Restorative CareQuestion 126 of 200
A resident with Parkinson's disease has shuffling gait, a forward stoop, and freezing episodes. Which intervention BEST reduces fall risk?
a.Walk briskly to encourage the resident to keep up
b.Use visual cues such as floor tape or counting cadence ('1-2, 1-2') and allow extra time during freezing
c.Carry the resident from room to room to avoid all ambulation
d.Insist the resident only ambulate after the morning dose without breaks
Explanation
Parkinson's gait freezing responds to visual or auditory cues — tape lines on the floor, counting aloud, or a marching cadence helps re-initiate movement. Rushing (a) increases falls. Carrying (c) eliminates therapeutic movement and is unsafe. Restricting ambulation between doses (d) is not the CNA's call and ignores fluctuating 'on-off' periods. The CNA should also clear paths, use a gait belt, and report any new freezing or worsening tremor to the nurse per 42 CFR §483.25(d) and Title 22 CCR §72315.
Law Reference: 42 CFR §483.25(d); Title 22 CCR §72315Practice all 200 questions free — no signup required.
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