Which patient is most likely to have developmental effects due to prolonged immobility?
a. Toddler patient in traction for a congenital skeletal anomaly
b. Young adult patient with burns on the hands
c. Teenage patient with a bacterial infection in isolation
d. Middle-age adult patient with a fractured ankle on crutches
A
The toddler would be most affected because of the prolonged immobility. Developmental effects of immobility more commonly affect the very young and the older adult. When the infant, toddler, or preschooler is immobilized, it is usually because of trauma or the need to correct a congenital skeletal abnormality. Prolonged immobilization delays the child's motor skill and intellectual development. The immobilized young or middle-age adult experiences few, if any, developmental changes. The young and middle adult patients are mobile, not immobile. The teenage patient may have developmental effects due to the isolation but the question asked for prolonged immobility, which this patient does not have.
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