Adult Health I – Exam 1 question and answers

Ch. 10: Principles and Practices of Rehabilitation, pp. 164-191 o Rehab Goals: goal of rehabilitation nursing is to assist the patient to attain and maintain optimum health as defined by the patient o Rehab Team: Dynamic Process, Communication, Collaboration, Understanding roles, Education levels  Team Members: Patient/family, Nurse, Physicians & NP’s, Physiatrists, Therapists (OT, PT, Recreational, Speech), Social workers, Psychologist, Spiritual advisory o Activities of daily living (ADLs): self-care activities that the patient must accomplish each day to meet personal needs including bathing, grooming, dressing, feeding, and toileting. o Instrumental activities of daily living (IADLs): complex skills needed for independent living, including meal preparation, grocery shopping, household management, finances, and transportation. o Assessment of Functional Ability: Functional Independence Measure (FIM) (p. 167)  PULSES profile: to assess physical condition, upper extremity functions, lower extremity functions, sensory function, bowel and bladder function, situational factors, (rated on scale 1(independent) to 4)  Barthel Index: used to measure patients’ level of independence in ADLs, continence, toileting, transfers, and ambulation  PECS (Patient Evaluation Conference System): which contains 15 categories (assessment scale includes medications, pain, nutrition, use of assistive devices, physiological status, vocation, and recreation  Disability Rating Scale (DRS): measure of impairment, disability, and handicap assesses functional changes over course of recovery o Nursing Diagnosis: Self-Care Deficit: bathing, dressing, feeding, toileting o Goals: Individualize to patient, perform activities independently or with assistance (ADLs), appropriate use of adaptive devices, patient satisfaction with level of independence o Interventions: fostering self-care abilities, recommending assistive, adaptive devices, helping patients accept limitations o Outcomes:  Demonstrates independent self-care in bathing/hygiene or with assistance, using adaptive devices as appropriate  Demonstrates independent self-care in dressing/grooming or with assistance, using adaptive devices as appropriate