9: Promote Independence Through Rehabilitation/Restorative Care, { "9.01:_Introduction_to_Promote_Independence_Through_Rehabilitation_Restorative_Care" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "9.02:_The_Rehabilitation_Process" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "9.03:_Members_of_the_Therapy_Team" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "9.04:_Complications_of_Immobility" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "9.05:_Rehabilitation_Versus_Restorative_Care" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", "9.06:_Promoting_Independence_During_ADLs" : "property get [Map MindTouch.Deki.Logic.ExtensionProcessorQueryProvider+<>c__DisplayClass228_0.b__1]()", 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\newcommand{\ImaginaryPart}{\mathrm{Im}}\) \( \newcommand{\Argument}{\mathrm{Arg}}\) \( \newcommand{\norm}[1]{\| #1 \|}\) \( \newcommand{\inner}[2]{\langle #1, #2 \rangle}\) \( \newcommand{\Span}{\mathrm{span}}\) \(\newcommand{\id}{\mathrm{id}}\) \( \newcommand{\Span}{\mathrm{span}}\) \( \newcommand{\kernel}{\mathrm{null}\,}\) \( \newcommand{\range}{\mathrm{range}\,}\) \( \newcommand{\RealPart}{\mathrm{Re}}\) \( \newcommand{\ImaginaryPart}{\mathrm{Im}}\) \( \newcommand{\Argument}{\mathrm{Arg}}\) \( \newcommand{\norm}[1]{\| #1 \|}\) \( \newcommand{\inner}[2]{\langle #1, #2 \rangle}\) \( \newcommand{\Span}{\mathrm{span}}\)\(\newcommand{\AA}{\unicode[.8,0]{x212B}}\), 9.5: Rehabilitation Versus Restorative Care, Application of Compression Stockings (TED Hose), source@https://wtcs.pressbooks.pub/nurseassist, Assisting with active or passive range of motion (ROM) exercises, Applying splints or positioning devices as prescribed, Encouraging fluids (if not contraindicated), Providing bowel and bladder retraining if needed, Encouraging incentive spirometry or coughing and deep breathing, Applying compression stockings or other compression devices as ordered, Encouraging low sodium intake (as prescribed), Offering pleasurable individual activities if not interested in group activities, Encouraging visits by family, friends, or volunteers for 1:1 interaction, Cone to Prevent Hand Contracture (left) and a Palm Protector (right) by Myra Reuter for, Cone and Palm Protectors on Client" by Myra Reuter for, TED Hose Lengths.jpg" by Myra Reuter for, TED Hose Heel Marker.jpg" by Myra Reuter for, TED Hose Application Methods.jpg" by Myra Reuter for, Heel Marker on TED Hose.jpg by Myra Reuter for, Toes of TED Hose.jpg by Myra Reuter for. A transverse fracture is one that occurs straight across the fractured bone. ROM exercises facilitate movement of specific joints and See Figure 9.8[9] for heel placement. Some of the elements of this teaching should include: The client positions that are used for maintaining good bodily alignment and optimal physiological functioning include the Sims or the semi prone position, the Fowler's position, the dorsal recumbent position, the prone position and the lateral position. [4] See Table 13.3 for the definition and selected defining characteristics of this diagnosis. At times a tilt table can be used to prevent this damage by placing the client in a position of weight bearing to avoid these complications. In addition to exercises and medications, orthopedic devices and Mobility can be assessed by using direct observation of the client's movements and mobility and using some standardized tests such as the Timed Get Up and Go Test with which the nurse assesses the client's ability to rise from a chair, walk, and then return to the chair and sit, the Assessment Tool for Safe Patient Handling and Movement, the Egress test which the nurse uses to assess the client's ability to sit and then stand, march in place and advance forward with each foot and return to the same position. Risks of immobility are well-known, and complications are viewed as avoidable. The resistance indicator on the right side should be monitored to ensure they are not breathing in too quickly. Mechanical debridement is often the preferred form of treatment for pressure ulcers that only have a moderate amount of necrotic tissue that has to be removed. To avoid or minimize complications of immobility, mobilize the patient as soon as possible and to the fullest extent possible. When applying TED hose, find the heel marker first. Secondary intention healing, also referred to as healing by second intention, is done for contaminated wounds in order to prevent infections, to prevent the formation of abscesses and to promote healing from the bottom up to the outer surface of the skin so that any potential infection is not closed in at the bottom of the wound. The wound remains vulnerable to injury until full healing is completed with good tensile strength. 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"article:topic", "license:ccby", "showtoc:no", "authorname:ernstmeyerchristman", "program:openrn", "licenseversion:40", "source@https://wtcs.pressbooks.pub/nursingfundamentals" ], https://med.libretexts.org/@app/auth/3/login?returnto=https%3A%2F%2Fmed.libretexts.org%2FBookshelves%2FNursing%2FNursing_Fundamentals_(OpenRN)%2F13%253A_Mobility%2F13.03%253A_Applying_the_Nursing_Process, \( \newcommand{\vecs}[1]{\overset { \scriptstyle \rightharpoonup} {\mathbf{#1}}}\) \( \newcommand{\vecd}[1]{\overset{-\!-\!\rightharpoonup}{\vphantom{a}\smash{#1}}} \)\(\newcommand{\id}{\mathrm{id}}\) \( \newcommand{\Span}{\mathrm{span}}\) \( \newcommand{\kernel}{\mathrm{null}\,}\) \( \newcommand{\range}{\mathrm{range}\,}\) \( \newcommand{\RealPart}{\mathrm{Re}}\) \( \newcommand{\ImaginaryPart}{\mathrm{Im}}\) \( \newcommand{\Argument}{\mathrm{Arg}}\) \( \newcommand{\norm}[1]{\| #1 \|}\) \( \newcommand{\inner}[2]{\langle #1, #2 \rangle}\) \( \newcommand{\Span}{\mathrm{span}}\) \(\newcommand{\id}{\mathrm{id}}\) \( \newcommand{\Span}{\mathrm{span}}\) \( \newcommand{\kernel}{\mathrm{null}\,}\) \( \newcommand{\range}{\mathrm{range}\,}\) \( \newcommand{\RealPart}{\mathrm{Re}}\) \( \newcommand{\ImaginaryPart}{\mathrm{Im}}\) \( \newcommand{\Argument}{\mathrm{Arg}}\) \( \newcommand{\norm}[1]{\| #1 \|}\) \( \newcommand{\inner}[2]{\langle #1, #2 \rangle}\) \( \newcommand{\Span}{\mathrm{span}}\)\(\newcommand{\AA}{\unicode[.8,0]{x212B}}\), evidence-based strategies to reduce functional decline, https://doi.org/10.1016/j.pmr.2012.06.009, https://hign.org/consultgeri/try-this-series/reducing-functional-decline-older-adults-during-hospitalization, https://hign.org/consultgeri-resources/try-this-series, source@https://wtcs.pressbooks.pub/nursingfundamentals, Limitation in independent, purposeful movement of the body or of one or more extremities. Alene Burke RN, MSN is a nationally recognized nursing educator. A depressed fracture occurs when bone fragments of the fractured bone is pushed in beyond the surrounding skin. An example of primary intention healing is the suturing of an abdominal surgical wound after an appendectomy or the suturing of a traumatic laceration with Steri Strips or sutures when this traumatic wound is free of any contamination and infection. Compression stockings require a physicians order and should be applied in the morning and taken off at night.