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
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
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
where does most absorption of the nutrients take place?
in the jejunum and ileum of the small intestine
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
in a long-term care setting, how should the resident's room look?
as home-like as possible
which hormone causes our bodies to get bigger and taller as we move from infancy into adulthood
growth hormone
what is the hollow muscular pouch that holds food called?
stomach
when does the rehabilitation process start?
when the person is medically stable, subacute phase
acute phase (~24 hrs)-stabilize and keep person alive
chronic-maintaining abilities to speak, move, perform ADLs, etc.
at this stage of development the child may be self-conscious or become embarrassed if they are exposed during a medical procedure
adolescents
what are ADLs and give an example
Activities of Daily Living- moving, eating, toileting, dressing, bathing
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
what is another term for large intestine?
colon
name an assistive device for eating
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 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
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
name an accessory organ within the digestive system
liver, gallbladder, pancreas
teeth, tongue, salivary glands
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 is the nursing assistant's role if abuse is suspected?
report it, listen and report in the child's words, don't pass judgement
how can you show respect to a patient or 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
hyperglycemia
high blood sugar levels
hyper- = excessive
gylc/o = sugar, glucose
-emia = blood
BONUS- name a symptom of hyperglycemia
cholecystectomy
surgical removal of the gallbladder
cholecyst/o = gall bladder [chol/o bile, gall]
-ectomy = excision, removal of