Questions and Answers
What is the goal of rehabilitation?
To restore the person to the highest possible level of functioning.
Which care team member establishes the goals of care for rehabilitation?
A doctor
What is the goal of restorative care?
To keep the resident at the level achieved by rehabilitation.
Rehabilitation will be used for many residents, but particularly for those who have suffered what three accidents?
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Why are nursing assistants a very important part of the restorative care team?
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The nursing assistant should ignore any setbacks a resident experiences so she does not become discouraged.
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All residents will enjoy being encouraged in an obvious way.
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The nursing assistant 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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Family members and residents will take cues from the nursing assistant on how to behave.
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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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When a resident is demanding or irritating, the NA can unplug his call light until his attitude improves.
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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
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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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Observe principles of ________. Remember that proper alignments 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 _________ frequently to prevent muscle stiffness and pressure ulcers. This should be done at least every _____ hours.
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When cleaning the eye after an artificial eye is removed, the NA should wipe gently from the outer area towards the inner area.
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Prosthesis are relatively inexpensive and are easy to replace.
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Artificial eyes are held in place by a special type of glue.
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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 defects.
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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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What is active assisted range of motion (AAROM)?
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What are Active Range of Motion (AROM) exercises?
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What are Passive Range of Motion (PROM) exercises?
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What are Range of Motion (ROM) exercises?
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In what order should the NA perform ROM?
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If a resident reports pain during ROM exercises, what should the NA do?
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How many times will the NA repeat each exercise while assisting with range of motion exercises?
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What can deep breathing exercises help?
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Study Notes
Rehabilitation Goals
- Aim to restore individuals to their highest possible level of functioning.
- Key team member for goal establishment is a doctor.
Restorative Care
- Focuses on maintaining the level of ability achieved through rehabilitation.
Target Residents for Rehabilitation
- Primarily used for residents recovering from strokes, accidents, or trauma.
Role of Nursing Assistants
- Essential in restorative care due to their extensive time spent with residents.
- Notable responsibilities include monitoring progress and reporting any declines or mood changes.
- Encouragement should be subtle, as residents have different preferences.
Handling Setbacks and Challenges
- Ignoring setbacks is discouraged; it's crucial to address challenges faced by residents.
- Tasks should be divided into small steps to aid understanding and execution.
Inactivity Concerns
- Risks associated with inactivity include:
- Loss of self-esteem
- Depression
- Pneumonia
- Urinary tract infections
- Constipation
- Blood clots
- Dulling of senses
- Muscle atrophy
- Contractures
Benefits of Exercise
- Regular ambulation and exercise enhance:
- Circulation
- Strength
- Mood
- Self-esteem
- Appetite
- Elimination functions
- Blood flow and oxygen levels
- Skin health
- Sleep quality
Assistive and Supportive Devices
- Assistive devices help residents perform activities of daily living (ADLs).
- Supportive devices facilitate safe ambulation.
- Safety devices are crucial in accident prevention.
Principles of Body Alignment
- Proper alignment is vital for resident comfort; pillows or blankets may be used to support the body appropriately.
- Encourage natural positions to prevent stiffness and promote circulation.
Skin and Stump Care
- Regular evaluations of skin integrity on stumps are necessary to prevent breakdown from pressure.
- Eye cleaning direction after artificial eye removal is important; outer area should be wiped towards the outer area, not inner.
Prosthetics and Artificial Eyes
- Prostheses are complex, costly devices that replace missing or deformed body parts.
- Artificial eyes are not held in place with glue and should not be cleaned with rubbing alcohol.
Range of Motion Exercises
- Active Assisted Range of Motion (AAROM): assisted exercises performed by residents.
- Active Range of Motion (AROM): exercises carried out independently by residents.
- Passive Range of Motion (PROM): exercises for residents unable to move independently.
- The order of exercises should begin from the head and progress downward.
- Report any pain experienced by residents during ROM exercises, and repeat each exercise at least three times.
Importance of Deep Breathing
- Deep breathing exercises are beneficial for:
- Lung extension
- Mucus clearance
- Infection prevention (e.g., pneumonia)
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Description
Test your understanding of key concepts in rehabilitation and restorative care with these flashcards. This quiz focuses on important goals, team roles, and definitions essential for effective patient care. Perfect for students studying healthcare or professionals looking to refresh their knowledge.
