Patients immobilized because of spinal trauma are at a high risk for contractures. Preventive measures should include (Select all that apply.)
a. consultation by PT and OT early in the treatment of the patient.
b. turning and repositioning the patient every 2 hours as ordered by the physician.
c. range of motion exercises 1 month after the spine has been stabilized.
d. removal of splints every 4 hours and at bedtime.
e. hand splints for patients with paraplegia.
f. hand and foot splints for patients with quadriplegia.
A, B, F
Physical therapy and occupational therapy personnel should be consulted early in the patient's course. Range of motion exercises are initiated as soon as the spine has been stabilized. Footdrop splints should be applied on admission to prevent contractures and prevent skin breakdown of the heels. Hand splints should be applied for patients with quadriplegia. Hand and foot splints should be removed every 2 hours.
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