Interventions Flashcards
seeking additional help, shifting workload
Outsourcing strategies
Aids and equipment to ease stress, pauses and changes in posture, warm up period
Preventative strategies
In response to injury or perceived risk of injury
reactive strategies
Infections acquired during admission in a HC setting, where there is no evidence that the infections were present or incubating at time of admission
Healthcare-Associated infections
1 mode of infection transmission
hand hygiene
categories of precaution
Airborne
droplet
contact
Used for patients with respiratory infection such as TB, chicken pox, measles, and SARS
Airborne
Used for infections influenza, mumps, meningococcal disease or whooping cough that generate large particles when the patient coughs, sneezes, speaks or is suctioned
Droplet
Used for antibiotic resistance bacteria such as VRE and MRSA, infectious diarrhea, RSV, lice and other conditions
Contact
ROM limitation that we can’t fix, only accommodate it to increase functional movements
Fixed
ROM limitation that may respond to stretching positioning/splinting BUT those gains are only sustained through functional use
Flexible
position of comfort is the position of …
contracture
Tool used by nursing for skin risk assessment; 6 areas-sensory perception, moisture, activity, mobility, nutrition, friction and shear
Braden risk assessment scale
AKA positioning
Hip ext, and add
BKA positioning
Hip ext, and knee ext
a device that is intended for medical purposes and limits the patients movements to the extent necessary for treatment; includes anything that the patient can’t move on their own
Requires a physicians order, renewed at least every 24 hrs
restraints
DBP contraindications for ICU intervention
resting DBP >110 mmHg
Hypernatremia
> 145 mEq/L sodium
Hyperkalemia
> 5 mEq/L potassium
S&S of DVT
Edema, warmth, pain
S&S or PE
SOB, increase anxiety, chest pain, tachycardia, cough, tachycardic and syanotic
TPN
total parenteral nutrition
Transfer training progression
upright tolerance, sitting stab, standing stab, gait training, selection of transfer tech, transfer goals, transfer prep, documentation of performance
patient doe not require any physical assistance or superviasion to perform activity safely and with in reasonable time
independent
Pt requires verbal, tactile cues, directions, instructions; assistance provided to maintain safety, perform in aacceptable time or technique
supervision (close guarding, contact guarding)
pt performs 75% or more of the activity or requires assistance to complete the activity
minimal assistance
pt performs 50% or more of the activity or requires assistance to complete the activity
moderate assistance
pt performs 20-50% of the activity or requires assistance to complete the activity
max assist
pat requires total assistance to safely perform the activity; this may include the use of special equipment
dependent
Gait speed measure cut off that is predictive of recurrent falls
.56
Berg balance low fall risk
41-56
Berg balance medium fall risk
21-40
Berg balance high fall risk
0-20
The self care, communication and mobility skills required for independence or everyday livitn
ADL
the more common skills that are important components for maintaining independent living
IADL (Instrumental)
4 point progression
L device, R LE, R device, L LE
2 point progression
L device with R LE, R device with L LE
modified 4 pt progression
Device, involved LE, uninvolved LE