A COTA® is assisting the OTR® in providing care to a child with lumbar-level spina bifida. The child spends the majority of time in a wheelchair and plays adapted basketball. What does evidence reveal as the most effecti
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A COTA® is assisting the OTR® in providing care to a child with lumbar-level spina bifida. The child spends the majority of time in a wheelchair and plays adapted basketball. What does evidence reveal as the most effective occupational therapy intervention for preventing pressure ulcers? Select the BEST 3 choices.
A. Strategies to increase shear
B. Functional activities
C. Wheelchair seating assessment
D. Weight-shifting training
E. Client prevention education
F. Safe transfer techniques Correct Answer C. Wheelchair seating assessment
E. Client prevention education
F. Safe transfer techniques
A COTA® works at a skilled nursing facility that provides wheelchairs for clients who need them. As a result, the facility has a room full of wheelchairs of varying sizes. The COTA is often expected to find the wheelchair that best fits each new client, which requires determining whether the seat depth is appropriate for that client. Where should the front edge of the wheelchair seat be in relation to the client's hamstrings?
A. 5 to 6 inches proximal to the posterior side of the bent knee
B. 1 to 2 inches proximal to the posterior side of the bent knee
C. At the knee crease on the posterior side of the bent knee
D. 1 to2 inches distal to the posterior side of the bent knee Correct Answer B. 1 to 2 inches proximal to the posterior side of the bent knee
A COTA® is working in a skilled nursing facility and is on the restraint reduction team. A long-term resident has recently sustained several falls within a few days, and the team has been asked to assess the situation. What is the MOST important consideration during the assessment?
A. The safest intervention that will eliminate all future falls
B. The least restrictive intervention that reduces the need for staff intervention
C. The least restrictive intervention that is also safe
D. The safest intervention that is also not a financial burden to the facility Correct Answer C. The least restrictive intervention that is also safe
A COTA® at a skilled nursing facility is working with an older client who appears to have a large gap between the back of the knees and the front of the seat cushion. What factors may be interfering with the client's positioning within the seat? Select the 3 BEST choices.
A. Armrest height
B. Back brace
C. Seat back height
D. Shortened seat depth
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