T1: Rehab and Restorative Care (CH 32) Flashcards
Rehab and Restorative care puts an emphasis on __ __.
saving lives
The emphasis on saving lives must be balanced with an emphasis on preserving ___
quality of life (QOL)
What are some symptoms of frailty?
- Unplanned weight loss
- Slow walking speed
- Low grip strength
- Fatigue, poor endurance
- Low levels of activity
Causes of frailty?
-sarcopenia
Definition: Loss of muscle tissue as a natural part of the aging process.
Sarcopenia
Older adults who are frail are at high risk for:
- Falls
- Disability
- Hospitalization
- Nursing home admission
- Death
Prevention of frailty:
- Positive health practices
- Effective management of health conditions
Impact of disability:
- Vulnerability and frustration
- Relationships, roles, and responsibilities disrupted
- Disfigurement and dysfunction alter body image and self-concept
What are 4 influence on reactions to disability?
- Previous attitudes
- Personality
- Lifestyle
- Family response
Severity of a disability may be less important than the coping capacity of a ___ person.
disabled
What are some losses a person can accompany due to a disability?
- function
- role
- income
- status
- independence
- anatomic structure
Individuals with a disability mourn these losses, and may demonstrate the same reactions experienced during the stages of __.
dying
A principle of Rehab nursing is to increase self-care ___, and eliminate or minimize self-care ___.
capacity
limitations
Improving ___ capacity can promote well-being and QOL
functional
Each nurse should know the unique ___ and __ of the individual
capacities
limitations
Emphasize function rather than ___; capabilities rather than ___
dysfunction
disabilities
The nurse should provide ___ and ___.
time
flexibility
The nurse should recognize and praise ___.
accomplishments
Do not equate physical disability with ___ ___ .
mental disability
The nurse should demonstrate what 3 things?
hope, optimism, and humor
Rehabilitation is a highly ___ process.
individualized
Rehabilitation requires a ___ team effort.
Multidisciplinary
Functional status, rather than ___, directs rehabilitative care.
diagnosis
___ status varies widely among older adults.
Functional
Functional status can change within an individual depending on the control of what 3 things?
symptoms, progression of the disease, and mood
The nurse should determine the individual ability to perform __ and __.
ADL’S
IADL’s (instrumental)
An individual can be totally independent, partially independent, or dependent. T/F?
true
Correct body alignment facilitates:
4
- Respiration
- Circulation
- Comfort
- Prevents complications
Wheelchairs, canes, and walkers can increase ___ and enhance functional capacity
independence
Use __ aids only when necessary
mobility
Canes should be individually fitted, usually based on the distance from the __ __ to a distance 6 inches from the side of the person’s foot.
greater trochanter
The cane is used on the __- side of the body and is advanced when the __ limb advances.
unaffected
affected
Walkers are sized by the measurement from the patient’s ___ to the floor
trochanter
T/F:
The person should use the walker to pull himself or herself to a standing position.
FALSE
Education about bowel and bladder training can improve __.
continence
Consistency is a __ factor in educating.
crucial
Mental function can decline if not ___.
exercised
Mental ___ is a highly individualized process.
stimulation
A condition in which a person has poor endurance and weakness
Frailty
Disability includes what 3 things:
frailty, handicap, and impairment
