Module G Flashcards
Basic Restorative Care
What is an adaptive or assistive device?
equipment that helps a resident perform ADL’s
Differentiate between an orthotic, prosthetic and supportive device and give examples.
*ORTHOTIC device: supports, aligns or enhances function of musuloskeletal system; corrects deformities. (braces; shoe inserts; splints; back, neck or limb supports
*PROSTHETIC: artificial replacemetns for missing or body parts (artificial limbs, breasts, prostheses)
*SUPPORTIVE device: equipment that helps a disable or ill resident with movement (cane, wheelchair, gait belt)
Care provided AFTER a resident’s highest possible functioning is restored through rehabilitation is called
Basic Restorative Care
Functional Loss is
partial or complete loss of function of a body part
If one cannot control defecation, it is still referred to as
incontinence
Differentiate between ROM and AROM
*ROM is the range of motion a patient can do on his own.
*AROM is the range that same patient can do with the assistance of someone
Define rehabilitation
restoration of resident’s highest possible function post illness or injury
What is another word for urination?
voiding
Differentiate between rehabilitation and restorative care
*Restorative Care is done POST rehabilitation. Its goal is to preserve and support the level of functioning gained during rehab, encouraging as independent of living as possible.
*Rehabilitation helps residents maintain, regain or improve skills lost of impaired due to illness, trauma or disability
What are 6 positive outcomes of restorative care?
*maintains or improves existing abilities
*prevents further complications
*aims toward independence
*provides team effort for care
*helps resident accept and adapt to limitations
*increases self-esteeem
When it comes to orthotics and prosthetics, what are 2 things a CNA must be aware of that they both share in common?
*watch for skin breakdown on a regular basis
*keep skin under each clean and dry
Which of these two, a prosthetic vs an orthotic can lead to pressure ulcers? Which is more likely to take a psychological toll on the patient?
*prosthetic is more likely to lead to a pressure ulcer, because it is more permanent and fitted specifically to the patient. It is also more likely to be more taxing psychologically, because it is permanent.
Name 6 assistive devices used for positioning
*small cylinder neck roll pillow
*long cylinder pillow
*abduction pillow
*wedge pillow
*regular pillows
*bed cradle
Name 4 assistive devices for eating
*plate with raised lip and spoon
*divided plate with spoon and cup
*drinking cup with flexible straw
*curved handled spoon
Name 4 assistive devices for dressing
*button fastener
*zipper pull
*long-handled shoe horn
*stocking and sock slider
What are 6 questions the CNA should ask regarding assistive device usage?
*did the resident attempt activity?
*did the resident use the device?
*did the resident have success?
*Was there an increase or decrease in ability?
*Was there a change in attitude or motivation?
*Did their health change?
Differentiate between AROM, AARON and PROM
*AROM is active ROM: patient moves themselves
*AAROM is active assisted ROM: patient moves themselves with assistance of practitioner
*PROM is passive ROM: practitioner moves patient entirely
What 3 things should CNA note when performing AAROM or PROM on resident?
*perform movements slowly and gently
*stop immediately if resident reports pain
*report any pain to RN
What are 3 contraindications to ROM exercises?
*some heart and respiratory diseases or conditions
*swollen or inflamed joints (check with RN)
*info should be on individualized care plan; check with RN
What are 5 side-effects of incontinence?
*creates barriers to independence
*embarrassing
*odors can cause shunning by family
*infections can develop
*difficult to discuss
What are critical CNA roles regarding resident incontinence?
*answer call light promptly
*do not rush resident
*keep accurate records
*don’t scold or shame
*provide privacy
*be encouraging
What is bladder training schedule?
*when resident awakens
*one hour before meals
*every two hours between meals
*before bed
*during night as needed
What are things CNA can do to encourage resident voiding?
*running water
*have resident lean forward
*put resident’s hand in warm water
*offer fluids to drink
*pour warm water over perineal area
What does a CNA need to know about enemas?
*if trained on such, enemas can be provided
*must be consistent and follow plan
*documentation is critical
*success can take 8-10 weeks
