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44 Cards in this Set
- Front
- Back
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Basic Restorative Care |
care provided after rehabilitation when the resident's highest possible functioning has been restored following illness or injury |
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What is the goals for basic restorative care? |
to maintain function that has been restored through rehabilitation and to increase independence |
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Nurse aides role in basic restorative care |
be positive and supportive emphasize abilities explain planned activities and how nurse aide will help treat with respect allow for expression of feelings develop empathy for situation praise accomplishments assist resident to do as much as possible |
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Focus on ___ tasks and accomplishments |
small |
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Prosthetic device |
replacement for loss of body part, specifically fitted to one person |
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examples of prosthetic device |
implanted lens cochlear implant hip prosthesis artificial body part such as a leg or hand |
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orthotic device |
artificial device that replaces a body part and helps with function and/or appearance |
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examples of orthotic device |
artificial eye eyeglasses contact lenses hearing aid artificial breast fitted brace for weak body part device for use with amputation |
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supportive device |
special equipment that helps a disabled or ill resident with movement |
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examples of supportive device |
canes walkers crutches wheelchairs motorized chairs |
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assistive (adaptive) devices |
special equipment that helps a disabled or ill resident perform activities of daily living |
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assistive device for positioning |
regular pillows wedge-shaped foam pillows bed cradles footboards heel protectors |
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assistive device for eating |
angled utensils sipper cup large grip handled utensils plate with lip around the edge snap on food guard |
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assistive device for dressing |
shirt and jacket pull zipper pull button fastener long-handled shoe horn socks and stocking aid |
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assistive devices for hygiene |
electric toothbrush denture care kit fingernail brush extra long sponge |
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assistive device- recording and reporting |
what activity was attempted what assistive devices were used how successful were they any increase/decrease in ability any changes in attitude or motivation any changes in health |
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bowel and bladder training |
measures taken to restore function of urination and defecation by resident, with ultimate goal of continence |
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bowel and bladder training- nurse aide's role |
offer fluids per the schedule encourage fiber foods encourage regular exercise teach good pericare keep bedding clean and odor free |
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Resident is encouraged to void |
when resident awakens one hour before meals every two hours between meal before going to bed during night as needed |
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Attempts to encourage residents to void include |
running water in the sink have resident lean forward, putting pressure on the bladder put resident's hands in warm water offer fluids to drink pour warm water over perineum area |
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____ will be ordered by the doctor
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enemas |
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succes in bowel and bladder training can take |
8 to 10 weeks |
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End of life care |
support and care provided during the time surrounding death |
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terminal illness |
an illness or injury from which the person will not likely recover, a terminal illness ends in death |
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dying |
the near end of life and near cessation of bodily functions |
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death |
the end of life and cessation of bodily functions |
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post mortem care |
care of the body after death |
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obituary |
a description of a resident's life, including listing of relatives, birth information, accomplishments/activities, and death, written upon the death of the resident |
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death |
a natural conclusion of life |
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stages of grief |
1. denial 2. anger 3. bargaining 4. depression 5. acceptance |
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denial |
begins when a person is told of impending death, person may refuse to accept diagnosis or discuss situation |
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anger |
person expresses rage and resentment, often upset by smallest things, lashes out at anyone |
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bargaining |
person tried to arranger more time to live to take care of unfinished business, bargains with the doctors or god |
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acceptance |
person has worked through feelings and understands that death is imminent |
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advance directive |
dying resident must have living will which outlines choices about withdrawing or withholding life-sustaining procedures, if terminally ill |
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living will must |
be written while resident is mentally competent or by residents legal representative |
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DNR |
do not resuscitate |
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hospice care |
health care agency or program for people who are dying |
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Purpose of hospice care |
to improve the quality of life for a person who is dying and provide comfort measures and pain management |
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environmental needs of the resident who is dying |
keep room as normal as possible, clean and comfortable |
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emotional and psychological needs of the resident who is dying and the family |
respect resident preference regarding solitude or interaction. communicate with both the resident and family. |
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Culture and religion |
it is important for team to discover specific, cultural issues in order to provide respectful care to resident who is dying |
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Signs that the resident has died |
no heartbeat no respirations no response bowel and bladder incontinence enlarged pupils that do not respond to light eyes are fixed on a certain spot no blinking |
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performing post mortem care |
respect family religious restrictions and provide privacy. put in dentures and wash and comb body |
