We've been assigned a new patient today in the nursing home from the carers down there.
Mrs B suffered from a stroke years and years ago. She recently was put into hospital due to a shaft of femur # and since coming back has had really really bad adduction in her legs. This is apparently problematic for the nursing staff when they try washing her or dressing her. They told April that when they get her up in the morning, both legs are fully adducted over each other. Tim and I have now been assigned to do passive abduction and leg passives daily.
On seeing her for the first time I doubt that she has no abduction as the nursing home staff report. I (as well as the PTA) recon that they NH staff are too rough with her and speak so loudly that she tightens up due to their forceful tones and actions. On examination today, Mrs B was able to have AROM and PROM in abduction and flexion of the hip. Not too good mind you but enough to be suffcient to be able to wash and dress her. We'll continue the passives and observe her improvement.
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