If a CNA is assisting a patient who recently suffered a stroke on one side, what should they encourage?

• A. Full dependence on the CNA for bathing
• B. Participation in bathing as much as possible
• C. Using a sponge bath only
• D. Avoid any activity that requires movement

Answer: (B)

Encouraging participation in bathing as much as possible is important for several reasons. After a stroke, patients may have decreased mobility and strength on one side of their body. It’s crucial for the CNA to promote as much independence and active involvement as is safely possible. This involvement not only helps build the patient’s physical strength and coordination but also enhances their psychological well-being by fostering a sense of autonomy and normalcy during their recovery process.

Involvement in personal hygiene activities, such as bathing, is essential for physical rehabilitation. It assists in the recovery of motor skills, promotes self-esteem, and encourages a more active recovery. It’s vital for the CNA to assess the patient's capabilities and help facilitate as much participation as is safe, possibly using adaptive techniques or equipment to assist where needed.

This approach contrasts with the other options presented. Full dependence on a CNA for bathing would not support the patient's rehabilitation goals, while using a sponge bath exclusively may limit the patient’s engagement and independence. Avoiding any activity that requires movement would not benefit the patient's recovery, as engaging in physical activity, even in a limited capacity, is critical for regaining strength.