Chronic Illness

Question 1

Inpatient rehabilitation facility (IRF)

Answer 1

The IRF provides the highest level of rehabilitation care. These facilities are often entire hospitals that are focused on rehabilitation. An IRF can also be a unit within a hospital dedicated to rehabilitation.

Question 2

Skilled nursing facility (SNF)

Answer 2

The SNF is often a dedicated unit in a hospital or part of a long-term acute care facility (LTAC). In both the SNF and the LTAC facility, there is a homelike environment and the patients are referred to as residents. The residents get dressed daily and share in common dining areas.

Question 3

Long-term acute care (LTAC) facility

Answer 3

An LTAC is often referred to as a nursing home. While the focus may not be fully on rehabilitation services, many provide elements of rehabilitation for residents with chronic illness.

Question 4

Home health agency (HHA)

Answer 4

Less-intensive rehabilitation services can be provided in the home through a home health agency. Some patients with chronic illness may have a home care team in place. Returning to the home environment is optimal with rehabilitative support.

Question 5

Home health agency (HHA)

Answer 5

Less-intensive rehabilitation services can be provided in the home through a home health agency. Some patients with chronic illness may have a home care team in place. Returning to the home environment is optimal with rehabilitative support.

Question 6

Functional ability:

Answer 6

Includes activities of daily living (ADLs), such as bathing, dressing, eating, toileting, and ambulation.

Question 7

Instrumental activities of daily living (IADLs):

Answer 7

Includes activities necessary for living independently, such as shopping, cooking, and housekeeping.

Question 8

spastic bladder.

Answer 8

Overactive Bladder

Incontinence with sudden voiding. Bladder does not fully empty, creating a risk for infection.

Question 9

flaccid bladder.

Answer 9

Underactive Bladder

Urinary retention with dribbling from overflow of the bladder.

Question 10

triggering techniques

Answer 10

• Use triggering techniques when there is upper or lower motor neuron dysfunction to signal the spinal cord that the bladder is full.
• Techniques include stroking the top of the thigh, pinching the area above the groin, digital anal stimulation, or massage of the scrotal area
• lower motor neuron problem use the Valsalva or Crede maneuver

Question 11

Valsalva maneuver:

Answer 11

Hold the breath and bear down as though attempting to have a bowel movement. Should not be used for patients who have bradycardia or for patients with a loss of vagus nerve control.:

Question 12

Crede maneuver

Answer 12

Cup the hand over the bladder and push down and inward as though massaging the bladder.

Question 13

Consistent Toileting

Answer 13

Toileting should occur every 2 hours during the day and every 3 to 4 hours at night.