Stroke Recovery and Mobility Outcomes

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Questions and Answers

What is the highest level of mobility the 65 year-old man with right hemiplegia is most likely to achieve?

  • Independent ambulation for a short distance with a brace for the ankle
  • Independence in the use of a power wheelchair (correct)
  • Independence in manual wheelchair use
  • Independence in ambulation without an assistive device

Which mobility option is least likely to be achieved by the man one week after his stroke?

  • Independence in ambulation without an assistive device (correct)
  • Independent ambulation for a short distance with a brace for the ankle
  • Independence in the use of a power wheelchair
  • Independence in manual wheelchair use

What aspect of mobility would most likely be affected by the man's stroke?

  • Ability to maneuver a power wheelchair
  • Ability to transfer from wheelchair to bed
  • Ability to use a manual wheelchair independently
  • Ability to walk long distances without assistance (correct)

Which of the following statements is true regarding the man’s condition after his stroke?

<p>He may achieve the use of a power wheelchair for mobility. (C)</p> Signup and view all the answers

One week post-stroke, how would you assess the man’s potential for short-distance ambulation?

<p>He is unlikely to ambulate even short distances without support. (B)</p> Signup and view all the answers

Flashcards

Independent ambulation

The ability to move independently without any help or assistive devices.

Independence in manual wheelchair use

The ability to use a manual wheelchair independently, without assistance from others.

Independence in power wheelchair use

The ability to use a power wheelchair independently, without assistance from others.

Hemiplegia

A condition where one side of the body is weaker or paralyzed.

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Ankle brace

A device used to support a weakened ankle, often after a stroke.

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Study Notes

Stroke Recovery and Mobility

  • A 65-year-old man with right hemiplegia (paralysis on the right side of the body) experiencing weakness in shoulder, hip, and knee movements a week post-stroke likely indicates a moderate to severe impact on mobility.
  • Options like independent ambulation (walking) without any aid are highly improbable at this early stage.
  • The question suggests a possible need for assistive devices (e.g., braces) for ambulation and/or wheelchair use.
  • Independent use of a manual wheelchair is a more realistic goal than ambulation without assistance, though power wheelchair use is also not ruled out.
  • The most plausible outcome, given the circumstances, is independent manual wheelchair use.
  • Independent ambulation, even with an assistive device, is unlikely based on the prompt's information.

Realistic Mobility Outcomes

  • Factors influencing stroke recovery include the extent of brain damage, overall health, and rehabilitation.
  • Early mobility goals are often modest and center around regaining basic functional movements.
  • Long-term recovery timelines differ between stroke occurrences.

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