Ch 38 Rehab Nursing

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1. 1-4 months after the heterotopic ossification occurs? 16. any loss or abnormality of Impairment
injury and rarely occurs psychological, physical, or
more than 1 year anatomic structure or
afterward function
2. 5 how many sacral vetrabrae 17. any restriction in or lack of Disability
ability to perform an activity
3. 5 How many lumbar vetrabrae
in the manner or within the
4. 8 How many veretrbrae are range considered normal as
cervical ? the result of impairment
5. 12 how many veretrbrae are in the 18. assessed and addressed Every aspect of the pt's
Thoracic area? needs and care are what?
6. 24 hrs How long are rehabilitation 19. assist the pt in achieving primary goal in gerontologic
nurses with the pt? their personal optimal level nursing is
7. 1990 The Americans with Disabilities of health and well being
Act became law in? through holistic care

8. aggressive ROM,
exercises, medications,
and occasionally surgery/
9. alcohol
10. all efforts of
rehabilitation are
centered on the pt's
goals and objectives
11. although pts with
disabilities do not always
accept their disability,
learning to adapt to the
circumstances created by
the limits of their abilities
is a positive method of
coping
12. The Americans with
Disabilities Act
13. The Americans with
Disabilities Act
14. Anticoagulants
15. any loss of ability to
perform tasks or activities
of daily living
Treatment for Heterotopic
ossification
what should pt with brain injuries
avoid?
Focus on the individual
Adaptation
What defines an individual as
disabled if he or she has a
physical or mental impairment
that substantially limits one or
more major life activities, has a
record of such an impairment, or
is regraded as having such an
impairment.
What provides protection
against discrimination for
people with disabilities.
what prevents DVT
Functional Limitation
20. autonomic dysreflexia
21. Basic rehab can be used
whether the pt is suffering
from arthritis, multiple
sclerosis, mental illness,
brain attack or stroke, spinal
cord injury, burn, or traumatic
brain injury
22. Because everyone at some
time in their life has a
disability.
23. because many problems
24. be described in functional or
behavioral terms, and must
have associated time frames
for achievement, and the
responsible team member or
members must be listed
25. the better are the chances
for higher functional
outcomes of the people
served
26. broken bones and traumatic
head and spinal cord injuries
27. c1-c4 injury
is the result of some
stimulation of the body
below the level of injury,
usually bladder distention
from a blocked cath. , and it
is an attack from the
autonomic nervous system
What are some examples as
to why basic rehabilitation
can be used?
Why is it essential to
develop a level of
awareness to avoid labeling
people in groups with
disabilities.
Prevention and wellness
Goals must also....
The more comprehensive the
rehab program is....
Examples of a tertiary blast
related injury include
usually requires respiatory
assist and usually skilled
care
28. c5- c8 injury
29. catastrophic brain injury
30. Cervical cord injury
31. characteristics of this
model are discipline-
specific goals, clear
boundaries between
disciplines, and outcomes
that are the sum of each
discipline's efforts
32. children have a
developmental potential
in rehab.
33. closed- head injury
34. Complete injury
35. comprehensive,
compassionate,
conscientious, and up-to-
date theories of practice
36. - constipation
- diarrhea
- sexual activity
- pressure ulcers
- position changes
- wrinkles in sheets
37. Deep vein thrombosis
38. depressed because they
realize that they will not
regain their full life back
39. egocentric
transfer with assist
nonambulatory adl assist
pt is in a coma lasting several
months or longer, they
sometimes appear to be awake,
they never regain significant
meaningful comm. with their
environment
Level of injury is at the cervical
spine and involves paralysis of
all extremities and trunk,
respiatory failure, bladder and
bowel disturbance, bradycardia,
perspiration, elevated temp and
headache
Multidisciplinary rehabilitation
team
what is the difference between
adults and children in rehab?
some application of force
causes the brain to collide with
the inner surface of the skull?
No motor or sensory function
below the level of injury
While nursing care steadily
changes the one thing that has
remained the same is the need
to implement what?
any stimulation can cause
autnomic dysreflexia such as?
The clotting of blood within the
vessels of the leg that is caused
by slowing of the circulation or
an alteration in the blood vessel
walls
the more the memory improves
the more the pt becomes?
what behavior is often noted in
brain injury pts
40. encouragement What are rehab nurses
obliged to offer on a
regular basis?
41. Exercise, education about heart A cardiac rehab program
healthy living, and counseling in is designed to meet the
stress reduction in an effort to needs of the pt through
reduce modifiable risk factors what?
associated with cardiac disease
and to prevent future
hospitalizations
42. an exercise program; counseling Pulmonary rehab
regarding diet and nutrition; includes what
education regarding the lung
disease process; and
management, energy
conservation techniques, and
breathing strategies
43. finding and removing the source what is treatment for
of irritation autonomic dysreflexia?
44. Focus on the individual, Cornerstones of rehab
community reentry,
independence, functional ability,
team approach, quality of life,
prevention and wellness,
change process, adaptation,
patient and family education
45. For the pt to move from a What is the focus in
dependent state to a state of rehabilitation?
independence
46. gerontologic rehab nursing a specialty practice that
focuses on the unique
requirements of older
adult rehab pts
47. goal oriented Rehabilitation is
48. goals focus on improving the Quality of Life
quality of life, rather than
increasing the quantity of life
49. the goals of rehabilitation focus Independence
on promoting and maintaining
the pt's physical and emotional
independence
50. habilitation the process of acquiring
skills and behaviors by
an individual whose
deve. has been affected
by disease or disability
condition since birth or
early child hood
51. Has a greater loss of function The higher the injury point 62. an irreversible lifelong disease state or Chronic Illness
of the spinal cord does impairment for which disease
what? management programs may offer
supportive care, function, and
52. has the potential to be either chronic illness
prevention of further disability
abrupt or insidious in onset
and, by definition, persist for 63. is a philosophy that recognizes the Family centered
an extended and indefinite pivotal role of family in the lives of care
period children with disabilities or other
chronic conditions
53. heterotopic ossification the abnormal formation of
bone cells in joints, The 64. is a process of outcome-focused pt Rehabilitation
formation of extra bone in care delivered by an interdisciplinary
these joints normally results team of highly trained professionals
in limited ROM with the goal of restoring the pt to the
fullest physical, mental, social,
54. high bp, diaphoresis symptoms of autonomic
vocational, and economic capacity of
(swelling), shivering or goose dysreflexia
which he or she is capable
bumps, flushing of the skin,
and a severe pounding 65. knowledge and skills are essential Pt and family
headache. components of the rehab program education
55. hips and sometimes knees what joints are commonly 66. L1- L3 injury functional
affected by heterotopic ambulation,
ossification? complete ADL
independence,
56. Holistic nursing What type of nursing
bowel and
concept does rehabilitation
bladder
nursing illustrate?
independent care,
57. A holistic, person- first What is the basis for driving app. work
approach planning care that promotes
67. L4 and below injury Full ambulation,
health and positively affects
complete ADL
the quality of life
independence,
58. horizontal What position should you bowel and
return the patient to the bladder control,
dizziness from the postural driving app work
hypotension?
68. - localized edema around the area sympt. of
59. the identification of a What is the diagnosis of - a firm mass can be palpated under heterotopic
traumatic event PTSD dependent on? the skin after several days ossification
60. Incomplete injury Some or all motor or - after several weeks ROM is
sensory function below the diminished
level of injury 69. localized swelling, redness, and heat in clinical signs of
61. the individual rather than on In rehabilitation nursing, the the area. DVT
the disability individual is recognized to 70. Lumbar cord injury Level of injury at
have a disability, and the the lumbar spine
focus is on.... with paralysis of
lower
extrememites ,
bladder, and
rectum and loss
of sexual function
71. Measurable What must the
goals be?
72. mild brain injury brief or no loss
of consciousness
73. moderate brain injury chara. by a period of 85. - Paralysis effects of a injured spinal cord include?
uncsnsciousness ranging from 1 to _ loss of normal
24 hours ( symp. on pg 1204) bowel and
bladder function
74. More successful, and If the injuries are detected early
_ loss of sensation
lower cost then what does that mean for the
outcomes? 86. paraplegia Damage below the cervical area that
involves weakness or paralysis in the
75. Multidisciplinary What are the three primary models
trunk and lower extremities
Interdisciplinary of the rehabilitation team?
Transdisciplinary 87. Paresis A slight paralysis incomplete loss of
muscular power, or weakness of a limb
76. Multidisciplinary There are three primary models of
rehabilitation team rehabilitation team functioning. 88. patients with who experience sudden and extreme
Interdisciplinary What are they? spinal cord lesions elevations in blood pressure caused by
rehabilitation team above T5 a reflex action of the autonomic
Transdisciplinary nervous system?
rehabilitation team
89. pediatric rehab. specialty practice area that also
77. no because the blood if these signs are present for a PT nursing continues to expand within the field of
clot has a potential to that has DVT should you move the rehab?
lodge in the lungs ( leg ?
90. penetrating inj. an object lacerates the scalp, fractures
embolus)
the skull, and injures the soft tissue in its
78. No it is irreversible, the Is there any way to fix a spinal path thus destroying nerve cells?
cord is unable to repair cord injury?
91. personal, and the These goals are
itself
rehabilitation team
79. a nonprofit, private, Commission on Accreditation of individualizes
international standard- Rehabilitation Facilities them to meet the
setting and holistic needs of
accreditation body each pt served
whose mission is to
92. Pg 1195 It its necessary to initiate an overall
promote and advocate
individualized comprehensive
the delivery of quality
rehabilitation plan of care within 24
rehabilitation
hours of the pt's hospital admission and
80. No they should be Are people defined by their have it ready for review and revision by
defined by what skills disability? the rehab team within 3 days of the
they have. adnission
81. The nurse Who is a vital member of the 93. pg1204 sympt. of mild brain injury
interdisciplinary team and takes on
94. physical, most brain related injuries include?
many roles such as educator,
cognitive, and
caregiver, counselor, care
psychosocial
coordinator, case manager, pt
difficulties
advocate, consultant, researcher,
administrator or manager, and 95. a physical, mental, Handicap
expert witness? or emotional
impairment or
82. occurs in people with heterotopic ossification normally
disability that
SCI'S and occurs below arises in and occurs where?
interferes with a
the level of the lesion
person's normal
83. of traumatic accidents SCI's occur mainly because? functioning
84. On adapting and Many conditions are irreversible;
accepting an altered where is the focus?
life rather than
resolving an illness
96. physician, nurse practitioner,
physiatrist, a
physical/occupational/speech
therapist, a recreational
therapist, a psychologist, a
spiritual adviser, and a social
worker; and it always
includes the pt
97. physician, nurse practitioner,
physiatrist,
physical/occupational/speech
therapist, recreational
therapist, psychologist,
spiritual adviser, social
worker, and always the pt
98. physicians specializing in
physical medicine or
rehabilitation
99. Post Traumatic Stress
Disorder (PTSD)
100. postural hypotension
101. postural hypotension,
autonomic dysreflexia,
heterotopic ossiffication, and
deep vein thrombosis
102. Primary blast related injuries
103. Primary, Secondary, Tertiary,
or Quaternary
104. progress in rehab is
measured in terms of
functional outcomes
105. Psychotherapy and
pharmacotherapy
Who is involved in the
rehab discipline team?
Who is included in the
discipline team for the
rehab program?
Physiatrist
After Vietnam war what was
accepted as a psychiatric
diagnosis, and other forms
of trauma, such as rape and
natural disasters were also
identified as causes of this?
patients with spinal cord
injuries have a marked drop
in blood pressure while
sitting in a wheel chair. this
is called?
common medical
complications experienced
by patients with SCI
Air filled cavities in the
body (ears, lungs, and GI
tract) and organs
enveloped by fluid (brain
and spinal cord) are most
susceptible to compression
damage from high
explosive blasts. These
injuries are considered
what?
How are blast related
injuries categorized?
Functional ability
What are the most common
forms of treatment for
PTSD?
106. Pt- Key member Physiatrist- Rehab What is the role of
physician the following in
Rehab RN- Coordinator, Educator the rehabilitation
Rehab LPN- Care provider; pt's team? Pt,
advocate Physical therapist- Physiatrist, Rehab
Designing exercise program RN, Rehab
Occupational therapist- Assessing LPN/LVN,
independent living needs Speech- Physical therapist,
language pathologist- Performing Occupational
assessment of communication and therapist, Speech-
swallowing abilities and designing language
rehab communication program pathologist,
Therapeutic recreation therapist- Therapeutic
Recreation planner Clinical recreation
psychologist- Emotional evaluator therapist, Clinical
Chaplain- Spiritual consultant psychologist,
Vocational rehab counselor- Chaplain,
Vocational planner Vocational rehab
counselor
107. pts who experience a disabling Change process
condition or chronic illness
experience the change process, as do
their families.
108. Quadriplegia (all four limbs) Damage to the
cervical spine or
the neck that
involves weakness
or paralysis in all
four extremities
109. Quaternary Inhalation of and
exposure to toxic
chemicals,
traumatic
amputation of
limbs, and burns
are examples of
what type of blast
related injury?
110. raise the patients bed 15 to 20 min to lessen
before moving them, also elastic hypotension you
stockings and abdominal binders may should?
be used.
111. regaining strength or adjusting to a Rehabilitation is
new set of needs by finding new the process of
ways to do things previously done.
112. rehab goals are achieved through the Team approach
work of the rehab team members,
including the pt and the family
113. rehabilitation refers to relearning of
skills and behaviors lost as
a result of injury
114. rehab is considered successful community reentry
if the pt is able to reenter the
community through
participation in social,
vocational, and recreational,
activities
115. restore the pt to the highest what is the primary goal of
level of indep. fuctioning the rehab. nurse for a pt
with a brain injury?
116. Secondary blast related Injuries from airborne
injuries debris, bomb fragments,
and shrapnel embedded in
any body part are
considered what?
117. severe brain injury experience
unconsciousness or post
traumatic amnesia for
longer than 8 days.
cognitive, psychosocial,
and behavioral disab.
result
118. Sitting because this helps to once the irritation is
reduce it before damage removed the pts bp should
occurs return to normal but what
position do they need to
be sitting in to help this?
119. spanning the gap between Rehabilitation is a bridge
uselessness and usefulness, for the pt
between hopelessness and
hopefulness, between despair
and happiness
120. spinal cord injury (SCI) any injury in which the
spinal cord undergoes
compression by fracture or
displacement of vertebrae,
by bleeding or by edema
121. successful treatment the earlier injuries are id
outcomes are and the lower the more?
costs of treatment
122. T1- T 5injury adl independent bladder
independent bowl may
need help driving with
hand controls
nonambulatory
123. T6- T 9 injury limited ambulation with
braces, adl independance,
driving with hand controls
124. T 10- T 12 injury functional
ambulation
complete adl
independence,
bowel and bladder
independent, driving
app work
125. Tertiary blast related injury An injury sustained
from being thrown
as the result of an
explosive shock
wave or dynamic
over pressure is
what?
126. they are used throughout continuum How are these
of care and across the lifespan of theories used in
the pt. rehabilitation
nursing?
(comprehensive,
compassionate,
conscientious, and
up-to-date theories
of practice)
127. this type of team collaborates to Interdisciplinary
identify individual's goals and rehabilitation team
features a combination of expanded
problem solving beyond the
boundaries of the individual
disciplines, together with discipline-
specific work toward goal
attainment
128. Thoracic cord injury Level of injury is at
the thoracic spine
and involves
paralysis of lower
extremities.
129. to cherish and foster the unique what is the goal in
qualities of each child pedi. rehab.
nursing?
130. To put the client in charge of their What is the role of
own care rather than the nurse take the rehab nurse?
charge
131. Tramatic brain injury (TBI) every year aprox. 2
million Americans
suffer?
132. traumatic brain injury (TBI) ranges in nature from mild concussion to the more
devastating kind that renders injured people
comatose for the remainder of their life
133. usually abrupt in onset and self-limiting, the illness is either resolved or acute illness
death ensues
134. what characterizes this model is the blurring of boundaries between Transdisciplinary rehabilitation team
disciplines, as well as cross-training and flexibility to minimize any
duplication of effort toward individual goal attainment
135. young men individuals paralyzed are primarily?