Disability and Chronic Illness

Question 1

Chronic Disease

Answer 1

Is a condition that lasts for more than 1 year, is multifactorial, has no definite cure, requires continuous and persistent healthcare monitoring, and limits or prevents a person from performing activities of daily living.

Question 2

Chronic Illness

Answer 2

The human experience of living with a chronic disease or condition; experienced by the individual and the family; individual’s perception and responses to the chronic disease or condition

Question 3

What are the keys to managing chronic conditions?

Five are outlined in this lecture

Answer 3

1. Prevention
2. Lifestyle changes
3. Managing symptoms to avoid complications
4. Quality of life
5. Health promotion behaviors

Question 4

Americans With Disabilities Act of 1990

Answer 4

Physical or mental impairment that substantially limits one or more major life activities

Question 5

What is the goal of rehabilitation nursing?

Answer 5

To assist the patient to attain and maintain optimum health as defined by the patient.

Question 6

What are we assessing?

Answer 6

Functional capacity through ADLs ad IADLs.

Question 7

What would be our priority concern?

Answer 7

The self care deficit.

Question 8

What would we focus on in our plan?

Answer 8

1. Performing activities independently or with assisstance
2. Appropriate use of adaptive devices
3. Patient satisfaction

Question 9

How would we intervene?

Answer 9

In ways that foster self care abilities.

Question 10

How can we promote mobility?

Answer 10

1. Prevent muscloskeletal complications
2. Perform range of motion exercises
3. Ambulation with assisstive devices
4. Assisting patients with orthosis or prosthesis

Question 11

What are some risk factors to pressure injury development?

Answer 11

1. Immobility
2. Impaired sensory perception or cognition
3. Decreased tissue perfusion
4. Decreased nutritional status
5. Friction, shear
6. Increased moisture
7. Age related skin changes

Question 12

What are some interventions to prevent pressure injury development?

Answer 12

1. Relieving pressure
2. Positioning Patient
3. Minimize irritating moisture
4. Improve mobility
5. Improve nutritional status

Question 13

How do we evaluate?

Answer 13

1. Are they performing ADLs indepently or with assistance?
2. Are they appropriately using adaptive devices?
3. Is the patient satisfied with level of independence?