DME/ambulation
T/F When using a cane it is put in front of the strong side
True
What is sundowning and how can we as nursing assistants prepare to work with pts that experience this?
When pts become confused in evening and keeping to a schedule is an important component.
What is the difference in passive and active ROM
Passive is when the pt can not move the joint themselves and the NA performs the task, active is when the resident assist
What is subacute care?
Care to support level of need higher than most long term care facilities but not in the hospital acute care
What is the last sense to leave a dying person
Hearing
How far in front of the strong leg does the pt use the cane for ambulation?
6 inches
What disorder has characteristics of intrusive repetitive thoughts that cause anxiety?
Obsessive-compulsive disorder
When completing range of motion - what is the difference in adduction and abduction?
Adduction - bring joint towards body / Abduction - bring joints away from body
When pts are on the ventilator can they communicate and how
They may need clipboards/paper/pens
They may not be unconscious, it is not voluntary breathing (the machine does that)
Do not ask others to speak/communicate for the pt
What is post mortem care?
Ad the nursing assistant walking with a pt who has hemiparesis on the left side which side do we walk with the pt on?
The left side/weaker side even if they are using an assistive device.
Depression that occurs during the winter months. Like wt. gain, sleeping more, and low energy
When doing ROM exercises when you bend the body part you are performing ___________ to the joint.
Flexion
Extension is when you straighten it out
What is the telemetry unit and how do you provide care for pts with those on
Portable heart monitor attached by electrodes and they must be snug in being stuck to the body, keep dry and away from water continue to check VS and assess skin for breakdown
What is a terminal illness
An illness that will cause death within 6 months of follows normal trajectory of disease process
When using crutches where should the pts weight be focused?
On hands and arms - never underarms and on legs
When caregivers get very overwhelmed and exhausted from stress it can results in caregiver __________
Burnout
When the feet and ankle muscles weaken and can not support flexion it is called__________
What is foot drop
What is the normal blood oxygen range when using the pulse oximeter
95 - 100%
Attached to fingers most often so no nail polish
What are the 5 stage of grief
denial, anger, bargaining, depression, acceptance
This device improves functionality and keeps joints in the correct alignment
What is an orthotic device
What type of therapy encourages the dementia pt to remember past experiences?
What is reminiscence therapy
How does lack of exercise effect the following systems:
1. Neurological system 2. Integumentary system 3. Gastrointestinal system
1. Depression and apathy 2. pressure injuries 3. constipation
What is the difference in rehabilitative and restorative care?
Rehabilitative care is designed to restore a persons functions to the highest possible level after an illness or disease
Restorative Care is given after rehab to maintain independence
What is the type of term that focuses on comfort and managing of symtpoms
Palliative care