A patient 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 patient include?
A) Muscle training to relieve dysphagia
B) Relieving nerve paralysis in the cervical plexus
C) Promoting maximum shoulder function
D) Alleviating achalasia by 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 patient's neck incision and graft, if present, were sufficiently healed. Nerve paralysis in the cervical plexus and other variables affecting swallowing would be managed by a speech therapist rather than a physical therapist.
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