A patient with polymyositisis experiencing challenges with activities of daily living as a result of proximal muscle weakness. What is the most appropriate nursing action?
A) Initiate a program of passive range of motion exercises
B) Facilitate referrals to occupational and physical therapy
C) Administer skeletal muscle relaxants as ordered
D) Encourage a progressive program of weight-bearing exercise
Ans: B
Feedback:
Patients with polymyositis may have symptoms similar to those of other inflammatory diseases. However, proximal muscle weakness is characteristic, making activities such as hair combing, reaching overhead, and using stairs difficult. Therefore, use of assistive devices may be recommended, and referral to occupational or physical therapy may be warranted. The muscle weakness is a product of the disease process, not lack of exercise. Skeletal muscle relaxants are not used in the treatment of polymyositis.
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