Restorative Care and Rehabilitation

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Restorative Care and Rehabilitation

• Taken from Mosbys Basic Skills for Nursing
  Assistant in Long-Term Care and the ARC NA
  training manual
• Hubbs Pre-CNA Restorative Care Unit
• SP2-AP2

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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?

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How does a disability affect someone?

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

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Disabilities can affect the persons ability to
perform ADLs

• Bathing
• Oral hygiene
• Dressing
• Eating
• Elimination
• Moving

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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

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What is Restorative Nursing Care?(also called
Rehab Nursing)

• 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
• Promotes independence, dignity and self-esteem

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How can you help to restore a persons 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.

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Self-Help Devices or Adaptive Devices Promote
Independence

• This is equipment that has been modified or
  changed to meet the persons needs.

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Recreational Activities

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

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Immobility affects all body systems

• Joints
• Contractures
• Muscular
• Atrophy
• Bones
• Osteoporosis
• Psychological
• Decreased sense of well-being

• Skin
• - Decubitus Ulcers
• GI/Digestive
• - Constipation
• Urinary
• -UTI
• Respiratory -Pneumonia

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Contracture

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

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Muscle Atrophy Use it or lose it

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

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R.O.MRange of Motion exercises

• Encourages activity
• It is the movement of joints through their
  complete range of motion
• Helps prevent contractures and atrophy

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Ambulation encourages mobility

• The act of walking

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Ambulation Assistive Equipment

• Walkers
• Canes
• Crutches

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Walkers when resident needs support on both
sides

• Pick-up walkers

• 2 or 4-wheeled walkers

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Canes support needed on one side.

• Place cane on strong (unaffected) side

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Crutches Person cant use one leg or both legs
are weak.
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Quality of Life

• Successful rehabilitation and restorative care
  improves the persons quality of life.
• Be hopeful
• The process may be slow and frustrating
• Help the person have a positive attitude
• Remember treat the WHOLE person

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