Certified Nurse Assistant Module 14: Rehabilitative Nursing

Section 1: Key Terminology

• Review Terms: Go through the terminology section.
• Spell Terms: Ensure accurate spelling of terms.
• Pronounce Terms: Practice correct pronunciation.
• Use Terms: Apply terms correctly in context.

Section 2: Rehabilitation and Restorative Care

• Definition of Disability: Physical/mental condition affecting basic needs.
• Effects of Disability:
  • Related to Maslow's Hierarchy.
  • Feelings of loss, damage to self-image, self-esteem.
• Goals of Rehab Care:
  • Return to highest possible level of function.
  • Promote independence.
  • Adjust to disabilities.
  • Focus on abilities, new skills, retaining old skills.
  • Prevent deterioration and complications.
  • Start rehab at facility entry.
• Identify Risk Factors: Contribute to disability.

Section 3: Goals of Restorative Care

• Physical Goals:
  • Maintain/improve function.
  • Encourage independence in ADLs.
• Psychosocial Goals:
  • Adjust to effects of disability.
  • Recognize accomplishments.
  • Social service referrals, job skills.

Section 4: Rehabilitation Team

• Team Members: Patient, family, nurse assistant, therapists, physician, etc.
• Purpose:
  • Evaluate function level.
  • Establish care plan/goals.
  • Monitor progress.
• Nurse Assistant's Role:
  • Participate in care planning.
  • Report responses.
  • Encourage rehabilitation plan adherence.

Section 5: Responsibilities of Nurse Assistants

• Promote Self-Care:
  • Protect rights, ensure safety.
  • Communicate effectively.
  • Follow care plan.
  • Report changes in condition.
  • Encourage independence, provide support.
  • Use devices correctly.

Section 6: Activities of Daily Living (ADLs)

• Components of ADLs:
  • Hygiene, grooming, eating.
  • Mobility, positioning.

Section 7: Comfort and Adaptive Devices

• Comfort Devices: Footboard, splints, bed cradles, etc.
• Adaptive Devices: Utensils, reachers, communication boards.

Section 8: Preventing Complications from Inactivity

• Possible Complications:
  • Neurological, respiratory, circulatory issues.
  • Musculoskeletal, integumentary, gastrointestinal, urinary, psychosocial effects.
• Prevention Methods:
  • Repositioning, exercises, skin care, independence encouragement.

Section 9: Range of Motion Exercises (ROM)

• Purpose: Maintain strength, circulation, alignment.
• Techniques:
  • Active ROM: Patient moves independently.
  • Passive ROM: Assistant moves joints.
  • Active Assistive ROM: Combination.
• Guidelines: Avoid injury, support joints, report pain.

Section 10: Mobility and Ambulation

• Assessing Independence:
  • Check strength, abilities, resources.
• Procedures and Devices:
  • Transfer techniques, use of gait belt, assistive devices.

Section 11: Self-Esteem and Family Involvement

• Meeting Needs:
  • Involve family in care.
  • Address love, self-esteem, self-actualization.

Section 12: Documentation Process

• Role in Documentation:
  • Assist in completing assessments as required by legislation.