MNAMNAMosby’s Long Term Care AssistantMosby’s Long Term Care Assistant Chapter 46 Rehabilitation and Chapter 46 Rehabilitation and Restorative Nursing CareRestorative Nursing Care

DisabilityDisability

Any lost, absent or impaired physical or mental function

Acute – short course. Recovery usually complete

(fracture)

Chronic – long course. Problem controlled not cured.

(paralysis)

RehabilitationRehabilitation

Process of restoring to highest possible level of physical, psychological, social and economic function

OBRA Requirement

PT

OT

Speech Therapy

RehabilitationRehabilitation

Focus on: Improving the person’s

ability to functionPromoting the best

possible quality of life for the person

Preventing further loss of function

Common Health Problems Common Health Problems Requiring RehabRequiring Rehab

AmputationBirth DefectsBrain tumorsBurnsCerebral PalsyFracturesHead injurySpinal cord

injury Stroke

Restorative NursingRestorative NursingCare 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 AidesRestorative AidesNursing assistant with

special training to help with restorative care.

Should be patient and kind

Must have good communication skillspositive attitudeexcellent work ethic

Physical AspectsPhysical Aspects

Rehab begins when person first seeks health care

Complications are prevented:

• Contractures• Decubitus Ulcers• Bowel/bladder

problems

Physical AspectsPhysical Aspects

Self care is a major goal.

ADLs evaluated

Assistive devices available

Physical AspectsPhysical Aspects

MobilityCrutchesWalkerCanBraceWheelchai

rProsthesis

Artificial body part

Physical AspectsPhysical Aspects

NutritionDysphagia

Difficulty swallowing

May need special diet

Physical AspectsPhysical Aspects

Communication

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

Psychological & Social Psychological & Social AspectsAspects

Disability can affect function and appearance

May have• low self esteem• Depression• Anger• Hostility

Psychological and Social Psychological and Social AspectsAspects

Patient’s attitude Important!

Focus on abilities and strengths

Support and reassure

Rehab Team – Your Rehab Team – Your RoleRole

Follow care planProvide safetyPosition in good

body alignmentROMKnow how to

apply/use assistive devices

Praise, encourageEmpathy……not pity

Questions??