3191 Med Surg Exam 3 Class Notes
Chpt 39, 40, 41 + 42
(10 no longer on exam)
Chapter 10: Principles and Practices of Rehabilitation
OBJECTIVES:
1. Describe the goals of rehabilitation.
2. Discuss the interdisciplinary approach to rehabilitation.
3. Specify the components of a comprehensive assessment of functional capacity.
4. Use the nursing process as a framework for care of patients with self-care deficits, impaired physical mobility,
impaired skin integrity, and altered patterns of elimination.
5. Describe the significance of continuity of care and community reentry from the health care facility to the
home or extended care facility for patients who need rehabilitative assistance and services.
GLOSSARY:
activities of daily living (ADLs): personal care activities, such as bathing, dressing, grooming, eating, toileting, and
transferring
adaptive device: a type of assistive technology that is used to change the environment or help the person modify
the environment
assistive device: a type of assistive technology that helps people with disabilities perform a given task assistive
technology: any item, piece of equipment, or product system that is used to improve the functional capabilities of
individuals with disabilities; this term encompasses both assistive devices and adaptive devices
debilitated: impaired strength, weakened, injured, disabled
impairment: loss or abnormality of psychological, physiologic, or anatomic structure or function at the organ level
(e.g., dysphagia, hemiparesis); an abnormality of body structure, appearance, an organ, or system function
resulting from any cause
instrumental activities of daily living (IADLs): complex skills needed for independent living, such as shopping,
cooking, housework, using the telephone, managing medications and finances, and being able to travel by car
or public transportation
orthosis: an external appliance that provides support, prevents or corrects joint deformities, and improves function
By Abel Saboke()
, pressure ulcer: localized area of skin breakdown due to prolonged pressure and insufficient blood supply, usually at
bony prominences
prosthesis: a device used to replace a body part
rehabilitation: making able again; learning or relearning skills or abilities or adjusting existing functions to meet
maximum potential
rehabilitation nursing: a branch of nursing focused on providing care to patients who have been incapacitated by
illness or injury or are facing potentially life-altering health conditions throughout their lifespan
sinus tract: course or path of tissue destruction occurring in any direction from the surface or edge of a wound;
results in dead space with potential for abscess formation; also called tunneling
slough: soft, moist avascular (devitalized) tissue; may be white, yellow, tan, gray, or green; may be loose or firmly
adherent
undermining: area of destroyed tissue that extends under intact skin along the periphery of a wound; commonly
seen in shear injuries; can be distinguished from sinus tract in that there is a significant portion of the wound
edge involved, whereas sinus tract involves only a small portion of the wound edge
NOTES:
By Abel Saboke()
Chpt 39, 40, 41 + 42
(10 no longer on exam)
Chapter 10: Principles and Practices of Rehabilitation
OBJECTIVES:
1. Describe the goals of rehabilitation.
2. Discuss the interdisciplinary approach to rehabilitation.
3. Specify the components of a comprehensive assessment of functional capacity.
4. Use the nursing process as a framework for care of patients with self-care deficits, impaired physical mobility,
impaired skin integrity, and altered patterns of elimination.
5. Describe the significance of continuity of care and community reentry from the health care facility to the
home or extended care facility for patients who need rehabilitative assistance and services.
GLOSSARY:
activities of daily living (ADLs): personal care activities, such as bathing, dressing, grooming, eating, toileting, and
transferring
adaptive device: a type of assistive technology that is used to change the environment or help the person modify
the environment
assistive device: a type of assistive technology that helps people with disabilities perform a given task assistive
technology: any item, piece of equipment, or product system that is used to improve the functional capabilities of
individuals with disabilities; this term encompasses both assistive devices and adaptive devices
debilitated: impaired strength, weakened, injured, disabled
impairment: loss or abnormality of psychological, physiologic, or anatomic structure or function at the organ level
(e.g., dysphagia, hemiparesis); an abnormality of body structure, appearance, an organ, or system function
resulting from any cause
instrumental activities of daily living (IADLs): complex skills needed for independent living, such as shopping,
cooking, housework, using the telephone, managing medications and finances, and being able to travel by car
or public transportation
orthosis: an external appliance that provides support, prevents or corrects joint deformities, and improves function
By Abel Saboke()
, pressure ulcer: localized area of skin breakdown due to prolonged pressure and insufficient blood supply, usually at
bony prominences
prosthesis: a device used to replace a body part
rehabilitation: making able again; learning or relearning skills or abilities or adjusting existing functions to meet
maximum potential
rehabilitation nursing: a branch of nursing focused on providing care to patients who have been incapacitated by
illness or injury or are facing potentially life-altering health conditions throughout their lifespan
sinus tract: course or path of tissue destruction occurring in any direction from the surface or edge of a wound;
results in dead space with potential for abscess formation; also called tunneling
slough: soft, moist avascular (devitalized) tissue; may be white, yellow, tan, gray, or green; may be loose or firmly
adherent
undermining: area of destroyed tissue that extends under intact skin along the periphery of a wound; commonly
seen in shear injuries; can be distinguished from sinus tract in that there is a significant portion of the wound
edge involved, whereas sinus tract involves only a small portion of the wound edge
NOTES:
By Abel Saboke()
