Chapter 9 Rehabilitation And Restorative Care Flashcards
Rehabilitation
Care that is managed by professionals in response to a client losing some ability to function due to illness or injury. Helps to restore a client to their highest possible level of functioning. Helps to move a client from illness, disability and dependence towards health, ability and independence. It includes physical and psychosocial needs. The goals of a rehabilitation program include:
To help a client regain function or recover from illness.
To develop and promote a residence independence.
To help a resident to feel in control of their life.
To help a client accept or adapt to the limitations of a disability
Particularly used for those clients who have suffered a stroke, accident, joint replacement or trauma.
Restorative care
Usually follows rehabilitation with the goal of keeping the client at the level achieved by rehabilitative services. It works to maintain a client’s functioning.
Assisting with ambulation
Clients using canes should be able to bear weight on both legs. If one leg is weaker, the cane should be held in the hand on the stronger side
A quad cane has four rubber tipped feet and a rectangular base. It is designed to Bear more weight than other canes
A walker is used when a client can bear some weight on both legs. It gives stability for those who are unsteady or lack balance.
Crutches are used for clients who can bear no weight or limited weight on one leg
Range of motion exercises
The exercising of a joint through its full Arc of motion. The goal of these exercises are to decrease or prevent contractures, atrophy and improve strength by increasing circulation.
Active range of motion (AROM): exercises done by the client without help
Active assisted range of motion (AAROM): exercises are done by the client with some help and support from the NA
Passive range of motion (PROM) exercises that are done when the client cannot move on their own. They are done by a staff member, without the client’s help.
When doing ROM exercises begin at the client’s shoulders and work down the body.
The upper extremities should be exercise before the lower extremities.
Provide support above and below the joint.
The joints should be moved gently, slowly and smoothly.
It is important to ask if the exercises are causing pain.
Inform the client to notify you if they experience any pain during the exercise. If they do stop the exercise and report the pain to a nurse.
