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CNA > Chapter 9 > Flashcards

Chapter 9 Flashcards

1
Q

Rehabilitation

A

Restore function

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2
Q

Goals of rehabilitation programs

A

1.Regain function or recover from illness
2. Promote independence
3. Feel in control
4. Adapt to disabilities

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3
Q

Restorative care

A

Keep resident at level they reached during rehab

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4
Q

What to report about restorative care

A

-increase or decrease in abilities
-change in attitude or motivation
-change in health, appetite, energy or appearance

-signs of depression

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5
Q

What can happen if resident loses their independence

A

Low self esteem
Depression
Anxiety
Boredom
Pneumonia
UTI
Skin breakdown
Muscle atrophy
Dulled senses

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6
Q

Benefits of active mind and body work

A

Quality of skin
Circulation
Strength
Sleep and relaxation
Mood
Self esteem
Appetite
Elimination
Blood flow
Oxygen level

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7
Q

Ambulation

A

Moving or walking without assistive device

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8
Q

Ambulatory

A

Can get out of bed and move or walk

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9
Q

Check the care plan before

A

Helping residents ambulate

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10
Q

When ambulating you should

A

Walk a little to side

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11
Q

Stand on the ____ side when ambulating walking ____

A

Weaker
Behind

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12
Q

When helping visually impaired walk:

A

Beside and slightly ahead. Resident should place their hand on your elbow.

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13
Q

Residents using canes should be able to bear weight on _____ _____

A

Both legs

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14
Q

Which hand should cane be held in?

A

Hand of stronger side

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15
Q

Types of canes

A

C cane
Functional grip cane
Quad cane

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16
Q

C cane

A

Straight with curved handle. Rubber tipped bottom

Improves balance

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17
Q

Functional grip cane

A

Straight grip handle

Helps improve grip control.
More support than C cane

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18
Q

Quad cane

A

4 rubber tipped feet and rectangular base

Bears more weight

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19
Q

Walker

A

Some weight on both legs

Stability for unsteady residents
Wheels or rubber tips

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20
Q

Crutches

A

Residents bear no weight or limited weight on one leg

Rubber tipped feet. Can use one or two

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21
Q

Walker tips must not be

A

Cracked

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22
Q

What kind of shoes should resident wear before ambulating?

A

Non skid

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23
Q

How to position walker

A

Both hands
No more than 6 inches away

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24
Q

Stay near which side of resident during walker use

A

Weaker

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25
Q

How should cane be placed

A

No more than 6 inches

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26
Q

How many feet should be on ground before resident walks

A

4 ft

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27
Q

Walker should be moved againafter resident has

A

Moved both feet forward and is steady

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28
Q

Resident should never put his feet

A

Ahead of walker

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29
Q

When using crutches weight should be on

A

Hands and arms NOT underarms

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30
Q

To look for obstacles Ask resident to look ____not down

A

Forward

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31
Q

Who sets pace when walking

A

Resident

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32
Q

Assistive devices

A

Help perform ADLS

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33
Q

What kind of alignment do confined residents need?

A

Proper body

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34
Q

Spine should be in

A

Straight line

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35
Q

What kind of positions should body parts be in?

A

Natural

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36
Q

How are fingers in natural position?

A

Slightly curled

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37
Q

What can happen when hips and legs roll outward?

A

Hip contractures

38
Q

Amputation

A

Removing body part

39
Q

Phantom sensation

A

Feeling something that’s not there

40
Q

Phantom limb pain

A

Person feels pain or limb in extremity that was amputated

41
Q

How long can phantom pain last?

A

Short time or years

42
Q

How is phantom pain treated?

A

Physical therapy or medication

43
Q

Prosthesis

A

Replaced body part.

44
Q

Examples of prosthetics

A

Artificial limbs
Artificial breasts
Hearing aid
Artificial eye
Dentures

45
Q

Never try to ____ a prosthesis

46
Q

What should you do before handling artificial eyes?

A

Wash hands
Don gloves
Provide privacy

47
Q

Never clean or soak eye in?

A

Rubbing alcohol

48
Q

How to store prosthetic eye if not reinserted?

A

Water or saline solution
Container should be labeled with resident’s name and room number

49
Q

Range of motion excercise

A

Put joint through full arc of motion

50
Q

Goal of range of motion

A

Decrease and prevent contractures, atrophy, improve strength and circulation

51
Q

AROM excercises

A

Done by resident alone without help

52
Q

AAROM

A

Done by resident with some help

53
Q

PROM

A

excercises when residents can’t move on their own.
Without residents help

54
Q

Abduction

A

Moving away from midline
Kicking

55
Q

Adduction

A

Moving towards midline
Swinging legs in

56
Q

Extension

A

Straightening a body part
Waving part from elbow to palm out

57
Q

Flexion

A

Bending a body part
Waving part from elbow to palm in

58
Q

Dorsiflexion

A

Moving upright foot back and forth
Bending backward

59
Q

Rotation

A

Turning a joint
Arms in L
Closed fist
Move in half circle upward

60
Q

Supination

A

Turning palms upward

61
Q

Pronation

A

Turning downward

62
Q

Opposition

A

Touching thumb to any finger

63
Q

Only when should you do ROM on resident?

64
Q

How often are ROM performed

A

3-5 times once or twice a day

BOTH SIDES OF BODY

65
Q

When working on ROM start from ___ to ____

A

Top to bottom

66
Q

Give support where?

A

Above and below joints

67
Q

Hand placement for shoulder ROM

A

Under elbow and wrist

68
Q

Shoulder ROM raise to

A

Raise to ear level

69
Q

Elbow ROM hand position

A

Hold wrist and elbow
Get them to touch their own upper arm

70
Q

Wrist ROM

A

Hold wrist
Use fingers to hold resident’s palm
Dorsiflexion and flexio
Ulnar and radial flexion n

71
Q

Bend hand down

72
Q

Hand backward

A

Dorsiflexion

73
Q

Radial flexion

A

Turn hand in direction of thumb. Wave towards thumb

74
Q

Ulnar flexion

A

Turn hand in direction of little finger. Wave towards pinky

75
Q

Thumb abduction

A

Turn thumb away from index finger

76
Q

Thumb adduction

A

Move thumb towards index finger

77
Q

HIP ROM

A

One hand under knee, one hand under ankle
Raise up, down, inward outward

78
Q

Knee ROM

A

Support under knee and ankle
Bend to point of resistance, then back down

79
Q

ANKLE ROM

A

Under ankle, close to bed
Push pull foot out towards bed mattress, then back up

Turn inside of foot inward and outward
Curl and straighten toes

Dorsiflexion flexion
Supination (towards body)
Pronation (away from body)

80
Q

How to help residents urinate

A

Turn on water, lean forward slightly

81
Q

Things needed to change brief

A

Protective pad
Peri care supplies
Disposable wipes
Gloves
Clean brief

82
Q

Problems from immobility and inactivity

A

-atrophy
-depression
-self esteem
-pneumonia
-UTI
-constipation
-blood clot
-dull senses
-contractures

83
Q

Never show ___ or ____ towards incontinent resident

A

Frustration or anger

84
Q

Praise ____ and ____ to control bladder and bowels

A

Successes and attempts

85
Q

Provide ____ for elimination both in bed and bathroom

86
Q

Explain training ___ to resident

87
Q

Keep a ___ of bladder and bowel habits

88
Q

Wear ____ when handling body wastes

89
Q

Residents need to establish ___ and normal ____

A

Routines
Function

90
Q

Toe ROM

A

Curl and straighten (flexion and extension)

Spread

91
Q

Thumb ROM

A

Abduction, adduction
Opposition
Palm
Extension

CNA (10 decks)

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