rehabilitation
An interdisiplinary specialty that supports a dynamic process of helping an indiviual to achieve a life that is independant and self fullfilling, the diagnosis and treatment of human responces of individuals and groups to actual or potential health proble
client centered
rehabilitation principles:
rehabilitation is ___ ___. It emphasizes the client's unique needs and deemphasizes the medical diagnosis. Families an intergal part, and client has ultimate right to make decisions regarding outcomes.
goal
rehabilitation principles:
Has a __ -centered approach.
These are mutually agreed upon, and established to support an increase in functional ability in physical, social, emotional and vocational areas.
team
rehabilitation principles:
Has a __ approach, including the client and multidisciplinary teams.
Quality of life
rehabilitation principles:
___ __ __
Must be difined in terms of client. The rehabilitation plan facilitates the maintenance or restoration of an acceptable __ __ ___ (same as above, use only once)
Change
rehabilitation principles:
Coping with ___
pivotal concept for successful rehabilitation
collaborative effort of all team members
requires assessment of unique learning needs
requires teaching involving unique strategies
assessment, set goals, plan, implementation, evaluation
rehabilitation process:
multidisciplinary team ____
team conference to ____ ____
multidisciplinary __ is established
____ of rehabilitation plan
ongoing _____
World Health Organization
provides an international classification of functioning, disability, and health.
comprehensive assessment
Who classification system
first part of the system to determine impairments that may occur as a result of changes to body function or structure and the impact that a health condition or disease may have on an individual.
3 hours
To be eligiable for rehabilitation patients must be able to participate in at least how much primary daily therapy?
two
To be eligiable for rehabilitation patients patients must require at least hhow many theraputic modalities in addition to nursing and medicine
home health nursing
skilled services needed to treat an individuals disease and disability in collaberation with their families and disignated care givers.
oasis
A group of data items developed, tested and refined over the past decade designed for the purpase of enablin the rigorous and systematic measurement of patient home health care outcomes, with apporpriate adjustment for the patients risk factors affecting
homebound, medically necessary, physician
Three requirements for reimbursement under medicare for home health nursing.
Must be ____
must need "___ ___" intermittent services of a skilled clinician, and have a ___ prescribed plan of care
considerable and taxing effort, one time a week, drive
To be considered homebound for medicare reimbursement it must require ___ ___ ___ ____ to leave the home.
Must only leave the home ___ ___ __ ___ for non medical, non-religious purpose.
Must not be able to ___
end of life
pain, dyspnea, lethargy, generalized weakness, fatigue, dry mouth, anorexia, depression, insomnia, delirium are all symptoms of what?
increase ATC dose
For end of life pain, if more than 4 rescue doses of pain management are required during 24 hour period or if awakened from sleep with pain, do this
dyspnea
End of life symptom management for what symptom would include opiods, anti-anxiety agents, bronchodilators, corticosteroids and oxygen?
delirium
End of life symptom management for what symptom would include hydration and oxygenation?
depressipon
End of life symptom management for what symptom would include psychotherapy and cognitive behavior techniques?
weakness and fatigue
End of life symptom management for what symptoms would include modifying exercize, activity and rest patterns, and self care activity assistance?
sleep disturbances
End of life symptom management for what symptom would include avoiding stimulants and interruptions, establishing a regular sleep schedule, and keeping mentally and physically active?
cachexia-anorexia sydrom
End of life symptom management for what symptom would include progestational agents, corticosteriods, cannabinoids, central nervous system stimulants, prokinetic agents and dietary supplements?
nonresponsive, agitated, restless
imminent death: objective indicators: cognitive and orientation patient may be ___, ___, or ____.
tachycardia, irregular heart rate, lowered blood pressure, significant widening between systolic and diastolic pressures, dehydration
imminent death: objective indicators: cardiovascular
5 signs
tachypnea, dyspnea, use of accessory muscles, acetone breath, cheyne-stokes breathing, pooling of secretions, noisy respirations
imminent death: objective indicators: pulmonary
7 signs