1. MNA Mosby’s Long Term Care Assistant Chapter 41 Rehabilitation and Restorative Nursing Care

2. 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)

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

4. 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

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

6. 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

7. 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

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

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

11. Physical Aspects Mobility Crutches Walker Canes Brace Wheelchair
Prosthesis
Artificial body part

12. Physical Aspects Nutrition Difficulty swallowing May need special diet
Dysphagia
Difficulty swallowing
May need special diet

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

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

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

16. 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

17. Questions??