day 5 Flashcards
Convalescence
period of recovery from illness or injury until returning to MAXIMUM LEVEL OF FUNCTIONING (does not always mean independence); as you age, recovery time increases
Independent
we don’t have to help them complete a task
supervision
we don’t have to help them complete a task but we do have to be there
limited assistance
we helped them a little, physical touch, no “muscle” use/ no effort
extensive
we had to you physical touch and muscle use/effort but the resident DID help
total
we had to do everything including physical touch, muscle/effort, resident did NOT help
Assistive Equipment
devices used to complete ADLs (walker, cane, wheelchair, diff. sized utensils, divided plates, show horn, sock aid
physical therapy (PT)
rehab services that work with strengthening the body
PT goals
ambulation and range of motion; get you place to place
Occupational Therapy (OT)
rehab services that works with adaptive equipment use for ADL independence
OT goals
focused on the ADLs and works closely with CNAs
speech therapy (ST)
rehab services that works with communication and swallowing difficulties; ALWAYS in place for stroke survivors
Restorative Care
Nursing specific rehab services (nurses and CNAs); takes place after the 100 days in TCU
Range of Motion (Active and Passive)
exercises that promote full range of motion of a joint
Passive ROM
resident cannot help at all, we have to help (staff does it)
Active ROM
resident does help and we only have to help a little (resident does it)
Ambulation (walking) program
program that promotes independence with ambulation (Best exercise for your patient!)
What are some barriers to Rehab?
pain, decreased cognition (disoriented/confused), lack of motivation
What can we do for pain?
massage, tell nurse, ice/heat, reposition
what can we do for decreased cognition?
orientation, reminding
what can we do for lack of motivation?
encourage, inform, we are cheerleaders but never try to push or force someone to do something
complication
a secondary disease or condition that aggravates an existing condition; this can be more severe than original condition
weak side/weakness
side of the body that is weaker, this is the side the CNA SHOULD help on; this side is not strong and will need assistance
contracture
permanent shortening of the muscle resulting in joint fixation, cannot be reversed; can be prevented by ROM; specifically for joints and almost impossible with ADL’s
muscle atrophy
wasting of muscles. “if you don’t use it, you lose it”.
bed fast
unable to get out of bed or they need help getting out of bed
body alignment/positiong/repositioning
keeping the body in a generally straight line, no twists in the body; BEST WAY to prevent pressure sores; AT LEAST every 2 hours
laying in side (lateral)
an appropriate way to reposition a resident. Pillows are used to support body
Fowler’s
sitting upright at 90*
Supine
lying on back
