A 60-year old male patient, right-handed, single, tricycle driver is diagnosed with R CVD infarct, at day 5 post-ictus. On personal social history, the patient is living in a bungalo house with his 70-year old sister and her 20-year old son. Upon evaluation, the patient is awake, dysarthric, but manages to follow commands. The following are the pertinent physical examination findings: Shallow R nasolabial fold, fair gutturals, lingual, (+) gag reflex Tone and reflex: hypotonic, hyporeflexive left upper and lower extremities Motor: MMT 0/5 left upper and lower extremities, 5/5 on right upper and lower extremities Sensory: 50% deficit on left upper and lower extremities Other systemic physical examination findings were unremarkable Functional assessment: moderately assisted in all ADLs The patient will be progressed from bed mobility skills to transitions to sitting. How will this be instructed?
A 60-year old male patient, right-handed, single, tricycle driver is diagnosed with R CVD infarct, at day 5 post-ictus. On personal social history, the patient is living in a bungalo house with his 70-year old sister and her 20-year old son. Upon evaluation, the patient is awake, dysarthric, but manages to follow commands. The following are the pertinent physical examination findings:
Shallow R nasolabial fold, fair gutturals, lingual, (+) gag reflex
Tone and reflex: hypotonic, hyporeflexive left upper and lower extremities
Motor: MMT 0/5 left upper and lower extremities, 5/5 on right upper and lower extremities
Sensory: 50% deficit on left upper and lower extremities
Other systemic physical examination findings were unremarkable
Functional assessment: moderately assisted in all ADLs
The patient will be progressed from bed mobility skills to transitions to sitting. How will this be instructed?
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