An inpatient has left hemiplegia and poor trunk control secondary to a stroke 6 weeks ago. The patient is at risk for falling when positioned in an upright unsupported sitting position. One of the intervention goals is to maximize the patient’s independence during dressing while maintaining sitting balance on the edge of the bed. Which technique would support progress toward this goal?A. Facilitate neck extension to shift the patient’s center of gravity posteriorly.
B. Stabilize the patient’s thighs and buttocks on the sitting surface.
C. Encourage trunk rotation through contraction of the right lateral flexors.

v=To maximize the patient's independence during dressing while maintaining sitting balance on the edge of the bed, the technique that would support progress toward this goal is to stabilize the patient's thighs and buttocks on the sitting surface (Option B).

Stabilizing the patient's thighs and buttocks on the sitting surface provides a stable base of support, which helps in maintaining sitting balance. It prevents the patient from sliding or falling off the edge of the bed while performing dressing activities.

Here's how this technique can be implemented:

1. Position the patient on the edge of the bed with the legs dangling down.

2. Place a firm cushion or pillow under the patient's thighs and buttocks to provide stability and support.

3. Use straps or belts if necessary to secure the patient's thighs and buttocks to the bed to prevent sliding or falling.

4. Ensure the patient's feet are firmly planted on the floor or supported by a footrest.

5. Provide verbal cues and assistance as needed to guide the patient through the dressing tasks, such as donning clothes, fastening buttons or zippers, and tying shoelaces.

6. Encourage the patient to use their unaffected arm and hand for dressing tasks to promote independence and enhance sitting balance.

By stabilizing the patient's thighs and buttocks on the sitting surface, this technique helps minimize the risk of falling and enhances the patient's ability to perform dressing activities independently.