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Wheelchair Positioning: Postural Care

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1.  What are some alternative positions outside of the wheelchair seating system? Alternative seating systems Standers Bed All of the above

2.  All of the following statements are true regarding postural care terminology EXCEPT: 24 hour positioning that explores all positions a client is in during the day 24 hour positioning that explores all positions a client is in during the night Sleep positioning is not that important as we are looking at wheelchair only. Sleep positioning or nighttime positioning that looks at positioning in bed

3.  Which of the following is NOT a goal of sleep positioning? Improving the quality and duration of sleep To duplicate the position achieved in the wheelchair seating system Promoting health and maintaining safety during sleep Minimizing, preventing or even reversing orthopedic changes

4.  What orthopedic change is common in clients who sleep in supine with their legs falling to one side of their body? Windswept tendency Dislocated hip Subluxed hip Hip dysplasia

5.  In many clients who sleep on their side, which hip typically becomes dislocated? Bottom leg Top leg Both legs Neither leg

6.  Why can supporting a client during sleep typically be much easier than supporting a client in their wheelchair? The body is typically relaxed, less impact from tone and movement patterns as well as less or no gravitational impact The client moves more The client is awake and active, impacting their posture All of the above are true

7.  What sleep positioning option is appropriate for clients with reflux? Antacids Side position Prone position Elevate the head of the bed

8.  According to the research, children using postural management experienced: Improved quality of sleep Improved duration of sleep Fewer hip problems Improved caregiver sleep

9.  Why are pillows NOT an effective sleep positioning strategy? Suffocation risk Not adequate to achieve desired posture Not adequate to sustain desired posture All of the above

10.  Why are so few sleep positioning systems available in the USA? Tariffs Product cost Lack of research, education and funding These do not work well