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Analyze the scenario
The scenario describes a coworker, Sheila, experiencing weakness in her fingers and hands, making it difficult to grasp objects. She suspects she has carpal tunnel syndrome (CTS) and asks for advice. We need to evaluate the given options to find the most appropriate, medically sound, and ergonomic tip for someone experiencing or trying to prevent CTS.
Evaluate the options
- Option 1: "Don't tell the physician; if they find out you have CTS, you may lose your position."
- Analysis: This is unprofessional, unsafe, and incorrect. Medical conditions should be evaluated by a healthcare professional to prevent permanent nerve damage.
- Option 2: "Wear a splint on the hand and forearm."
- Analysis: While wrist splints (especially at night) are a common conservative treatment for CTS, recommending or self-prescribing a medical device without a professional diagnosis is not the primary preventative or ergonomic tip to offer as general advice.
- Option 3: "Exercise your hands by striking the keys on the keyboard with force."
- Analysis: Striking keys with force increases mechanical stress and repetitive strain on the tendons in the carpal tunnel, which would worsen CTS symptoms.
- Option 4: "Position the keyboard slightly lower than your elbows."
- Analysis: This is a standard ergonomic recommendation. Keeping the keyboard slightly lower than elbow height allows the wrists to remain in a neutral, straight position rather than being extended or flexed, which minimizes pressure on the median nerve in the carpal tunnel.
- Option 5: "Try to get all of your computer work done at once, so that you can then rest your wrists."
- Analysis: Working continuously without breaks increases repetitive strain. Frequent, short micro-breaks are much better for preventing and managing CTS.
Determine the best recommendation
Positioning the keyboard slightly lower than the elbows is a highly effective, safe, and standard ergonomic tip that helps maintain a neutral wrist posture, directly reducing the risk and symptoms of carpal tunnel syndrome.
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- (A) "Don't tell the physician; if they find out you have CTS, you may lose your position."
- (B) "Wear a splint on the hand and forearm."
- (C) "Exercise your hands by striking the keys on the keyboard with force."
- (D) "Position the keyboard slightly lower than your elbows." (Correct answer)
- (E) "Try to get all of your computer work done at once, so that you can then rest your wrists."