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CNA > Chapter 9 > Flashcards

Chapter 9 Flashcards

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1
Q

Rehabilitation

A

Restore function

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2
Q

Goals of rehabilitation programs

A

1.Regain function or recover from illness
2. Promote independence
3. Feel in control
4. Adapt to disabilities

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3
Q

Restorative care

A

Keep resident at level they reached during rehab

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4
Q

What to report about restorative care

A

-increase or decrease in abilities
-change in attitude or motivation
-change in health, appetite, energy or appearance

-signs of depression

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5
Q

What can happen if resident loses their independence

A

Low self esteem
Depression
Anxiety
Boredom
Pneumonia
UTI
Skin breakdown
Muscle atrophy
Dulled senses

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6
Q

Benefits of active mind and body work

A

Quality of skin
Circulation
Strength
Sleep and relaxation
Mood
Self esteem
Appetite
Elimination
Blood flow
Oxygen level

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7
Q

Ambulation

A

Moving or walking without assistive device

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8
Q

Ambulatory

A

Can get out of bed and move or walk

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9
Q

Check the care plan before

A

Helping residents ambulate

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10
Q

When ambulating you should

A

Walk a little to side

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11
Q

Stand on the ____ side when ambulating walking ____

A

Weaker
Behind

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12
Q

When helping visually impaired walk:

A

Beside and slightly ahead. Resident should place their hand on your elbow.

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13
Q

Residents using canes should be able to bear weight on _____ _____

A

Both legs

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14
Q

Which hand should cane be held in?

A

Hand of stronger side

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15
Q

Types of canes

A

C cane
Functional grip cane
Quad cane

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16
Q

C cane

A

Straight with curved handle. Rubber tipped bottom

Improves balance

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17
Q

Functional grip cane

A

Straight grip handle

Helps improve grip control.
More support than C cane

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18
Q

Quad cane

A

4 rubber tipped feet and rectangular base

Bears more weight

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19
Q

Walker

A

Some weight on both legs

Stability for unsteady residents
Wheels or rubber tips

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20
Q

Crutches

A

Residents bear no weight or limited weight on one leg

Rubber tipped feet. Can use one or two

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21
Q

Walker tips must not be

A

Cracked

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22
Q

What kind of shoes should resident wear before ambulating?

A

Non skid

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23
Q

How to position walker

A

Both hands
No more than 6 inches away

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24
Q

Stay near which side of resident during walker use

A

Weaker

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25
How should cane be placed
No more than 6 inches
26
How many feet should be on ground before resident walks
4 ft
27
Walker should be moved again*after* resident has
Moved both feet forward and is steady
28
Resident should never put his feet
Ahead of walker
29
When using crutches weight should be on
Hands and arms NOT underarms
30
To look for obstacles Ask resident to look ____not down
Forward
31
Who sets pace when walking
Resident
32
Assistive devices
Help perform ADLS
33
What kind of alignment do confined residents need?
Proper body
34
Spine should be in
Straight line
35
What kind of positions should body parts be in?
Natural
36
How are fingers in natural position?
Slightly curled
37
What can happen when hips and legs roll outward?
Hip contractures
38
Amputation
Removing body part
39
Phantom sensation
Feeling something that's not there
40
Phantom limb pain
Person feels pain or limb in extremity that was amputated
41
How long can phantom pain last?
Short time or years
42
How is phantom pain treated?
Physical therapy or medication
43
Prosthesis
Replaced body part.
44
Examples of prosthetics
Artificial limbs Artificial breasts Hearing aid Artificial eye Dentures
45
Never try to ____ a prosthesis
Fix
46
What should you do before handling artificial eyes?
Wash hands Don gloves Provide privacy
47
Never clean or soak eye in?
Rubbing alcohol
48
How to store prosthetic eye if not reinserted?
Water or saline solution Container should be labeled with resident's name and room number
49
Range of motion excercise
Put joint through full arc of motion
50
Goal of range of motion
Decrease and prevent contractures, atrophy, improve strength and circulation
51
AROM excercises
Done by resident alone without help
52
AAROM
Done by resident with some help
53
PROM
excercises when residents can't move on their own. Without residents help
54
Abduction
Moving away from midline Kicking
55
Adduction
Moving towards midline Swinging legs in
56
Extension
Straightening a body part Waving part from elbow to palm out
57
Flexion
Bending a body part Waving part from elbow to palm in
58
Dorsiflexion
Moving upright foot *back* and forth Bending backward
59
Rotation
Turning a joint Arms in L Closed fist Move in half circle upward
60
Supination
Turning palms upward
61
Pronation
Turning downward
62
Opposition
Touching thumb to any finger
63
Only when should you do ROM on resident?
Dr Nurse Pt
64
How often are ROM performed
3-5 times once or twice a day BOTH SIDES OF BODY
65
When working on ROM start from ___ to ____
Top to bottom
66
Give support where?
Above and below joints
67
Hand placement for shoulder ROM
Under elbow and wrist
68
Shoulder ROM raise to
Raise to ear level
69
Elbow ROM hand position
Hold wrist and elbow Get them to touch their own upper arm
70
Wrist ROM
Hold wrist Use fingers to hold resident's palm Dorsiflexion and flexio Ulnar and radial flexion n
71
Bend hand down
Flexion
72
Hand backward
Dorsiflexion
73
Radial flexion
Turn hand in direction of thumb. Wave towards thumb
74
Ulnar flexion
Turn hand in direction of little finger. Wave towards pinky
75
Thumb abduction
Turn thumb away from index finger
76
Thumb adduction
Move thumb towards index finger
77
HIP ROM
One hand under knee, one hand under ankle Raise up, down, inward outward
78
Knee ROM
Support under knee and ankle Bend to point of resistance, then back down
79
ANKLE ROM
Under ankle, close to bed Push pull foot out towards bed mattress, then back up Turn inside of foot inward and outward Curl and straighten toes Spread toes ---- Dorsiflexion flexion Supination (towards body) Pronation (away from body)
80
How to help residents urinate
Turn on water, lean forward slightly
81
Things needed to change brief
Protective pad Peri care supplies Disposable wipes Gloves Clean brief
82
Problems from immobility and inactivity
-atrophy -depression -self esteem -pneumonia -UTI -constipation -blood clot -dull senses -contractures
83
Never show ___ or ____ towards incontinent resident
Frustration or anger
84
Praise ____ and ____ to control bladder and bowels
Successes and attempts
85
Provide ____ for elimination both in bed and bathroom
Privacy
86
Explain training ___ to resident
Schedule
87
Keep a ___ of bladder and bowel habits
Record
88
Wear ____ when handling body wastes
Gloves
89
Residents need to establish ___ and normal ____
Routines Function
90
Toe ROM
Curl and straighten (flexion and extension) Spread
91
Thumb ROM
Abduction, adduction Opposition Palm Extension

CNA (10 decks)

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