Chap 25 Rehab and Restorative Care Flashcards
Doctor who specializes in rehab
Physiatrists
Progress made in rehab depends on - 7
How soon rehab begins Pre-existing diseases or injuries Motivation Type of facility where living Combined efforts of staff, family, friends Attitude of rehab team Consistency in following care plan
Rehab team - 10
Physiatrists SLP, PT, OT Nurses Social Workers Discharge planners Nursing Assistants Resident Family and friends
Goals of rehab - 4
Regain and/or maintain ability to perform ADLs
Promote resident’s independence, help adapt to new disability
Prevent complications of immobility
Rehab and restorative guidelines - 8
Understand diagnosis and disability Be patient, praise frequently Maintain positive attitude at all times Listen to resident Provide privacy Encourage independence Encourage as much daily activity as possible Accept that there may be setbacks
Observe/Report Rehab - 5
Lack of motivation Signs of withdrawal, depression Change in ability, positive or negative Decrease in strength Change in ability to perform ROM
Why promote independence - 3
Self-image
attitude
abilities
Complications of immobility - 8
Gastrointestinal - constipation Urinary - UTI Integumentary - pressure ulcers Circulatory - blood clots Respiratory - pneumonia Musculoskeletal - muscle atrophy and contractures Nervous - depression or insomnia Endocrine - weight gain
Cane/walker/crutches guidelines - 8
Check for damage before use Non-skid shoes Watch out for unsafe environmental like wet floors Encourage good posture Do not rush resident Do not hang heavy items on walker Hold cane on stronger side Walk on resident's weaker side
Positioning devices - 7
Backrests - alignment
Footboards - for foot drop
Heel protectors
Abduction wedges
Trochanter rolls - rolled towels to keep leg from turning outward
Handrolls - prevent finger/hand/wrist contractures
Orthotic devices - support and protection
ROM - 3 types
Range Of Motion
Active ROM
Active Assisted ROM
Passive ROM
