What do goals of arthritis care include?

You are delegated to provide passive R.O.M. to L lower and upper extremities. This means you

Support each joint and provide extension and flexion movements on the left side of the body

In passive range-of-motion (PROM), the customer’s joints are supported and moved by someone else. The customer does not participate in the exercises. PROM keeps joints flexible, but does not build muscle. Active ROM is essential to increase strength.

What is the primary goal of restorative goal?

Return patient to a normal life at home

Restorative care provides specialized services to aid in regaining the highest possible health and function of the customers and to prevent decline. The goal is to help the customer to return to a home setting and live independently. Rehabilitation methods are used to teach customers activities of daily living, speech, and safety.

What should the nurse aid do when he or she moves a joint during ROM (range of motion) exercises, and the patient complains of pain?

Stop the movement at the point where pain occurs and report to the nurse

Range of motion (ROM) exercises provide a way to maintain joint flexibility. Each joint is moved as far as it can comfortably go. The customer may feel slight discomfort as the muscles are stretched, but never push beyond the point of pain. If the customer reports pain, stop immediately and report to the nurse or therapist.

The nurse aide notices the client has bilateral hearing aids after helping with evening care . The nurse aide knows that if a hearing aid is not in use, it should

Have the battery disengaged

When hearing aids are not going to be in use for some hours or overnight, disengage the battery to make it last longer. Although the battery can be removed, opening the door of the hearing aid and leaving the battery inside is easier. Clients with limited vision or poor motor skills will be able to close the door and insert the hearing aid easily. Never leave hearing aids where they can get lost, misplaced, or damaged. Safe storage places are drawer or container.

The process of restoring a disabled client to the highest level of functioning possible is ____________.

Rehabilitation

Rehabilitation is the specialized care that assists a customer in getting the best possible level of function and independence possible. It is used to restore physical strength and movement after surgery, illness, or trauma. It cannot reverse the damage, but can help the customer attain a better quality of life.

Of the options below, what do you do with Mr. Johnson, who has just returned from surgery?

Turn, cough, and deep breathe, leg exercises

Atelectasis (fluid collecting in the lungs) which can cause pneumonia, and blood clots, which can break off and travel to the lungs are the two most common post-operative complications. The nurse aide can help the patient turn in bed, as well as take deep breaths and cough, to ensure enough air gets into the lungs. Leg exercises and getting out of bed as soon as possible can increase circulation to avoid blood clots.

ROM exercises will assist in preventing

Contractures

A contracture is a shortening of muscles, tissues, tendons, and skin at the joints, due to lack of movement and exercise. When joints continue to bent over time, they can no longer be straightened. Range of motion (ROM) exercises contribute a way to maintain joint flexibility. In passive ROM, someone moves the joints with no assistance from the client. In active ROM, the client does the exercises alone or with the help of devices, such as a strap.

The family has been told to give the patient who is leaving the hospital her medication bid. The wife asks what that means. The nurse aide tells her to give the medication.

Twice a day

BID is an abbreviation used in medicine and pharmacy to indicate “two times each day.” The medication should be taken every 12 hours. BID is also stands for b.i.d. or bid.

What should the nurse aid do if a client has hand tremors?

Assist the patient with the activity of daily living as needed

The most common kind of involuntary movement is hand tremors which have no cure. Treatment involves physical therapy, occupational therapy, and medications. Therapy can help clients learn to do many tasks for themselves. Adaptive devices, such as special eating utensils, can support their efforts to be independent.

A contracture (tightening, or shortening of a muscle) is caused by

Lack of movement of muscle

Muscle can shorten and become stiff when it is not moved or exercised, . Range of motion (ROM)becomes limited and movement can be painful. It is important to prevent when a client is immobile or has a disorder that can cause contractures, such as cerebral palsy or muscular dystrophy. Stretching, performing ROM exercises and using splints can assist in maintaining function.

What is the most basic rule of body mechanics?

Bend from the knees and hips

Proper body mechanics uses the legs to do most of the work. Keep your back straight and locked; do not turn or twist. If you bend, do so at the knees and hips, not the waist. Before lifting or moving a patient, assess how much the patient is able to do. Always ask for assistance from a co-worker if you have any doubts.

Of the options below, which is the most restorative approach when the nurse aide is making an occupied bed?