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Rehabilitation Process

Unit 9 Lesson 1

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Define rehabilitation
List client comorbidities that impact the rehabilitation process

Student Learning Outcomes

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Rehabilitation

Process to regain lost body functions due to illness or injury
Targets multiple functions

Bowel
Bladder
Swallowing
Cognition
Mobility
Speech
Language

Sandquist-Reuter, 2023

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Goals of Rehabilitation

Restore individuals to their previous functional level
Recovery Duration

Individualized and influenced by various factors

Sandquist-Reuter, 2023

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Factors Affecting Recovery

Comorbidities

Coexisting conditions hinder recovery

Examples

Diabetes

Slower healing, increased infection risk

Respiratory/Cardiac Issues

Reduced exercise endurance

Dementia

Increased fall risk due to memory loss

Sandquist-Reuter, 2023

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Factors Affecting Recovery continued…

Age

Older adults heal slower
More comorbidities
Complications from coexisting conditions

Motivation

Influenced by chronic illness fatigue or past experiences
Preference for assistance due to pain, fatigue, or loneliness

Sandquist-Reuter, 2023

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Factors Affecting Recovery continued…

Resources

Family and friend support, healthcare access, transportation
Insurance coverage impacts rehabilitation services

Sandquist-Reuter, 2023

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Critical Thinking Question

A nurse’s aide is caring for a client with diabetes who recently underwent surgery. The aide notices that the client’s wound is not healing as expected. Which factor is most likely contributing to the delayed healing?

A. The client’s age

B. The client’s diabetes

C. Mild swelling around the wound

D. Limited mobility after surgery

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Types of Therapy

Acute Care Setting

Intensive, frequent interventions

Long-term Care Facility

Continued therapy with daily sessions
Focused on achieving independence

Sandquist-Reuter, 2023

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Inpatient vs. Outpatient Therapy

Inpatient Therapy

Conducted while staying in a facility

Outpatient Therapy

Home-based with weekly therapist visits
Common for recovery post-surgery
Example: Hip, knee replacements

Sandquist-Reuter, 2023

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Critical Thinking Question

A client in an acute care setting requires frequent rehabilitation sessions due to a severe stroke. What is the primary goal of these sessions?

A. To help the client maintain their current level of function.

B. To restore the client to their previous level of function.

C. To ensure the client stays in the facility for longer care.

D. To prevent any potential future health issues.

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Therapy Interventions and Duration

Intervention Planning

Tailored to individual needs

Duration

Active as long as improvement is noted
Ends when progress stabilizes (plateaus)

Sandquist-Reuter, 2023

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Critical Thinking Question

During an outpatient therapy session, a nurse's aide notices that a client with chronic obstructive pulmonary disease (COPD) has difficulty completing exercises. What should the aide do?

A. Encourage the client to continue despite discomfort.

B. Inform the therapist about the client's difficulties.

C. Allow the client to rest and skip the exercises for now.

D. Suggest the client tries different exercises on their own.

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Restorative Care

When rehabilitation is insufficient

Long-term care may be needed for ongoing support

Restorative Care Plan

Focuses on maintaining current function levels

Sandquist-Reuter, 2023

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References

Sandquist-Reuter, M. (2023). Nursing Assistant. WisTech Open. https://wtcs.pressbooks.pub/nurseassist/ hype

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