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Rehabilitative / Restorative Care. Terminology Active range of motion Adaptive Restorative care Bed cradle Foot board Fleece pad Egg-crate mattress. Terminology #2. Flotation pad Trochanter rolls Heel protector / elbow protector Assistive devices Passive range of motion

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rehabilitative restorative care
Rehabilitative / Restorative Care
  • Terminology
    • Active range of motion
    • Adaptive
    • Restorative care
    • Bed cradle
    • Foot board
    • Fleece pad
    • Egg-crate mattress
terminology 2
Terminology #2
  • Flotation pad
  • Trochanter rolls
  • Heel protector / elbow protector
  • Assistive devices
  • Passive range of motion
  • Active-assistive range of motion
terminology 3
Terminology #3
  • Disability
  • Atrophy
  • Alternating pressure mattress
  • Activities of daily living
  • Pressure sores
  • Independence
  • Ambulation
  • Joint
  • Water bed
terminology 4
Terminology #4
  • Stasis pneumonia
  • Thrombophlebitis
  • TCDB
  • Phlebitis
  • Embolism
  • Hemiplegia
terminology 5
Terminology #5
  • Quadriplegia
  • Paralysis
  • Paraplegia
  • Clinitron bed
  • Contractures
  • Decubiti
discuss rehabilitation
Discuss rehabilitation
  • Disability: a physical and/or mental condition which interferes with meeting basic human needs
  • Effects of disability:
  • Feeling of loss
  • Damage to self-image
  • Loss of self-esteem
discuss rehabilitation 2
Discuss rehabilitation #2
  • Restorative care: helps disabled individuals return to their highest possible level of physical and psychological functioning
  • Helps person adjust to the disability
  • Emphasizes abilities
  • Prevents complications
state goals of restorative care
State goals of restorative care
  • Physical goals
    • Maintain present level of function
    • Improve physical function
    • Encourage independence
  • Psychosocial goals
    • Adjust to psychosocial effects of disability
    • Stabilize economic resources
rehabilitation team role of the nurse assistant
Rehabilitation team / Role of the nurse assistant
  • Purpose:
  • Discuss and evaluate resident level of functioning
  • Establish resident’ care plan and goals for rehabilitation
  • Evaluate progress
  • Restore the resident to his/her optimal level of functioning
members of the team
Members of the team
  • Resident
  • Family members
  • Nurse assistant
  • Licensed nursing staff
  • Physical therapist
  • Occupational therapist
members of the team 2
Members of the team #2
  • Physician
  • Activity leader
  • Social worker
  • Clergy
  • Dietitian
nurse assistant responsibilities rehabilitation
Nurse Assistant Responsibilities/Rehabilitation
  • Participate in resident care plan conference
  • Observe and report responses to care
  • Follow the resident’s care plan
  • Encourage to follow the plan
  • Observe and report early signs and symptoms of complications
nurse assistant responsibilities resident care
Nurse assistant Responsibilities/Resident Care
  • Protect resident rights
  • Ensure safety
  • Communicate therapeutically
  • Adhere to legal and ethical principals
  • Follow instructions of immediate supervisor
  • Report changes in resident conditions
nurse assistant responsibilities 2
Nurse assistant responsibilities #2
  • Practice appropriate and effective nursing care
  • ROM training plan for resident self care
  • Encourage resident independence
  • Concentrate on resident’s abilities
  • Protect resident from abuse
activities of daily living
Activities of Daily Living
  • Activities of Daily Living (ADL’S)
    • Daily hygiene
    • Grooming
    • Eating
    • Self-care activities necessary for normal functioning in society
activities of daily living 2
Activities of Daily Living #2
  • Examples:
    • Grooming
    • Dressing
    • Feeding
    • Hygiene
    • Elimination – bowel and bladder
    • Mobility/ambulation
    • Self-turning and positioning
comfort devices and their purposes
Comfort devices and their purposes
  • Bed board
  • Footboard
  • Trochanter roll
  • Handroll
  • Bed cradle
  • Trapeze
  • Sheepskin
comfort devices and their purposes 2
Comfort devices and their purposes #2
  • Heel/elbow protectors
  • Flotation pads
  • Egg crate mattress
  • Water bed
  • Alternating pressure mattress
  • Pillows
adaptive self help devices
Adaptive/self-help devices
  • Eating utensils
  • Hygiene and grooming aides
  • Promote independence
  • Artificial limbs and eyes
  • Casts and splints
complications from inactivity
Complications from inactivity
  • Types
    • Respiratory
    • Circulatory
    • Musculo-skeletal
    • Integumentary
    • Gastro-intestinal
    • Genito-urinary
    • psychosocial
complications from inactivity 2
Complications from inactivity #2
  • Causes
    • Bed rest
    • Prolonged illness
    • Recovery from injury
    • Surgery
complications from inactivity 3
Complications from inactivity #3
  • Preventive methods
    • Turning/repositioning
    • TCDB
    • Body alignment
    • Rang of motion
    • Supportive devices
    • Skin care
complications from inactivity 4
Complications from inactivity #4
  • Encouraging independence
  • Toileting
  • Bowel and bladder training
  • Elastic stockings
range of motion exercises
Range of Motion Exercises
  • Purpose
    • Maintain muscle strength
    • Stimulate circulation
    • Maintain body alignment and make positioning easier
    • Prevent thrombophlebitis
    • Prevent contractures
range of motion exercises 2
Range of Motion Exercises #2
  • Frequency
    • At least three times each day
    • As indicated in the care plan
range of motion exercises 3
Range of Motion Exercises #3
  • Techniques
    • Active ROM
    • Passive ROM
    • Active assistive ROM
range of motion exercises 4
Range of Motion Exercises #4
  • General rules to avoid injury
    • Exercise correct joint
    • Avoid unnecessary exposure
    • Use good body mechanics
    • Fully support each extremity
    • Move join slowly, smoothly, gently
range of motion exercises 5
Range of Motion Exercises #5
  • Do not force the joint to move past the pint of discomfort
  • Do not cause pain
  • Report complaint of pain to the licensed nurse
promoting mobility
Promoting Mobility
  • Procedures
    • Transfer techniques
    • Gait training
    • Training in self-transfer techniques
    • Use of gait belt for ambulation
promoting mobility 2
Promoting Mobility #2
  • Assistive devices
    • Cane
    • Walker
    • Wheelchair
    • Transfer board
promoting mobility 3
Promoting Mobility #3
  • Braces, splints and prostheses
  • Seeing eye dog
  • Braille
  • Modifications to accommodate wheelchair access
  • Disabled parking
self esteem and family involvement
Self-esteem and Family involvement
  • Basic needs as defined by Maslow
    • Love/belonging/affiliation needs
    • The need for self-esteem
    • The need for self-actualization
self esteem and family involvement 2
Self-esteem and Family involvement #2
  • Methods
    • Promote interaction
    • Treat resident/family with respect and dignity
    • Be supportive
    • Encourage independence
    • Use a positive approach to restorative plan