T1: Rehab and Restorative Care (CH 32) Flashcards Preview

Fundamentals 2 Pt. 2 > T1: Rehab and Restorative Care (CH 32) > Flashcards

Flashcards in T1: Rehab and Restorative Care (CH 32) Deck (40)
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1
Q

Rehab and Restorative care puts an emphasis on __ __.

A

saving lives

2
Q

The emphasis on saving lives must be balanced with an emphasis on preserving ___

A

quality of life (QOL)

3
Q

What are some symptoms of frailty?

A
  • Unplanned weight loss
  • Slow walking speed
  • Low grip strength
  • Fatigue, poor endurance
  • Low levels of activity
4
Q

Causes of frailty?

A

-sarcopenia

5
Q

Definition: Loss of muscle tissue as a natural part of the aging process.

A

Sarcopenia

6
Q

Older adults who are frail are at high risk for:

A
  • Falls
  • Disability
  • Hospitalization
  • Nursing home admission
  • Death
7
Q

Prevention of frailty:

A
  • Positive health practices

- Effective management of health conditions

8
Q

Impact of disability:

A
  • Vulnerability and frustration
  • Relationships, roles, and responsibilities disrupted
  • Disfigurement and dysfunction alter body image and self-concept
9
Q

What are 4 influence on reactions to disability?

A
  • Previous attitudes
  • Personality
  • Lifestyle
  • Family response
10
Q

Severity of a disability may be less important than the coping capacity of a ___ person.

A

disabled

11
Q

What are some losses a person can accompany due to a disability?

A
  • function
  • role
  • income
  • status
  • independence
  • anatomic structure
12
Q

Individuals with a disability mourn these losses, and may demonstrate the same reactions experienced during the stages of __.

A

dying

13
Q

A principle of Rehab nursing is to increase self-care ___, and eliminate or minimize self-care ___.

A

capacity

limitations

14
Q

Improving ___ capacity can promote well-being and QOL

A

functional

15
Q

Each nurse should know the unique ___ and __ of the individual

A

capacities

limitations

16
Q

Emphasize function rather than ___; capabilities rather than ___

A

dysfunction

disabilities

17
Q

The nurse should provide ___ and ___.

A

time

flexibility

18
Q

The nurse should recognize and praise ___.

A

accomplishments

19
Q

Do not equate physical disability with ___ ___ .

A

mental disability

20
Q

The nurse should demonstrate what 3 things?

A

hope, optimism, and humor

21
Q

Rehabilitation is a highly ___ process.

A

individualized

22
Q

Rehabilitation requires a ___ team effort.

A

Multidisciplinary

23
Q

Functional status, rather than ___, directs rehabilitative care.

A

diagnosis

24
Q

___ status varies widely among older adults.

A

Functional

25
Q

Functional status can change within an individual depending on the control of what 3 things?

A

symptoms, progression of the disease, and mood

26
Q

The nurse should determine the individual ability to perform __ and __.

A

ADL’S

IADL’s (instrumental)

27
Q

An individual can be totally independent, partially independent, or dependent. T/F?

A

true

28
Q

Correct body alignment facilitates:

4

A
  • Respiration
  • Circulation
  • Comfort
  • Prevents complications
29
Q

Wheelchairs, canes, and walkers can increase ___ and enhance functional capacity

A

independence

30
Q

Use __ aids only when necessary

A

mobility

31
Q

Canes should be individually fitted, usually based on the distance from the __ __ to a distance 6 inches from the side of the person’s foot.

A

greater trochanter

32
Q

The cane is used on the __- side of the body and is advanced when the __ limb advances.

A

unaffected

affected

33
Q

Walkers are sized by the measurement from the patient’s ___ to the floor

A

trochanter

34
Q

T/F:

The person should use the walker to pull himself or herself to a standing position.

A

FALSE

35
Q

Education about bowel and bladder training can improve __.

A

continence

36
Q

Consistency is a __ factor in educating.

A

crucial

37
Q

Mental function can decline if not ___.

A

exercised

38
Q

Mental ___ is a highly individualized process.

A

stimulation

39
Q

A condition in which a person has poor endurance and weakness

A

Frailty

40
Q

Disability includes what 3 things:

A

frailty, handicap, and impairment