Which of these is not an example of protective sensory reeducation?

Question

A. Using a screwdriver for 30 minutes without any gloves
B. Softening the amount of force used when gripping objects
C. Moisturizing the skin regularly to keep it supple
D. Checking for blisters or cuts

Answer 1

ANS: A
People who lack protective sensation are at risk for serious injury because they cannot feel pin-prick or hot or cold exposures. They may develop blisters after holding objects and may not real-ize this until they visually examine the hand. After a cerebrovascular accident a person with left hemiparesis and left neglect may inadvertently move his or her left hand on top of a stove burner during a cooking task. Given the lack of protective sensation, the client will be burned without sensing the painful stimulus of the hot stove. The same thing frequently happens to individuals with C6 tetraplegia. The protective sensation in the thumb, index finger, and long finger may be intact whereas the sensation in the ring and little finger is absent. Callahan identifies the follow-ing protective instructions for sensory reeducation of these clients: Protect from being exposed to sharp items or to cold or heat; try to soften the amount of force used when gripping an object; use built-up handles on objects whenever possible to distribute gripping pressure over a greater surface area; do not persist in an activity for prolonged periods of time. Instead, change the tool used and the work task often; visually examine the skin for edema, redness, warmth, blisters, cuts, or other wounds (tissue heals more slowly when there has been a nerve injury); if there is tissue injury or damage, be very careful in treating and try to prevent infection; maintain skin suppleness as much as possible by soaking and applying moisturizing agents.