1. Restorative Care and Rehabilitation Taken from Mosby’s Basic Skills for Nursing Assistant in Long-Term Care and the ARC NA training manual Hubbs Pre-CNARestorative Care Unit SP2-AP2

2. What is a disability? Any lost, absent, or impaired physical or mental function Can be temporary or permanent Nervous system problems are a common cause of disabilities. Can you name 3 temporary disabilities? Can you name 3 permanent disabilities?

3. How does a disability affect someone? A disability has physical, psychological, and social effects. A disability has physical, psychological, and social effects. The person with the disability needs to adjust to these changes. The person with the disability needs to adjust to these changes. Can you give an example of a psychological and social effect? Can you give an example of a psychological and social effect?

4. Disabilities can affect the person’s ability to perform ADLs Bathing Bathing Oral hygiene Oral hygiene Dressing Dressing Eating Eating Elimination Elimination Moving Moving

5. What is Rehabilitation? The process of regaining physical and emotional health. Goals: Improve function or prevent loss of further function. Maintain the highest quality of life

6. What is Restorative Nursing Care? (also called Rehab Nursing) Part of the everyday care you provide that helps the rehabilitation process Part of the everyday care you provide that helps the rehabilitation process Goal: help the person become as fully functional as possible and help him to be able to enjoy life Goal: help the person become as fully functional as possible and help him to be able to enjoy life Promotes independence, dignity and self-esteem Promotes independence, dignity and self-esteem

7. How can you help to restore a person’s highest quality of life? Emphasize her abilities, not her disabilities. Encourage independence Encourage activity as approved by the MD. Immobility can lead to many problems Treat the whole person, not just the affected part of her body. This includes physical, emotional, social, etc.

8. Self-Help Devices or Adaptive Devices: Promote Independence This is equipment that has been modified or changed to meet the person’s needs. This is equipment that has been modified or changed to meet the person’s needs.

9. Recreational Activities Fun activities such playing card games, music, dance, painting, etc. Fun activities such playing card games, music, dance, painting, etc. Promotes physical and mental stimulation Promotes physical and mental stimulation

10. Immobility affects all body systems Skin Skin - Decubitus Ulcers - Decubitus Ulcers GI/Digestive GI/Digestive - Constipation - Constipation Urinary: Urinary: -UTI -UTI Respiratory: -Pneumonia Respiratory: -Pneumonia Joints Joints –Contractures Muscular Muscular –Atrophy Bones Bones –Osteoporosis Psychological Psychological –Decreased sense of well-being

11. Contracture: Is a lack of joint mobility caused by abnormal shortening (tightening) of the muscle. Is a lack of joint mobility caused by abnormal shortening (tightening) of the muscle.

12. Muscle Atrophy “Use it or lose it” The decrease in size or wasting away of tissue. Tissue shrinks in size. The decrease in size or wasting away of tissue. Tissue shrinks in size.

13. R.O.M: Range of Motion exercises Encourages activity Encourages activity It is the movement of joints through their complete range of motion It is the movement of joints through their complete range of motion Helps prevent contractures and atrophy Helps prevent contractures and atrophy

14. Ambulation: encourages mobility The act of walking The act of walking

15. Ambulation Assistive Equipment Walkers Walkers Canes Canes Crutches Crutches

16. Walkers: when resident needs support on both sides Pick-up walkers Pick-up walkers 2 or 4-wheeled walkers 2 or 4-wheeled walkers

17. Canes: support needed on one side. Place cane on strong (unaffected) side Place cane on strong (unaffected) side

18. Crutches: Person can’t use one leg or both legs are weak.

19. Quality of Life: Successful rehabilitation and restorative care improves the person’s quality of life. Successful rehabilitation and restorative care improves the person’s quality of life. Be hopeful Be hopeful The process may be slow and frustrating The process may be slow and frustrating Help the person have a positive attitude Help the person have a positive attitude Remember: treat the WHOLE person Remember: treat the WHOLE person