You receive a prescription that says 1/2 inch heel elevation right foot. After assessment, you find the left leg is shorter than the right. What do you do?

When faced with a prescription that specifies a specific heel elevation measurement, while also noting a significant discrepancy in limb lengths, it becomes crucial to address the findings from the assessment before proceeding. Calling the prescriber to discuss the findings allows for clarification and potentially adjusting the treatment plan. This collaborative approach ensures that all aspects of the patient's condition are taken into account, maintaining patient safety and the effectiveness of the treatment.

In this scenario, it is important to consider that a half-inch elevation on the right foot without addressing the left leg's shorter length might lead to imbalances or exacerbation of any existing conditions. Open communication with the prescriber can lead to a more appropriate and effective solution, such as adjusting the heel elevation or considering alternative interventions.

Other options, such as filling the prescription as written or elevating the left shoe, do not take into account the overall assessment of the patient. Sending a patient to an orthopedic surgeon may be excessive at this stage, especially when the current treatment can be adjusted through communication with the prescriber. Thus, engaging in a dialogue to rectify any discrepancies between the prescription and assessment findings is the most prudent course of action.