Rehabilitation and Restorative Care
What is the primary goal of rehabilitation for residents after illness or injury?
What is to restore a person to their highest level of functioning possible after an accident, illness, or injury
Why is it important to encourage independence in residents, even if it takes longer than doing the task for them?
What is because independence improves self-esteem, speeds recovery, keeps the mind and body active, and prevents complications of immobility
What does the term "ambulation" mean?
What is walking
True or False: Proper body alignment is not important for bed-confined residents.
What is False; proper alignment aids recovery and prevents further injury
What is a prosthesis?
What is a device that replaces a body part that is missing or deformed to improve function and/or appearance
When might a resident need bladder or bowel retraining?
What is after illness, injury, or a period of inactivity
What is restorative care, and when does it typically occur?
What is care given after rehabilitation to maintain a person's function, improve quality of life, and increase independence
Name three complications that can result from immobility.
What are pneumonia, urinary tract infections, and skin breakdown or pressure injuries
When should a nursing assistant check the care plan before helping a resident ambulate?
What is always, to ensure the resident’s limitations and needs are understood
How often should residents be repositioned to prevent complications of immobility?
What is at least every two hours
What should a nursing assistant do if a resident chooses not to wear their prosthesis?
What is respect the resident’s decision and follow the care plan
Name two guidelines for assisting with bladder or bowel retraining.
What are encourage fluids, provide privacy, answer call lights promptly, and keep accurate records of elimination
Name two goals of rehabilitation besides regaining function.
What are helping a resident feel in control of their life and helping them accept or adapt to limitations of a disability
List three benefits of regular ambulation and exercise for residents.
What are improved circulation, better mood, and increased strength
What is one guideline for helping a resident use a cane?
What is ensure the cane is in good condition and that the resident uses it on their stronger side
What is one purpose of maintaining proper body alignment?
What is to keep body parts in natural positions and prevent external rotation of hips
What is phantom limb pain?
What is pain felt in a limb or extremity that has been amputated
What is timed voiding?
What is encouraging the resident to urinate on a set schedule, gradually extending the time between bathroom trips to improve continence
Why might two residents progress differently in rehabilitation?
What is because each person’s progress is individual, depending on diagnosis, motivation, support, and how soon rehabilitation started
How does regular exercise impact a resident’s appetite and elimination?
What is it improves appetite and promotes healthy elimination
For what type of resident are crutches typically used?
What is for residents who can bear no weight or limited weight on one leg
What is a contracture, and how can it be prevented?
What is a permanent, often painful shortening of a muscle or tendon, prevented by regular movement and proper positioning
What are range of motion (ROM) exercises, and why are they important?
What are exercises that put a joint through its full arc of motion to maintain muscle strength, stimulate circulation, and prevent contractures
Why is a positive attitude important during bladder or bowel retraining?
What is because encouragement and praise help residents succeed and maintain dignity
What should a nursing assistant observe and report during rehabilitation?
What are increases or decreases in abilities, changes in attitude or motivation, changes in general health, and signs of depression or mood changes
What psychological benefits can exercise and independence provide for residents?
What are improved self-esteem, better mood, and reduced depression or anxiety
When assisting a visually impaired resident to walk, where should the nursing assistant position themselves?
What is beside and slightly in front of the resident
Name two things a nursing assistant can do to promote comfort and healing while positioning residents.
What are giving back rubs as ordered and changing positions often
What is the difference between active, active assisted, and passive ROM exercises?
What is active ROM is done by the resident alone, active assisted is done with some help, and passive is done by staff without the resident’s help
What should a nursing assistant do immediately after an episode of incontinence?
What is clean up promptly to protect skin and dignity, and provide careful perineal care