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Rehabilitation Concepts
McCall Week 1
20
Nursing
Graduate
01/25/2014

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Cards

Term
Where rehabilitation falls on the continuum of care
Definition
can be integrated with hospital care or home care or be separate from and between them
Term
disability
Definition
physical or mental impairment that significantly interferes with one or more MAJOR life activities
Term
adaptation
Definition
helping patients adjust to disability by integrating their resources and focusing on ability rather than disability
Term
holistic care
Definition
care for physical, psychosocial, spiritual and other needs simultaneously. Often involves interdisciplinary care.
Term
chronicity
Definition
staying with patient from day one through completion of rehab (not necessarily through to full function)
Term
quality of life
Definition
making sure that the patient not only lives, but lives a fulfilling life
Term
coping
Definition
emotional reconciliation with hardship, like disability
Term
self-care
Definition
concept of a patient doing as much for themselves as they can before relying on a caregiver--> more rapid recovery
Term
True or False: If a 15-year-old pt presents with 2nd & 3rd degree burns to her face, neck, chest, and arms, the nurse would be expected to focus on problems related to body image disturbance
Definition
false, until the wounds have healed, the first priority is airway and aspiration, followed by risk for infection
Term
IDT
Definition
interdisciplinary team: a group of up to 15 different vocations available to assist with interventions for rehab
Term
what are 3 examples of roles held by nurses in the rehabilitation process
Definition
gerontological rehab
advanced practice rehab nurse
admissions liaison
home care rehab
pain management rehab
pediatric rehab
rehab nurse manager
case manager
nurse educator
staff nurse
nurse researcher
Term
Priority check:
a: hematoma
b: pt being transferred to neuro rehab
c: tumor awaiting surgery
d: akinetic seizures
Definition
in this order:
a: hematoma
d: akinetic seizures
c: tumor awaiting surgery
b: neuro rehab
Term
things to remember for an immobile patient
Definition
no AROM, risk for wasting of muscles/bones
poor fluid/fiber intake--> constipation
urinary retention--> UTI
Term
things to remember for a patient in traction
Definition
check the trapeze (comfort, placement, etc.)
check for circulation (5 P's: pain, pulse, pallor, paralysis, and paresthesia)
Term
causes of autonomic dysreflexia
Definition
prerequisite: injury at T6 or higher
causes: full bladder, fecal impaction, flushed/diaphoretic skin
Term
common assessments for autonomic dysreflexia
Definition
Full Heads Hurt Brains
flushing/diaphoresis
headache
HTN
bradycardia
Term
PT vs OT
Definition
Physical therapy: rehabilitation of gross motor skills like walking
Occupational therapy: rehabilitation of fine motor skills like, eating, writing, or getting dressed
Term
pt education for crutches
Definition
avoid friction under arms
lean on the railing on your good side going up the stairs (up with the good), and on your bad side going down the stairs (down with the bad)
Term
pt education for canes
Definition
use cane on non-disabled side (not like House)
Term
Living will vs. DNR vs. DNI
Definition
Living will: previously established desire in case of perifatal medical situation
DNR: do not resuscitate--> no measures should be taken to save patient's life
DNI: do not intubate--> no surgical/mechanical measures should be taken to save patient's life, but CPR/ALS welcome
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