MNA Mosby ’ s Long Term Care Assistant Chapter 46 Rehabilitation and Restorative Nursing Care

Disability Any lost, absent or impaired physical or mental function Acute – short course. Recovery usually complete (fracture) Chronic – long course. Problem controlled not cured. (paralysis)

Rehabilitation Process of restoring to highest possible level of physical, psychological, social and economic function OBRA Requirement PT OT Speech Therapy

Rehabilitation Focus on: Improving the person ’ s ability to function Promoting the best possible quality of life for the person Preventing further loss of function

Common Health Problems Requiring Rehab Amputation Birth Defects Brain tumors Burns Cerebral Palsy Fractures Head injury Spinal cord injury Stroke

Restorative Nursing Care that helps regain strength, health, independence Focuses on: The whole person Preventing unnecessary decline in function Helping maintain the highest level of function May be combined with rehab

Restorative Aides Nursing assistant with special training to help with restorative care. Should be patient and kind Must have good communication skills positive attitude excellent work ethic

Physical Aspects Rehab begins when person first seeks health care Complications are prevented: Contractures Decubitus Ulcers Bowel/bladder problems

Physical Aspects Self care is a major goal. ADLs evaluated Assistive devices available

Physical Aspects Mobility Crutches Walker Can Brace Wheelchair Prosthesis Artificial body part

Physical Aspects Nutrition Dysphagia Difficulty swallowing May need special diet

Physical Aspects Communication Aphasia – total or partial loss of ability to use or understand language.

Psychological & Social Aspects Disability can affect function and appearance May have low self esteem Depression Anger Hostility

Psychological and Social Aspects Patient ’ s attitude Important! Focus on abilities and strengths Support and reassure

Rehab Team – Your Role Follow care plan Provide safety Position in good body alignment ROM Know how to apply/use assistive devices Praise, encourage Empathy …… not pity

Questions??