1 / 19

Chapter Eighteen

Chapter Eighteen. Rehabilitation and Restorative Care. Understanding Rehabilitation and Restorative Concepts. Rehabilitation The process of teaching individuals to achieve their highest level of independent function Used by older adults for strokes and arthritis

kimi
Download Presentation

Chapter Eighteen

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Chapter Eighteen Rehabilitation and Restorative Care

  2. Understanding Rehabilitation and Restorative Concepts • Rehabilitation • The process of teaching individuals to achieve their highest level of independent function • Used by older adults for strokes and arthritis • Rehabilitation care is multidisciplinary • Initiated after an extensive assessment • Health-care team works with person and his or her family to develop goals

  3. Understanding Rehabilitation and Restorative Concepts • Rehabilitation • Determination of care environment determined by family support, environmental safety, insurance reimbursement, access to rehabilitation team • Restorative care • Initiated after individual has reached rehabilitation goals • Nursing staff assists individual as needed • Allow person plenty of time to complete task

  4. Nursing Roles • Bedside caregiver • Provide direct care until older adult is able to perform self-care • Provide positive reinforcement, encouragement, hope

  5. Nursing Roles • Educator • Provide information to older adults and their families about disability, treatment, and management • Education plan includes health measures to obtain and retain function

  6. Nursing Roles • Counselor • Assist older adults in solving and effectively coping with their problems • Ongoing process that requires supportive behaviors

  7. Nursing Roles • Advocate • Use your influence and power to bring about positive changes for older adult and his or her family • Case manager • Work with health-care team as central figure • Resolve actual problems and prevent potential problems

  8. Nursing Roles • Researcher • Work with nurse researcher to gather data to improve rehabilitation and restorative care

  9. Goals of Rehabilitation and Restorative Concepts • A goal is a written statement of desired outcomes • Strategies are developed to reach the goal • Goals provide direction • Individual is assessed to determine realistic goals • Changes must be noted in three areas • Physical, functional, and psychological

  10. Goals of Rehabilitation and Restorative Concepts • Physical changes • Identify changes in health status as well as current health issues • Functional changes • Result from changes in social and environmental situations • Psychological changes • Important to identify because of impact on motivation

  11. Developing Goals • Complete full nursing assessment with RN • Physical assessment • Functional assessment • Mental assessment • Spiritual assessment • Analyze information as team and prioritize goals • Follow principles of holistic nursing care

  12. Implementing Goals • Maintenance of joints • Prevention of deformities • Active exercise • Improve function and performance • Bladder continence • Initiate bladder training programs when appropriate

  13. Implementing Goals • Bowel continence • Initiate bowel training programs when appropriate • Appropriate sexual expression • Build in time for partners to have privacy • Offer sense of touch • Psychological and spiritual well-being • Communication, increase in self-esteem and self-concept

  14. Assessment of Goals • Goals are assessed at intervals • Progress towards goals is documented • Goals specific to elderly population • Improvement of function • Live independently, perform ADLs and IADLs, have self-care capabilities

  15. Assessment of Goals • Goals specific to elderly population (cont.) • Delay of deterioration • Prevent decline in abilities • Include physical and psychological • Accommodation of dysfunction • Assist person in dealing with his or her dysfunction • Nurse must listen attentively and actively

  16. Assessment of Goals • Goals specific to elderly population (cont.) • Comfort in the dying process • Provide comfort measures and palliative care

  17. Clinical Implications • Walking programs • Walking is excellent physical activity for older adults • Good foot care is important • Develop walking programs incorporating assistive devices as needed • Walk 20–30 minutes three times a week

  18. Clinical Implications • Continence training • Indwelling catheter IS NOT effective bladder management • Establish regular time schedule for emptying bladder • Increase person’s fiber and fluid intake • Enemas should be used only in emergencies

  19. Clinical Implications • Feeding and self-feeding programs • Nasogastric feedings may be needed initially • Manual assistance is maintained until person can self-feed • Self-promoting behaviors • Allow time for person to independently perform personal care • Assistive devices may be needed

More Related