid? Mark ALL that apply. Q1 options: Mental practice Use of a squeeze ball for strengthening the R hand Self-ROM with elevation of the R humerus above 90 degrees Hemi-dressing techniques Question 2 While completing a grooming activity in stand at the sink you notice that Geoff has difficulty finding grooming items on the counter to his right. Given his dx, you can likely conclude that this is due to _____ and you should ______. Question 2 options: a R homonymous hemianopsia; practice visual scanning and search during activity visual neglect; use paper and pencil scanning tasks a L homonymous hemianopsia; guided patching of the R eye visual inattention; use boundary markings/anchors during reading tasks Question 3 You decide to use bilateral arm training as an EBP intervention. Which of the following describes an activity that would be included AND is appropriate given his MMT scores? Question 3 options: rolling a billiard ball to you across a table by pushing it with his R hand grasping a pool cue stick with his R hand pronated and his L hand in neutral positioned to hit a pool/billiard ball grasping a pool cue stick with both hands in pronation and sliding it to you across a table picking up a billiard ball from the table with his R hand and placing it in his L hand Question 4 Given the case information and current MMT scores, which of the following activities are most appropriate as a HEP for Geoff at the time of discharge (d/c)? Mark ALL that apply. options: CIMT SROM Robotics mirror therapy Question 5 Due to his spasticity it is best practice to fabricate a resting hand splint to be worn at all times T/F

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