Lofe Transition Midterm Flashcards

1
Q

What can illness be defined as?

A

The loss of physical or mental health

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2
Q

What can disability be defined as?

A

The loss of physical or mental functioning

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3
Q

What can health be defined as?

A

A state of well-being in all dimensions of one’s life

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4
Q

What can stigma be defined as

A

Social shame associated with a particular circumstance, quality or person that causes one to feel shame or embarrassment

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5
Q

What are the four dimensions of health?

A

Physical, emotional, social, spiritual

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6
Q

What must the dimensions of health be considered in?

A

A discussion of whole health

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7
Q

What is physical health influenced by?

A

Genetics and lifestyle

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8
Q

When is physical health achieved?

A

When the body is strong, fit and free from disease

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9
Q

What contributes to good physical health?

A
  • nutrition
  • Exercise
  • Not smoking
  • Not drinking or drinking in moderation
  • Maintaining optimal body
  • Following safety practises
  • Seeking medical attention when needed
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10
Q

What is emotional health?

A

The ability to function well in and adapt, appropriately to circumstances whatever they may be

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11
Q

How do you know when people are emotionally healthy?

A

They feel good about themselves. They have strong, self-esteem, self-control, and self-awareness.
- Do not worry about rejection or hurt

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12
Q

When is spiritual health achieved?

A

Achieve through belief in a purpose, greater than the self can include religion, or believe in in a higher being

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13
Q

What are some characteristics of having spiritual health?

A
  • Clear understanding of what they believe to be right and wrong
  • Behavior often reflects beliefs
  • Concerned about personal fulfilment
  • Feel like their lives have meaning
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14
Q

When is social health achieved?

A

Through stable and satisfying relationships

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15
Q

How to treat others in regard to social health

A
  • Treat others with respect, warmth and openness
  • Like and trust others
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16
Q

What are the elements of spiritual health?

A
  • compassion
  • Honesty
  • Humility
  • Forgiveness
  • Charity
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17
Q

How can support workers support spiritual health?

A
  • respect Client expression
  • Transport clients to religious ceremonies
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18
Q

How is cognitive health achieved?

A

By keeping the mind, active and creative through life

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19
Q

What do cognitively healthy people do throughout life?

A
  • maintain curiosity
  • Analyze
  • Reason
  • Solve problems
  • Open mind
  • Eager to learn
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20
Q

How can support workers encourage cognitive health

A
  • encourage participations I’m games, outings, activities
  • talk to clients about community and world events
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21
Q

What are the factors that affect health?

A
  1. Income and social status
  2. Social support networks
  3. Education and history
  4. Employement and working conditions
  5. Social supports
  6. Physical environments
  7. Personal health practices and coping skills
  8. Healthy child development
  9. Biology and genetic endowment
  10. Health services
  11. Gender
  12. Culture
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22
Q

Why does personal lifestyle choice affect health?

A
  • making wrong choices
  • have healthy habits
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23
Q

Why does stress affect health?

A
  • deal with stress poorly
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24
Q

Why do personal beliefs about health care affect health?

A
  • might cause someone not to seek medical attention
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25
Q

Why do social relationships and belonging affect health

A
  • make unhealthy life choices to be accepted by others
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26
Q

How does a sense of control affect health?

A
  • feel powerless so make wrong choices
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27
Q

How to care for clients with illness and disability

A
  • help them achieve their best physical health
  • consider all dimensions of health
  • observe and listen to needs
  • observe for changes in mood, energy, behaviour, and report
  • remain calm, patient, and gently with clients
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28
Q

What are the factors that affect a clients experience of illness and disability

A
  • nature of illness/condition
  • age
  • level of physical fitness
  • amount and degree of pain and discomfort
  • the prognosis
  • emotional, social, cognitive, spiritual health
  • personality and ability to cope
  • cultural background
  • the orecense of emotional, social, and financial support
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29
Q

What happens with insomnia/poor sleep?

A
  • sleep declined
  • Hospitalization for sleep deprivation
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30
Q

What does it mean to be rested?

A
  • calm, eased, relaxed, free from anxiety and stress
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31
Q

What is important for rest?

A
  • Comfortable position, good body alignment,
  • quiet, setting, clean, dry, wrinkle free bed in clean room
  • basic needs met
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32
Q

How does income and social status affect health

A

Higher income equals a better living condition, such as housing and buying nutritious foods

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33
Q

How do you social support networks affect health?

A

Support from families, friends and communities is associated with better health. It’s important to help people deal and solve problems and maintain control over their lives, which results in satisfactory and will be hearing.

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34
Q

How does education in history affect health

A

-linked to Socio economic status
- key contributors to health and prosperity
- equips people with knowledge and skills
- Increase his job opportunities, income security, and job satisfaction
-Better access an understanding of information that helps with maintenance of health

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35
Q

How does employment and working conditions affect health

A

Unsteady or lack of employment, create stress, which is associated with poor health

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36
Q

How do social supports affect health?

A

Strength of social networks within a community is reflected in the institutions organizations and practises that people create to share and build attachment with others

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37
Q

How do physical environment affect health

A
  • both natural and human made environments affect health
  • Includes the assessment and control of those environments
  • Air quality noise levels, soil and water conditions, climate safety hazards, presence of pests decline health
  • More likely to be healthy when we can eliminate harmful influences from the physical environment
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38
Q

How do you personal health practises and coping skills affect health?

A

We can take actions that prevent disease, promote self-care, coping strategies, self-reliant solve problems and make choices to enhance health

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39
Q

How does healthy child development affect health

A

How old is affected by children’s housing in neighborhood, family income, the parents education, access to nutritious foods, physical recreation genetic make up an access to dental and medical care

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40
Q

How does a Biology and genetic endowment effect health?

A
  • persons tendency to arrange of individual responses that affect health status
  • Provides for easy emotional adaptation to their situations
  • Can predispose certain people to particular diseases of health problems
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41
Q

How do health services affect health?

A
  • they are designed to maintain and promote health prevent disease and restore health and function to contribute to population health
  • The right of everyone is to access to timely, acceptable affordable, healthcare of appropriate quality
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42
Q

How does gender affect health?

A

Many health issues are a function of gender-based social status or roles

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43
Q

How does culture affect health?

A
  • The difference in practises and values can marginalize people or groups
  • Being marginalized can result in a loss of devaluation of language and culture, and a lack of availability to culturally appropriate healthcare services
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44
Q

What affects sleep?

A
  • illness due to discomfort pain coughing frequent waking
  • Nutrition because food or drink can affect sleep such as coffee
  • Exercising before bed can disrupt sleep
  • Alcohol disrupts normal sleep patterns
  • Medication’s because client may not feel refreshed
  • Changing stress can disrupt sleep
  • Emotional problems such as fear worry depression and anxiety can affect sleep because of waking up often or difficultly with falling asleep.
  • the need to urinate during the night
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45
Q

What is nocturia?

A

The need to urinate during the night

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46
Q

How many hours of sleep should a newborn baby to baby four weeks old get

A

14 to 18 hours a day

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47
Q

How many hours should an infant that is four weeks old to one year get of sleep

A

12 to 14 hours a day

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48
Q

How many hours should toddlers and preschoolers get of sleep?

A

11 to 12 hours a day

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49
Q

How many hours should a middle/late childhood child that is 6 to 12 year old get of sleep

A

10 to 11 hours a day

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50
Q

How many hours of sleep should an adolescent get that is 12 to 18 years old

A

8 to 9 hours of sleep a day

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51
Q

How many hours a day of sleep should a middle-aged adults get that are 40 to 65-year-old of sleep

A

Seven hours a day

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52
Q

How many hours of sleep do people in late adulthood need per day I’m 65 years old or older

A

5 to 7 hours

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53
Q

What are the signs and symptoms of sleep disorders?

A
  • Hand tremors
  • Slow responses
  • Hard time finding right words
  • Decrease attention, reasoning and judgement
  • Irregular pulse
  • Red, puffy eyes and dark circles
  • Moodiness
  • Disorientation
  • Feel fatigued, and sleepy
  • Agitated and restless
  • Irritability
  • Coordination problems
  • Hallucinations
  • Slurred speech
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54
Q

What is insomnia?

A

A persistent condition in which the person cannot go to sleep or stay asleep through the night

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55
Q

What are the symptoms of physiological sleep deprivation?

A
  • drooping eyelids and blurred vision
  • Fine motor clumsiness
  • Slowed reflexes
  • Slowed response time
  • Decreased reasoning and judgement
  • Decreased, auditory and visual alertness
  • Cardiac arrhythmias
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56
Q

What are the psychological symptoms of sleep deprivation?

A
  • Confusion and disorientation
  • Increase sensitivity to pain
  • Irritable withdrawn, apathetic
  • Excessive sleepiness
  • Agitation
  • Hyper activity
  • Decreased motor
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57
Q

How to promote sleep

A
  • organize care for uninterrupted sleep
  • Discourage client to do physical activity before bed
  • Discouraged clients from doing business or attending the family matters before bed
  • Allow flexible bedtimes
  • Help clients take a warm bath or shower
  • Insure comfortable room temperature
  • Provide bedtime snack if needed
  • Avoid caffeine before bed
  • Have the client avoid before bed
  • Follow bedtime, rituals
  • Get the client to wear clean loosefitting nightwear
  • Provide warm blankets
  • Stay and talk with the client
  • Reduce noise
  • Allow client to read listen to music or TV if they want
  • Clean, dry wrinkle free linens
  • Dark room
  • Client is positioned in good body alignment
  • Implement measures for pain relief
  • GiveBack massage if ordered
  • Relaxation exercises
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58
Q

Define attitude

A

A personal belief value or opinion towards engaging and healthy behaviour

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59
Q

What is cognitive health defined as

A

Well-being in the intellectual dimension achieve through an active, creative mind

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60
Q

What kind of determinants of health be defined as

A

The most important factors such as lifestyle, environment, human biology, and health services that determine health status in an individual or a community

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61
Q

What can the dimensions of health be defined as?

A

All aspects of a persons health. The physical, emotional, social, spiritual, and cognitive.

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62
Q

What does holistic health

A

Physical, emotional, social, spiritual, cognitive health

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63
Q

What can disability be defined as?

A

The loss of physical or mental functioning

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64
Q

What can discrimination be defined as?

A

The unfair treatment of people on the basis of such aspects as their physical characteristics, health history, or group membership

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65
Q

What kind of emotional health be defined as

A

Well-being and emotional dimension which is achieved when people feel good about themselves

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66
Q

What kind of environmental health be defined as

A

All the physical chemical and biological factors eternal to a person, and all the related factors, impacting behaviours

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67
Q

Define equitable

A

Fair, reasonable and just

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68
Q

What can gender be defined as

A

The roles, personality traits, attitudes, behaviors, values, and relative power, and influence assigned to the sexes by society

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69
Q

What can genetic endowment be defined as?

A

The genetic make up that predisposes an individual to adopt certain behaviours that effect health status

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70
Q

What can health be defined as?

A

A state of well-being, and all dimensions of life

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71
Q

What can holistic be defined as?

A

A concert that considers a whole person, the physical, social, emotional, cognitive and spiritual dimensions

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72
Q

What can holistic health be defined as?

A

A state of well-being in all dimensions of one’s life

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73
Q

What can illness be defined as?

A

The loss of physical or mental health

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74
Q

What can marginalize be defined as

A

The act of excluding people who are not part of the majority culture

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75
Q

What can personal empowerment be defined as

A

Understanding and excepting that you can make your own healthy lifestyle, choices, free from the influence of others

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76
Q

What can physical health be defined as

A

Well, being in the physical dimension which is achieved when the body is, StrongFit and free from disease

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77
Q

What can primary prevention strategies be defined as?

A

Aimed at preventing a disease or illness by reducing its risk factors

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78
Q

What can prognosis be defined as?

A

The expected course of recovery, which may range from full recovery to death based on the usual outcome of the illness

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79
Q

What can psycho social health be defined as

A

Well-being in the social, emotional, intellectual and spiritual dimensions of one’s life

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80
Q

What can social health be defined as?

A

Well, being in the social dimension achieved when people are stable and satisfying relationships

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81
Q

What can social support system be defined as?

A

An informal group of people who help each other or others outside of the group

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82
Q

What can spiritual health be defined as

A

Well, being in the spiritual dimension, achieve through the belief in a purpose greater than the self

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83
Q

What can stigma be defined as

A

Social shame associated with a particular circumstance, quality or person that causes one to feel shame or embarrassment

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84
Q

What is rehab?

A

Interventions that address, the clients, medical, therapeutic and psychosocial needs or combination of these needs and are included in the clients care plan

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85
Q

What is the aim of rehab?

A

To slow decline of functioning or maintain functioning at a higher capacity, to maintain their quality of life and independence

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86
Q

What are the goals of rehabilitative and restorative care

A
  • Restore function to former levels
  • Improve functional abilities
  • Learn new skills
  • Vent further disability and illness
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87
Q

What does restorative care promote

A
  • self-care
  • Elimination
  • Positioning
  • Mobility
  • Communication
  • Cognitive function
  • Preventing decline
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88
Q

When does rehab start?

A
  • after injury or health challenge
  • Acute injury
  • Illness
  • Treatment for lifelong disability
  • Chronic condition or degenerative condition
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89
Q

What does rehab prevent?

A

To prevent further disability

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90
Q

What is restorative care?

A

Aimed to prevent health deterioration and maintain or improve a client’s quality of life and restoring the client to their previous functional levels whenever possible

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91
Q

What is the restpite/convalescent care

A

Provides temporary support to individuals living independently or being cared for by a friend or family member

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92
Q

What is home exercise program?

A

An individual I said of therapeutic exercises that a client is top by their physical therapist to be completed at home to complement and reinforce their program

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93
Q

What does rehabilitation require?

A
  • Multidisciplinary team effort
  • Dependence on client needs and setting
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94
Q

Who does the rehab team include?

A
  • The family
  • The client
  • Therapists
  • Physicians
  • nurses
  • Occupational therapist
  • Physiotherapists
  • Physiotherapist assistant
  • support workers
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95
Q

What do hospitals in the rehabilitation setting focus on

A
  • in an outpatient
  • Focus on brain injury, tumors, spinal cord injury, stroke
  • some offer, cardiac and respiratory
  • Some have medical and surgical conditions such as wounds and diabetes
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96
Q

What do specialize facilities in the rehabilitation centre in focus on

A

Specific problems

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97
Q

What do long-term care facilities in the rehabilitation setting? Focus on?

A

The same as hospitals

98
Q

What is the role of the person in regard to rehabilitation?

A
  • to make decisions about their goals
  • Involved in each aspect
  • Learn new skills and relearn old skills
99
Q

What is the role of the family in regard to rehabilitation?

A
  • Education about the illness injury and disability
  • need to learn how to care for their loved ones
  • Support
  • Involved in clients care
  • Learn new skills, such as communication and how to dress the client
100
Q

What is the role of the PSW in regard to rehabilitation?

A
  • Help with Personal, Care and range of motion exercises
  • Help with household management
  • Help with eating
  • Help with Physio therapy exercises
  • Provide input a case conferences changes in care and any concerns
  • Patience, support, and empathy
101
Q

How can a PSW support dips in regard to rehabilitation?

A
  • D: respect, protect, dignity encourage support positivity, emotional support, reassurance, patients, praise, understanding, rapport observations
    -I: encourage client to do ADLs do not rush, familiarize yourself with self-help devices
    -I: care planned an adapter to fit the client
    -P: ask client for their preferences, freedom of choice let client have control
    -S: safety measures, do not force allow rest. Keep client with good body alignment, you safe, transfer methods perform ROM turn reposition as directed, report signs and symptoms of complications.
102
Q

What can prosthesis be defined as

A

Artificial replacements for missing body parts

103
Q

What can reablement program be defined as

A

A program for people who do not need acute care, but cannot manage at home or are struggling in their home to regain strength endurance functioning independence
- Allows for clients to stay in their homes while receiving rehab or restoration

104
Q

What can rehabilitation robotics be defined as

A

Robotics and technology used in rehabilitation medicine that include wheelchair new technologies to assess spinal structure and function, assistive robotics, and they use a virtual reality

105
Q

What can virtual reality be defined as?

A

Do use of computer technology to create a simulated image or simulated environment

106
Q

What does developmental disability mean?

A

A permanent disability that a person is born with or acquires before 18 years of age

107
Q

What can cause developmental disabilities

A
  • Conditions
  • Illnesses
  • Accident
  • Diseases
  • Developmental disorders, that injure or affect the normal development of the brain or body before/during birth, or during childhood and adolescent
108
Q

What do developmental disabilities affect?

A
  • Self-care
  • Understanding and expressing speech and language
  • Learning
  • Mobility
  • Self direction
  • Independent living
  • Economic self-sufficiency
109
Q

What is cerebral palsy caused by?

A

An injury or abnormality in the motor region of the brain

110
Q

What does cerebral palsy affect?

A

Muscle control

111
Q

What occurs as a result of cerebral palsy?

A
  • Depends on the areas of the brain that have been injured
  • Involuntary movements
  • Poor condition and posture
  • Muscle weakness
  • Difficulty or inability to speak or walk
112
Q

What usually causes cerebral palsy?

A

Lack of oxygen to the brain

113
Q

Which infants are at risk of cerebral palsy

A
  • Premature
  • Low birthweight
  • Not crying within the first five minutes after birth
  • Bleeding in the brain
  • Heart, Kidney, or spinal cord abnormalities
  • blood disorders
  • Seizures
114
Q

What are the most common types of cerebral palsy?

A
  • spastic cerebral palsy
  • Athetoid cerebral palsy
  • ataxic cerebral palsy
115
Q

What is spastic cerebral palsy

A
  • uncontrolled contractions of the skeletal muscle
  • Muscles are stiff
  • Can affect one or both sides of body
  • Affects posture and balance
  • Stiff movement
  • Can have difficulty eating writing or dressing (arms)
  • Difficulty with walking and moving (legs)
116
Q

What is athetoid cerebral palsy

A
  • Cannot control body movements
  • Involuntary, slow- weaving, revving, motions, occurring in the trunk, arms, hands, legs and feet
  • difficulty reaching for an grasping objects and remaining upright
  • One face neck and tongue muscles are effected it can cause drooling or grimace
117
Q

What is ataxic cerebral palsy

A
  • weak muscle tone and difficulty coordinated movements
  • Unsteady and shaky
  • Trouble maintaining balance
118
Q

In regard to cerebral palsy, what is monoplegia

A

Paralysis of a single limb (one)

119
Q

In regards to cerebral palsy, what is hemi plegia?

A
  • hemi = half
  • plagia = complete or partial loss of ability to move
  • CP affects one side of the body
120
Q

In regard to cerebral palsy, what is diplegia

A
  • Di = two
  • plegia = complete or partial loss of ability to move
  • Difficulty moving corresponding parts of both sides of the body
121
Q

In regard to cerebral palsy, what is quadriplegia

A
  • quad = four
  • CP affects all four limbs
122
Q

In addition to cerebral palsy, what can clients also have?

A
  • Intellectual disability
  • Learning disability
  • Hearing impairment
  • Vision impairment
  • Speech impairment
  • Dysphagia
  • Drooling
  • Incontinence
  • ADHD
  • Breathing difficulties
  • Pressure injuries
123
Q

How can a PSW support a client with CP

A
  • promote independence
  • Assist with ROM and ADLs
  • Reduce clients risk of injury
124
Q

What causes spina bifida?

A
  • A defect in the neural tube
  • The brain spinal cord and protective coverings for these organs do not fully develop
125
Q

When does spina bifida occur?

A

During the first few months of pregnancy

126
Q

How to prevent spina bifida

A

Consuming sufficient, folic acid before conception, and during early pregnancy, greatly reduces the risk of spina bifida

127
Q

What are the types of spina bifida?

A
  • Spina bifida occulta
  • spina bifida Custica
128
Q

What is spina bifida occulta?

A
  • mildest form of spina bifida
  • Slight deficiency in the vertebral closure
129
Q

What are the two types of spina bifida occulta?

A
  1. Meningocele
  2. Myelomeningocle
130
Q

What is meningocele

A

Membrane hernia/swelling

131
Q

What is myelomeningocele

A

Spinal cord damage and severe nerve damage

132
Q

What is spina bifida Custica

A

Part of the spinal column is in the pouch or sac that protrude from the opening in the spine

The sac looks like a large blister

133
Q

How many chromosomes do people with down syndrome have

A

47 instead of 46

134
Q

How does down syndrome occur?

A

Error at fertilization

135
Q

What kind of condition is down syndrome?

A

Congenital condition

136
Q

What does down syndrome cause

A

Varying intellectual disability

137
Q

What are the characteristics of people with down syndrome?

A
  • Small
  • Oval shaped eyes that slant upwards
  • Flat face
  • Short wide neck
  • Large tongue
  • Small ears
  • Short stature
  • short, wide hands with stubby fingers
  • Weak muscle tone
138
Q

What do people with down syndrome have inaddition to down syndrome?

A
  • vision and hearing disorders
  • Increased risk for ear respiratory and thyroid gland issues
  • Early onset dementia and early diagnosed Alzheimer’s
139
Q

How to support a client with down syndrome

A
  • Promote independence
  • Encourage activities
  • Help with training self-care
  • Health and sex education
  • Well balanced diet and exercise
  • Observe and report signs of down syndrome related health issues
140
Q

What is shaken baby syndrome?

A
  • assault
  • Shaking babies violently so their heads swing back-and-forth and their brains bang against their skulls
141
Q

What can happen as a result of shaking a baby

A
  • physical and cognitive impairments
  • Bleeding behind the eyes and in the brain
  • Permanent injury
  • Seizures
  • Partial or total blindness or paralysis
  • Death
142
Q

What can result of shaking a baby mildly?

A
  • Long term affects such as attention, deficient and learning disabilities
143
Q

What is epilepsy?

A

Brief disturbances in the brains, normal electrical functioning, which affects awareness, movement and sensation

144
Q

When can epilepsy develop

A

any time during the life

145
Q

What are seizures called that affect one side of the brain

A

Partial seizures

146
Q

What are seizures called that affect the entire brain

A

Generalized seizures

147
Q

What happens to the brain during generalized seizures

A

Brain temporary loses its ability to function normally

148
Q

What are some different reactions to seizures?

A
  • briefly stare in appear unresponsive
  • Violent and sudden contraction or tremor of muscle groups, incontinence, jerking, or twitching
149
Q

What is a tonic clonic seizure?

A
  • Violent and sudden contraction or tremor of muscle groups, incontinence, jerking twitching
  • Last one to seven minutes
150
Q

How to support a client with epilepsy

A
  • Promote Independence
  • observe and report all activity before during and after seizure
  • Safety measures for falls
  • Close supervision one client is swimming boating or hot tub
  • Don’t hold client down
  • Nothing in reach of client that could harm them
  • Call 911 if last longer than five minutes
151
Q

What is fetal alcohol spectrum disorder?

A

Physical and mental abnormalities that occur in children as a result of alcohol consumption during pregnancy

152
Q

What are the physical challenges of FASD

A
  • Low birthweight
  • Weak muscle tone
  • Poor weight gain
  • Hearing impairment
  • Abnormalities of the spine and joints
  • Small head
  • Small eye openings
  • thin upper lip
  • small Chin
153
Q

Characteristics of the intellectual disability for those with FASD

A
  • Behavioral learning and emotional disorders
  • Poor attention span
  • slow language development
  • Hyperactivity
  • Poor motor skills
  • Memory impairment
  • Poor judgement
  • Poor social skills
  • Poor anger management
  • Mental health challenges
154
Q

How to support a client with FASD

A

-promote independence
- Encourage self-esteem
- Encourage self-awareness
- Encourage adaptability
- Provide names of programs and supports available

155
Q

What can attention deficit/hyper activity disorder be defined as

A

A disorder that causes inappropriate levels of inattention, as well as hyperactive an impulsive behaviour

156
Q

What does autism spectrum disorder defined as?

A

A Nuro developmental disorder that impairs a persons ability to communicate and interact with others. It may include restrictive repetitive behaviors, interests and activities.

157
Q

What can cerebral palsy be defined as?

A

A disorder affecting muscle control (palsy) caused by an injury or abnormality in the motor region of the brain (cerebral)

158
Q

What can developmental disability be defined as

A

A permanent disability that a person is born with or begins before 18 years old

159
Q

What is the plegia defined as?

A

Loss of ability to move corresponding parts on both sides of the body
- Both arms or both legs are affected

160
Q

What is down syndrome defined as

A

Congenital disorder caused by an extra chromosome
- DS results in varying degrees of intellectual disability

161
Q

What is foetal alcohol? Spectrum disorder defined as

A

A group of physical and mental abnormalities that occur in children as a result of alcohol consumption by the birth parent during pregnancy

162
Q

What is fragile X syndrome

A

The most common form of inherited developmental disorder

163
Q

What is intellectual disability defined as?

A

Impaired ability to learn

164
Q

What is spastic defined as

A

Uncontrolled contractions of skeletal muscle and smooth muscle

165
Q

What is spina bifida defined as

A

A congenital disorder caused by improper closing of the spine before birth

166
Q

What can tonic clonic seizures be defined as?

A

Seizures involving convulsions

167
Q

What is an admission to the hospital or long-term care facility?

A

Official entry for the client
- Critical and emotional time for residence and their family

168
Q

How can clients arrive to the hospital or long-term care?

A

By ambulance, wheelchair van or private car

169
Q

When do emissions in long-term care facilities begin?

A

A few days before client arrival

170
Q

What are admissions for clients?

A

Life altering events treat them respectfully

171
Q

What are clients and courage to do in long-term care facilities?

A

Make the environment home lake

172
Q

What is the role of the PSW in the admission process?

A
  • promote dips
  • Treat client and their belongings with respect
  • help new clients feel at home
  • Insure client choices are safe
  • Show client how to draw privacy curtains and show them how privacy will be maintained
  • Explain how to use a call Bell show the client around and point out safety
173
Q

Tips during the admission process

A
  • avoid rushing
  • Treat residence of family has guests
  • Say good things about the centre
  • Help unpack, or make room home like
  • Explain meal times and the evening routine
  • Try not to overwhelm them by telling them everything at once
174
Q

What are transitions?

A
  • moving to one environment to another
  • Into an out of facilities
  • From one room or facility to another
175
Q

How do clients field during transitions?

A
  • anxious
  • Unsettled
  • alone
  • Confused
176
Q

What are clients fears of long-term care or hospitals?

A
  • worry about treatment or surgery and it’s outcome
  • Scared of not returning home
  • Fear of unknown
  • Fear of how to manage discharge
177
Q

What do vital signs reflect?

A

The function of three body processes essential for life

178
Q

What are the three body processes essential for life?

A
  1. Regulation of body
  2. Breathing.
  3. Heart function.
179
Q

What are the normal ranges for systolic blood pressure?

A

Between 100 and 140 MM Hg

180
Q

What is the normal range for diastolic blood pressure?

A

60 and 90 mmHg

181
Q

What are the different routes you can take a temperature?

A

Oral
Tympanic
Axiliary
Rectal

182
Q

What are the normal ranges for oral temperatures?

A

36-37.5

183
Q

What is the normal range for Tympanic temperature?

A

35.8-38

184
Q

What is the normal range of temperatures for the axillary?

A

34.7-37.3

185
Q

What is the normal temperature range for the rectal temperature?

A

35.5-38

186
Q

What is febrile?

A

With fever

187
Q

What is afebrile?

A

Without fever

188
Q

What is the hospital admission process?

A
  • Share in the admissions
    Admission, desk and personnel
    Support workers prepare room
    Nurses take history and questionnaire, obtain specimens and orient the client to the room unit and hospital
189
Q

Where are the pulse sites

A
  • temporal / side of head
  • Carotid / neck
  • Apical / heart
  • Brachial / inside elbow in line with
  • Radial / on wrist and thumb side
  • Remeral / groin area
  • Posterior tibial / inside ankle
  • Pedal / top of foot
190
Q

What is the normal pulse for a newborn to a one-year-old?

A

120-160 beats per minute

191
Q

What is the normal pulse for a 1 to 2-year-old?

A

90-140 beats per minute for

192
Q

What is the normal pulse for a 2 to 6 year old?

A

80-110 beats per minute

193
Q

What is a normal pulse for 6 to 12 year old?

A

75-100 beats per minute

194
Q

What is the normal pulse for 12 years old and up?

A

60-100 beats per minute

195
Q

What is the number of respirations newborn should have?

A

30-60 per minute

196
Q

How many respirations should an infant have?

A

25-50 per minute

197
Q

How many respiration should a toddler have?

A

25-32 per minute

198
Q

What is the normal amount of respirations for a child?

A

20-30 per minute

199
Q

What is the normal number of respirations for an adolescent?

A

16-19 per minute

200
Q

What is the normal respirations for adults?

A

12-20 per minute

201
Q

When tracking respirations what do you do?

A
  • do not let the client know you’re taking them
  • Count when chest rises and falls (1 respiration)
202
Q

How to convert pounds to kilograms

A

Divide the pounds by 2.2.

10 divided by 2.2 = 4.5

203
Q

How to convert kilograms to pounds

A

Multiply by 2.2.

60kg x 2.2 = 132lbs

204
Q

What can blood pressure be defined as?

A

The amount of force exerted by the blood against the walls of an artery

205
Q

How is body temperature defined

A

The amount of heat in the body, a balance between the amount of heat produced and the amount, lost by the body

206
Q

What is bradycardia?

A

Slow heart rate
- Less than 60 bpm

207
Q

What is diastole defined as

A

The period of heart muscle relaxation

208
Q

What is diastolic pressure defined as

A

The pressure in the arteries when the heart is at rest

209
Q

What is dysrhythmia?

A

An irregular rhythm of the pulse

Beats may be an evenly spaced or skipped

210
Q

What is hypertension?

A

Persistent blood pressure measurement above the normal systolic (140 mmHg) or diastolic (90mmHg) pressure

211
Q

What is hypotension?

A

A condition in which the systolic blood pressure is below 90 MM Hg, and the diastolic pressure is below 60 MM Hg

212
Q

What is pulse defined as

A

The beat of the heart felt at an artery as a wave of blood passes through the artery

213
Q

What is pulse oximeter defined as

A

A device that measures both the clients pulse rate in the oxygen level in the blood

214
Q

What is respiration?

A

The active breathing air into and out of the lungs

215
Q

What is pulse rate?

A

The number of heartbeats or pulses Felt in one minute

216
Q

What if a sphygmomanometer

A

The instrument used to measure blood pressure

217
Q

What is spO2

A

Peripheral capillary, oxygen saturation

The readinggiven by a pulse oximeter for the percentage of oxygen saturated haemoglobin that is dissolved in the blood

218
Q

What is a stethoscope

A

An instrument used to listen to the sounds produced by the heart, lungs and other body organs

219
Q

What is systole

A

The period of heart muscle contractions

220
Q

What is systolic pressure?

A

The amount of force required to pump blood out of the heart and into the arterial circulation

221
Q

What is tachycardia?

A

A rapid heart rate over 100 bpm in an adult

222
Q

What are vital signs?

A

Temperature pulse, respiration and blood pressure

223
Q

What are the PSW’s responsibilities in household management?

A
  • assisting with money
  • Make beds and straighten linens
  • Straighten the room
  • Replenish supplies
  • Wipe surfaces
  • Dust
  • Clean commodes
  • Clean floors
  • Laundry
  • Clean, sinks, tub, shower, shower curtains (bathroom)
  • Clean mirrors in toilets
  • Doing dishes cleaning the kitchen
  • Cleaning other living Spaces
  • Vacuuming
  • Taking garbage out doing recycling and compost
  • Preparing meals or cooking
224
Q

What are some cleaning guidelines?

A
  • clear away clutter
  • Work from high to low
  • Work from far to near
  • Work from dry to wet
  • Work from cleanest to dirtiest
  • Change cleaning cloths and water frequently
  • Use a damp cloth for dusting
  • Rinse and dry washed surfaces
  • Avoid soiling a Clean area
225
Q

What are some of the Tasks to do in the bedrooms

A
  • change linens
  • Straight in the room
  • Replenish supplies
  • Wipe surfaces
  • Dust
  • Clean commodes
  • Clean floors
226
Q

What are some of the tasks to do in the kitchen?

A
  • straighten the room
  • Replenish supplies
  • Wipe surfaces
  • Dust
  • Clean
  • Use paper towel to dry hands
227
Q

What are some of the tasks to do when cleaning bathrooms?

A
  • Proper body mechanics
  • Clean toilets
  • Wear gloves
  • Gather special cleaners if required
  • Clean tub, shower and sink
  • Use paper towels for drying hands
228
Q

What do you need to do and doing laundry

A
  • do not damage items
  • Ask what to use to clean the clothing
  • Ask if it’s air dried or dryer dried
  • Look at laundry symbols
  • If it’s soil, put it in a plastic bag and keep it away from other laundry
229
Q

What is a natural stain remover?

A

Baking soda and water

230
Q

How do you remove stains

A
  • rinse in cold water
  • Soaking solution of 1 L warm water to millilitres liquid dishwashing detergent and 15 mL of ammonia for 30 minutes
  • Rinsing cool water
  • Soak in 1 L warm water, and 15 mL vinegar for one hour
  • 10 machine wash with chlorine bleach and detergent
231
Q

How to remove blood stains

A
  1. Rinse in cold water.
  2. Rub with paste of powder, detergent and water and to millilitre dishwashing detergent or bar of soap.
  3. Let it sit for 15 minutes.
  4. Soak it for 15 more minutes in 1 L of cold water with powder or liquid stain remover.
  5. Wash it in the machine using bleach and detergent.
232
Q

How to remove fecal stains

A
  1. Rinse in cold water
  2. Soak in 1 L warm water to millilitres of liquid dishwashing detergent and 15 mL of ammonia for 30 minutes.
  3. Machine wash using chlorine, bleach and detergent.
233
Q

What is so cytoxic contamination

A

Items that have come into direct contact with cytotoxic drugs or client who is receiving them can still pose potential serious health risks to others for up to seven days after the discontinuation of the medication

234
Q

What is home management?

A

The cleaning and organizing of a home

235
Q

What are laundry care symbols?

A

Symbols on Garment tags that indicate how to launder or care for a specific garments

236
Q

What is mildew?

A

The black discolouration caused by mould

237
Q

What is mould

A

Microscopic fungal parasite

238
Q

When using chlorine bleach

A
  • do not mix with ammonia
  • Check care instructions before
  • Be mindful of allergies
  • can burn or irritate skin and eyes
  • Open windows when using
  • Try not to inhale
  • Poisonous
239
Q

When using ammonia

A
  • can burn or irritated eyes and skin
  • Never mix with bleach
  • Poisonous
  • Open window if using
  • Do not inhale
  • Check in instructions before use
240
Q

What can vinegar be used for

A
  • Natural acid
  • Can be used to replace commercial cleaning products
  • Can be used to clean mirrors and bathrooms
  • Can make cleaning solutions
241
Q

What to do when there’s a conflict of interest

A
  • inform the client or their family and a professional, respectful and calm manner that the task was not identified on the care plan
  • Ask why the request was made and report it to your supervisor
  • Discussed a conflict with your supervisor
  • Discuss client complaints with supervisor
242
Q

When using cleaning products safely, it’s important to remember

A
  • to read all labels carefully and follow instructions
  • Be aware of WHMIS hazard labels
  • never mix cleaning products
  • choose cleaning products that are safe to use
  • Wear utility gloves when using cleaning products
  • Use caution when using cleaning products and chemicals to avoid splashing
  • Report splashes to the supervisor
  • Never use products in an unlabelled container
  • Store products in the original containers
  • Keep cleaning products away from food
  • Keep cleaning products out of reach of children and away from adults with dementia
  • Use products only for their intended purpose
  • Ask the client before using a strong cleaner on the surface
  • Rinse strong, abrasive cleaners right after use
  • Do not scrub vigourously