mna mosby ’ s long term care assistant chapter 46 rehabilitation and restorative nursing care
TRANSCRIPT
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MNAMNAMosby’s Long Term Care AssistantMosby’s Long Term Care Assistant Chapter 46 Rehabilitation and Chapter 46 Rehabilitation and Restorative Nursing CareRestorative Nursing Care
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DisabilityDisability
Any lost, absent or impaired physical or mental function
Acute – short course. Recovery usually complete
(fracture)
Chronic – long course. Problem controlled not cured.
(paralysis)
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RehabilitationRehabilitation
Process of restoring to highest possible level of physical, psychological, social and economic function
OBRA Requirement
PT
OT
Speech Therapy
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RehabilitationRehabilitation
Focus on: Improving the person’s
ability to functionPromoting the best
possible quality of life for the person
Preventing further loss of function
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Common Health Problems Common Health Problems Requiring RehabRequiring Rehab
AmputationBirth DefectsBrain tumorsBurnsCerebral PalsyFracturesHead injurySpinal cord
injury Stroke
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Restorative NursingRestorative NursingCare that helps regain
strength, health, independence
Focuses on:• The whole person• Preventing
unnecessary decline in function
• Helping maintain the highest level of function
May be combined with rehab
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Restorative AidesRestorative AidesNursing assistant with
special training to help with restorative care.
Should be patient and kind
Must have good communication skillspositive attitudeexcellent work ethic
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Physical AspectsPhysical Aspects
Rehab begins when person first seeks health care
Complications are prevented:
• Contractures• Decubitus Ulcers• Bowel/bladder
problems
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Physical AspectsPhysical Aspects
Self care is a major goal.
ADLs evaluated
Assistive devices available
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Physical AspectsPhysical Aspects
MobilityCrutchesWalkerCanBraceWheelchai
rProsthesis
Artificial body part
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Physical AspectsPhysical Aspects
NutritionDysphagia
Difficulty swallowing
May need special diet
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Physical AspectsPhysical Aspects
Communication
Aphasia – total or partial loss of ability to use or understand language.
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Psychological & Social Psychological & Social AspectsAspects
Disability can affect function and appearance
May have• low self esteem• Depression• Anger• Hostility
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Psychological and Social Psychological and Social AspectsAspects
Patient’s attitude Important!
Focus on abilities and strengths
Support and reassure
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Rehab Team – Your Rehab Team – Your RoleRole
Follow care planProvide safetyPosition in good
body alignmentROMKnow how to
apply/use assistive devices
Praise, encourageEmpathy……not pity
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Questions??