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ISDH - CNA

Indiana State Department of Health

Certified Nursing Assistant

Lesson 17

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Lesson 17

Rehabilitation/Restorative Services

Lesson 17 Objectives

  • The student will understand the role of rehabilitative services.
  • The student will understand the role of restorative services.
  • The student will demonstrate competence in performance of range of motion exercises.

RCPs # 63 - 68

Curriculum pages 87 - 90

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1. Describe the difference in “active” range of motion and “passive” range of motion.

​

2. The permanent stiffening of a joint and muscle is called a _____.

​

3. A planned approach to keep the resident at a level achieved by rehabilitation following the formal rehabilitation is called _____.

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Rehabilitation

Physical Therapy - Mobility

​

Occupational Therapy - ADLs

​

Speech Therapy - Communication & Nutrition

All therapy may use assistive/adaptive devices

devices made to support a particular disability by helping resident complete ADLs (e.g., long-handled brushes and combs, divided plate, built-up silverware, reacher/grabber, etc.)

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Ambulation

Range of Motion (Active (#63)/Passive)

Points to Remember

  • Be patient when working with the resident
  • Be supportive and encouraging
  • Break tasks into small steps to promote small accomplishments
  • Be sensitive to the resident’s needs and feelings
  • Encourage the resident to do as much for self as possible

Restorative Services CNA Role

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RCP #63 PROM

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OBSERVE

Swelling

Warmth

Redness

℅ Pain

​

Support limb above and below the joint

​

​

Passive Range of Motion (PROM) HINTS

Order to follow for PROM

​

Shoulders

Elbow

Wrists

Fingers

Hips

Knees

Ankles

Toes

​

​

Be sure to move the joint in all the NORMAL movement directions

Up - Down - Back - Forth - Side-to-Side

If any of these

Report to the nurse and do not perform

PROM

If there is ℅ pain during the procedure, stop and report to the nurse immediately

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Observe & Report

  • An increase or decrease in the resident’s ability

​

  • A change in motivation

​

  • A change in general health

  • Indication of depression or mood changes

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Abduction

PIllow

#66

Splint

Application

#64

Palm

Cone

#68

Knee

Immobilizer

#67

Abdominal

Binder

#65

Devices used for Restorative Care

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RCP #64

Splint Application

RCP #65

Abdominal Binder

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End of ISDH CNA Lesson 17

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Thank you

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