You are discussing a patient with polymyositis with a care team consisting of a physician, a social worker, OT and PT, and a home health nurse
The home health nurse reports that the patient's proximal muscle weakness has gotten more pronounced. The home health nurse asks for a referral to and OT and PT to assess for what?
A) Exercises to strengthen the muscles
B) Possible assistive devices to help with ADLs
C) Family educational needs
D) Social support network
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 combing the hair, 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. A physical therapist and an occupational therapist would not assess family educational needs or the patient's social support network.
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