Podcast
Questions and Answers
What is the goal of rehabilitation?
What is the goal of rehabilitation?
To restore the person to the highest possible level of functioning.
What is the goal of restorative care?
What is the goal of restorative care?
To keep the resident at the level achieved by rehabilitation.
The NA should ignore any setbacks a resident has so he doesn't become discouraged.
The NA should ignore any setbacks a resident has so he doesn't become discouraged.
False (B)
All residents will enjoy being encouraged in an obvious way.
All residents will enjoy being encouraged in an obvious way.
The NA should do everything for the resident, rather than having him try to do it himself; this will help speed up recovery.
The NA should do everything for the resident, rather than having him try to do it himself; this will help speed up recovery.
The NA should not report any decline in a resident's ability because all residents in restorative care will have a decline in ability.
The NA should not report any decline in a resident's ability because all residents in restorative care will have a decline in ability.
Tasks should be broken down into small steps.
Tasks should be broken down into small steps.
It is important for the NA to report any signs of depression or mood changes in a resident.
It is important for the NA to report any signs of depression or mood changes in a resident.
What problems can result from inactivity and immobility? (Select all that apply)
What problems can result from inactivity and immobility? (Select all that apply)
What does regular ambulation and exercise help improve?
What does regular ambulation and exercise help improve?
Assistive devices help residents to:
Assistive devices help residents to:
Ambulation is another word for:
Ambulation is another word for:
Safety devices are used to:
Safety devices are used to:
A resident who has some difficulty with balance but can bear weight on both legs should use a:
A resident who has some difficulty with balance but can bear weight on both legs should use a:
When helping a resident who is visually impaired to walk, it is important for the NA to:
When helping a resident who is visually impaired to walk, it is important for the NA to:
Assistive devices with four rubber-tipped feet are called:
Assistive devices with four rubber-tipped feet are called:
When using a cane, the resident should place it on the:
When using a cane, the resident should place it on the:
Observe principles of _________. Remember that ______ is based on straight lines.
Observe principles of _________. Remember that ______ is based on straight lines.
____ or rolled or folded ____ may be needed to support the small of the back and raise the knees or head in supine position.
____ or rolled or folded ____ may be needed to support the small of the back and raise the knees or head in supine position.
Keep body parts in _____
Keep body parts in _____
Natural position of hand:
Natural position of hand:
Use _____ to keep covers from resting on feet in the supine position.
Use _____ to keep covers from resting on feet in the supine position.
Prevent external rotation of the ____. Change _____ often to prevent muscle stiffness and pressure injuries. This should be done at least _____
Prevent external rotation of the ____. Change _____ often to prevent muscle stiffness and pressure injuries. This should be done at least _____
Phantom limb pain is not real pain and doesn't need to be reported to the nurse.
Phantom limb pain is not real pain and doesn't need to be reported to the nurse.
Prosthesis is:
Prosthesis is:
Prosthesis are relatively inexpensive and are easy to replace.
Prosthesis are relatively inexpensive and are easy to replace.
Artificial eyes should be rinsed in rubbing alcohol to prevent infection.
Artificial eyes should be rinsed in rubbing alcohol to prevent infection.
If a prosthesis is broken, it is best for the NA to try and repair it before telling the nurse.
If a prosthesis is broken, it is best for the NA to try and repair it before telling the nurse.
When observing the skin on the stump, it is important that the NA checks for signs of:
When observing the skin on the stump, it is important that the NA checks for signs of:
Supination is:
Supination is:
Flexion is:
Flexion is:
Dorsiflexion is:
Dorsiflexion is:
Pronation is:
Pronation is:
Abduction is:
Abduction is:
Extension is:
Extension is:
Rotation is:
Rotation is:
Adduction is:
Adduction is:
Opposition is:
Opposition is:
In what order should the NA perform range of motion exercises?
In what order should the NA perform range of motion exercises?
If the resident reports pain during range of motion exercises, the NA should:
If the resident reports pain during range of motion exercises, the NA should:
How many times should each range of motion exercise be repeated?
How many times should each range of motion exercise be repeated?
Residents may need help to restore their _____ and _____
Residents may need help to restore their _____ and _____
Wear ____ when handling body wastes.
Wear ____ when handling body wastes.
Explain the ____ to the resident. Keep a record ____ and _____
Explain the ____ to the resident. Keep a record ____ and _____
Encourage plenty of ___ and food that are high in ____
Encourage plenty of ___ and food that are high in ____
Provide ___ for elimination, both in bed and bathroom.
Provide ___ for elimination, both in bed and bathroom.
Help with ____ which can prevent skin breakdown.
Help with ____ which can prevent skin breakdown.
Discard ______ and _____ briefs properly.
Discard ______ and _____ briefs properly.
Praise ___ and ____ to control bladder and bowels.
Praise ___ and ____ to control bladder and bowels.
Never show _____ or ____ toward a resident who is incontinent.
Never show _____ or ____ toward a resident who is incontinent.
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Study Notes
Rehabilitation and Restorative Care
- Goal of rehabilitation: restore highest level of functioning for individuals.
- Objective of restorative care: maintain the level achieved post-rehabilitation.
Encouragement and Setbacks
- Setbacks in a resident's abilities should not be ignored; they are important to address.
- Not all residents may respond positively to overt encouragement.
Resident Independence
- Care assistants should promote resident participation in daily activities rather than doing everything for them, as it aids in recovery.
- Reporting any decline in a resident's abilities is crucial, as not all residents in restorative care experience decline.
Task Management
- Breaking tasks into small steps is effective for enhancing resident engagement and success.
- It’s vital to report any signs of depression or mood changes in residents.
Effects of Inactivity
- Inactivity can lead to numerous issues, including loss of self-esteem, anxiety, and physical complications like pneumonia and muscle atrophy.
Benefits of Mobility
- Regular ambulation and exercise enhance skin quality, circulation, strength, mood, and digestion.
Assistive Devices
- Assistive devices, like walkers and canes, are essential for helping residents with their Activities of Daily Living (ADLs).
- A walker is suited for residents with balance difficulties who can bear weight.
Walking Assistance
- When assisting the visually impaired, the caregiver should walk slightly behind the resident for safety.
Body Positioning and Care
- Proper body alignment is essential; keep body parts in a natural position.
- Pillows or rolled blankets may be used for support in bed, ensuring comfort and prevention of stiffness.
Skin and Prosthesis Care
- Observing skin on a stump for breakdown is critical; report any issues.
- Phantom limb pain should not be dismissed; it requires reporting.
- Prostheses are not cheap or easily replaceable, and must be treated with care.
Body Movements
- Supination: palm facing up; Pronation: palm facing down.
- Flexion: bending a joint; Extension: straightening a joint.
- Dorsiflexion: bending the hand/foot backward; Abduction: moving limb away from the midline; Adduction: moving limb towards midline.
Range of Motion (ROM) Exercises
- Start ROM exercises from shoulders, proceeding downward; repeat each exercise at least three times.
- Stop exercises immediately if a resident reports pain and notify the nursing staff.
Bowel and Bladder Management
- Assistance may be required for residents to restore their routine and normal function.
- Provide privacy for elimination processes and encourage adequate fluid and fiber intake for health.
Incontinence Care
- Show empathy and avoid frustration towards residents facing incontinence; praise successes and efforts to manage their condition.
- Proper disposal of clothing protectors and incontinence briefs is necessary for hygiene.
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