Reference no: EM133877695

Question

What routines are affected?: The client is a 62-year-old right-hand dominant female kitchen worker at a skilled nursing facility (SNF) who presents with right shoulder impingement and rotator cuff tendonitis. Her condition began after an incident where she pulled a stuck kitchen drawer and heard a pop, leading to persistent shoulder pain. This pain, described as a dull ache, is exacerbated by lifting weights or performing overhead movements, such as pulling down pans from cabinets or placing them into the oven. The client has adapted her self-care routine by washing her hair with her head down to avoid raising her arms overhead and compensates with her left upper extremity for various activities. Her workplace has accommodated her condition by restricting her from lifting heavy items or performing overhead movements, allowing her to focus on tasks like chopping. Despite these adjustments, she reports significant pain during instrumental activities of daily living (IADLs) at home, although her husband assists her with home management tasks. The pain is particularly bothersome at night, especially when she rolls onto her right shoulder. She has received a corticosteroid injection from a hand orthopedic specialist, which has provided some relief....