Chapter 45 Rehabilitatio Needs Flashcards
Body function can be affected by:
-Disease, injury, and surgery
-Brith injuries and birth defects
Disability
is any lost, absent, or impaired physical or mental function
causes are-
Acute
short course; recovery is complete
Chronic
Long course; problem is controlled, not cured, with treatment
the person may depend totally or in part on others for basic needs
The degree of disability affects how much function is possible
Goals of health care are:
-prevent and reduce the degree of disability
-help the person adjust
Rehabilitation
Is the process of restoring the person to his or her highest possible level of physical, psychological, social, and economic function
The focus is on improving abilities
-the goal may be to return to work
-another goal is self care
improved functions is sometimes not possible
then the goal is to prevent further loss of function
some persons return home after rehabilitation
the process may continue in home or community settings
Restorative nursing care
helps persons regain health, strength, and independence
Restorative nursing programs
-help maintain the highest level of function
-prevent unnecessary decline in function
involve measures that promote
-self:care
-elimination
-positioning
-mobility
-communication
-cognitive function
Restorative Aide
is a nursing assistant with special training in restorative nursing and rehabilitation skills
Disability
has a physical, physiological, and social effects
physical aspects
rehabilitation starts when the person first seeks health care
complications are prevented:
-bowel and bladder problems are prevented
-contractures and pressure injuries are prevented
the following may be needed:
-good alignment, turning, and re-positioning
-range of motion exercises
-supportive devices
-good skin care
-bladder training
-bowel training
-assistance with activities of daily living (ADL)
-self help devices
-crutches, or a walker, dance or brace
-physical and occupational therapies
-a prosthesis
-assistance with nutritional needs
-speech therapy and communication devices
-mechanical ventilation
psychological and social aspects:
a disability can affect function and appearance:
self esteem and relationship may suffer
rehabilitation is the team effort
-the person is the key team member
-helps the person set goals and plan care
-focus is on regaining function and independence
families provide support and encouragement
your job focuses on promoting the persons independence
preventing decline in function also is a goal
common rehabilitation programs include:
-cardiac rehabilitation
-brain injury rehabilitation
-spinal cord rehabilitation
-stroke rehabilitation
-respiratory rehabilitation
-musculo-skeletal rehabilitation
-rehabilitation for complex medical and surgical conditions
rehabilitation process
may continue after hospital charge
-carry’s over the home or other facilities as well
successful rehabilitation and restorative care improves quality of life
to promote quality of life:
-protect the right of privacy
-encourage personal choice
-protect the right to be free from abuse and mistreatment
-learn to deal with your anger and frustration
-encourage activities
-provide a safe setting
-show patience, understanding, and sensitivity
