MS LEC Monthlies Rehabilitation Flashcards
Restoration of a person to the fullest, physical, mental, social, vocational, and economic usefulness
returning to former level of functioning
Rehabilitation
preservative methods
exercises an assisted ambulation; help clients maintain their normal mobility
general goals for using these methods are to assist the client to strive for optimal function
Process of Restoration to a level of functioning
rehabilitation
disturbance in functioning
impairment
Quantifiable Loss of Function, ability to quantify the impairment
disability
Inability to Perform Daily Activities because of
their disability
handicap
goals of rehabilitation
- return to level of functioning
- prevention of further disability
rehabilitation is a creative process
rehabilitation team
rehabilitation team
- patient
- rehab nurse
- physician
- physiatrist
- physical therapist
- psychologist
- occupational therapist
- social worker
- vocational counselor
- rehabilitation engineer
- speech therapy
key member of the health care team; he participates in goal-setting, learning and working on his individual rehabilitation program so that he eventually can control his own life.
patient
responsible for developing a plan of patient care directed toward defined patient goals and for coordinating the actions of other team members
prevention, restoration, nursing care plan
rehab nurse
makes the medical diagnosis,
physician
a physician who is a specialist in physical medicine and rehabilitation
physiatrist
strengthens weak muscles and prevents deformity; teaches and supervises the patient his prescribed exercise program
physical therapist
helps patient in exploring and expressing feelings about himself
psychologist
develops skills that can be transferred to home and work
occupational therapist
investigates patient’s background and socio-economic status
social worker
tests the patient to
determine his interests and aptitudes
vocational counselor
uses science and
technology in designing and constructing devices
rehab engineer
Treatments and counseling for prevention and or correction of speech and language disorders
speech therapy
Therapy to promote general muscle movement
PT
activities of daily living, like holding objects, combing your hair, trying to swallow
OT
Slight limitation in one or more ADL, usually able to work
level I disability
moderate limitation, workplace needs modification
level II disability
Severe limitation in one or more ADL, unable to work
level III disability
Total disability characterized by near complete dependence
level IV disability
primary disability
result of a pathologic process
secondary disability
the result of either inactivity
or contraindicated or injurious activity
disuse syndrom
disabilities due to inactivity
the mechanism used by those who have placed great value on strength and attractive appearance
denial
preventing complications and deformities
frequent changes of positions, proper positioning in bed, exercise and progressive ambulation
positioning
- dorsal or supine
- side or lateral
- prone
purpose for changing positions
- To prevent contractures -allows body movement
- to stimulate circulation
- promote lung expansion and drainage of secretions
- relieve pressure
exercise carried out by the therapist or nurse WITHOUT assistance of the patient
passive
an exercise accomplished by the patient without assistance
active
an exercise carried out by the patient with the assistance of the therapist or nurse
active assistive
an active exercise carried out by the patient working against resistance
resistive
alternately contracting
and relaxing a muscle while keeping the part in a fixed position
isometric or muscle setting
the movement of a joint through its full range in all appropriate planes. It may be passive, active or resistive
does not include isometric
range of motion
prevent external hip rotation
use a trochanter roll extending from the crest of the ilium to the mid thigh when px is lying on his back
a deformity caused by contraction of both gastrocnemius and the soleus muscles; it may be produced by loss of flexibility of the Achilles tendon
footdrop; plantar flexion
nursing management of footdrop
- footboard or pillow
- feet at right angles
- flex and extend feet and toes
- rotate ankles clockwise and counterclockwise
pressure or bed sores
localized areas in which necrosis of skin
preventing bed sores
Ask patient to turn every 2 hours Relieving or removing pressure Maintaining skin in a clean and healthy condition Ensuring optimal nutrition Turning beds – moves as patient moves
