Care plans & care team Flashcards

0
Q

what is rehabilitation?

A

the process of restoring a person to the highest level of functioning through the use of therapy and excersise. It begins at the time of injury.

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1
Q

what is health promotion

A

A strategy for improving the populations health by providing the information and tools so they can make informed decisions.

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2
Q

Rehab may involve measures that promote?

A
  • Self care
  • Communication
  • Mobility
  • Elimination
  • Positioning
  • Prevention of decline
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3
Q

Goals for rehab:

A

1) restore function to former level
2) Improve functional ability
3) Learn new skills
4) Prevent further disability

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4
Q

how many dimensions of health does rehab treat?

A

Rehab treats all dimensions of health.

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5
Q

what are the different dimensions of rehab ?

A
  • Physical
  • Emotional
    -Intellectual
    & Spiritual
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6
Q

Give an example of Physical rehab?

A

ADL’s, ROM, Relearn self care

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7
Q

Give an example of emotional health rehab?

A
  • Provide concealing + assistance for re-entering the comunity.
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8
Q

Give an example of intellectual health

A
  • Thinking, speech, memory & measures to improve cognitive functioning
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9
Q

Give an example of spiritual health?

A
  • concealing from spiritual advisors.
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10
Q

What kinds of specific equipment do they use?

A
  • Prostheses

- Orthoses

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11
Q

What is Prostheses?

A
  • An artificial replacement for missing body parts, These replacements are powered by the ct’s muscles in the stump.
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12
Q

what is Orthoses?

A
  • An appliance/apparatus used to support align, prevent or correct deformities it can be a brace or a splint.
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13
Q

What can you do or give people to support them in rehab?

A
  • Privacy
  • Encouragment
  • Focus on the positive
  • Reassurance
  • Emotional support
  • Active Listener
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14
Q

what is restrictive care?

A

It’s care that helps a person regain health, strength and indapendence.

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15
Q

What is prevention?

A

Care of support which attempts to prevent (stop) deterioration and excess disability.

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16
Q

what is learning?

A

A change in behaviour which results from the acquisition of new knowledge or skill

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17
Q

what is motavation?

A

desiring something and putting the energy towards it

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18
Q

what is a developmental task

A

a skill or learning process that is expected to occur at a particular age.

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19
Q

what is a care plan?

A

It’s a form of contract b/w the ct + the health care team. A care plan provides consistency + continuity of care.

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20
Q

Who is involved in making the care plan?

A

The health care team

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21
Q

What is in the care plan?

A

Dx, Personal care, tx, vs, mobility, allergies, home making needs, safety precautions, age, DOB, BM#, Code status

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22
Q

Who makes the medical dx?

A

The doctor. example of a medical dx: Cancer.

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23
Q

Who makes the nursing dx?

A

Nurses, and it treats the symptoms.

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24
Q

What contributions does a PSW make to the care plan?

A
  • Discuss + report changes in the ct.
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25
Q

Is a care plan specific to each ct?

A

Yes.

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26
Q

What is a care confrence?

A

It identifies needs and preferences, deals with ct issues, establish goals and provides consistency of care .

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27
Q

Who is involved in the care plan?

A
  • Physician
  • Ct
  • Family of ct
  • Nurse
  • PSW
28
Q

what is the physician’s role in the care confrence?

A

Discuss medication and tx plans.

29
Q

what is the ct’s role in the care confrence ?

A

Raise problems and concerns

30
Q

What is the familys role?

A

assist with problem solving

31
Q

what is the nurses role?

A

medication, organize plan of care, raise issues, and problems.

32
Q

What is YOUR role as a PSW?

A

Relay problems, observations contribute suggestions and help problem solve.

33
Q

What are vital signs?

A

they are measures to assess basic body functions

34
Q

name some vs’s

A
  • Blood Pressure
  • Temperature
  • Respiratory rate
  • Pulse
  • O2 saturation
35
Q

why are vs taken?

A

They are taken to detect changes in normal body functions they vary by age.

36
Q

What do you need when documenting vs ?

A
  • Date + Time

- Mesurnent/Numbers

37
Q

When should you weigh your ct? & What should you remember to do?

A
  • Before ac(breakfast)
  • Same time each day
  • Use same scale
  • Ensure scale is balanced
  • Weigh ct in same amount of clothing
  • Have pt empty bladder before weighing
38
Q

How do you convert Kg’s to lbs?

A

Multiply by 2.2

39
Q

How do you convert lbs to Kg’s?

A

divide by 2.2

40
Q

how should you measure height and what should you remember and do when measuring height? (when they can stand themselves)

A
  • Recorded in inches or centimetres depending on facility.

- Ask pt to stand straight then lower bar so it lightly touches their head.

41
Q

How do you measure height in bed?

A
  • Obtain approx ht in bed
  • Have pt stretch out as much as possible when measuring in bed.
  • place a mark on heel + top of head measure b/w the two
42
Q

What is body temprature?

A

Body temperature is the amount of heat in the body, If your body contracts an illness your temperature should go up. Body temp. should be measured in celsius.

43
Q

How do you convert F-C

A

subtract 32 and divide by 1.8

44
Q

how do you convert C-F

A

multiply by 1.8 and add 32

45
Q

when does heat loss occure?

A
  • Conduction
  • Convection
  • Radiation
  • Evaporation
46
Q

what is conduction?

A

direct physical contact with an object

47
Q

what is convection?

A

when body heat warms surrounding air.

48
Q

What is radiation?

A

body heat warms surrounding object without physical contact

49
Q

what is evaporation?

A

perspiration changing a liquid to a vapour.

50
Q

what are 4 places you can take a temprature?

A
  • Rectom (not in PSW scope)
  • Oral (mouth)
  • Axilla(armpit)
  • Tympanic (ear)
51
Q

Things that can give a false reading when taking somebody’s temp.

A
  • Eating or drinking
  • Chewing gum
  • Smoking
  • Brushing teeth
52
Q

What is a pulse?

A

its created as blood is pushed through the arteries.

53
Q

What finger should you not use to check your pulse and why?

A

You should not use your thumb because your thumb has its own pulse.

54
Q

What is normal pulse?

A

Between 60 and 90 bpm

55
Q

What are some places you can find your pulse?

A
  • Temporal
  • Carotid (neck)
  • Apical (chest)
  • Brachial (crease of elbow)
  • Radial (wrist)
  • Femoral (groin)
  • Popletil (back of knee)
  • Dorsils (top of foot)
56
Q

what are resperations?

A

they are the in and out breathing, normal is between 12 and 20 per minute

57
Q

what are some things that can affect your pulse?

A

Stress, Pain, Hydration + Position + Excersise

58
Q

what is blood pressure?

A

is measures how much pressure is in the arteries.

59
Q

what is systolic?

A

the higher # measures the pressure when the heart contracts

60
Q

what is diastolic

A

its the lower number measure the resting rate of the heart when its refilling b/w beats 110 over 60 or 130 over 80

61
Q

What is an MDS

A

Minimum data set

62
Q

how many sections does a MDS have?

A

20

63
Q

What is baithing?

A

how a resident takes a sponge bath, full body bath or shower. It also includes how the resident transfers in and out of the tub. It doesn’t include washing of back or hair.

64
Q

what is included in ADL Preformance?

A
0- Independent
1- Supervised
2- Limited assistance 
3- Extensive assistance  
4- Total assistance 
8- Activity did not occure.
65
Q

What is Bed Mobility?

A

this is how the resident movies to and from a lying position.
-Includes lifting feet in to bed
- Turns from side to side
and positions body in bed.

66
Q

what is the definition of transfer ?

A

How the resident moves to and from bed, chair, wheelchair to and from a standing position.

67
Q

Dressing ?

A

how the resident puts on fastens and takes off clothes. Includes street clothes, pyjamas, TED stockings and protheses.