Which discharge instruction is appropriate for an adolescent client who is a paraplegic due to a motor vehicle accident, in order to prevent decubitus ulcer formation on the buttock?
1. Contract the muscles 5 times every 2 hours.
2. Increase fat in the diet to provide a protective coating over the boney bony 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
Explanation:
1. The child is a paraplegic and therefore unable to contract the buttock muscles.
2. Extra weight will add to pressure on the boney bony prominences and should be avoided.
3. Lifting the buttocks with the arms can help with blood flow to the buttocks and reduce the risk of breakdown.
4. Sheepskin can reduce pressure on the buttocks; it is one of many pressure reducing materials available.
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