For your planner…

1. For your planner… Today: turn in homework: bedmaking Finish clinical skill – positioning Watch ROM video, take 3 column notes Fri: retakes Unit 7 test ROM video for practice or notes Clinical skill testing, if ready. Turn in notes & paragraph. Summarize purpose & safety/comfort points for assisting c ROM. Use terms “contractures” & “atrophy” in paragraph. Do not list specific steps for specific joints in paragraph.

2. For your planner… Mon: skills testing: Assisting with ROM Priority to students in A/B group. If not passed by Wed, must be added to things to do in after school session. (Wear scrubs.) Tues: short answer test over “Clinical Skills for Manor Care.” Worth 100 points. Wed: Chapter 16/17 homework packet due. After school session for A/B group. Come prepared to test oral hygiene, shaving, and nail care (plus ROM if not completed).

3. You are assigned to care for Mr. Lewis who has severe MS. His lower extremities are atrophied with severe contractures. His arms & hands are weak. He fatigues easily. He is unable to bear weight on his legs, so must be transferred by mechanical lift. He wears an incontinence brief. You are assigned to set Mr. Lewis up for a partial bath. • What supplies do you need to gather? • What body parts would you assist him (as needed) to wash? • In what order would you wash these parts? • How will you clean up after his parial bath?

4. You are assigned to care for Mr. Lewis who has severe MS. His lower extremities are atrophied with severe contractures. His arms & hands are weak. He fatigues easily. He is unable to bear weight on his legs, so must be transferred by mechanical lift. He wears an incontinence brief. Perineal care is the last step of a partial bath. • What supplies will be used to perform pericare? • Mr. Lewis is uncircumcised. Describe steps to clean his genital area. How should the rectal area be washed? • What must be remembered when soiled briefs are discarded?

5. You are assigned to care for Mr. Lewis who has severe MS. His lower extremities are atrophied with severe contractures. His arms & hands are weak. He fatigues easily. He is unable to bear weight on his legs, so must be transferred by mechanical lift. He wears an incontinence brief. Mr. Lewis uses a disposable razor to shave, but he is unable to be up to the bathroom to shave. • What supplies will be needed to shave him? • How should Mr. Lewis be positioned for his shave? • Describe the steps you would take to shave him? • What steps need to be taken to clean up after the shave?

6. You are assigned to care for Mr. Lewis who has severe MS. His lower extremities are atrophied with severe contractures. His arms & hands are weak. He fatigues easily. He is unable to bear weight on his legs, so must be transferred by mechanical lift. He wears an incontinence brief. Mr. Lewis needs help with oral care before breakfast. • What supplies does he need when set up to brush his teeth? • How do you position him? • What things might you need to help him with?

7. You are assigned to care for Mr. Lewis who has severe MS. His lower extremities are atrophied with severe contractures. His arms & hands are weak. He fatigues easily. He is unable to bear weight on his legs, so must be transferred by mechanical lift. He wears an incontinence brief. Mr. Lewis prefers to have his meals served to him sitting up in bed. • How will you make sure he has been served the correct tray? • How will you position him & help set up the tray for him to feed himself? What kind of help might he need?

8. You are assigned to care for Mr. Lewis who has severe MS. His lower extremities are atrophied with severe contractures. His arms & hands are weak. He fatigues easily. He is unable to bear weight on his legs, so must be transferred by mechanical lift. He wears an incontinence brief. Mr. Lewis needs assistance with range of motion exercises to his upper body. • List 3 movements you should complete to his shoulder joint. • What movement must be done to the elbow joint? • How will you know how far to move the joint?