A client who has had a radical neck dissection is being prepared for discharge
The discharge plan includes referral to an outpatient rehabilitation center for physical therapy. What would the goals of physical therapy for this client include?
A) Promoting circulation to the graft site on the affected side
B) Relieving nerve paralysis in the cervical plexus
C) Promoting maximum shoulder function
D) Alleviating achalasia decreasing esophageal peristalsis
Ans: C
Feedback: Shoulder drop occurs as a result of radical neck dissection. Shoulder function can be improved by rehabilitation exercises. Rehabilitation would not be initiated until the client's neck incision and graft, if present, were sufficiently healed. Nerve paralysis in the cervical plexus affects swallowing and would be managed by a speech therapist rather than a physical therapist. Achalasia, ineffective peristalsis, can result from a number of physiologic and psychosocial factors and is not a frequently occurring sequella of radical neck dissection.
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