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Case: Maria is a 43 yo female medical assistant presenting to your outpatient OT clinic for lymphedema management s/p right axillary lymph node dissection 8 weeks ago. She is doing reasonably well since surgery and denies pain. When you ask her about her activity limitations, she mentions to you in passing that she is having some difficulty reaching up to the higher shelves in her home and her office. At the end of the session, she is putting her clothes back on and you notice her right scapula is noticeably projected off her rib cage as pictured below. There is a supplementary article attached here Gooding 2014.pdf Download Gooding 2014.pdf to help you with this discussion.
Question 1) What do you suspect is the involved structure (muscle) causing this scapular positioning?
Question 2) Describe how this injured structure will alter the force couple of the shoulder girdle with elevation of the arm overhead. Use two citations specifically for this portion of the question.
Question 3) Discuss potential activity modifications, adaptive equipment, one armed ADL strategies, exercises, modalities, etc that you think could be helpful in Maria's treatment. Share your clinical knowledge and experience with your peers.
Assuming it is a finance lease, prepare the journal entries for lessor on 1st July 2014, 30th June, 2015, and 30th June, 2018.
question 2 which term is not associated with phylogeneticsanswer a.node b.branch c.seed d.root e.all of the above are
What are the effects of deficiencies or overdoses of the nutrient(s) and related illness(es). Discuss any DRI standards for the nutrient(s).
Tacitus implies that Germanicus would have been able to win a much fuller victory over the Germans had he been allowed to continue there
There is homology at the protein level between the green bacteria photosynthetic apparatus and PSI of cyanobacteria
It took the diagnosis of high blood pressure at the age of forty-five to shock Max into taking better care of himself. A former college football player, he had let himself go.
List the steps involved in doing a culture of either a bacterial or fungal pathogen.
Write a potential termination sequence for Rho-independent and Rho-dependent termination. Underline the required sequences for both. Then write what each would look like once transcribed.
Why did culture #2 have so little glucose remaining relative to culture #1, even though culture #2 displayed slower growth and had less biomass?
The international community has responded in a variety of ways (i.e. laws, policies, treaties, etc.) to major human rights violations around the world.
Given that antibiotic resistant strains of bacteria are a concern to the general health of a population, what can be done to prevent their development?
In a healthy cell, the rate of DNA repair is equal to the rate of DNA mutation. When the rate of repair lags behind the rate of mutation
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