Podcast Beta
Questions and Answers
What is the goal of rehabilitation?
To restore the person to the highest possible level of functioning.
What is the goal of restorative care?
To keep the resident at the level achieved by rehabilitation.
The nursing assistant should ignore any setbacks a resident has so he does not become discouraged.
False
All residents will enjoy being encouraged in an obvious way.
Signup and view all the answers
The NA should do everything for the resident, rather than having him try to do it himself. Doing this will help speed recovery.
Signup and view all the answers
The NA should not report any decline in a resident's ability because all residents in restorative care will have a decline in ability.
Signup and view all the answers
Tasks should be broken down into small steps.
Signup and view all the answers
It is important for the NA to report any signs of depression or mood changes in a resident.
Signup and view all the answers
List nine problems that can result from inactivity and immobility.
Signup and view all the answers
What does regular ambulation and exercise help improve?
Signup and view all the answers
Assistive devices help residents to:
Signup and view all the answers
Ambulation is another word for:
Signup and view all the answers
Supportive devices are used to assist residents with:
Signup and view all the answers
Safety devices are used for:
Signup and view all the answers
A resident who has some difficulty with balance but can bear weight on both legs should use a:
Signup and view all the answers
When helping a visually-impaired resident walk, it is important for the NA to:
Signup and view all the answers
Which of the following assistive devices for walking has four rubber-tipped feet?
Signup and view all the answers
When using a cane, the resident should place it on his _______ side.
Signup and view all the answers
Observe principles of ________. Remember that proper alignment is based on a straight _____________________ or rolled or folded ________ may be needed to support the small of the back and raise the knees or head in the supine position.
Signup and view all the answers
Keep body parts in natural _________ in a natural hand position, the fingers are slightly ______. Use __________ to keep covers from resting on feet in the supine position.
Signup and view all the answers
Prevent external rotation of ____. Change _________ often to prevent muscle stiffness and pressure ulcers. This should be done at least every ___ hours.
Signup and view all the answers
Phantom limb pain is not real pain so it does not need to be reported to the nurse.
Signup and view all the answers
Prostheses are relatively inexpensive and are easy to replace.
Signup and view all the answers
A prosthesis is a device that replaces a body part that is missing or deformed because of an accident, injury, illness, or birth defect.
Signup and view all the answers
Artificial eyes should be rinsed in rubbing alcohol to prevent infection.
Signup and view all the answers
If a prosthesis is broken, it is best for the NA to try to repair it before telling the nurse about it.
Signup and view all the answers
When observing the skin on the stump, it is important that the NA check for signs of skin breakdown caused by pressure and abrasion.
Signup and view all the answers
In what order should the NA perform ROM exercises?
Signup and view all the answers
If a resident reports pain during ROM exercises, the NA should:
Signup and view all the answers
How many times will the NA repeat each exercise while assisting with range of motion?
Signup and view all the answers
Residents may need help to restore regular _______ and _____________
Signup and view all the answers
Wear ______ when handling body wastes.
Signup and view all the answers
Explain the training ________ to the resident. Keep a ______ of bladder and bowel habits.
Signup and view all the answers
Encourage plenty of ______ and foods that are high in _____
Signup and view all the answers
Provide _______ for elimination, both in the bed and bathroom.
Signup and view all the answers
Help with ________ care, which can prevent skin breakdown.
Signup and view all the answers
Discard clothing __________ and ____________ briefs properly.
Signup and view all the answers
Praise _________ and ____________ to control bladder and bowels.
Signup and view all the answers
Never show ___________ or _____ toward an incontinent resident.
Signup and view all the answers
Study Notes
Rehabilitation and Restorative Care Goals
- Rehabilitation aims to restore individuals to their highest functional level.
- Restorative care focuses on maintaining the improvements achieved through rehabilitation.
Nursing Assistant Responsibilities
- Setbacks in a resident's progress should be acknowledged rather than ignored.
- Individual encouragement techniques should be tailored; not all residents prefer overt encouragement.
- Nursing assistants should promote independence by encouraging residents to perform tasks themselves.
- It is crucial to report any declines in a resident’s abilities, even if some decline is expected.
Task Management and Reporting
- Breaking tasks into smaller, manageable steps aids resident understanding and success.
- Reporting signs of mood changes or depression in residents is vital to their overall care.
Health Risks Associated with Inactivity
- Inactivity can lead to:
- Loss of self-esteem
- Depression
- Pneumonia
- Urinary tract infections
- Constipation
- Blood clots
- Dulling of the senses
- Muscle atrophy
- Contractures
Benefits of Ambulation and Exercise
- Regular ambulation and exercise improve various aspects of health, including:
- Circulation
- Strength
- Mood
- Self-esteem
- Appetite
- Elimination
- Blood flow
- Oxygen levels
Assistive Devices and Safety
- Assistive devices facilitate residents' independence in Activities of Daily Living (ADLs).
- Ambulation refers to walking, and supportive devices aid in this process.
- Safety devices are essential for preventing accidents during mobility activities.
- A walker is suitable for residents with balance difficulties who can bear weight on both legs.
- For visually impaired residents, it’s important to guide them by walking slightly behind them for safety.
Cane Usage and Alignment Principles
- A cane features four rubber-tipped feet and should be used on the stronger side of the body.
- Maintaining proper alignment is crucial; a straight line can be supported with pillows or rolled blankets.
- Body parts should be kept in natural positions to promote comfort and prevent complications.
Stump and Prosthetic Care
- Phantom limb pain must be reported, as it is genuine discomfort experienced by some amputees.
- Prosthetic devices can be expensive and challenging to replace; care is necessary to maintain them.
- To prevent skin breakdown on a stump, check for pressure and abrasion signs regularly.
Range of Motion (ROM) Exercises
- Start ROM exercises from the shoulders and move downward through the body.
- If a resident experiences pain during exercises, halt the activity immediately and notify the nurse.
- Each exercise should be repeated at least three times to maximize benefits.
Maintaining Routine and Function
- Support residents in restoring regular routine and normal bodily functions.
- Gloves should be used when handling body wastes to maintain hygiene.
- Keeping a record of bladder and bowel habits can help track progress.
- Encourage fluid intake and a diet rich in fiber to support elimination processes.
Privacy and Respect in Care
- Providing privacy for elimination ensures dignity for the resident, both in bed and the bathroom.
- Perineal care is necessary to prevent skin breakdown and must be handled with sensitivity.
- Clothing protectors and incontinence briefs should be disposed of properly to maintain cleanliness.
- Successes and efforts in managing bladder and bowel control should be praised to encourage residents.
- Displaying frustration or anger towards incontinent residents is unacceptable; respectful communication is vital.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge on the goals of rehabilitation and restorative care with these flashcards. Understand the key concepts that assist in patient recovery and maintenance of function. Perfect for nursing assistants and healthcare students.