The Long-Term Care Nursing Assistant's Guide to Advanced Restorative Skills

Transcription

1 The Long-Term Care Nursing Assistant's Guide to Advanced Restorative Skills Table of Contents: Chapter 1 Introduction to Restorative Nursing History of restorative nursing care Independence Long-Term Care Facility Resident Profile in the 21st Century Interdisciplinary Team Introduction to Restorative Nursing Care Complications of immobility Declines Motivation Principles of Restoration Task analysis Purpose of Restorative Goals Residents with Cognitive Impairment Early and Late Loss Activities of Daily Living Steps to Success Chapter 2 Applying Evidence-Based Practice and Critical Thinking in Restorative Care Evidence-Based Practices Potential for Worker Injury Sensory Problems Risk for Worker Injury Ergonomics Techniques of Body Mechanics What we know about sacred cows The Minimum Data Set Chapter 3 Musculoskeletal and Nervous Systems, Part 1 General Conditioning Procedural Guidelines Progressive Mobility Paralysis Contractures Splinting Other Treatments Therapeutic Exercises Range of Motion Exercises Active ROM Exercises Guidelines for ROM Exercises Passive Range of Motion Exercises

2 Isometric Exercises Stretching Muscle Strengthening Active individual or group exercise Exercising for Fun The Importance of Distractions Gross Motor Exercises Fine Motor Exercises Chapter 4 Musculoskeletal System, Part 2 Bed Mobility Progressive Mobility Moving and Positioning Bedfast Residents Bed Mobility Equipment and Devices Associated with Bed Mobility The Bedfast Resident Foot Care Restorative Care for Residents after Hip Surgery Traction The Next Step Chapter 5 Musculoskeletal System, Part 3 Transfers Resident Transfers Levels of Lift/Transfer/Repositioning Tasks Legal Concerns Manual Resident Handling Importance of Positioning the Wheels The position Pressure Ulcers in Chairfast Residents Transfer Belt/Gait Belt Assistive Devices Transfer Procedures Lifting Residents Chapter 6 Wheelchair Mobility Wheelchairs Wheelchair Evaluation Measuring wheelchairs to fit residents Optional accessories Wheelchair to Car Transfers Wheelchair Free Facilities Chapter 7 Ambulation

3 Ambulation and Gait Balance Progressive Ambulation Orthoses Amputations Weight-Bearing Ambulation Assistive Devices Chapter 8 Introduction to Pain Management in the Long-Term Care Facility Introduction to Pain Definitions Associated with Pain in Long-Term Care Residents Identifying and Managing Pain in Elderly Persons Effects and Results of Pain Other Barriers to Pain Identification and Management Pain Management Plan Using a pain assessment scale Nursing Comfort Measures and Other Potential Care Plan Interventions Chapter 9 Restorative Fluid Balance and Bowel and Bladder Management Bladder Management Beginning a Continence Management Program Incontinence assessment Management options The Management Plan Residents with Catheters Residual Other strategies Importance of fluids in bowel and bladder management Bowel management Evaluation Intestinal Ostomies Chapter 10 Pressure Ulcers and Other Skin Conditions Pressure Ulcers Staging pressure ulcers Skin Tears Caring for Wounds Lice and Scabies Chapter 11 Restorative Care in Bathing, Personal Hygiene, Dressing, and Grooming Activities of Daily Living The Resident s Shoes

4 Restorative Bathing Restorative Grooming Programs Restorative Dressing Programs Lack of progress Chapter 12 Restorative Meal Service and Dining Meal Service Ambulation and Restorative Dining Restorative meal service The restorative dining program Adaptive devices Neuromuscular Diseases Restorative Feeding Retraining Residents with Dysphagia Special restorative mealtime assistance Chapter 13 Restorative Nursing Care of Residents with Respiratory Conditions Basic Human Needs Caring for Residents with Common Cardiopulmonary Disorders Monitoring the Resident Oxygen Breathing Treatments Suctioning Chapter 14 Restorative Nursing Care of Residents with Sensory Problems Sensory Problems Communication Residents with Visual Problems Caring for a Resident with an Artificial Eye Assisting Residents with Hearing Loss Communicating with Residents who Have Problems Speaking Residents with Cerebrovascular Accident (CVA) Sensory Stimulation Sensory processing disorder Heat and Cold Treatments Chapter 15 Restorative Documentation Documentation standards Minimum documentation requirements Documentation Policies and Procedures Restorative and Nursing Assistant Care Plan Documentation Format Additional Documentation Concerns

5 Documentation standards to support services Payment for restorative nursing care