Restorative Care and Restorative Care and RehabilitationRehabilitation

Taken from Mosby’s Basic Skills for Nursing Taken from Mosby’s Basic Skills for Nursing Assistant in Long-Term Care and the ARC Assistant in Long-Term Care and the ARC

NA training manualNA training manual

Hubbs Pre-CNAHubbs Pre-CNA Restorative Care UnitRestorative Care Unit

SP2-AP2SP2-AP2

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?

How does a disability affect How does a disability affect someone?someone?

• A disability has physical, A disability has physical, psychological, and social effects. psychological, and social effects.

• The person with the disability The person with the disability needs to adjust to these changes.needs to adjust to these changes.

• Can you give an example of a Can you give an example of a psychological and social effect?psychological and social effect?

Disabilities can affect the Disabilities can affect the person’s ability to perform person’s ability to perform

ADLsADLs• BathingBathing

• Oral hygieneOral hygiene

• DressingDressing

• EatingEating

• EliminationElimination

• MovingMoving

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

What is Restorative Nursing What is Restorative Nursing Care?Care?

(also called Rehab Nursing)(also called Rehab Nursing)•Part of the everyday care you Part of the everyday care you

provide that helps the provide that helps the rehabilitation processrehabilitation process

•Goal: help the person become as Goal: help the person become as fully functional as possible and fully functional as possible and help him to be able to enjoy lifehelp him to be able to enjoy life

•Promotes independence, dignity Promotes independence, dignity and self-esteemand self-esteem

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.

Self-Help Devices or Adaptive Self-Help Devices or Adaptive Devices:Devices:

Promote IndependencePromote Independence• This is equipment that has been modified or This is equipment that has been modified or

changed to meet the person’s needs.changed to meet the person’s needs.

Recreational ActivitiesRecreational Activities

• Fun activities such playing card Fun activities such playing card games, music, dance, painting, etc.games, music, dance, painting, etc.

• Promotes physical and mental Promotes physical and mental stimulationstimulation

Immobility affects Immobility affects allall body body systemssystems

• Skin Skin -- Decubitus Decubitus

UlcersUlcers

• GI/DigestiveGI/Digestive -- ConstipationConstipation

• Urinary: Urinary: -UTI-UTI

• Respiratory: Respiratory: --

PneumoniaPneumonia

• JointsJoints– ContracturesContractures

• MuscularMuscular– AtrophyAtrophy

• BonesBones– OsteoporosisOsteoporosis

• PsychologicalPsychological– Decreased sense Decreased sense

of well-beingof well-being

Contracture: Contracture: • Is a lack of joint mobility caused by Is a lack of joint mobility caused by

abnormal shortening (tightening) of abnormal shortening (tightening) of the muscle.the muscle.

Muscle AtrophyMuscle Atrophy “Use it or lose it” “Use it or lose it”

• The decrease in size or wasting away The decrease in size or wasting away of tissue. Tissue shrinks in size.of tissue. Tissue shrinks in size.

R.O.M:R.O.M:Range of Motion exercisesRange of Motion exercises

• Encourages activityEncourages activity

• It is the movement of joints through It is the movement of joints through their complete range of motiontheir complete range of motion

• Helps prevent contractures and Helps prevent contractures and atrophyatrophy

Ambulation: encourages Ambulation: encourages mobilitymobility

• The act of walkingThe act of walking

Ambulation Assistive Ambulation Assistive EquipmentEquipment• WalkersWalkers

• CanesCanes

• CrutchesCrutches

Walkers:Walkers: when resident when resident needs support on needs support on bothboth sidessides• Pick-up walkersPick-up walkers • 2 or 4-wheeled 2 or 4-wheeled

walkerswalkers

CanesCanes: support needed on : support needed on oneone side. side.• Place cane on Place cane on strongstrong (unaffected) side (unaffected) side

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

Quality of Life:Quality of Life:

• Successful rehabilitation and restorative Successful rehabilitation and restorative care improves the person’s quality of care improves the person’s quality of life.life.

• Be hopefulBe hopeful

• The process may be slow and frustratingThe process may be slow and frustrating

• Help the person have a positive attitudeHelp the person have a positive attitude

• Remember: treat the WHOLE personRemember: treat the WHOLE person