DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.
-
Upload
ali-gerner -
Category
Documents
-
view
212 -
download
0
Transcript of DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.
![Page 1: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/1.jpg)
DFS Approved Curriculum-Unit 13 1
Unit 13Basic Restorative Services
Nurse Aide I Course
![Page 2: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/2.jpg)
DFS Approved Curriculum-Unit 13 2
Basic Restorative Services
IntroductionThis unit explores various aspects
of restorative care and the role of the nurse aide in this process.
Disease, injuries and surgery are often responsible for the loss of a body part or the loss of bodily function.
![Page 3: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/3.jpg)
DFS Approved Curriculum-Unit 13 3
Basic Restorative Services(continued)
IntroductionWorking with the elderly and
disabled requires a great deal of patience, caring and understanding from health care workers.
Working together to assist the resident to attain the highest possible level of functioning can be a very challenging and rewarding experience.
![Page 4: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/4.jpg)
DFS Approved Curriculum-Unit 13 4
![Page 5: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/5.jpg)
DFS Approved Curriculum-Unit 13 5
13.0 Demonstrate skills which incorporate principles of restorative care under the direction of the supervisor.
![Page 6: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/6.jpg)
DFS Approved Curriculum-Unit 13 6
Rehabilitation/Restoration
• Definition - process of restoring disabled individual to highest level of physical, psychological, social and economic functioning possible
![Page 7: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/7.jpg)
DFS Approved Curriculum-Unit 13 7
Rehabilitation/Restoration(continued)
• Emphasis on existing abilities
• Encourages independence
• Promotes productive lifestyle
![Page 8: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/8.jpg)
DFS Approved Curriculum-Unit 13 8
Rehabilitation/Restoration(continued)
• Goals include:–Prevention of
complications–Retraining in lost
skills–Learning new skills
![Page 9: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/9.jpg)
DFS Approved Curriculum-Unit 13 9
13.1 Identify the nurse aide’s role in rehabilitation/restoration.
![Page 10: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/10.jpg)
DFS Approved Curriculum-Unit 13 10
Rehabilitation/Restoration(continued)
• Nurse Aide’s Role –Encourage resident–Praise accomplishments–Review skills taught–Report progress or need
for additional teaching
![Page 11: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/11.jpg)
DFS Approved Curriculum-Unit 13 11
Rehabilitation/Restoration(continued)
• Nurse Aides Role (continued)–Promote independence
•praise all attempts at independence
•overlook failures•show confidence in resident’s ability
![Page 12: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/12.jpg)
DFS Approved Curriculum-Unit 13 12
Rehabilitation/Restoration(continued)
• Nurse Aides Role (continued)–Promote independence (continued)
•be patient and allow time for residents to do things for themselves
–Be sensitive and understanding
![Page 13: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/13.jpg)
DFS Approved Curriculum-Unit 13 13
![Page 14: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/14.jpg)
DFS Approved Curriculum-Unit 13 14
13.2 Provide training in and the opportunity for self-care according to the resident’s capabilities.
![Page 15: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/15.jpg)
DFS Approved Curriculum-Unit 13 15
Self-Care According To Resident’s Capabilities
• Training in self-care requires that three questions be answered prior to starting:
1. What is the goal to be achieved?2. What approaches are used to help
the resident achieve the goal?3. How will progress or lack of
progress be measured?
![Page 16: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/16.jpg)
DFS Approved Curriculum-Unit 13 16
Self-Care According To Resident’s Capabilities
(continued)
• Resident included in goal-setting process, whenever possible.
![Page 17: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/17.jpg)
DFS Approved Curriculum-Unit 13 17
Self-Care According To Resident’s Capabilities
(continued)
• Functional losses cause:– Resentment– Anger– Frustration– Withdrawal– Depression– Grief
![Page 18: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/18.jpg)
DFS Approved Curriculum-Unit 13 18
Guidelines To Assist With Restorative Care And Training
• Assist resident to do as much as possible for himself/herself
• Be realistic• Never offer false hope• Explain what is going to be done• Begin tasks at resident’s level of
functioning
![Page 19: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/19.jpg)
DFS Approved Curriculum-Unit 13 19
Guidelines To Assist With Restorative Care And Training
(continued)
• Provide encouragement and reinforcement
• Praise successes• Emphasize abilities• Treat resident with respect• Explain what resident needs to
accomplish, and how you will help.
![Page 20: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/20.jpg)
DFS Approved Curriculum-Unit 13 20
Guidelines To Assist With Restorative Care And Training
(continued)
• Accept residents and encourage them to express their feelings
• Help to put new skills into use immediately
• Assist the resident to recognize his or her progress
![Page 21: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/21.jpg)
DFS Approved Curriculum-Unit 13 21
Self-Care According To Resident’s Capabilities
• Treatment initiated by:–Physical therapist–Occupational
therapist–Speech therapist–Licensed nurse
![Page 22: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/22.jpg)
DFS Approved Curriculum-Unit 13 22
Self-Care According To Resident’s Capabilities
(continued)• ADL considerations for
resident:–Resident to control how
and when activities carried out, when possible
–Use tact in making resident aware of hygiene needs
![Page 23: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/23.jpg)
DFS Approved Curriculum-Unit 13 23
Self-Care According To Resident’s Capabilities
(continued)
• ADL considerations for resident (continued):–Encourage use and
selection of clothing–Be patient and allow
time for slower paced activities
![Page 24: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/24.jpg)
DFS Approved Curriculum-Unit 13 24
Self-Care According To Resident’s Capabilities
(continued)• ADL considerations for resident
(continued):–Provide for rest periods–Assist to exercise–Promote independence by having
do as much of activity, as possible–Encourage use of adaptive devices
![Page 25: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/25.jpg)
DFS Approved Curriculum-Unit 13 25
![Page 26: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/26.jpg)
DFS Approved Curriculum-Unit 13 26
13.3 Discuss methods for assisting with bowel and bladder retraining.
![Page 27: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/27.jpg)
DFS Approved Curriculum-Unit 13 27
Bowel And Bladder Retraining
• Incontinence: Inability to control urination or defecation
–Embarrassing for resident
–Uncomfortable
![Page 28: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/28.jpg)
DFS Approved Curriculum-Unit 13 28
Bowel Retraining
• Plan developed to assist to return to normal elimination pattern and recorded on care plan
• Information collected:–bowel pattern before incontinence–present bowel pattern–dietary practices
![Page 29: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/29.jpg)
DFS Approved Curriculum-Unit 13 29
Bowel Retraining(continued)
• Participants in plan–resident–family–all staff members
![Page 30: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/30.jpg)
DFS Approved Curriculum-Unit 13 30
Guidelines For Bowel Retraining
• Enemas may be ordered by physician and given by nurse aide, as directed by supervisor
• Regular, specific times to evacuate bowels established
• Fluids encouraged on regular basis
![Page 31: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/31.jpg)
DFS Approved Curriculum-Unit 13 31
Guidelines For Bowel Retraining(continued)
• High bulk foods given, if not restricted– fruits– vegetables
– bread – bran cereals
![Page 32: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/32.jpg)
DFS Approved Curriculum-Unit 13 32
Guidelines For Bowel Retraining(continued)
• Bowel aids ordered by physician and administered by licensed nurse only:
– laxatives
– suppositories
– stool softeners
• Regular exercise encouraged
![Page 33: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/33.jpg)
DFS Approved Curriculum-Unit 13 33
Guidelines For Bowel Retraining(continued)
• Ways nurse aide can assist with defecation process:–offer bedpan on set
schedule–assist to bathroom when
request is made–provide privacy–display unhurried attitude
![Page 34: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/34.jpg)
DFS Approved Curriculum-Unit 13 34
Guidelines For Bowel Retraining(continued)
• Ways nurse aide can assist with defecation process (continued):– offer warm drink– be patient– encourage with positive remarks– do not scold when accidents
happen (abuse) – check on resident frequently
![Page 35: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/35.jpg)
DFS Approved Curriculum-Unit 13 35
Bladder Retraining
• Plan developed to assist to return to normal voiding pattern and recorded on care plan
• Staff must be consistent and follow plan
![Page 36: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/36.jpg)
DFS Approved Curriculum-Unit 13 36
Bladder Retraining
• Individualized plan includes:–schedule that specifies
time and amount of fluids to be given
–schedule for attempting to void
![Page 37: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/37.jpg)
DFS Approved Curriculum-Unit 13 37
Guidelines for Bladder Retraining
• Get resident’s cooperation• Record incontinent times• Provide with opportunities to void:
–when resident awakens–one hour before meals–every two hours between meals–before going to bed–during night, as needed
![Page 38: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/38.jpg)
DFS Approved Curriculum-Unit 13 38
Guidelines for Bladder Retraining(continued)
• Provide for comfortable voiding position
• Be supportive and sensitive
• Provide encouragement• Offer fluids according to
schedule
![Page 39: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/39.jpg)
DFS Approved Curriculum-Unit 13 39
Guidelines for Bladder Retraining(continued)
• Provide stimuli as needed:–run water in sink–pour water over
perineum–offer fluids to drink–place hands in warm
water
![Page 40: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/40.jpg)
DFS Approved Curriculum-Unit 13 40
Guidelines for Bladder Retraining(continued)
• Provide good skin care to prevent skin breakdown
• Retraining may take 6-10 weeks–be patient–be supportive– ignore accidents–respect resident’s feelings
![Page 41: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/41.jpg)
DFS Approved Curriculum-Unit 13 41
Guidelines for Bladder Retraining(continued)
• Follow facility procedure for use of:– incontinent pads–adult protective
pants– incontinent briefs
![Page 42: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/42.jpg)
DFS Approved Curriculum-Unit 13 42
![Page 43: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/43.jpg)
DFS Approved Curriculum-Unit 13 43
13.4 Identify ways to assist the resident in activities of daily living and encourage self-help activities.
![Page 44: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/44.jpg)
DFS Approved Curriculum-Unit 13 44
Adaptive Devices For Assisting With Activities of Daily Living (ADL)
• Special utensils available to help with eating
• Electric toothbrushes for brushing teeth
• Long-handled brushes and combs for hair care
![Page 45: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/45.jpg)
DFS Approved Curriculum-Unit 13 45
Adaptive Devices For Assisting With Activities of Daily Living (ADL)
(continued)
• Supportive devices to assist with walking – canes, crutches, walkers
• Wheelchairs and motorized chairs to provide movement from place to place
![Page 46: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/46.jpg)
DFS Approved Curriculum-Unit 13 46
Adaptive Devices For Assisting With Activities of Daily Living (ADL)
(continued)• Prosthesis to replace missing body
parts• Successful use of adaptive devices
depends on the resident’s:–attitude–acceptance of limitations–motivation–support from others
![Page 47: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/47.jpg)
DFS Approved Curriculum-Unit 13 47
![Page 48: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/48.jpg)
DFS Approved Curriculum-Unit 13 48
13.5 Discuss the various ambulation devices and transfer aids.
![Page 49: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/49.jpg)
DFS Approved Curriculum-Unit 13 49
Ambulation Devices And Transfer Aids
• Walker - four-point aid with rubber tips–Resident stands erect when moving
walker forward–Walker adjusted to height of hip
joint–Elbows at 15-30 degree angle–Walker picked up and put down, not
slid
![Page 50: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/50.jpg)
DFS Approved Curriculum-Unit 13 50
Ambulation Devices And Transfer Aids
(continued)• Walker - four-point aid with rubber tips
(continued)–Back legs of walker even
with toes so resident walks into walker
–Resident steps toward center of walker
–Leads with weaker leg
![Page 51: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/51.jpg)
DFS Approved Curriculum-Unit 13 51
Ambulation Devices And Transfer Aids
(continued)• Canes
–Types:•single-tipped• tripod - 3 legs•quad - four point
![Page 52: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/52.jpg)
DFS Approved Curriculum-Unit 13 52
Ambulation Devices And Transfer Aids
(continued)• Canes (continued)
–Used when weakness on one side of body and resident has use of at least one arm
–Provides balance and support
![Page 53: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/53.jpg)
DFS Approved Curriculum-Unit 13 53
Ambulation Devices And Transfer Aids
(continued)• Canes (continued)
–Should be fitted properly:•cane handle level with femur (greater trochanter)
•elbow flexed at 15 to 30 degree angle
•shoulders level
![Page 54: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/54.jpg)
DFS Approved Curriculum-Unit 13 54
Ambulation Devices And Transfer Aids
(continued)• Canes (continued)
–Gaits ordered by physician or physical therapist:•move cane and affected leg together
•move cane, then affected leg–Used on side of body where leg is
strongest (side opposite the injury)
![Page 55: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/55.jpg)
DFS Approved Curriculum-Unit 13 55
Ambulation Devices And Transfer Aids
(continued)
• Crutches–Provide support and
stability through use of hands and arms.
–Used when one or both legs are weak.
![Page 56: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/56.jpg)
DFS Approved Curriculum-Unit 13 56
Ambulation Devices And Transfer Aids
(continued)• Crutches (continued)
–Measured to fit properly by physical therapist.•height correct if two fingers fit between armrest and axilla
•hand grip adjusted to allow 20-30 degrees flexion of elbows
![Page 57: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/57.jpg)
DFS Approved Curriculum-Unit 13 57
Ambulation Devices And Transfer Aids
(continued)• Crutches (continued)
–Gaits• four-point gait• three-point gait• two-point gait•swing-to gait•swing-thru gait
![Page 58: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/58.jpg)
DFS Approved Curriculum-Unit 13 58
Ambulation Devices And Transfer Aids
(continued)
• Crutches (continued)–Weight supported on
hand bar, not axilla
![Page 59: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/59.jpg)
DFS Approved Curriculum-Unit 13 59
Ambulation Devices And Transfer Aids
(continued)• Wheelchairs
–Available in different sizes and models to allow for proper fit and usage
–Cleaned with mild detergent and water, rinsed with water and dried
![Page 60: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/60.jpg)
DFS Approved Curriculum-Unit 13 60
Ambulation Devices And Transfer Aids
(continued)
• Wheelchairs (continued)–Periodic maintenance
needed with 3 in 1 oil–Arm rests adjusted to
appropriate height–Feet rest flat on floor
when chair is not moving
![Page 61: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/61.jpg)
DFS Approved Curriculum-Unit 13 61
Ambulation Devices And Transfer Aids
(continued)
• Wheelchairs (continued)–Seat should not sag
toward center of chair–Seat should not reach
back of resident’s bent knees
–Brakes locked when chair not moving
![Page 62: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/62.jpg)
DFS Approved Curriculum-Unit 13 62
Ambulation Devices And Transfer Aids
(continued)
• Wheelchairs (continued)–Wheelchair guided backwards
when going downhill–Wheelchair pulled backwards
over indented or raised areas (i.e., entrance to elevators)
![Page 63: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/63.jpg)
DFS Approved Curriculum-Unit 13 63
Ambulation Devices And Transfer Aids
(continued)
• Wheelchairs (continued)–Feet placed on footrests
for transport
![Page 64: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/64.jpg)
DFS Approved Curriculum-Unit 13 64
Ambulation Devices And Transfer Aids
(continued)
• Gurneys/Stretchers/Litters–Wheels locked when transferring
residents on or off –Safety belts secured prior to
transfer–Both side rails raised prior to
transfer
![Page 65: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/65.jpg)
DFS Approved Curriculum-Unit 13 65
Ambulation Devices And Transfer Aids
(continued)
• Gurneys/Stretchers/Litters (continued)–Residents never left alone on
stretcher–Backed head first into elevators
![Page 66: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/66.jpg)
DFS Approved Curriculum-Unit 13 66
Ambulation Devices And Transfer Aids
(continued)
–Always used with assistance when transferring resident on or off
–Pushed feet first during transport
• Gurneys/Stretchers/Litters (continued)
![Page 67: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/67.jpg)
DFS Approved Curriculum-Unit 13 67
Ambulation Devices And Transfer Aids
(continued)
–Guided backwards when going downhill
–Cleaned with mild detergent and water, rinsed with water and dried
• Gurneys/Stretchers/Litters (continued)
![Page 68: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/68.jpg)
DFS Approved Curriculum-Unit 13 68
Ambulation Devices And Transfer Aids
(continued)
• Gait belt (safety belt, transfer belt)–Used for residents unsteady on
feet–Protects resident who loses
balance or faints–Held at back
![Page 69: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/69.jpg)
DFS Approved Curriculum-Unit 13 69
Ambulation Devices And Transfer Aids
(continued)
–Must be tight enough to provide support but loose enough to be comfortable
–Used to safely transfer resident
• Gait belt (safety belt, transfer belt) (continued)
![Page 70: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/70.jpg)
DFS Approved Curriculum-Unit 13 70
13.5.1 Identify safety precautions to be considered by the nurse aide when using ambulatory devices.
![Page 71: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/71.jpg)
DFS Approved Curriculum-Unit 13 71
Safety Considerations When Using Ambulatory Devices
• Correct aids must be used because they are individually fitted
• Resident observed closely to be sure aids are being used as ordered
• Faulty equipment reported and not used until repaired
![Page 72: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/72.jpg)
DFS Approved Curriculum-Unit 13 72
Safety Considerations When Using Ambulatory Devices
(continued)
• Shoes must fit and be in good condition
• Skin breakdown reported• Rubber tips on aids in
good condition.
![Page 73: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/73.jpg)
DFS Approved Curriculum-Unit 13 73
![Page 74: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/74.jpg)
DFS Approved Curriculum-Unit 13 74
13.6 Demonstrate the method used to assist a resident to ambulate using a cane or walker.
![Page 75: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/75.jpg)
DFS Approved Curriculum-Unit 13 75
![Page 76: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/76.jpg)
DFS Approved Curriculum-Unit 13 76
13.7 Discuss the use of mechanical lifts.
![Page 77: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/77.jpg)
DFS Approved Curriculum-Unit 13 77
Mechanical Lifts
• Used for transfer of residents
• Lower end of sling positioned behind knees
• Hooks turned away from body
![Page 78: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/78.jpg)
DFS Approved Curriculum-Unit 13 78
Mechanical Lifts(continued)
• Straps, sling and clasps checked for defects
• Enough assistance available to assure safe transfer
• Area checked for safety hazards prior to transfer
![Page 79: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/79.jpg)
DFS Approved Curriculum-Unit 13 79
![Page 80: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/80.jpg)
DFS Approved Curriculum-Unit 13 80
13.8 Demonstrate the procedure for transferring a resident using a mechanical lift (Hoyer).
![Page 81: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/81.jpg)
DFS Approved Curriculum-Unit 13 81
![Page 82: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/82.jpg)
DFS Approved Curriculum-Unit 13 82
13.9 Perform range of motion exercises as instructed by the physical therapist or supervisor.
![Page 83: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/83.jpg)
DFS Approved Curriculum-Unit 13 83
Range of Motion Exercises
• Types of range of motion:–Active - resident
exercises joints without help
–Passive - another person moves body part for resident
![Page 84: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/84.jpg)
DFS Approved Curriculum-Unit 13 84
Range of Motion Exercises(continued)
• Purpose of range of motion:–Maintains muscle tone–Prevents deformities–Increases circulation–Encourages mobility
![Page 85: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/85.jpg)
DFS Approved Curriculum-Unit 13 85
Guidelines When PerformingRange Of Motion
• Expose only part of body being exercised
• Be gentle and stop if resident complains of pain
• Use good body mechanics
![Page 86: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/86.jpg)
DFS Approved Curriculum-Unit 13 86
Guidelines When PerformingRange Of Motion
(continued)
• Follow directions from supervisor on number of times each joint to be exercised and how to perform exercises safely, based on each resident’s condition
![Page 87: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/87.jpg)
DFS Approved Curriculum-Unit 13 87
Guidelines When PerformingRange Of Motion
(continued)
• Each movement is repeated three times unless otherwise ordered.
• Support joint as it is exercised• Report complaints of pain or
discomfort to supervisor
![Page 88: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/88.jpg)
DFS Approved Curriculum-Unit 13 88
Guidelines When PerformingRange Of Motion
(continued)
• Exercise joint slowly, smoothly and gently
• Do not exercise swollen, reddened joints; report condition to supervisor
![Page 89: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/89.jpg)
DFS Approved Curriculum-Unit 13 89
Range Of Motion Exercises
Types of Joint Movement• Abduction• Adduction• Extension• Hyperextension• Flexion• Plantar flexion• Dorsiflexion• Rotation
![Page 90: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/90.jpg)
DFS Approved Curriculum-Unit 13 90
Range Of Motion Exercises
Types of Joint Movement(continued)
• Pronation• Supination• Eversion• Inversion• Radial deviation• Ulnar deviation
Encourage residents capable of doing active ROM exercises
![Page 91: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/91.jpg)
DFS Approved Curriculum-Unit 13 91
![Page 92: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/92.jpg)
DFS Approved Curriculum-Unit 13 92
13.10 Demonstrate the procedure for performing range of motion exercises.
![Page 93: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/93.jpg)
DFS Approved Curriculum-Unit 13 93
![Page 94: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/94.jpg)
DFS Approved Curriculum-Unit 13 94
13.11 Assist in care and use of prosthetic devices.
![Page 95: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/95.jpg)
DFS Approved Curriculum-Unit 13 95
Prosthetic Devices
• Artificial Eye (glass eye)–encourage resident to
remove, clean and replace eye prosthesis if able
![Page 96: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/96.jpg)
DFS Approved Curriculum-Unit 13 96
Prosthetic Devices(continued)
• Eyeglasses –Lens made of glass or
plastic –Stored in protective
case to prevent damage when not in use
–Held by frames
![Page 97: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/97.jpg)
DFS Approved Curriculum-Unit 13 97
Prosthetic Devices(continued)
• Eyeglasses (continued) –Washed under running
water using mild detergent. • rinsed with clear water •dried with tissue or soft cloth
![Page 98: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/98.jpg)
DFS Approved Curriculum-Unit 13 98
Prosthetic Devices(continued)
• Eyeglasses (continued)–Tops of ears and
nose observed for redness or irritation from glasses
• Wash hands before and after cleansing resident’s glasses
![Page 99: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/99.jpg)
DFS Approved Curriculum-Unit 13 99
Prosthetic Devices(continued)
• Contact Lenses (hard or soft)–Resident encouraged
to care for lenses
![Page 100: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/100.jpg)
DFS Approved Curriculum-Unit 13 100
Prosthetic Devices(continued)
• Contact Lenses (hard or soft) (continued)–Unusual observations to be
reported:• redness• itching•swelling•complaints of pain, blurring, or scratching sensations
![Page 101: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/101.jpg)
DFS Approved Curriculum-Unit 13 101
Prosthetic Devices(continued)
• Hearing Aid–Ear piece cleaned daily with
soap and water; this is the only washable part
–Ear piece and tubing should be soft
–Wax cleaned from tubing with special equipment
![Page 102: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/102.jpg)
DFS Approved Curriculum-Unit 13 102
Prosthetic Devices(continued)
• Hearing Aid (continued)–Batteries checked for
power–Skin observed for
redness or irritation in or around ear
–Ear wax build-up reported to supervisor
![Page 103: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/103.jpg)
DFS Approved Curriculum-Unit 13 103
Prosthetic Devices(continued)
• Removing hearing aid:–turn volume to lowest level or off–gently lift ear piece up and out of
ear–use tissues to wipe wax off ear
piece–store in safe place–remove battery when not in use
or open battery case
![Page 104: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/104.jpg)
DFS Approved Curriculum-Unit 13 104
Prosthetic Devices(continued)
• Inserting hearing aid:–turn volume toward maximum
until whistle is heard–replace batteries if whistle cannot
be heard–turn volume to low setting
![Page 105: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/105.jpg)
DFS Approved Curriculum-Unit 13 105
Prosthetic Devices(continued)
• Inserting hearing aid (continued):–gently insert ear piece into ear
canal and adjust for comfort– loop over ear for over-the-ear
models–adjust volume to resident’s
satisfaction
![Page 106: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/106.jpg)
DFS Approved Curriculum-Unit 13 106
Prosthetic Devices(continued)
• Braces–Uses
•support a weak part of the body•prevent movement of joint•correct deformities•prevent deformities
![Page 107: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/107.jpg)
DFS Approved Curriculum-Unit 13 107
Prosthetic Devices(continued)
• Braces (continued)–Materials
•metal leather plastic–Bony parts under brace require
protection in order to prevent skin irritation
–Report any wear noticed and when brace parts are loose or missing
![Page 108: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/108.jpg)
DFS Approved Curriculum-Unit 13 108
Prosthetic Devices(continued)
• Braces (continued)–Shoes custom fitted and
checked for:•broken shoe laces•heels and soles that are worn• leather that is worn or torn•damage from perspiration
– odors – stains
![Page 109: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/109.jpg)
DFS Approved Curriculum-Unit 13 109
Prosthetic Devices(continued)
• Devices for use with amputation–Definition of amputation -
partial or complete removal of a body part•usually arm or leg •below knee most common amputation
![Page 110: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/110.jpg)
DFS Approved Curriculum-Unit 13 110
Prosthetic Devices(continued)
• Devices for use with amputation (continued)–Examples of prosthetic devices:
•artificial leg •artificial foot •artificial arm •artificial hand
![Page 111: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/111.jpg)
DFS Approved Curriculum-Unit 13 111
Prosthetic Devices(continued)
• Devices for use with amputation (continued)–Prosthesis fitted and made for
each individual.–Devices must be handled with
care and stored in appropriate place when not in use.
![Page 112: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/112.jpg)
DFS Approved Curriculum-Unit 13 112
Devices For Use With Amputation
Assisting with artificial limbs:–have right device–check all parts for damage–evaluate resident’s limb for irritation
and swelling–pad area of prosthesis touching
resident
![Page 113: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/113.jpg)
DFS Approved Curriculum-Unit 13 113
Devices For Use With Amputation
Assisting with artificial limbs (continued):–clean according to individual
instructions–report any needed repairs to
supervisor–observe and report any skin
changes to supervisor
![Page 114: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/114.jpg)
DFS Approved Curriculum-Unit 13 114
Prosthetic Devices• Breast Forms – used following
removal of breast–Assist female residents with
adjustments of forms when dressing–Follow care suggested by
manufacturer–Keep form separate and in safe
place when handling clothing for laundry
![Page 115: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/115.jpg)
DFS Approved Curriculum-Unit 13 115
![Page 116: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/116.jpg)
DFS Approved Curriculum-Unit 13 116
13.12 Assist the resident in the proper use of body mechanics.
![Page 117: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/117.jpg)
DFS Approved Curriculum-Unit 13 117
Body Mechanics For Residents
• Broad base of support leads to better balance and stability
• Keep weight the same on both feet
• Stoop using the hips and knees
![Page 118: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/118.jpg)
DFS Approved Curriculum-Unit 13 118
Body Mechanics For Residents(continued)
• Keep the back straight• Lift and carry objects close
to body for better balance.• Use both hands to lift or
move objects• Use smooth, even
movements
![Page 119: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/119.jpg)
DFS Approved Curriculum-Unit 13 119
Body Mechanics For Residents(continued)
• Do not bend or reach if injury possible; ask for help
• Do not twist body to reach an object
• Keep body in good alignment
![Page 120: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/120.jpg)
DFS Approved Curriculum-Unit 13 120
![Page 121: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/121.jpg)
DFS Approved Curriculum-Unit 13 121
13.13 Provide assistance for the resident with dangling, standing and walking.
![Page 122: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/122.jpg)
DFS Approved Curriculum-Unit 13 122
Dangling
• Dangling - sitting on edge of bed before getting up–Standing up too quickly may cause
feeling of dizziness and fainting may occur
![Page 123: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/123.jpg)
DFS Approved Curriculum-Unit 13 123
Dangling(continued)
• Dangling for several minutes allows resident to progress to standing and walking without feeling faint
• Taking deep breaths helps to prevent light-headedness
![Page 124: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/124.jpg)
DFS Approved Curriculum-Unit 13 124
Dangling(continued)
• Most common signs/symptoms if feeling faint:–pale face–complaints of dizziness or
weakness
![Page 125: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/125.jpg)
DFS Approved Curriculum-Unit 13 125
Dangling(continued)
• Return resident to supine position if they have difficulty dangling
• If dangling is well tolerated, progress to standing position
![Page 126: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/126.jpg)
DFS Approved Curriculum-Unit 13 126
Standing
• Get assistance if resident is weak or unsteady
• Assist resident to stand by placing your hands under the resident’s arms with hands around the shoulder blades, and use good body mechanics to assist to standing position
![Page 127: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/127.jpg)
DFS Approved Curriculum-Unit 13 127
Standing(continued)
• Have resident stand by side of bed for several minutes prior to ambulating
• Return to bed or assist to chair if having difficulty standing
• If standing tolerated, progress to ambulating
![Page 128: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/128.jpg)
DFS Approved Curriculum-Unit 13 128
Ambulating• Effects on body
– stimulates circulation– strengthens muscles– relieves pressure on body
parts– increases joint mobility– improves function of
digestive and urinary systems
![Page 129: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/129.jpg)
DFS Approved Curriculum-Unit 13 129
Ambulating(continued)
• Effects on body (continued)– increased independence
leads to more positive self-image
– provides sense of accomplishment
– prevents lung congestion
![Page 130: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/130.jpg)
DFS Approved Curriculum-Unit 13 130
Ambulating(continued)
• Encourage to ambulate as much as possible
• Suggest use of handrails for support
![Page 131: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/131.jpg)
DFS Approved Curriculum-Unit 13 131
Ambulating(continued)
• If resident starts to fall, ease to the floor by:–grasping under arms–resting buttocks against nurse
aide’s leg–sliding down aide’s leg to floor
![Page 132: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/132.jpg)
DFS Approved Curriculum-Unit 13 132
Ambulating(continued)
• Be prepared to assist, but allow the resident to do as much as possible
• Safety considerations:–use gait belt–get assistance if needed–allow adequate time for walking
so resident does not feel rushed
![Page 133: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/133.jpg)
DFS Approved Curriculum-Unit 13 133
![Page 134: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/134.jpg)
DFS Approved Curriculum-Unit 13 134
13.14 Demonstrate the procedure for assisting the resident to dangle, stand and walk.
![Page 135: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/135.jpg)
DFS Approved Curriculum-Unit 13 135
![Page 136: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/136.jpg)
DFS Approved Curriculum-Unit 13 136
13.15 Provide cast care for the resident.
![Page 137: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/137.jpg)
DFS Approved Curriculum-Unit 13 137
Cast Care
• Cast used to immobilize body part, providing time for part to heal
![Page 138: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/138.jpg)
DFS Approved Curriculum-Unit 13 138
Cast Care(continued)
• Cast materials–Plaster of Paris
•24-48 hours to dry•expands and gives off heat while drying
–Fiberglass•dries rapidly• lighter than plaster casts
–Plastic
![Page 139: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/139.jpg)
DFS Approved Curriculum-Unit 13 139
Cast Care(continued)
• Care of Casts–Allow to air dry–Keep cast uncovered–Use pillows to support
cast–Support cast with palms
of hands
![Page 140: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/140.jpg)
DFS Approved Curriculum-Unit 13 140
Cast Care(continued)
• Care of Casts–Never put pressure on
cast–Turn and position
frequently to allow air to circulate around cast
![Page 141: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/141.jpg)
DFS Approved Curriculum-Unit 13 141
Cast Care(continued)
• Maintain good body alignment
• Keep cast dry• Observe cast for rough
edges and report• Over-bed trapeze
provided if appropriate
![Page 142: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/142.jpg)
DFS Approved Curriculum-Unit 13 142
Cast Care: Observations To Report To Supervisor Immediately
• Drainage• Odors • Swelling of fingers or toes,
inability to move parts• Change in color of skin:
paleness, cyanosis
![Page 143: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/143.jpg)
DFS Approved Curriculum-Unit 13 143
Cast Care: Observations To Report To Supervisor Immediately
(continued)
• Vomiting• Elevated temperature• Skin irritation around
edge of cast
![Page 144: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/144.jpg)
DFS Approved Curriculum-Unit 13 144
Cast Care: Observations To Report To Supervisor Immediately
(continued)
• Resident reports of:– Pain– Numbness– Tingling
sensations– Chills– Hot or cold skin
–Itching–Tightness–Inability to
move fingers or toes
–Nausea
![Page 145: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/145.jpg)
DFS Approved Curriculum-Unit 13 145
![Page 146: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/146.jpg)
DFS Approved Curriculum-Unit 13 146
13.16 Demonstrate the proper technique for transferring a resident from a bed to a chair.
![Page 147: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/147.jpg)
DFS Approved Curriculum-Unit 13 147
13.17 Demonstrate the proper technique for transferring a resident from a bed to wheelchair.
![Page 148: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/148.jpg)
DFS Approved Curriculum-Unit 13 148
13.18 Demonstrate the proper technique for transferring a resident from a bed to a stretcher.
![Page 149: DFS Approved Curriculum-Unit 131 Unit 13 Basic Restorative Services Nurse Aide I Course.](https://reader037.fdocuments.us/reader037/viewer/2022110303/5516c90c550346fc4e8b46a0/html5/thumbnails/149.jpg)
DFS Approved Curriculum-Unit 13 149