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Restorative Care and Rehabilitation

Restorative Care and Rehabilitation. Taken from Mosby’s Basic Skills for Nursing Assistant in Long-Term Care and the ARC NA training manual Hubbs Pre-CNA Restorative Care Unit SP2-AP2. What is a disability?. Any lost, absent, or impaired physical or mental function

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Restorative Care and Rehabilitation

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  1. Restorative Care and Rehabilitation Taken from Mosby’s Basic Skills for Nursing Assistant in Long-Term Care and the ARC NA training manual Hubbs Pre-CNA Restorative Care Unit SP2-AP2

  2. What is a disability? • Any lost, absent, or impaired physical or mental function • Can be temporary or permanent • Nervous system problems are a common cause of disabilities. • Can you name 3 temporary disabilities? • Can you name 3 permanent disabilities?

  3. How does a disability affect someone? • A disability has physical, psychological, and social effects. • The person with the disability needs to adjust to these changes. • Can you give an example of a psychological and social effect?

  4. Disabilities can affect the person’s ability to perform ADLs • Bathing • Oral hygiene • Dressing • Eating • Elimination • Moving

  5. What is Rehabilitation? The process of regaining physical and emotional health. Goals: • Improve function or prevent loss of further function. • Maintain the highest quality of life

  6. What is Restorative Nursing Care?(also called Rehab Nursing) • Part of the everyday care you provide that helps the rehabilitation process • Goal: help the person become as fully functional as possible and help him to be able to enjoy life • Promotes independence, dignity and self-esteem

  7. How can you help to restore a person’s highest quality of life? • Emphasize her abilities, not her disabilities. Encourage independence • Encourage activity as approved by the MD. Immobility can lead to many problems • Treat the wholeperson, not just the affected part of her body. This includes physical, emotional, social, etc.

  8. Self-Help Devices or Adaptive Devices:Promote Independence • This is equipment that has been modified or changed to meet the person’s needs.

  9. Recreational Activities • Fun activities such playing card games, music, dance, painting, etc. • Promotes physical and mental stimulation

  10. Immobility affects all body systems • Skin -Decubitus Ulcers • GI/Digestive -Constipation • Urinary: -UTI • Respiratory: -Pneumonia • Joints • Contractures • Muscular • Atrophy • Bones • Osteoporosis • Psychological • Decreased sense of well-being

  11. Contracture: • Is a lack of joint mobility caused by abnormal shortening (tightening) of the muscle.

  12. Muscle Atrophy “Use it or lose it” • The decrease in size or wasting away of tissue. Tissue shrinks in size.

  13. R.O.M:Range of Motion exercises • Encourages activity • It is the movement of joints through their complete range of motion • Helps prevent contractures and atrophy

  14. Ambulation: encourages mobility • The act of walking

  15. Ambulation Assistive Equipment • Walkers • Canes • Crutches

  16. Walkers: when resident needs support on both sides • Pick-up walkers • 2 or 4-wheeled walkers

  17. Canes: support needed on one side. • Place cane on strong (unaffected) side

  18. Crutches: Person can’t use one leg or both legs are weak.

  19. Quality of Life: • Successful rehabilitation and restorative care improves the person’s quality of life. • Be hopeful • The process may be slow and frustrating • Help the person have a positive attitude • Remember: treat the WHOLE person

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