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.
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The NA should do everything for the resident, rather than having him try to do it himself. Doing this will help speed recovery.
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The NA should not report any decline in a resident's ability because all residents in restorative care will have a decline in ability.
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Tasks should be broken down into small steps.
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It is important for the NA to report any signs of depression or mood changes in a resident.
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List nine problems that can result from inactivity and immobility.
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What does regular ambulation and exercise help improve?
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Assistive devices help residents to:
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Ambulation is another word for:
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Supportive devices are used to assist residents with:
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Safety devices are used for:
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A resident who has some difficulty with balance but can bear weight on both legs should use a:
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When helping a visually-impaired resident walk, it is important for the NA to:
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Which of the following assistive devices for walking has four rubber-tipped feet?
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When using a cane, the resident should place it on his _______ side.
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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.
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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.
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Prevent external rotation of ____. Change _________ often to prevent muscle stiffness and pressure ulcers. This should be done at least every ___ hours.
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Phantom limb pain is not real pain so it does not need to be reported to the nurse.
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Prostheses are relatively inexpensive and are easy to replace.
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A prosthesis is a device that replaces a body part that is missing or deformed because of an accident, injury, illness, or birth defect.
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Artificial eyes should be rinsed in rubbing alcohol to prevent infection.
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If a prosthesis is broken, it is best for the NA to try to repair it before telling the nurse about it.
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When observing the skin on the stump, it is important that the NA check for signs of skin breakdown caused by pressure and abrasion.
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In what order should the NA perform ROM exercises?
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If a resident reports pain during ROM exercises, the NA should:
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How many times will the NA repeat each exercise while assisting with range of motion?
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Residents may need help to restore regular _______ and _____________
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Wear ______ when handling body wastes.
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Explain the training ________ to the resident. Keep a ______ of bladder and bowel habits.
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Encourage plenty of ______ and foods that are high in _____
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Provide _______ for elimination, both in the bed and bathroom.
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Help with ________ care, which can prevent skin breakdown.
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Discard clothing __________ and ____________ briefs properly.
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Praise _________ and ____________ to control bladder and bowels.
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Never show ___________ or _____ toward an incontinent resident.
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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.
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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.
