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[Expert Solution]: An OTR working in an inpatient…

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An OTR working in an inpatient rehabilitation hospital receives a referral to evaluate an older adult with a past medical history of chronic obstructive pulmonary disease (COPD). The patient’s function has recently declined due to disease progression, and the patient now requires moderate assistance from their spouse for dressing, grooming, and bathing. The medical record indicates comorbid hypertension and obesity. The patient currently receives 2 liters per minute of oxygen while sleeping. After multiple OT sessions, the patient has increased independence in all goal areas but still requires moderate assistance with bathing. The patient continues to experience dyspnea and a productive cough when exerted. What recommendations should the OTR make to support the patient’s ability to bathe independently? Select the 3 best choices. • A.. Use an absorbent bathrobe to dry off. • B. Sit on a shower chair when bathing. C. Use a long-handled sponge to wash the lower body and back. D. Bathe in the warmest water possible to release pulmonary secretions. E. Sponge bathe while seated at the edge of the bed. F. Maintain upright posture and begin controlled breathing when exerted.

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