Mobility
What should you use when helping a Pt ambulate?
Gait Belt
Chlorhexidine gluconate (CHG) bathing reduces the rate of healthcare-associated
infections.
The quality of individuals’ nutritional intake affects their
rate of recovery from short-term and chronic illness, surgery, and injury.
What's the difference between airborne and droplet precautions?
Airborne- negative pressure room, N-95 mask, gloves, gown, shoe covers.
Droplet- Mask, gloves, gown, shoe covers.
neuropathic, nociceptive, and mixed, and any of these types may be acute or become chronic.
Pts can have more than one kind of pain
How many times should you perform a ROM assessment for each joint?
5
Personal Hygiene Promotes?
physical and mental health,
maintains skin integrity,
provides for an individual’s comfort, safety, and sense of well-being
A nutritional screening must be completed within
24 hours of a patient’s admission to
a hospital, within 14 days of admission to a long-term care agency, or within an
agency-defined period of time in ambulatory and home care settings.
what are the two types of contact transmission?
Indirect - Object between transmission
Direct - no object between transmission
Types of analgesics
include nonopioids, opioids, and adjuvants or coanalgesics (medications that have primary indications other than pain but that can provide
analgesic properties).
The most effective treatment is multimodal which combines pharmacological and nonpharmacological
Loss of function due to prolonged inactivity is sometimes called
disuse syndrome
When should peri care be preformed?
provided during a bath; however, patients with
incontinence, an indwelling Foley catheter, or rectal or genital surgery might require
more frequent perineal care.
Strategies to increase oral intake of older adults include
conducting incorporating
mealtime during social activities, home-delivered meals and snacks, and lifting
dietary restrictions
What are HAI's and what are the six most common?
Health Care Associated Infections.
The four major HAIs are:• Central Line-associated Bloodstream Infections (CLABSIs)• Catheter-associated Urinary Tract Infections (CAUTIs)• Surgical Site Infections (SSIs)• Ventilator-assisted Pneumonias (VAPs)
Examples of nonpharmacological interventions?
Positioning, Cutaneous Stimulation, Heat/Cold Therapy, Touch, Massage, Acupuncture, Hypnosis, Acupressure, Electronic Stimulating Unit
Name mobility assistive devices...
Canes, Crutches, Walkers, Gait Belts
Pressure injury prevention principles
cleaning the skin at the time of soiling
and routinely avoiding hot or excessively cold water, avoiding use of force and
friction, minimizing environmental factors that lead to skin drying, using bathing as a
time for patient assessment interaction, integrating ROM exercises into bathing, and
for patients who tire easily, considering a partial bath instead of a complete bath.
What is a nutrition risk screening?
A nutrition risk screening is a rapid and simple set of questions that have been validated to predict whether a patient is malnourished or at risk for malnutrition,
helping to determine whether a detailed nutrition assessment is indicated
Identify the chain of infection?
infectious agent or pathogen, a reservoir
for pathogen growth, a portal of exit from the reservoir, a mode of transmission, a
portal of entry to the host, and a susceptible host.
What is a PCA?
Patient-controlled analgesia (PCA) allows the patient to self-administer analgesics without the risk of overmedicating by controlling the dosage and the administration interval.
What can immobility cause?
functional decline, cognitive decline, atrophy...etc
*Impacts all systems*
Patients most at risk for developing serious foot problems are
peripheral neuropathy and peripheral vascular disease, and disorders that are commonly found in
patients with diabetes mellitus
The primary approaches to managing dysphagia and preventing aspiration during oral
intake include
texture modification of food and liquids and positional swallowing
maneuvers, such as chin-tuck or head rotation
What kind of precautions should you use for MRSA and C.diff Pt's
Standard and contact precautions
What should you monitor pts on opioids for?
Oversedation and respiratory depression