Unit 2

Question 1

Consent

Answer 1

The granting of permission by the client for another person to perform an act

Question 2

Informed consent

Answer 2

A voluntary agreement made by a well advised and mentally competent client to be treated. Especially important for potentially uncomfortable procedures (ex. Disrobing)

Question 3

Draping

Answer 3

The act of covering a client in a manner that maintains the clients right to modesty during treatment

Question 4

Purpose: draping

Answer 4

Exposes specific body segments for treatment and allows for unrestricted movement. Protects clients modesty. Provides warmth protects wounds, scars, and clothing.

Question 5

When should we drape?

Answer 5

When performing a treatment that requires exposure of a body part that is often covered by clothes. Ex. Shoulder, hip, application of modality to back or neck

Question 6

Professional role of an RA

Answer 6

Team player, communicator, treatment provider, documenter

Question 7

Purpose of positioning

Answer 7

Maximize client comfort, maintain skin integrity - prevent pressure sores/ bed sores, maintain musculoskeletal integrity- prevent contractures, maintain neuromuscular integrity- prevent pressure on peripheral nerves, maintain cardiovascular/ pulmonary integrity

Question 8

Positioning often becomes a balancing act between

Answer 8

Client comfort and therapeutic goals

Question 9

Skin inspections

Answer 9

Need to examine the skin before a position change to determine a base line. After being in a position check skin for any redness or persistent marks.

Question 10

Positioning environment

Answer 10

Location is clean and free of wrinkles or materials that may increase pressure on skin. Use pillows, rolled blankets, or towels to support body parts and to avoid strain or pressure on ligaments, nerves, and muscles

Question 11

Positioning: timing

Answer 11

First time in new position check skin after 30 mins. If client is used to position check after 2 hours. If sitting relieve pressure from buttocks and sacrum every 10 mins

Question 12

At risk clients of pressure sores

Answer 12

Decreased sensation, decreased independent mobility, decreased communication, decreased adipose tissue, old age or very young, agitated skin.

Question 13

Prone

Answer 13

Lay client on stomach offer a pillow below hips or chest

Question 14

Supine

Answer 14

Pillow under the head and bolster under legs, if no bolster use a pillow

Question 15

Side lying

Answer 15

Put pillow between client legs

Question 16

Sitting

Answer 16

90, 90, 90

Question 17

Explain least restraint policy

Answer 17

Decisions to institute physical or pharmacological restraint must be based on a clear, identifiable, documented need for their use