Basic Restorative Care

Basic Restorative Care

What is Rehabilitation?

• Helps patients regain physical strength and movement following injury or surgery.

• Used to restore patient to highest level of functioning possible after an accident, illness, or injury

• The CNA is a vital team member, helping patients relearn to care for themselves and become active again.

Multiple Select

What are some goals of rehabilitation?

• assist resident to learn to manage disability

• assist resident with disability to achieve highest possible level of functioning

• provide holistic care

• resident should gain as much independence as possible

What is Restorative Care?

• Initiated once the goals of rehabilitation have been met or when rehab is not an option

• Used to help ensure resident retains the skills learned in rehabilitation

• Maintain a person's basic functioning, improve quality of life, increase independence

• Examples: toileting, range of motion, grooming, eating/drinking, communication

Multiple Select

Which activities are most likely part of restorative care (not rehabilitation)?

• Holding a spoon without spilling a liquid

• Using crutches properly

• Properly transferring from bed to chair with minimal assistance

• Strength activities to build muscle in previously broken arm

Discuss

What are some ways we could meet these goals for restorative care of the resident?

Members of the Rehabilitation Team

• Physiatrist – physician specializing in rehabilitation

• other physicians

• Therapists - speech, physical. and occupational therapy

• Social Workers

• Discharge Planners

• Nurses & Nurse Aides

• The resident and their families

Guidelines of Rehabilitation and Restorative Care

• Understand diagnosis and disability

• Be aware of resident’s limitations

• Know resident’s abilities and strengths

• Follow person-centered care plan

Multiple Choice

If a resident has problems with their vision, which rehabilitation activities will we avoid

• Pick a point at the end of the hall to focus on while you walk

• Read this menu and tell me what you would like for lunch

• Your milk is sitting on the left side of the tray, and the coffee is on the right. Point to which you would prefer.

How do we help?

• Maintain a positive, empathetic, and optimistic attitude

• Encourage independence and personal choice as often as possible

• Spend as much time as possible just listening to the resident

• Offer praise whenever possible, and recognize that people will have setbacks in their rehabilitation, at that is okay!

• Be observant! CNAs might see changes in a resident long before the nurse does.

Open Ended

List some changes a CNA might notice in a resident that they should report to the nurse.

Assistive Devices

• Transfer or Gait belt

• Slide Board (for patient use)

• Slide Board (for staff use)