Rehabilitation

Question 0

Functional ability

Answer 0

Refers to the ability to perform ADL’s

Question 1

Rehabilitation team

Answer 1

Everyone works together as a team to get patient as functional as possible, time is limited (physiatrist, rehabilitation nurse, physical therapists, occupational therapists, speech language pathologists and recreational or activity therapist, cognitive team, nutritionist, social workers, nursing assistants, vocational counselors)

Question 2

Instrumental activities of daily living

Answer 2

Activities such as shopping, using the phone, preparing foods

Question 3

Functional independence measure (FIM)

Answer 3

Gives nice objective measure. 18 items on a scale

Question 4

Psychosocial assessment

Answer 4

Nurse should asses patients self esteem, patients body image, the use of defense mechanisms, patients response to stress and loss and determine the support systems

Question 5

Self care deficit

Answer 5

Assitive devices if needed to help perform ADL’s (dressing, eating etc.)

Question 6

Energy conservation

Answer 6

Work with the patient and occupational therapist to asses the patients self care abilities and to determine possible ways of conserving energy. Allow ample periods of rest

Question 7

Best intervention for skin impairment

Answer 7

Frequent position changes, adequate skin care, sufficient nutritional intake

Question 8

Spastic or reflex bladder

Answer 8

Incontinence with sudden, gushing voids. Occurs in stroke victims, upper spine injury patients.

Question 9

Flaccid or areflexic bladder

Answer 9

Urinary retention and overflow (dribbling). The bladder doesn’t empty completely, retains urine, these patients are at higher risk for UTI’s

Question 10

Uninhibited bladder

Answer 10

Similar to reflex bladder. Frequently occurs when the patient has a neurologic problem that affects the brains bladder center in the frontal lobe

Question 11

Bladder training

Answer 11

Use a trigger technique (running water), set up a bathroom schedule, fluid intake, drug therapy

Question 12

Reflex bowel

Answer 12

Upper motor neuron diseases and injuries; defecation occurs suddenly without warning. Occurs in spinal cord injuries

Question 13

Flaccid bowel

Answer 13

Lower motor neuron diseases and injuries; defecation occurs infrequently and in small amounts. (Bowel doesn’t empty completely)

Question 14

Uninhibitated bowel

Answer 14

Brain injuries; frequent defecation, urgency and complaints of hard stool

Question 15

Bowel training

Answer 15

Combo of suppository and consistent toileting schedule, fluids, fiber, bedside commode or may have to digitally remove feces

Question 16

Rehabilitation

Answer 16

Aims to help patient return to the best possible physical, mental, social, vocational, and economic capacity