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CRRN
certification exam
| Question | Answer |
|---|---|
| FIM ** What does it stand for? | Functional Independence Measure Global measure burden of care |
| Wee FIM ** | Pediatric outcomes: 3 domains: (self-care, mobility, social) children: 6mo-7yr |
| FIM: ** How many questions? | 18 questions (13 motor, 5 cognitive) 1-7; 7=independent *always pick the lowest score |
| Patient Evaluation and Conference System (PECS) | Global Measure Comprehensive, Interdiscliplinary 76 functions (1-7; 7=independent) |
| PULSES | Global Measure P: physical condition, U: upper extremity, L: lower extremity, S: Sensory, E: excretory function, S: social and mental status |
| Functional Assessment Measure (FAM) | Global measure *Adjunct to FIM for Brain Injury cognitive, behavioral, communication, & community functioning 12 questions (1-7), |
| Barthel Index ** | ADL measure-Stroke Treatment 10 domains: feeding, transferring, grooming, toileting, bathing, mobility, stairs, bowel, and bladder control (0-100; 100=total independence) popular in Europe |
| Kenny Self-Care Evaluation | ADL measure 6 Domains: transfers, bed activity, feeding, peronal hygiene, dressing, locomotion 17 activities scored on basis of observation 0-4; 4=total independence |
| Katz Index of Independence in ADL | ADL measure Bathing, |
| QIF: Quadriplegia Index Function | ADL measure Laundry, shopping, preparing meals, using a phone, managing finances |
| CIQ: Community Integration Quest | *measures the effect of primary & secondary handicaps Home and social integration and productive activity 15 questions |
| Craig Handicap Assessment Reporting Technique (CHART) | *measures the effect of primary & secondary handicaps 5 dimensions:27 questions w/ max score for each dimension 100 physical independence, mobility, occupation, social integration, economic self-sufficiency |
| What does CHART (Craig Handicap Assessment Reporting Technique) assess? | Assess reintegration for persons with Spinal Cord Injury |
| HOME: Home Observation for Measurement of the Environment | Quality of child care 45 items Identifies risk of developmental delay due to lack of environmental support in home, actual observation in the home. |
| FRESNO: Functional Evaluation of Sensori-Neurologic outcomes | 45 key functional areas: 5 Domains: self-care, motor, communication, cognition, socialization 196 items |
| Lifeware Assessment Tools | Outpatient Tool, examines physical function, pain, affective well-being, and cognitive functioning |
| FOTO: Focus on Therapeutic Outcomes | Outpatient Tool, efficiency and effectiveness outpatient orthopedic measurement tool |
| Short Form 36 (SF-36) | assesses overall well-being and perception of self reported health |
| OASIS: Outcomes and Assessment Information Set | Home environmental Tool: measures Adult outcomes in Home mandated by HCFA (state) -medicare is based on OASIS 14 care areas: e.g ambulation, med mgt.,phsych & emotional behavior, living arrangement |
| MDS: Minimum Data Set | Ctr for Medicare/caid Services (CMS) Mandated by HCFA for long-term care and sub acute settings Data collection instrument for Prospective Payment Systems (PPS) Based on resource Utilization Groups, Patient info sent for reimbursement |
| Is rehab nursing viewed as a specialty practice? | Yes. Guided by Philosophy, theory and research. |
| Goal of Case MGT? | The provision of high quality, cost-effective healthcare services. |
| Case Management(CM) Certification CRRN | First offered by ARN in 1984 Requires 2 years of Rehab nursing experience |
| Case Management(CM) Certification CCM | 1993 by Commission for Case Manager Certification Requires licensure in professional healthcare and 2 years CM experience |
| Case Management(CM) Certification ANCC | First offered in 1998 by American Nurses Credentialing Center Focused on facilty-based practice RN nure w/ a min. 2y full time work & 2000 hours of practice |
| CM Accreditation and Regulation: Joint Commission | Joint Commission on Accreditation of Healthcare Organization- Discharge planning criteria (1996) |
| CM Accreditation and Regulation: CARF: Commission of Accreditation of Rehabilitation Facilities | 1999 CM is an integral part of rehab care. Coordination, communication, and advocacy |
| CM Accreditation and Regulation: American Health Care Commission/Utilization Reciew Accreditation Commission (1998) | 1998 accredit CM programs that promote innovation and best practices in industry |
| Life Care Plans ** | 1981 introduced to rehab and legal lit. *plan for current & future needs w/ assoc. costs ($$) for ppl who have sustained cat injury or have chronic healthcare needs |
| Multidisciplinary Teams | Composed of specialists from different fields who all communicate re: goals/pt. care. Comm. is vertical rather than lateral Team lead facilitates conferences |
| Interdisciplinary Teams | Whole team works together to identify ways to help pt. reach common goals thru team meetings and going beyond respective disciplines. |
| Transdisciplinary Teams | Choose one team member to be primary caregiver, while others act as consultants. |
| Team learning | Process of aligning and developing the capacity of team to create desired results. |
| Interdisciplinary Teams: potential ethical conflicts btwn members. Why? | 1. Holistic: address med , social, & functional needs 2. Comprehensive in their analysis of cases 3. Diverse in experience, cultural bkgrnd, skills, & perspectives |
| Medicare | Federal Program: for elderly (65+) or ppl who are permanently disabled or residing in a long-term care facility. |
| Madicaid | State Program: low income individuals and families -recipients of Aid to Families (AFDC) -recipients of SSI (Social Security Income) -infants born to medicaid eligible women -pregereds & adoption recipients -certain ppl w/ medicare |
| Workers Comp | worker or families of workers whose death arose -medical coverage, income benefits, rehab & vocational rehab |
| HMO | Health Maintenance Organization HMO-controlled organization |
| PPO | Preferred Provider Organization -purchased health care services from a select group |
| PPS-Prospective Payment System | payment rate is predetermined based on the medical diagnosis regardless of cost |
| Per Diem | payment based on a sum for the day |
| Medicare Payment systems for SNF's | -must be in a hospital for 3 days -can receive services for up to 100 days -payment based on assessment of a minimum data set (MDS) |
| IRFS: Inpatient Rehab Facilities | 3h of therapy/5day/week 75% rule-1 of 13 medical conditions -adjusts payment for outliers |
| LTCH: Long Term Care Hospitals | -care for complex problems -LOS of 25d or more -adjusts payment for outliers |
| HIPAA: Health Insurance Portability & Accountabilities Act | prohibits group insurance plans from exclusionary criteria, I.e. disability, pre-history |
| COBRA: Consolidated Omnibus Budget Reconciliation Act | The right for people to have insurance coverage for 18 months post employment |
| The Economics of Prevention:*** Primary Prevention Secondary Prevention Tertiary Prevention | Primary: supporting or protecting the health and well being of society 2ndary: refers to efforts directed to high risk pop. Tert: effort to max function and min the sequela of an injury or illness. |
| Home Health: medicare payment services | -must be restricted to their home -payment based on OASIS (outcome and assessment info set)(Home environmental Tool: measures Adult outcomes in Home mandated by HCFA (state)) |
| DRG: Diagnosis Related Groups | system for Medicare to help pay hospitals. 500 different diagnosis. grouping program: eg. dx,sex,age... part of PPS |
| 75% Rule | IRF (inpatient Rehab Facilities) must prove that 75% of their patients have 1 of 13 diagnosis otherwise medicare/medicaid do not pay (CA, pul, cardiac rehab do not fall under the dx. These ppl will go to SNFs) |
| Goal of Rehab | improve the quality of life & help pt reach teh fullest potential, team approach,places family and client at center. |
| Modern rehab grew from war. Who was a strong influence in this? | WWI, WwII, Korean, Vietnam Howard Rusk |
| Rehab Act of 1973 | encouraged the employment of disabled |
| What year was ARN formed? | 1974 |
| 1975 Education for All Handicapped Children Act | free education to school age child |
| The Americans with Diabilities Act (ADA)1990 | -public buildings & transportation made accessible to all (disabled) -prevent discrimination in workplace |
| World Health Organization (WHO) 1980 | *developed the International Classification of Impairment, Disability and Handicap **WHO is the directing and coordinating authority for health within the United Nations system. |
| WHO: define Impairment | A loss or abnormality of a psychological phsyiological, or anatomical structure and funcion -organ level |
| WHO: define Disability | A restriction or lack (resulting from an impairment) of ability to perform an activity in the manner or within the range considered normal for a human being -person level |
| WHO: define Handicap | A disadvantage for a given person resulting from impairment or disability that limits or prevents fulfillment of a role that is normal to that person. -societal level |
| Medical Model | physician centered -not consistent w/ rehab model |
| Multidisciplinary Model | -pyramid-like shape -physician on top -communication more vertical -good with unstable team -professionals work in parallel (each works on a goal) |
| Interdisciplinary Model | -Matrix model -lateral communication -decisions are determined by the group -team goal setting*** |
| Transdisciplinary Model | - lead by primary provider (therapist, nurse, or case manager, or etc.) primary provider receives advice from other disciplines |
| Client Centered Care | type of client (pediatric, geriatric, spinal cord, BI, etc) -serve specialized pop. -providers gain expertise in specialty |
| Setting-centered Care | Acute Care Inpatient Day program residential |
| Provider Centered Care | Nursing Model -primary (led by a primary nurse) -functional (tasks are divided, ex. 1 RN hands out meds) Case Mgr: provide high quality, cost effective care |
| Code of Ethics for Nurses (ANA) American Nurses Association | nursing stated its ethical foundation in the Code of Ethics |
| Nursing Social Policy Statement | humans manifest an essential unity of mind, body , and spirit, ex. -health and illness are human experiences. -Both RN and patient are involved -ARN has added 2 more social policy |
| ARN has added 2 more social policy statements to support ANA | 1. Human worth transcends disability 2. rights to decision making |
| ARN definition of Rehab Nursing | the dx and tx of human responses of individuals & groups to actual or potential health problems relative to altered functional ability and lifestyle. |
| ARN's mission for Rehab nursing | to promote rehab nursing thru edu. advocacy, collaboration, and research to enhance the quality of life for those affected by disability and chronic illness |
| Lydia Hall (theorist) | Loeb Center: MD's were consultants Nursing Models *Interlocking circles: 1. Core (person), 2. Care (the body), 3. Cure (disease) *Set Goals with the client *learning creates max. potential |
| Lydia Hall (Nursing Models) 1.Acute Care 2. Rehab | 1. more medical-focus on cure 2. focus on the core (person) |
| Imogene King_ Theorist (1981) name her theory | Goal Attainment |
| Imogene King (1981)-Goal Attainment -name her 3 interacting systems | 1. Personal System (an individual) 2. Interpersonal system (2 or more personal systems 3. Social system (social forces) *person and nurse function in all 3 systems *goals reached thru communication btn rn & client |
| Imogene King (1981)-Goal Attainment Goal of nursing | to interact puposefully w/ clients to mutually establish goals & a means to achieve them. |
| Goal Attainment (I.King) discuss the process | -perceptual congruency -Role congruence -communication *Interpersonal communication btn nurse and client to decide on mutual goals and produce transactions and ***Goal Attainment |
| Dorothea Orem name her theory | Theory of Self Care deficit |
| Theory of Self Care Deficit | Dorothea Orem popular in rehab promotes independence and self care give as much care as needed *you determine how much care is needed and what level. |
| Imogene King name her theory | Goal Attainment |
| Goal Attainment: name the major concepts | open system social, rational, sentient being, concepts: perception, self, growth, and development, body image, time, and space |
| Dorothea Orem (Self Care) Types of deficits: | *universal; basic physiological *developmental * health deviation; changes in health status |
| D. Orem (Self Care) Example self care limitations | decreased knowledge developmental skills resources energy dec. ability to control body movement, attend, sensory, perceptual judgment * unrecognized need |
| When self care demands exceed self-care agency, a self-care deficit occurs | Dorothea Orem: Self Care |
| Knowles' theory of Andragogy | Adult learning: adults need to know why and will take responsibility |
| Doothea Orem: Interventions: self Care | wholly compensatory partially compensatory supportive education self care needs and the ability to meet those needs RN helps balance the two. |
| Martha Rogers: unitary | Science of Unitary Human Beings People are viewed as unified wholes, never sum parts _you are w/ ur environment (integrally) |
| How does Lydia Hall see Person? | a unit of 3 interrelated parts: 1. the person (core) 2. disease & Tx (cure) 3. body (care) people strive for their own goals, behavior is directed more by feelings than knowledge |
| How does King see the person? | An open system; a social, rational, and sentient being; major concepts include perception, self, growth & devlopmennt, body image, time, and space |
| How does Orem see the person? | A unity, functioning biologically, symbolically, and socially, who values self-care |
| How does Rogers see the person? | A unitary human being who cannot separate from environmental knowledge |
| Ethical Theories: Deontologic | right or wrong doesn't depend on the consequences; it is inherent to act |
| Ethical Theories: Personalized | no universal laws; allows the person to choose |
| Ethical Theories: Intuitionist | Uses own morals intuition to decide what is good or bad |
| Ethical Theories: Utilitarian | Actions lead to the good of the group |
| Autonomy | self govern |
| Non-maleficence | Do no harm |
| beneficence | generous, doing good |
| advocacy | public support |
| Veracity | accuracy, truthful |
| Client Fiduciary | client trust |
| Primary Nursing | Promote health and prevent Illness |
| Secondary Nursing | limit disability, early identification and prompt treatment |
| Tertiary Nursing | Decrease disabilities & impairments caused by an illness or injury |
| S. Freud's name his theory | Intrapsychic Theory |
| Intrapsychic theory: Freud Oral phase | (1y): explore thru mouth |
| Intrapsychic theory: Freud Anal phase | *Anal Phase (18m-3y: emlimination |
| Intrapsychic theory: Freud Phallic phase | *Phallic Phase (3-6): individuality, gender roles, societies standards |
| Intrapsychic theory: Freud Latent/genital Phase | (6-12y) latent puberty: genital |
| Interpersonal Theory Sullivan | development based on repeated experiences thru relationships |
| Interpersonal Theory Sullivan 7 stages | 1.Infancy 2. Childhood 3. Juvenille 4. Preadolescence 5. Early aAdolescence 6. Late Adolescence 7. Adulthood |
| Social Learning Theory: Erik Erikson What is the basics | interaction btn parent and child is essential to psychological growth * stages of development; master 1 stage before you can move to the next |
| Name the 8 stages of Social Learning Theory | 1. Trust vs. Mistrust (inf.) 2. Autonomy vs.Shame & Doubt (tod.) 3. Initiative vs.Guilt (pre-s) 4. Industry vs. Inferiority (sch) 5. Identity vs. Role Confusion (teen) 6. Intimacy vs. Isolation 7. Generativity vs. Stagnation 8. Integrity vs. Despa |
| Who developed the Cognitive Theory? | Piaget |
| Name the 4 periods of Cognitive Development | Sensorimotor (0-2) Pre-operational (2-7) Concrete (7-11) Formal Operational (11-15) |
| Who are the 2 behavioral theoriests | Pavlov & Skinner |
| Pavlov's Theory | Classical Conditioning or Pavlovian Conditioning: *induce emotion to a neutral stimulus *internal responses: dog&treat |
| B.F. Skinner's theory | Environmental consequences of behavior theory Operant Conditioning **reinforcement (reward or consequence) *learning *actions *behavior |
| Who developed the Interactional Model? | Schaie |
| Interaction Model What are the basic concepts | development focuses on goodness or poorness of fit (consonance or dissonance) *dev. occurs w/ consonance *progression from dependence to interdependence occurs thru each stage Adaption corresponds w/ the child's chronological age and interest |
| Kohlberg | extends on Piaget's work *males studies only *6 stages of moral development |
| Moral Theories-Kohlberg Stage 1 | 5-6y Punishment & obedience |
| Moral Theories-Kohlberg Stage 2 | 7-10 Instrumental-relativist orientation |
| Moral Theories-Kohlberg Stage 3 | Age early adolescence: Good boy-Nice girl orientation |
| Moral Theories-Kohlberg Stage 4 | Age adolescent to young adult: Law and Order orientation |
| Moral Theories-Kohlberg Stage 5 | Adult age: social contract-legalistic Orientation |
| Moral Theories-Kohlberg Stage 6 | Age adult: A universal ethical principle orientation |
| Moral Theory-Gilligan | extends work of Piaget studied female adolescents broad developmental patterns no stages |
| Gilligan's basic elements of moral judgement | -a definition & development of the self -A description of others in relation to the self -relationships with others |
| Duvall What was his theory? | Family Theory |
| Duvall What are the 8 basic tasks of families? | keep the family together maintain resources division of labor social reproduction structure and order motivation & morale |
| Name Duvall's (Family Theory)'s 8 stages | 1. Marriage 2. Infants 3. Pre-school 4. School Age 5. Teenage 6. Families as launching 7. Families of middle years 8. Families in retirement |
| Stevenson's Family Theory Describe the basics? | 4 stages of family development are based on the couple's relationship over time |
| Name the 4 stages of Stevenson's family development | 1. Emerging Family (1-10y) 2. Cystalizing Family (11-15y) 3. Integrating Family (26-40y) 4. Actualizing Family (>40y) |
| Cranial Nerve 1 | Olfactory-sense of smell |
| CN2 | Optic_sense of sight |
| CN3 | Oculomotor-pupil constriction, dialation |
| CN4 | Trochlear-eye movement |
| CN5 | Trigeminal-facial sensation & mastication |
| CN6 | Abducens-eye movement |
| CN7 | Facial-taste sensation & face expression, sense in ear |
| CN8 | Acoustic-hearing & balance (weber & rinne) |
| CN9 | Glossopharyngeal-taste &swallowing |
| CN10 | Vagus-gag-sense and motor, autonomic functions of the viscera |
| CN11 | Spinal Accessory - head /shoulder movement |
| CN12 | Hypoglossal-tongue movement |
| Glascow Coma Scale | Eye movement, Verbal, Motor 3-15 |
| GCS >13 | LOC <20 minutes Mild |
| GCS 9-12 | LOC >20 min. Moderate |
| GCS <8 | Severe Coma, PVS, MCS |
| Anomia | Inability to name an object (Parietal lobe) |
| Agraphia | inability to locate words for writing (Parietal lobe) |
| Alexia | problems reading (Parietal lobe) |
| Agnosia | difficulty w/ identifying colors Occipital Lobe |
| Prosopagnosia | difficulty recognizing faces (temporal) |
| Wernicke's Aphasia | Receptive aphasia *Temporal Lobe |
| Boca's Aphasia | Expressive Aphasia (Frontal Lobe) |
| Anosognosia | lack of awareness of disability (Parietal Lobe) |
| Normal Swallow Name the steps | Oral phase Oral Propulsive Phase Phayngeal Phase Esophageal Phase |
| Oral Phase of swallowing | bolu formation |
| Oral Propulsive Phase of swallowing | Oral to pharynx (push to back of throat) |
| Pharyngeal Phase of swallowing | soft palate closes to prevent nasal regurg, larynx rises & vocal cords close |
| Esophageal Phase of swallowing | Food moves to stomach |
| Ischemic Stroke-RIND | Reversible Ischemic Neurological Deficit -takes days to clear (TIA is 24h) |
| Maslow's Hierarchy of needs: 5 basic needs that motivate human behavior | 1. Physiologic 2. Safety & Security 3. Love and belonging 4. Self Esteem 5. Self Actualization |
| Stroke: Left Hemispheric Damage | R paresis language deficits aware of deficit depressed slow & cautious |
| Stroke: Right Hemispheric Damage | L paresis visual/spatial deficits unaware of deficit misjudges impulsive cheerful or euphoric short attn span gets lost, spills things |
| Decorticate posturing | arms flexed, fists clenched, legs extended lesion at or above brain stem *better outcome than decerbrate posturing |
| Decerebrate posturing | arms extended, forearms pronated intracranial lesion *worse than decorticate posturing |
| SCI | traumatic insult to the Spinal Cord resulting in alterations of normal motor, sensory, and autonomic function. |
| Tetraplegia | Quad Injury to one of the 8 Cervical segments of the sc |
| Paraplegia | *T12 or below Impairment or loss of motor or sensory function in the thoracic lumbar, or sacral segments, causing impairment in trunk, legs, and pelvic organs *T12 or below |
| Name the vertebral segments & # | Cervical (7) Thoracic (12) Lumbar (5) Sacral (5) |
| What are the leading causes of death for a SCI? | pneumonia, Heart disease. , pulmonary emboli, septicemia |
| Most common levels of injury | C4-5 |
| describe Spinal Shock | -temporary state of reflex depression of cord function occurring after injury -Inc. BP -flaccid paralysis (inlcuding B&B) -lasts several hours to days |
| Neurogenic hock | -hypotension -bradycardia -hypothermia -common in injuries above T6 -need to differentiate between spinal and hypovolemic shock |
| Autonomic Dysreflexia or Hyperreflexia | -medical emergency -injury above T6 (common) -males to females 4:1 -r/t stimulous below injury (B&B, DVT,tight shoes, etc) -s/s: hypertension (20-40 higher than baseline) |
| Upper Motor Neuron (UMN) | lesions above T12-L1 -no relexes below level of injury (LOI) -spastisity -UMN lie within the spinal cord |
| Lower Motor Neuron (LMN) | Injury below T12-L1, conus medullaris, cauda equina) -no reflex arc (babinski) -flaccid paralysis -LMNs branch off from spinal cord - |
| Conus Medullaris Syndrome | damage to the conus and lumbar nerve roots areflexia (flaccidity)in B&B, and lower limbs |
| Cauda Equina Syndrome | Damage below conus to lumbar (sacral nerve roots) -areflexia in B&B, and lower limbs |
| Central Cord Syndrome | cervical damage -loss of motor and sensation that affects upper limbs more than lower limbs |
| Brown-Sequard Syndrome | damage to one side of the cord (hemisection) -loss of motor and position sense on the same side as the damage -loss of pain, temp, & light touch on opposite side |
| Anterior Cord Syndrome | damage to the anterior artery -affects anterior 2/3rds of cord -paralysis and loss of pain/temp. below the lesion -preservation of position sense |
| Skeletal level of injury | stable or unstable -radiographic exam shows the greatest damage |
| Neurological level of injury | most caudal segment with the most normal sensory and motor function on each side of hte body |
| Complete Injury | an absence of motor and sensory function in the lowest sacral segment |
| Incomplete Injury | partial preservation of sense & motor below the neurologic level -includes sacral sensation - |
| ASIA Impairment Scale (1996) | modified version of Frankel Grading System -freguently used scale that reflects severity of impairment |
| ASIA A | Complete: no sensory or motor function preserved in S4-S5 |
| ASIA B | Incomplete: sensory but not motor function below the neurological level and extends thru S4/5 |
| ASIA C | Incomplete: motor function preserved below the neurological level -muscles are grade 3 or lower` |
| ASIA D | Incomplete: motor function preserved below the neurological level -muscles are grade 3 or higher |
| ASIA E | normal: normal sensory and motor function |
| Sensory Impairment Scale Scores: | 0=absent 1=impaired 2=normal NT= not tested |
| Other tests for SCI | -Motor Grading Scale -Spinal Cord Independence Scale Measure (16 items) -Quadriplegic Index of Function -Modified Barthel Index (15 items) |
| Spinal Cord Anatomy: Begins? | caudal end of medulla oblongata |
| Spinal Cord Anatomy: Exits? | cranial vault through foramen magnum |
| Spinal Cord Anatomy: Adult spinal cord terminates where? | L1 & L2 |
| Spinal Cord Anatomy: Conus Medullaris | (T10-T12) |
| Spinal Cord Anatomy: Cauda Equina | peripheral spinal nerves |
| Muscle grade | 0=absent 1=trace 2=weak 3=against gravity 4=stronger 5=normal |
| UMN or LMN? damage above conus medullaris? | UMN |
| UMN or LMN? damage occurs in conus medullaris or sacral nerve roots in cauda equina | LMN |
| UMN or LMN? flaccid paralysis | LMN |
| UMN or LMN? muscle tone | UMN |
| UMN or LMN? spastisity | UMN |
| UMN or LMN? absent reflexes | LMN |
| UMN or LMN? loss of sphincter tone | LMN |
| UMN or LMN? Babinski's sign (positive relexes) | UMN |
| List UMN signs (lie within the cord) | muscle tone spastisity positive reflexes |
| List LMN signs (branch off from the Spinal Cord) | flaccid paralysis loss of muscle absent reflexes (no babinski) no sphincter tone |
| Respiratory Evaluation r/t SCI C1-3 C4-C8 | c1-3:NO diaphragm (vent) c4-8: no intercostals or abdominals t1-t6: intercostals but no abs t6-t12: intercostals & some abs L1: normal resp. |
| Neurogenic Bowel: Spastic Bowel or Reflexic Bowel | Reflexic or UMN bowel positive BCR normal function slow paristalis |
| Neurogenic Bowel: Flaccid (autonomus, areflexic, atonal) | Areflexic or LMN bowel neg. BCR slow paristalis flaccid bowel |
| Neurogenic Bladder: Spastic bladder or Reflexic bladder | UMN stimulation of relex crede valsalva IC relex voiding |
| Neurogenic Bowel: Flaccid (autonomus, areflexic, atonal) | LMN IC caution for over filling bladder |
| Joint Commission coin term | health care organization accreditation compliance |
| CARF coin phrase | Rehab facility accreditation conformance |
| tracemaker | follows a patient through a day JC uses this alot |
| World Health Organization (2001) International Classification of Functioning CIF | WHO voted on 2001 Individual & population (international) classification of health & related domains that describe 1.body 2.individual 3. societal perspectives 4. environmental factors |
| IFPAI Inpatient Rehabilitation Facility Patient Assessment Instrument | data collection intrument for Inpatient Rehad facilities (IRFs) Prospective Payment System (medicare/caid) *uses FIM |
| Pediatric Evaluation of Disability Inventory | 6mo-7r self care, mobility, and social (weeFIM grades self care, mobility , & cognition) |
| Models for Performance Improvement | ANA & ARN |
| Performance Indicators | quantitative values that show a successful outcome to stakeholders |
| When asessing the efficiency, & effectivness of rehab, an organization must show...Reliability & Validity. define both | Reliability: reproducibility of an instrument's findings Validity: ability of the tool to measure what it was designed or intended to measure. |
| Brainstorming | team members create as many creative ideas as possible |
| Cause and effect diagram | Fishbone Diagram |
| Affinity diagram | gathers large amount of information into groupings |
| Check sheet | teams record and collect data from various sources so that patterns and trends are identified. |
| run chart | visual display data |
| histogram | reviews the amount of variation within the process |
| scatter diagram | used to study the possible cause and effect relationship between 2 variables |
| control chart | used to monitor, control , and improve variances similar to run chart but w/ statistical upper and lower |
| flowchart | a pictorial rep of various steps |
| Force Field analysis | indentifies force in place that affect an issue or problem |
| Pareto Chart | bar graphs |
| What did ANA develop in 1973? | generic standards of nursing practice for quality |
| What did ANA develop in 1974? | standards of practice for Rehab nursing practice |
| JC's Plan Do Check Act | |
| Sister Callista Roy's Adaptation Model | sees the person as "a biopsychosocial being in constant interaction with a changing environment" |
| ADA | Americans with Disabilities Act of 1990 -public buildings & transportation made accessible to all (disabled) -prevent discrimination in workplace |
| Braden Scale | Scale for wound risk. Assess on admission, quarterly, p/ chg, & return home |
| CMS (Centers for Medicaid/care Services) | Center for Medicaid/Medicare Services *(MDS)Minimum Data Set *(OASIS) Outcomes and Assessment Information Set *PPS (Prospective Payment System) |
| OSHA(Occupational Safety & Health Administration) | is the main federal agency charged with the enforcement of safety and health legislation |
| SSA (Social Security Administration) | Social security check (disability check) *<65y and "fully insured" *amount payable in retirement |
| workers Comp | injured workers (state) |
| Autonomy | pt has right to choose; self-determination |
| nonmaleficience | do no harm |
| beneficence | doing good |
| Advocacy | standing form client (loyalty) |
| client fiduciary | recognize cost to client when provided or do not provide treatments |
| reciprocity | the practice of changing things for one's benefit *develop one's talents, integrity- to be true to oneself, impartial, consistent, having respect for client's goals |
| Fidelity | faithfulness, always keep promises |
| Estate Planning | long-term planning for future care and expenses |
Created by:
laurenmick