Chapter 39: Caring for People with Rehabilitation Needs
what is the process that helps a person with a disability to return to their highest level of physical function and emotional well-being called?
rehabilitation
restoration=maintaining their highest level of function
Name 2 members of the rehabilitation team
a pediatric patient is most likely to cooperate with the health care team when we do this
recognize the child's particular stage of development and provide age-appropriate care
Give an example of this
how is most assisted-living care paid for?
private pay, Medicare does not cover
what are the chemicals that act on cells to produce a response called?
hormones
name a hormone
where does most absorption of the nutrients take place?
in the jejunum and ileum of the small intestine
what is the other part of the small intestine not listed?
name a factor that can affect a person's rehabilitation effort
the person's attitude, coping skills, response of family and caregivers to the disability, the person's overall health, the person's age
a behavior that might indicate regression in a toddler might be
asking for a bottle or pacifier, wetting their pants if they are already potty-trained
what is the age range for the toddler stage?
in a long-term care setting, how should the resident's room look?
as home-like as possible
How do we achieve this?
which hormone causes our bodies to get bigger and taller as we move from infancy into adulthood
growth hormone
what is the condition called that is a deficiency of growth hormone
what is the hollow muscular pouch that holds food called?
stomach
name a sphincter associated with the stomach
name the phases of rehabilitation
Acute, subacute, chronic
which phase does rehabilitation start?
at what stage of development the child may be self-conscious or become embarrassed if they are exposed during a medical procedure
adolescents
what are we going to do to minimize this?
what does ADL stand for and give an example
Activities of Daily Living- moving, eating, toileting, dressing, bathing
What's an iADL and give an example.
why must a person with type 1 diabetes mellitus receive regular doses of insulin?
the person's pancreas does not produce insulin on its own
How can type 2 diabetes be managed?
what is another term for large intestine?
colon
what are the major sections called?
name an assistive device for eating
cup holder, plate guard, knife with round blade, utensils with built up handles, swivel spoon
how do you meet the physical needs of an infant?
food and fluid intake monitoring, output monitoring, monitoring body temperature, report any changes in medical condition to the nurse promptly
Name something to meet the safety needs of an infant
name a reason that someone might need long-term care
family can no longer provide care at home, the person needs to recover from an acute accident or illness, the person can no longer care for themselves
Name a specific disease or condition what may require LTC
your patient takes oral thyroxine to control their hypothyroidism, without this medication what signs and symptoms do you thing the patient might have?
loss of appetite, weight gain, constipation, fatigue, weakness, depression, intolerance to cold
What s/sx would you expect to see in someone with hyperthyroidism
name an accessory organ within the digestive system
liver, gallbladder, pancreas, teeth, tongue, salivary glands
describe mastication
what's the difference between PT and OT?
PT- strength, coordination, balance, and ability to move
OT- regain or maintain skills for everyday life, ADLs, bathing, dressing, preparing food, hobbies
What does SLP stand for and what do they do?
what is the nursing assistant's role if abuse is suspected?
report it, listen and report in the child's words, don't pass judgement
what is the most common type of child abuse?
give an example of how can you show respect to a resident within a long-term care facility?
treat it like their home, knock before entering room, close the door/curtain for privacy when providing care, handle their personal belongings with care
break down the word hyperglycemia
high blood sugar levels
hyper- = excessive
gylc/o = sugar, glucose
-emia = blood
name a symptom of hyperglycemia
break down the word cholecystectomy
surgical removal of the gallbladder
cholecyst/o = gall bladder [chol/o bile, gall]
-ectomy = excision, removal of
what does cholelithiasis refer to?