Care plans & care team Flashcards
what is rehabilitation?
the process of restoring a person to the highest level of functioning through the use of therapy and excersise. It begins at the time of injury.
what is health promotion
A strategy for improving the populations health by providing the information and tools so they can make informed decisions.
Rehab may involve measures that promote?
- Self care
- Communication
- Mobility
- Elimination
- Positioning
- Prevention of decline
Goals for rehab:
1) restore function to former level
2) Improve functional ability
3) Learn new skills
4) Prevent further disability
how many dimensions of health does rehab treat?
Rehab treats all dimensions of health.
what are the different dimensions of rehab ?
- Physical
- Emotional
-Intellectual
& Spiritual
Give an example of Physical rehab?
ADL’s, ROM, Relearn self care
Give an example of emotional health rehab?
- Provide concealing + assistance for re-entering the comunity.
Give an example of intellectual health
- Thinking, speech, memory & measures to improve cognitive functioning
Give an example of spiritual health?
- concealing from spiritual advisors.
What kinds of specific equipment do they use?
- Prostheses
- Orthoses
What is Prostheses?
- An artificial replacement for missing body parts, These replacements are powered by the ct’s muscles in the stump.
what is Orthoses?
- An appliance/apparatus used to support align, prevent or correct deformities it can be a brace or a splint.
What can you do or give people to support them in rehab?
- Privacy
- Encouragment
- Focus on the positive
- Reassurance
- Emotional support
- Active Listener
what is restrictive care?
It’s care that helps a person regain health, strength and indapendence.
What is prevention?
Care of support which attempts to prevent (stop) deterioration and excess disability.
what is learning?
A change in behaviour which results from the acquisition of new knowledge or skill
what is motavation?
desiring something and putting the energy towards it
what is a developmental task
a skill or learning process that is expected to occur at a particular age.
what is a care plan?
It’s a form of contract b/w the ct + the health care team. A care plan provides consistency + continuity of care.
Who is involved in making the care plan?
The health care team
What is in the care plan?
Dx, Personal care, tx, vs, mobility, allergies, home making needs, safety precautions, age, DOB, BM#, Code status
Who makes the medical dx?
The doctor. example of a medical dx: Cancer.
Who makes the nursing dx?
Nurses, and it treats the symptoms.
What contributions does a PSW make to the care plan?
- Discuss + report changes in the ct.
Is a care plan specific to each ct?
Yes.
What is a care confrence?
It identifies needs and preferences, deals with ct issues, establish goals and provides consistency of care .
Who is involved in the care plan?
- Physician
- Ct
- Family of ct
- Nurse
- PSW
what is the physician’s role in the care confrence?
Discuss medication and tx plans.
what is the ct’s role in the care confrence ?
Raise problems and concerns
What is the familys role?
assist with problem solving
what is the nurses role?
medication, organize plan of care, raise issues, and problems.
What is YOUR role as a PSW?
Relay problems, observations contribute suggestions and help problem solve.
What are vital signs?
they are measures to assess basic body functions
name some vs’s
- Blood Pressure
- Temperature
- Respiratory rate
- Pulse
- O2 saturation
why are vs taken?
They are taken to detect changes in normal body functions they vary by age.
What do you need when documenting vs ?
- Date + Time
- Mesurnent/Numbers
When should you weigh your ct? & What should you remember to do?
- Before ac(breakfast)
- Same time each day
- Use same scale
- Ensure scale is balanced
- Weigh ct in same amount of clothing
- Have pt empty bladder before weighing
How do you convert Kg’s to lbs?
Multiply by 2.2
How do you convert lbs to Kg’s?
divide by 2.2
how should you measure height and what should you remember and do when measuring height? (when they can stand themselves)
- Recorded in inches or centimetres depending on facility.
- Ask pt to stand straight then lower bar so it lightly touches their head.
How do you measure height in bed?
- Obtain approx ht in bed
- Have pt stretch out as much as possible when measuring in bed.
- place a mark on heel + top of head measure b/w the two
What is body temprature?
Body temperature is the amount of heat in the body, If your body contracts an illness your temperature should go up. Body temp. should be measured in celsius.
How do you convert F-C
subtract 32 and divide by 1.8
how do you convert C-F
multiply by 1.8 and add 32
when does heat loss occure?
- Conduction
- Convection
- Radiation
- Evaporation
what is conduction?
direct physical contact with an object
what is convection?
when body heat warms surrounding air.
What is radiation?
body heat warms surrounding object without physical contact
what is evaporation?
perspiration changing a liquid to a vapour.
what are 4 places you can take a temprature?
- Rectom (not in PSW scope)
- Oral (mouth)
- Axilla(armpit)
- Tympanic (ear)
Things that can give a false reading when taking somebody’s temp.
- Eating or drinking
- Chewing gum
- Smoking
- Brushing teeth
What is a pulse?
its created as blood is pushed through the arteries.
What finger should you not use to check your pulse and why?
You should not use your thumb because your thumb has its own pulse.
What is normal pulse?
Between 60 and 90 bpm
What are some places you can find your pulse?
- Temporal
- Carotid (neck)
- Apical (chest)
- Brachial (crease of elbow)
- Radial (wrist)
- Femoral (groin)
- Popletil (back of knee)
- Dorsils (top of foot)
what are resperations?
they are the in and out breathing, normal is between 12 and 20 per minute
what are some things that can affect your pulse?
Stress, Pain, Hydration + Position + Excersise
what is blood pressure?
is measures how much pressure is in the arteries.
what is systolic?
the higher # measures the pressure when the heart contracts
what is diastolic
its the lower number measure the resting rate of the heart when its refilling b/w beats 110 over 60 or 130 over 80
What is an MDS
Minimum data set
how many sections does a MDS have?
20
What is baithing?
how a resident takes a sponge bath, full body bath or shower. It also includes how the resident transfers in and out of the tub. It doesn’t include washing of back or hair.
what is included in ADL Preformance?
0- Independent 1- Supervised 2- Limited assistance 3- Extensive assistance 4- Total assistance 8- Activity did not occure.
What is Bed Mobility?
this is how the resident movies to and from a lying position.
-Includes lifting feet in to bed
- Turns from side to side
and positions body in bed.
what is the definition of transfer ?
How the resident moves to and from bed, chair, wheelchair to and from a standing position.
Dressing ?
how the resident puts on fastens and takes off clothes. Includes street clothes, pyjamas, TED stockings and protheses.
