Following an automobile accident, a teenager is left paraplegic. The child is being prepared for discharge. The nurse is reviewing instructions to avoid decubitus ulcers on the buttocks and instructs the teenager to:
1. Contract the buttock muscles five times every two hours.
2. Increase fat in the diet to provide a protective coating over the boney prominences.
3. Do wheelchair push-ups every 15 to 30 minutes.
4. Avoid use of sheepskin as it prevents air from reaching the area.
3
Rationale 1: The child is a paraplegic and therefore unable to contract the buttock muscles.
Rationale 2: Extra weight will add to pressure on the boney prominences and should be avoided.
Rationale 3: Lifting the buttocks with the arms can help with blood flow to the buttocks and reduce the risk of breakdown.
Rationale 4: Sheepskin can reduce pressure on the buttocks; it is one of many pressure reducing materials available.
Global Rationale:
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