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Restorative Care
Question | Answer |
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Rehabilitation | care that is given by specialists to help restore or improve function after an illness or injury. |
Restorative care | care given after rehabilitation to maintain a person's function, improve his quality of life and increase his independence. |
Rehabilitation seeks to move the resident from | Illness to health Disability to ability Dependence to independence |
The goals of rehabilitation include the following | Help resident regain function or recover from illness Develop and promote a resident’s independence |
When CNA is assisting with Rehabilitation and Restorative Care | Be patient. Be positive and supportive. Focus on small tasks and small accomplishments. Recognize that setbacks occur. Encourage independence. |
NAs should observe for and report the following signs and symptoms during rehabilitation and restorative care | Increase or decrease in abilities Change in attitude or motivation Change in general health Signs of depression or mood changes |
Lack of mobility can cause these problems | Loss of self-esteem, Depression and anxiety Pneumonia Urinary tract infection Skin breakdown and pressure injuries Constipation Blood clots, Muscle atrophy, Contractures |
Ambulation | walking. |
Ambulatory | capable of walking. |
Assistive/adaptive devices | special equipment that helps a person who is ill or disabled to perform activities of daily living. |
Before helping a resident to ambulate you should always | check the care plan before helping a resident to ambulate. |
NAs should remember these guidelines for cane or walker use | Make sure resident is wearing nonskid footwear. Resident should place cane on stronger side. placed cane six inches in front of resident. Stay near resident on weaker side. Report to nurse if cane or walker seems to be the wrong height |
amputation | the surgical removal of some or all of a body part, usually a hand, arm, leg, or foot. |
Phantom sensation | warmth, itching, or tingling in a body part that has been amputated. |
Dorsiflexion | bending backward. |
Rotation | turning a joint. |
Extension | straightening a body part. |
Flexion | bending a body part. |
pronation turning downward. | pronation turning downward. |
supination turning upward. | supination turning upward. |
opposition touching the thumb to any other finger. | opposition touching the thumb to any other finger. |
When assisting with bladder or bowel retraining it is important to | Offer a bedpan or a trip to the bathroom before long procedures. Encourage plenty of fluids. Answer call lights promptly. Assist with careful perineal care. |
Which of the following observations about restorative care should be reported to the nurse? | Signs of depression |
Which of the following statements is true of a nursing assistant’s role in restorative care? | The NA should recognize that setbacks occur and reassure the resident. |
Regular activity and exercise help improve | The quality and health of the skin |
When a resident can walk, he or she is | Ambulating |
Bending a body part is called | Flexion |
Passive range of motion exercises are done | When a resident cannot move on her own |
Which of the following terms refers to the type of ROM exercises that a resident does on his own, without any help from the NA? | Active range of motion (AROM) exercises |
Which of the following is an example of a prosthesis? | An artificial eye to replace an eye that has been lost |
Which of the following is a guideline for assisting with bladder or bowel retraining? | NAs should encourage residents to drink plenty of fluids. |
How many times should each range of motion exercise be performed for each body part? | At least three times |
How should a resident use a cane to aid ambulation? | ) Place the cane about six inches in front of his stronger leg. |
What should an NA do if a resident’s walker seems too short for the resident to use properly? | The NA should inform the nurse. |