Test 2 NA

Incident Report

Method of documenting facts surrounding an unexpected event in a healthcare setting

Confidential

Intended for use between the facility and facility legal team

Factual

State only the facts, not your opinion

Critical Thinking

Exercising or involving careful judgement based on fact and observations

What do you do when a patient has dry mouth and are NPO?

Provide mouth care

What do we emphasize in the rehab area?

We emphasize their successes

Prosthetic Device

Replacement for loss of body part, specifically fitted for one person

Orthotic Device

Helps support and align limb, improves function

Assistive (Adaptive) Device

Special equipment that helps a disabled or ill resident perform ADL (Promote Independence)

Supportive Device

Special equipment that helps a disabled or ill resident with movement

What does Independence do?

Helps with the resident’s self-esteem and speeds up recovery

Examples of Prosthetic

Implanted Lens, Cochlear Implants, Hip Prosthesis, Artificial Body Part

Examples of Orthotic

Splints, Leg Braces, Shoe Inserts

Examples of Supportive

Canes, Walkers Crutches, Wheelchairs, Motorized Chairs

Example of Assistive

Footboards and Angled utensils

How often should you take a resident to the bathroom?

Every two hours and one hour before meals

Bowel and Bladder Training

Measures taken to restore function of urination and defecation of resident. with goal of continence

Should you encourage fluids?

Yes, encourage resident to take lots of fluids

What do you do when a resident attempts to void?

Voids are scheduled and the resident is encouraged to void

How long does bladder training take?

8-10 weeks

How soon should you complete a report?

As soon as possible

Incident

Any event that has harmed or could harm a resident, staff member or visitor

Family Support

offers of encouragement, assurance, sense of connection for the resident offered by people close to them

Basic Restorative Care

care provided after the resident’s highest possible functioning is
restored through rehabilitation following illness or injury

Urination or Voiding

The process of emptying the bladder

Enema

the introduction of fluid into the colon to eliminate stool or feces or stimulate bowel
activity

Defecation

The process of emptying out the rectal of feces

Cells/Cell Theory

basic unit of all living tissues or organisms. are building blocks of the human body and when combined, are said to form tissue

Tumor

Growth of abnormal cells, could be benign or malignant

Metastases

Spread of cancer

Largest organ in the body?

Skin

Normal Changes due to aging?

Skin is thinner and less elastic, becomes more fragile, reduced circulation to the skin causing dryness and itching

Shingles (Herpes Zoster)

Caused by virus that causes chicken pox. most common after 50 years old. lasts 3-5 weeks and can express burning pain, numbness and itching.

Stasis Dermatitis

Skin condition affecting lower legs and ankles. caused by fluid buildup under the skin

Pressure Injury

Any lesion caused by unrelieved pressure that results in damage to underlying tissue, friction and shear are factors

Stage 1

Intact skin, non-blanchable redness over bony prominence

Stage 2

Skin loss partial thickness, may see a blister or shallow reddish-pink ulcer, blister may be intact or open

Stage 3

Skin loss full thickness, skin gone, may see subcutaneous fat, dead soft tissue often moist and varies in color, could be attached or stringy and loose

Stage 4

full-thickness skin and tissue loss with muscle, tendon, and bone exposure

Prevention of Pressure Injures

Handling, moving, position of the resident and providing skin care

Can objects contribute to pressure ulcers?

Yes like glasses, tubes, casts and braces

What can muscles be?

Voluntary (skeletal) or Involuntary (cardiac or smooth)

Involuntary

Works automatically and can’t be controlled

Cardiac

In the heart, striated

Smooth

control action of organs, such as stomach. intestines, blood vessels, others

Voluntary

Can be controlled

Skeletal

attached to the skeleton, include the arms and legs, striated

What connects muscles to bones

Tendons

What connects bones to bones

Ligaments

Joints

Point where bones meet, made up of connective tissue called cartilage that cushions the bones

Arthritis

Inflammation or swelling of the joints, causes stiffness and pain

Osteoarthritis

degenerative joint disease, affects the elderly and may occur with aging or joint injury (affects weight bearing hips and knees)

Rheumatoid arthritis

systemic, crippling disease causing deformities, pain and stiff

Osteoporosis

Loss of bone density causing them to become brittle and porous, easy to break

Contracture

the muscles or tendon shortens, becomes inflexible, causes permanent disability

Muscle Atrophy

the muscle wastes away, smaller in size and becomes weak

CNS

brain and spinal cord

Peripheral nervous system

includes nerves that travel through the body

Mueling sheath covers what

The nerves

Cerebrum

Cognitive functions, thoughts and intellegence

Cerebellum

Controls balance and regulates voluntary muscles

Brainstem

regulatory center, controls heart rate, breathing, coughing, swallowing

Paraplegia

Waist down

Quadriplegia

Neck down

Hemiplegia

one side of the body

Hemi paresis

weakness in one side

Dysphagia

Difficulty swallowing

Parkinsons

diesease causes brain to degenerate

Angina Pectoris

Causes chest pain

Myocardial Infarction

Heart Attack

Congestive Heart Failure

when one or both side stop pumping blood effectively

chronic obstructive pulmonary disease

chronic and progressive, trouble breathing and getting air out of lungs

Pneumonia

acute infection caused by bacteria, virus or lungs

Upper respiratory infections

viral or bacterial infection

Peristalsis

Involuntary contractions that move food through the digestive system

Purpose of an enema

stimulate the passage of stool

Ureters

Narrow tubes, connect the kidneys to urinary bladder

Urethra

a tube 7-8in in men and 1in woman

Normal urine per day

1000 to 1500 milliliters

BPH

happens only in men, frequent urination