Understand nurse aide’s range of function in ......• Multiple sclerosis – weakness of muscles...
Transcript of Understand nurse aide’s range of function in ......• Multiple sclerosis – weakness of muscles...
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Understand nurse aide’s range of function in rehabilitative/restorative and maintenance care
Unit BResident Care Skills
Essential Standard NA4.00 Understand nurse aide skills related to the residen ts’ vital function and movement
Indicator 4.02Understand nurse aide’s range of function in rehabi litative/restorative and maintenance care
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4.02 Introduction
This indicator explores various aspects of rehabilitative/restorative care and the role of the nurse aide in this process.
Disease, injuries and surgery are often responsible for the loss of a body part or the loss of bodily function. 4.02 Nursing Fundamentals 7243
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Working with the elderly and disabled requires a great deal of patience, caring and understanding from health care workers.
Working together to assist the resident to attain the highest possible level of functioning can be a very challenging and rewarding experience.4.02 Nursing Fundamentals 7243
4.02 Introduction
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4.02 Nursing Fundamentals 7243 4
Body Systems Related to
Restorative/Rehabilitative Care
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There is intentional repeat
of some HSII course content in
Nursing Fundamentals.
Repeating course content distributes learning over time and increases long term memory.
Academic and skill competence must be maintained at a very high level for direct resident care.
Be GREEN. Recycle knowledge and build on it!
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SKELETAL SYSTEM
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• Comprises the bony framework of the body
• Has 206 bones
SKELETAL SYSTEM
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FUNCTIONS:• Support• Protect• Movement• Mineral storage• Blood cell
production
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JOINTS - point where bones meet:
• Immovable – cranium• Slightly movable -
vertebral discs• Freely movable -
shoulder, knee, wrist
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COMPOSITION OF JOINTS:
• Ligament - connects bone to bone
• Tendon - connects muscle to bone
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COMPOSITION OF JOINTS:
• Bursa - fluid filled sac that allows bones to move easily over others
• Cartilage – connective tissue that cushions the joint at end of bones and between bones
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• Osteoporosis - porous bone that breaks easily
SKELETAL SYSTEM – COMMON DISORDERS
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http://www.mayoclinic.com/health/medical/IM02980
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• Fracture - break in bone–simple - bone broken, skin
intact–compound - bone broken,
penetrates skin–comminuted - bone broken,
fragments in tissue–greenstick - incomplete break
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• Arthritis - inflammation of the joints–osteoarthritis due to stress on
joints• usually affects weight bearing joints: knees, hips, vertebrae and fingers
• aching, stiffness, limited motion
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–rheumatoid arthritis -systemic disease• causes inflammation, deformity and crippling
• joints painful, stiff, swollen, red and warm
• Arthritis - inflammation of the joints
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• Amputation – removal of all or part of limb
• Sprain - stretched or torn ligaments or tendons
• Bursitis - inflammation of bursa causing pain on movement
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• Bones more porous or brittle• Joints less flexible• Postural changes• Awkward walking patterns• Slowed recovery from
position changes and sudden movements
SKELETAL SYSTEM – EFFECTS OF AGING
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• Slow and unsteady body movement
• Difficulty holding objects• Complaint of pain in joints• Swelling, redness and
warmth in joints• Inability to move joints
OBSERVATIONS TO REPORT
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• Complaint of pain with movement
• Complaint of neck or head pain
• Resident who has fallen (stay with resident, call for help, do not move resident or allow resident to move)
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• Resident with cast on arm or leg
–complaint of pain in limb
–swelling of fingers or toes
–pale skin of fingers or toes
–cyanosis and coolness of fingers or toes
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• Resident with cast on arm or leg–odor or drainage from cast–inability to move toes or
fingers–complaint of numbness of
fingers or toes–drainage from cast
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MUSCULAR
SYSTEM
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• Provides body with ability to move
• Over 650 different muscles that comprise nearly half the body weight
MUSCULAR SYSTEM
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• Functions of muscles–Allow movement–Help body stay erect –
posture–Produce most of body’s heat–Give body form–Provide movement of
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• Paralysis - loss of voluntary movement due to neurological damage such as stroke or trauma
• Multiple sclerosis – weakness of muscles due to loss of covering on nerves that control them
• Atrophy – muscle mass decreases in size
MUSCULAR SYTEM – COMMON DISORDERS
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• Contracture - permanent shortening of muscle; joints become ankylosed (frozen)
• Muscle strain – damage caused by trauma
• Myalgia - muscle pain• Torn muscle - tear caused by trauma
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• Poorer response to stimuli• Pain when moving, therefore
muscles not used as often• Less active• Muscle strength and bulk loss• Slower muscle - nerve
interaction
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• Difficulty holding or lifting objects
• Inability to move a body part
• Difficulty walking• Loss of muscle strength
and tone
MUSCULAR SYSTEM – EFFECTS OF AGING
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• Edema of tissue or joint• Complaint of muscle pain• Generalized weakness
and fatigue• Slow, unsteady body
movement
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NERVOUS SYSTEM
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• Controls and organizes all body activities
• Divided into two parts–Peripheral nervous
system–Central nervous system
• brain• spinal cord
NERVOUS SYSTEM
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• Basic unit of structure -neuron or nerve cell–Most complex cell in
body–Does not reproduce; if
destroyed, it is not replaced
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• Nervous system enables you to–Speak–Hear–Taste–See–Smell–Think
–Respond/move–Learn–Remember
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• Central nervous system–brain
• cerebrum–largest portion of brain–responsible for judgment,
memory, association and discrimination
–divided into left and right hemispheres
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• Central nervous system (continued)–brain
• cerebellum - responsible for coordination of muscles, balance and posture, and muscle tone
• thalamus - monitors sensory stimuli
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• Central nervous system (continued)–brain
• hypothalamus - controls the autonomic nervous system, the cardiovascular system, body temperature, appetite, water balance, the GI system, sleep, emotional state
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• Central nervous system (continued)–brain
• pons - responsible for reflex actions like chewing, and production of saliva
• medulla oblongata - regulates heartbeat, respirations, swallowing, coughing, blood pressure
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• Central nervous system – spinal cord
• 18 inches long• extends from brain to small of back• carries messages to and from brain• relays messages to body through
spinal nerves• handles reflexes
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• Peripheral nervous system – nerves leaving the spinal
cord and going throughout the body
–digestion–secretion of glands–heart beat and breathing
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• CVA – Stroke or cerebrovascular accident -damage to part of brain due to blood clot or hemorrhage cutting off blood supply
• Head or spinal cord injuries
NERVOUS SYSTEM – COMMON DISORDERS
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• Dementia from nutritional deficiencies, exposure to toxic substances, reduced blood flow to brain or unknown causes
• Alzheimer’s disease -common cause of organic disease
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• Parkinson’s disease –progressive nervous disease associated with destruction of brain cells
• Multiple sclerosis - loss of covering around nerve fibers interfering with nerve impulses to and from brain
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• Loss of nerve/brain cells• Increase in reaction time• Changes in memory• Receptors become less
sensitive, so require increased stimuli for response
NERVOUS SYSTEM – EFFECTS OF AGING
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• Reduced sense of touch and sensitivity to pain
• Reduced blood flow to brain
• Forgetfulness
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• Jerking motions• Speech changes• Complaint of
numbness• Complaint of
dizziness• Complaint of nausea
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• Confusion• Complaint of loss of
feeling on one side• Incontinence• Deranged thought
processes• Tremors
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• Muscular rigidity• Complaint of
visual disturbances or changes
• Paralysis• Seizures
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SENSORY ORGANS
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• Part of nervous system
• Sensory neurons make one aware of changes in the environment
• Changes known as stimuli
SENSORY ORGANS
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• Functions of the sensory system–Vision–Hearing–Smell–Taste–Touch
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• Specialized functions–Eye
• sense of sight• receives images and sends to brain
–Ear• sense of hearing• transmits sounds to brain
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• Nose - (sense of smell) – allows recognition of odors and improves taste of food
• Taste buds on tongue -(sense of taste) – allows recognition of sweet, sour, bitter, salty
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• Skin - (sense of touch) –allows recognition of objects, pressure, heat, cold, pain, and pleasure
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• Cataract - lens of eye loses its transparency
• Glaucoma - increased pressure in the eye due to an excess of aqueous humor
• Conjunctivitis - inflammation of the eyelid lining
SENSORY ORGANS – COMMON DISEASES
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• Sty - tiny abscess at the base of an eyelash
• Otitis media - infection of the middle ear
• Deafness - partial or complete hearing loss
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• Lens in eye becomes thick and cloudy
• Sclera becomes more yellow• Less light reaches inner eye• Hearing structures of ear become
less moveable• Soft wax production decreases
SENSORY ORGANS – EFFECTS OF AGING
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• Progressive hearing loss of high-pitched sounds occurs
• Peripheral vision and night vision decreases
• Eye adjusts more slowly to changes in distance
• Sense of smell decreases
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• Sense of taste (sweet and salty first) decreases
• Accommodation to light and dark decreases
• Sense of touch, heat, cold, pain and pressure awareness decreases
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• Sclera (white of eye) suddenly reddened or yellow
• Lens of eye becomes cloudy• Complaint of pain in or around ear or
eye• Red, swollen eye lid• Drainage from eyes • Complaint of difficulty seeing objects
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• Comment that rainbows apparent around lights
• Drainage from ear canal• Complaint of feeling of fluid or noise
in ear• Complaint of sudden flashes of light
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REHABILITATION is care that is managed by professionals to help restore a person to the highest possible level of function.
RESTORATIVE care usually follows rehabilitation. The goal is to keep the resident at the level achieved by rehabilitation services.From Hartman’s Nursing Assistant Care ©2010 page 371
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Rehabilitation Restoration
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Regardless of the classification of the resident; rehabilitation or restorative, the nurse aide responsibilities are the same.HELP RESIDENTS FEEL SAFE AND SECURE BY BEING KIND, PATIENT, POSITIVE, SUPPORTIVE, SENSITIVE TO RESIDENTS NEEDS, AND HELPFUL.
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Rehabilitative/Restorative Care�Any increase or decrease in abilities�Any change in attitude or motivation�Any change in general health�Signs of depression or mood changes�Progress or need for additional
teaching
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• Emphasis on existing abilities
• Encourages independence
• Promotes productive lifestyle
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• Goals include :–Prevention of
complications–Retraining in lost
skills–Learning new
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Training in self-care requires that three questions be answered prior to starting:
1. What is the goal to be achieved?2. What approaches are used to help
the resident achieve the goal?3. How will progress or lack of
progress be measured?
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Resident included in goal-setting process, whenever possible.
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Treatment initiated by:
• Physical therapist• Occupational
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Functional losses cause:• Resentment• Anger• Frustration• Withdrawal• Depression• Grief
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Nurse Aide’s Role: 1. Provide encouragement and
reinforcement2. Praise all attempts at
independence, over look failures
3. Praise accomplishments4. Help resident see their
progress
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Nurse Aide’s Role:4. Be patient and allow time for
residents to do things for themselves
5. Be sensitive and understanding6. Accept residents and encourage
them to express their feelings
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Nurse Aide’s Role:7. Show confidence in resident’s
ability8. Review skills taught by allied
health professionals9. Treat with respect10.Help to put new skills into use
immediately
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Nurse Aide Role: 11.Begin tasks at resident’s level of
functioning12.Assist resident to do as much as
possible for himself/herself13.Be realistic, never offer false hope14.Explain what resident needs to
accomplish, and how you will help.
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Activities of Daily Living considerations for resident:
• Resident to control how and when activities carried out, when possible
• Use tact in making resident aware of hygiene needs
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Activities of Daily Living considerations for resident:
• Encourage use and selection of clothing
• Be patient and allow time for slower paced activities
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Activities of Daily Living considerations for resident:
• Provide for rest periods• Assist to exercise• Encourage use of adaptive devices
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Restorative/Rehabilitative Care
ADL & MOBILITYNEEDS
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Adaptive Devices For Assisting With Activities of Daily Living
(ADL)
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• Special utensils available to help with eating
• Electric toothbrushes for brushing teeth
• Long -handled brushes and combs for hair care
4.02
ADAPTIVE DEVICES FOR ASSISTING ADL
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• Supportive devices to assist with walking –canes, crutches, walkers
• Wheelchairs and motorized chairs to provide movement from place to place
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• Prosthesis to replace missing body parts
• Successful use of adaptive devices depends on the resident’s:–attitude–acceptance of limitations–motivation–support from others
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Walker… four-point aid with rubber tips• Resident stands erect when moving
walker forward• Walker adjusted to height of hip joint• Elbows at 15 -30 degree angle• Walker picked up and put down, not
slid
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AMBULATION AND TRANSFER AIDS
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Walker…• Back legs of walker even
with toes so resident walks into walker
• Resident steps toward center of walker
• Leads with weaker leg
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Canes…Types:
• single -tipped• tripod - 3 legs• quad - four point
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Canes… • Used when weakness
on one side of body and resident has use of at least one arm–Provides balance and
support
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Canes…– Should be fitted properly:
• cane handle level with femur (greater trochanter)
• elbow flexed at 15 to 30 degree angle
• shoulders level
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Canes… • Gaits ordered by physician or
physical therapist:–move cane and affected leg
together–move cane, then affected leg
• Used on side of body where leg is strongest (side opposite the injury)
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Crutches…–Provide support and
stability through use of hands and arms.
–Used when one or both legs are weak.
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Crutches…–Measured to fit properly by
physical therapist.• height correct if two fingers fit between armrest and axilla
• hand grip adjusted to allow 20-30 degrees flexion of elbows
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Crutches…Gaits
four-point gaitthree -point gaittwo -point gaitswing -to gaitswing -thru gait
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Crutches…Weight supported on hand bar, not axilla
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Wheelchairs…• Available in different
sizes and models to allow for proper fit and usage
• Cleaned with mild detergent and water, rinsed with water and dried
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Wheelchairs…• Periodic maintenance
needed with 3 in 1 oil• Arm rests adjusted to
appropriate height• Feet rest flat on floor
when chair is not moving
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Wheelchairs…• Seat should not sag
toward center of chair• Seat should not reach back
of resident’s bent knees• Brakes locked when chair
not moving
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Wheelchairs…• Wheelchair guided backwards when
going downhill• Wheelchair pulled backwards over
indented or raised areas (i.e., entrance to elevators)
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Wheelchairs…
• Feet placed on footrests for transport
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Gurneys/Stretchers/Litters• Wheels locked when
transferring residents on or off • Safety belts secured prior to
transfer• Both side rails raised prior to
transfer
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Gurneys/Stretchers/Litters• Residents never left alone on
stretcher• Backed head first into elevators
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Gurneys/Stretchers/Litters• Always used with assistance
when transferring resident on or off
• Pushed feet first during transport
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• Guided backwards when going downhill
• Cleaned with mild detergent and water, rinsed with water and dried
Gurneys/Stretchers/Litters
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Gait belt (safety belt, transfer belt)–Used for residents unsteady on
feet–Protects resident who loses
balance or faints–Held at back
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• Must be tight enough to provide support but loose enough to be comfortable
• Used to safely transfer resident
Gait belt (safety belt, transfer belt)
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• Correct aids must be used because they are individually fitted
• Resident observed closely to be sure aids are being used as ordered
• Faulty equipment reported and not used until repaired
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• Shoes must fit and be in good condition
• Skin breakdown reported• Rubber tips on aids in
good condition.
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SAFETY – AMBULATORY DEVICES
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4.02 Nursing Fundamentals 7243 105
SKILL 4.02A
Ambulate Resident with
Walker/Cane
Training Lab AssignmentEngage in the Skill Acquisition Process for:
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4.02 Nursing Fundamentals 7243 106
MECHANICAL
LIFTS
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U.S. Department of Labor Hazardous Order No. 7 (July2010)
This order prohibits minors under 18 from operating or assisting in the operation of most power -driven hoists, including those designated to lift and move patients. 4.02 Nursing Fundamentals 7243
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U.S. Department of Labor Hazardous Order No. 7 (July2010)
What do we do?• NA student regardless of age must
demonstrate competence in the classroom.
• NA student under 18 MUST NOT OPERATE LIFTS IN THE CLINICAL AREA!
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• Used for transfer of residents
• Lower end of sling positioned behind knees
• Hooks turned away from body
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MECHANICAL LIFTS
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• Straps, sling and clasps checked for defects
• Enough assistance available to assure safe transfer
• Area checked for safety hazards prior to transfer “CIRCLE THE BED FOR SAFETY’
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SKILL 4.02B
Using Mechanical
Resident Lift
Training Lab AssignmentEngage in the Skill Acquisition Process for:
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Restorative/Rehabilitative Care
JOINT MOBILITY NEEDS
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• Types of range of motion:– Active - resident
exercises joints without help
– Passive - another person moves body part for resident
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RANGE OF MOTION - ROM
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• Purpose of range of motion:–Maintains muscle tone–Prevents deformities–Increases circulation–Encourages mobility
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• Expose only part of body being exercised
• Be gentle and STOP if resident complains of PAIN
• Use good body mechanics
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ROM - GUIDELINES
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• Follow directions from supervisor on number of times each joint to be exercised and how to perform exercises safely, based on each resident’s condition
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• Each movement is repeated three times unless otherwise ordered.
• Support joint as it is exercised• Report complaints of pain or
discomfort to supervisor
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• Exercise joint slowly, smoothly and gently
• Do not exercise swollen, reddened joints; report condition to supervisor
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• Abduction• Adduction• Extension• Hyperextension• Flexion• Plantar flexion• Dorsiflexion• Rotation
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• Pronation• Supination• Eversion• Inversion• Radial deviation• Ulnar deviation
Encourage Encourage Encourage Encourage
residents capable residents capable residents capable residents capable
of doing active of doing active of doing active of doing active
ROM exercisesROM exercisesROM exercisesROM exercises
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SKILL 4.02C
Range of Motion
Training Lab AssignmentEngage in the Skill Acquisition Process for:
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Restorative/Rehabilitative Care
PROSTHETIC DEVICES
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• Artificial Eye (glass eye)–encourage resident
to remove, clean and replace eye prosthesis if able
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PROSTHETIC DEVICES
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• Eyeglasses–Lens made of glass
or plastic–Stored in protective
case to prevent damage when not in use
–Held by frames4.02 Nursing Fundamentals 7243
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• Eyeglasses (continued)
–Washed under running water using mild detergent.• rinsed with clear water
• dried with tissue or soft cloth
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• Eyeglasses…–Tops of ears and
nose observed for redness or irritation from glasses
• Wash hands before and after cleansing resident’s glasses
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• Contact Lenses (hard or soft)–Resident
encouraged to care for lenses
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• Contact Lenses (hard or soft) Unusual observations to be reported:
• redness• itching• swelling• complaints of pain, blurring, or scratching sensations
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• Hearing Aid– Ear piece cleaned daily with
soap and water; this is the only washable part
– Ear piece and tubing should be soft
– Wax cleaned from tubing with special equipment
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• Hearing Aid…• Batteries checked for
power– Skin observed for
redness or irritation in or around ear
– Ear wax build -up reported to supervisor
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• Inserting hearing aid:–turn volume toward maximum
until whistle is heard–replace batteries if whistle
cannot be heard–turn volume to low setting
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• Inserting hearing aid (continued) :–gently insert ear piece into ear
canal and adjust for comfort– loop over ear for over-the -ear
models–adjust volume to resident’s
satisfaction
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• Removing hearing aid:– turn volume to lowest level or off– gently lift ear piece up and out of
ear– use tissues to wipe wax off ear
piece– store in safe place– remove battery when not in use or
open battery case
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• Braces–Uses
• support a weak part of the body
• prevent movement of joint• correct deformities• prevent deformities
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• Braces (continued)
– Materials• metal ����leather ����plastic
– Bony parts under brace require protection in order to prevent skin irritation
– Report any wear noticed and when brace parts are loose or missing
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• Braces (continued)
– Shoes custom fitted and checked for:• broken shoe laces• heels and soles that are worn• leather that is worn or torn• damage from perspiration
– odors – stains
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• Devices for use with amputation– Definition of amputation - partial
or complete removal of a body part• usually arm or leg• below knee most common
amputation
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• Devices for use with amputation (continued)
–Examples of prosthetic devices:• artificial leg• artificial foot• artificial arm• artificial hand
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• Devices for use with amputation (continued)
–Prosthesis fitted and made for each individual.
–Devices must be handled with care and stored in appropriate place when not in use.
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Assisting with artificial limbs:–have right device–check all parts for damage–evaluate resident’s limb for
irritation and swelling–pad area of prosthesis touching
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Assisting with artificial limbs (continued) :–clean according to individual
instructions–report any needed repairs to
supervisor–observe and report any skin
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• Breast Forms – used following removal of breast– Assist female residents with
adjustments of forms when dressing– Follow care suggested by
manufacturer– Keep form separate and in safe place
when handling clothing for laundry
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Restorative/Rehabilitative Care
MOBILITY NEEDS
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• Broad base of support leads to better balance and stability
• Keep weight the same on both feet
• Stoop using the hips and knees
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BODY MECHANICS FOR RESIDENTS
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• Keep the back straight• Lift and carry objects close
to body for better balance.• Use both hands to lift or
move objects• Use smooth, even
movements
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• Do not bend or reach if injury possible; ask for help
• Do not twist body to reach an object
• Keep body in good alignment
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• Dangling - sitting on edge of bed before getting up–Standing up too quickly may
cause feeling of dizziness and fainting may occur
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DANGLING
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• Dangling for several minutes allows resident to progress to standing and walking without feeling faint
• Taking deep breaths helps to prevent light-headedness
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• Most common signs/symptoms if feeling faint:–pale face–complaints of dizziness or
weakness
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• Return resident to supine position if they have difficulty dangling
• If dangling is well tolerated, progress to standing position
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• Get assistance if resident is weak or unsteady
• Assist resident to stand by placing your hands under the resident’s arms with hands around the shoulder blades, and use good body mechanics to assist to standing position
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STANDING
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• Have resident stand by side of bed for several minutes prior to ambulating
• Return to bed or assist to chair if having difficulty standing
• If standing tolerated, progress to ambulating
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• Effects on body– stimulates circulation– strengthens muscles– relieves pressure on body
parts– increases joint mobility– improves function of
digestive and urinary systems
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AMBULATING – WALKING
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• Effects on body (continued)
– increased independence leads to more positive self-image
– provides sense of accomplishment
– prevents lung congestion
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• Encourage to ambulate as much as possible
• Suggest use of handrails for support
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• If resident starts to fall, ease to the floor by:–grasping gait belt–resting buttocks against
nurse aide’s leg–sliding down aide’s leg to
floor
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• Be prepared to assist, but allow the resident to do as much as possible
• Safety considerations:– use gait belt– get assistance if needed– allow adequate time for walking so
resident does not feel rushed
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SKILL 4.02D
DANGLE, STAND, WALK
Training Lab AssignmentEngage in the Skill Acquisition Process for:
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4.02 Nursing Fundamentals 7243 159
SKILL 4.02E
TRANSFER BED TO
WHEELCHAIR (CHAIR)
Training Lab AssignmentEngage in the Skill Acquisition Process for:
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SKILL 4.02F
TRANSFER BED TO
STRETCHER
Training Lab AssignmentEngage in the Skill Acquisition Process for:
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Restorative/Rehabilitative Care
CAST CARE
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• Cast used to immobilize body part, providing time for part to heal
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CAST CARE
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• Cast materials–Plaster of Paris
• 24-48 hours to dry• expands and gives off heat while drying
–Fiberglass• dries rapidly• lighter than plaster casts
–Plastic4.02 Nursing Fundamentals 7243
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• Care of Casts–Allow to air dry–Keep cast uncovered–Use pillows to support
cast–Support cast with palms
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• Care of Casts–Never put pressure on
cast–Turn and position
frequently to allow air to circulate around cast
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• Maintain good body alignment
• Keep cast dry• Observe cast for rough
edges and report• Over-bed trapeze
provided if appropriate
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• Vomiting• Elevated temperature• Skin irritation around
edge of cast
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• Drainage• Odors • Swelling of fingers or toes,
inability to move parts• Change in color of skin:
paleness, cyanosis
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• Resident with cast reports of:– Pain– Numbness– Tingling
sensations– Chills– Hot or cold skin
– Itching– Tightness– Inability to
move fingers or toes
– Nausea
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COUGHING AND
DEEP BREATHING
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• Purposes–To prevent respiratory
complications in certain at-risk residents • persons on bed rest or reduced activity
• following surgery• person with respiratory disorders
COUGHING AND DEEP BREATHING
4.02
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• Purposes–Two major complications prevented
by coughing and deep breathing: • pneumonia - inflammation of lung• atelectasis - collapse of portion of lung
4.02
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• Physiology–Deep Breathing
• increases level of oxygen in blood
• increases lung expansion
4.02
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• Physiology–Coughing
• removes mucus from airways and lungs
• may cause collapse of lung if congestion not present
4.02
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• Considerations with deep breathing and coughing–Doctors order exercises –Frequency of
performing exercise varies per doctor’s order
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• Considerations with deep breathing and coughing–Nurse aides receive
instructions from supervisor
–Coughing may cause pain and be difficult to perform
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SKILL 4.02GCOUGH AND DEEP BREATH
Training Lab AssignmentEngage in the Skill Acquisition Process for:
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ANTI-EMBOLIC
STOCKINGS/HOSE
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• Purpose–Provide support–Provide comfort–Promote circulation by
providing pressure–Reduce risk of
thrombus formation
ANTI-EMBOLITIC STOCKINGS/HOSE
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• Indications for use –Residents with heart disease
and circulatory disorders–Residents on bed rest–Residents who recently had
surgery
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• Prevention of blood clots (thrombi)–blood clots form (blood flow is
sluggish)–usually develop in deep leg
veins–can break loose and travel
though blood stream (then known as embolus)
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• Prevention of blood clots (thrombi)–embolus can travel to the lungs
and possibly cause death–elastic stockings exert pressure
on veins, promoting venous blood flow to heart
–also known as anti-embolitic stockings or TED hose
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• Fitting of stockings
–Come in thigh high or knee high lengths
–Resident must be measured to ensure proper fit
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SKILL 4.02HANTI-EMBOLITIC STOCKING
Training Lab AssignmentEngage in the Skill Acquisition Process for:
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Understand nurse aide’s range of function in rehabilitative/restorative and maintenance care.
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