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30 Cards in this Set
- Front
- Back
Friction
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The rubbing of one surface against the other
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Shearing
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When the skin sticks to a surface and the bones move forward or backward with in the skin
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Log rolling
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Moving the body as a unit, with out twisting or bending
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General Rules of Body Mechanics
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1. Good alignment and wide base of support
2. use larger muscles - shoulders, upper arms, thighs, hips and abs. 3. Keep objects close to your body 4. Avoid bending and reaching 5. Avoid twisting, face the area you are moving in 6. Push, slide, or pull rather then lift 7. Use both hands and arms when lifting 8. turn you whole body when changing directions 9. work with smooth and even movements 10. get help with heavy objects or residents 11. squat to lift heavy objects |
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General Rules of Using Mechanical Lifts
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1. Lifts are used to transfer helpless and very heavy residents
2. Check to see that the lift is working 3. Two workers are needed (caregiver/spotter) 4. Follow facility problems |
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Moving the resident to a wheel chair or geri-chair
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1. use transfer belt or gait
2. use a pad for comfort 3. ask for assistance 4. move the body as a unit |
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Positioning
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Fowler's Position: HOB elevated to 35 degrees
Supine Position Prone Position Lateral Position Chair position Sims Position - used to administer an enima |
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Range of Motion (ROM)
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the movement of a joint to the extent possible with out pain
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Muscle Atrophy
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a decrease in size or wasting away of tissue
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Contracture
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the abnormal shortening of a muscle
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Plantar flexion
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the foot is pointed downward
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Foot Drop
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Permanent Plantar Flexion
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Active ROM (AROM)
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The resident performs range of motion independently
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Active Assistive ROM (AAROM)
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Resident does exercise with help from staff
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Passive ROM (PROM)
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Staff member does exercises for resident (support at joints)
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Pros and Cons of Bed Rest
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Pros: reduces pain and promotes healing
Cons: promotes lack of exercise and serious complications, pressure sores, constipation, fecal impaction, blood clots, UTI, URI, Muscle Atrophy |
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Positioning aids
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Trocanter Roll: rolled to the hip to prevent abduction
hand roll finger cushion plam cone |
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Range of Motion (ROM)
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1. Purpose: Promotes restoration, prevention, maintenance
2. Factors that Affect ROM: arthritis/bursitis, pain, contractures, swelling |
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Ambulation
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walking
a falling resident should be eased to the floor |
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Walking Aids
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1. crutches
2. Canes 3. Walkers 4. Braces 5. AFO (Ankle Foot Orthotics) |
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Activities of Daily Living (ADL)
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self-care activities a person performs daily to remain independent and to function in society
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Prothesis
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an artificial replacement for a missing body part
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Orthotics
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appliances for othopedic use
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Rehabilitation
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the process of restoring a person to the highest possible functioning level (done by therapies)
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Restorative Nursing
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Care that helps person regain their health, strength, and independent, completed by nursing
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Physical considerations and aspects of rehabilitation
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Prosthesis and orthotics,
contractures, pressure sores, Bowel and Bladder (B/B) training, ADL's, special devices to assist with eating, dressing, holding, walking, etc. |
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Physical and Social Considerations
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Self Esteem and relationships with others are affected
changes in body appearance may expect therapy to work with disability may become depressed, andry, and hostile |
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Responsibilities of the Nursing Assistant for Rehab
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1. follow the instructions given to you carefully
2. report early S/S of complications - decubs, contractures, and B/B problems 3. Keep the person in good alignment at all times 4. practice measures to prevent decubs - turn q 2 hours 5. tun and reposition as directed 6. Encourage the person to do ADLs as much as possible 7. Give praise and emotional support 8. know how to apply self0care devices 9. Do not pity the person, convey hopefulness 10. Practice the task the person must perform |
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Eye Glasses
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1. Clean daily with hot water, wipe with cloth
2. Store in case in drawer 3. Do not lie glasses on their lens |
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Hearing Aids
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1. Clean with soap and water only the piece that goes in the ear
2. check for working battery 3. know how to insert specific advice 4. store in a drawer or give to the nurse at bed time |