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Your Patient Sustained a Fracture of the Right Calcaneus as the Result

question 15

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Your patient sustained a fracture of the right calcaneus as the result of a motor vehicle accident 3 months ago.After 10 weeks in a cast followed by a rocker bottom immobilization boot that prevented ankle and foot motion, the fracture shows radiological evidence of bony union.The patient has been ambulating (weight bearing as tolerated) while wearing the boot and is now supposed to discontinue wearing it slowly.Your examination reveals marked limitation of dorsi- and plantarflexion and a high, rigid arch.There is no visible swelling, and pain (2/10) occurs at the end of the day and during passive range of motion (PROM) with overpressure.Which of the following is the most appropriate intervention during the first week of therapy?


Definitions:

Anxiety Disorder

A group of mental health disorders characterized by significant feelings of anxiety and fear, affecting daily living.

Phobia

an extreme or irrational fear of or aversion to something, significantly impacting an individual's ability to function normally in certain situations.

Psychodynamic Model

A psychological perspective that emphasizes unconscious processes and childhood experiences in shaping behaviors and personalities.

Anxiety

An emotion of anxiety or apprehension regarding an unpredictable result.

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