A 54-Year-Old Client with Rheumatoid Arthritis Is Demonstrating a Swan

question 1

Multiple Choice

A 54-year-old client with rheumatoid arthritis is demonstrating a swan neck deformity at the third and fourth digits of her dominant (right) hand.She has full active flexion of the digits but reports some difficulty in initiating digit flexion after extending her digits fully.This causes her to have difficulty with keyboarding and grasping larger objects.The patient is in a sales position,and cosmesis is important to her on the job.What splint should the therapist recommend?

• A) A Silver Ring custom metal splint or polypropylene (Oval-8) splint providing slight proximal interphalangeal (PIP) flexion
• B) A custom fabricated thermoplastic finger based splint in slight PIP flexion
• C) A resting pan splint at night only in PIP flexion
• D) A wrist extension splint that will then encourage PIP flexion

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Definitions:

Obedience

The act of following orders or complying with instructions, typically from an authoritative figure.

Realistic Conflict Theory

A social psychological model that suggests intergroup conflicts, and negative prejudices and stereotypes, arise from competition between groups for limited resources.

Violence

Behavioral actions that involve physical force intended to hurt, damage, or kill someone or something.

Arguments

Reasons or sets of reasons given in support of or against an idea, action, or theory.