certification exam
Help!
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| FIM ** What does it stand for? | Functional Independence Measure
Global measure
burden of care
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| Wee FIM ** | Pediatric outcomes: 3 domains: (self-care, mobility, social)
children: 6mo-7yr
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| FIM: ** How many questions? | 18 questions
(13 motor, 5 cognitive)
1-7; 7=independent
*always pick the lowest score
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| Patient Evaluation and Conference System (PECS) | Global Measure
Comprehensive, Interdiscliplinary
76 functions (1-7; 7=independent)
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| PULSES | Global Measure
P: physical condition, U: upper extremity, L: lower extremity, S: Sensory, E: excretory function, S: social and mental status
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| Functional Assessment Measure (FAM) | Global measure
*Adjunct to FIM for Brain Injury
cognitive, behavioral, communication, & community functioning
12 questions (1-7),
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| Barthel Index ** | ADL measure-Stroke Treatment
10 domains: feeding, transferring, grooming, toileting, bathing, mobility, stairs, bowel, and bladder control
(0-100; 100=total independence)
popular in Europe
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| Kenny Self-Care Evaluation | ADL measure
6 Domains: transfers, bed activity, feeding, peronal hygiene, dressing, locomotion
17 activities scored on basis of observation
0-4; 4=total independence
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| Katz Index of Independence in ADL | ADL measure
Bathing,
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| QIF: Quadriplegia Index Function | ADL measure
Laundry, shopping, preparing meals, using a phone, managing finances
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| CIQ: Community Integration Quest | *measures the effect of primary & secondary handicaps
Home and social integration and productive activity
15 questions
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| Craig Handicap Assessment Reporting Technique (CHART) | *measures the effect of primary & secondary handicaps
5 dimensions:27 questions w/ max score for each dimension 100
physical independence, mobility, occupation, social integration, economic self-sufficiency
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| What does CHART (Craig Handicap Assessment Reporting Technique) assess? | Assess reintegration for persons with Spinal Cord Injury
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| HOME: Home Observation for Measurement of the Environment | Quality of child care
45 items
Identifies risk of developmental delay due to lack of environmental support in home, actual observation in the home.
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| FRESNO: Functional Evaluation of Sensori-Neurologic outcomes | 45 key functional areas:
5 Domains: self-care, motor, communication, cognition, socialization
196 items
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| Lifeware Assessment Tools | Outpatient Tool, examines physical function, pain, affective well-being, and cognitive functioning
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| FOTO: Focus on Therapeutic Outcomes | Outpatient Tool, efficiency and effectiveness
outpatient orthopedic measurement tool
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| Short Form 36 (SF-36) | assesses overall well-being and perception of self reported health
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| OASIS: Outcomes and Assessment Information Set | Home environmental Tool: measures Adult outcomes in Home
mandated by HCFA (state)
-medicare is based on OASIS
14 care areas: e.g ambulation, med mgt.,phsych & emotional behavior, living arrangement
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| MDS: Minimum Data Set | Ctr for Medicare/caid Services (CMS)
Mandated by HCFA for long-term care and sub acute settings
Data collection instrument for Prospective Payment Systems (PPS)
Based on resource Utilization Groups, Patient info sent for reimbursement
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| Is rehab nursing viewed as a specialty practice? | Yes. Guided by Philosophy, theory and research.
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| Goal of Case MGT? | The provision of high quality, cost-effective healthcare services.
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| Case Management(CM) Certification CRRN | First offered by ARN in 1984
Requires 2 years of Rehab nursing experience
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| Case Management(CM) Certification CCM | 1993 by Commission for Case Manager Certification
Requires licensure in professional healthcare and 2 years CM experience
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| Case Management(CM) Certification ANCC | First offered in 1998 by American Nurses Credentialing Center
Focused on facilty-based practice
RN nure w/ a min. 2y full time work & 2000 hours of practice
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| CM Accreditation and Regulation: Joint Commission | Joint Commission on Accreditation of Healthcare Organization-
Discharge planning criteria (1996)
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| CM Accreditation and Regulation: CARF: Commission of Accreditation of Rehabilitation Facilities | 1999
CM is an integral part of rehab care.
Coordination, communication, and advocacy
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| CM Accreditation and Regulation: American Health Care Commission/Utilization Reciew Accreditation Commission (1998) | 1998
accredit CM programs that promote innovation and best practices in industry
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| Life Care Plans ** | 1981 introduced to rehab and legal lit.
*plan for current & future needs w/ assoc. costs ($$) for ppl who have sustained cat injury or have chronic healthcare needs
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| Multidisciplinary Teams | Composed of specialists from different fields who all communicate re: goals/pt. care. Comm. is vertical rather than lateral
Team lead facilitates conferences
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| Interdisciplinary Teams | Whole team works together to identify ways to help pt.
reach common goals thru team meetings and going beyond respective disciplines.
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| Transdisciplinary Teams | Choose one team member to be primary caregiver, while others act as consultants.
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| Team learning | Process of aligning and developing the capacity of team to create desired results.
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| Interdisciplinary Teams: potential ethical conflicts btwn members. Why? | 1. Holistic: address med , social, & functional needs
2. Comprehensive in their analysis of cases
3. Diverse in experience, cultural bkgrnd, skills, & perspectives
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| Medicare | Federal Program:
for elderly (65+) or ppl who are permanently disabled or residing in a long-term care facility.
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| Madicaid | State Program:
low income individuals and families
-recipients of Aid to Families (AFDC)
-recipients of SSI (Social Security Income)
-infants born to medicaid eligible women
-pregereds & adoption recipients
-certain ppl w/ medicare
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| Workers Comp | worker or families of workers whose death arose
-medical coverage, income benefits, rehab & vocational rehab
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| HMO | Health Maintenance Organization
HMO-controlled organization
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| PPO | Preferred Provider Organization
-purchased health care services from a select group
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| PPS-Prospective Payment System | payment rate is predetermined based on the medical diagnosis regardless of cost
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| Per Diem | payment based on a sum for the day
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| Medicare Payment systems for SNF's | -must be in a hospital for 3 days
-can receive services for up to 100 days
-payment based on assessment of a minimum data set (MDS)
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| IRFS: Inpatient Rehab Facilities | 3h of therapy/5day/week
75% rule-1 of 13 medical conditions
-adjusts payment for outliers
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| LTCH: Long Term Care Hospitals | -care for complex problems
-LOS of 25d or more
-adjusts payment for outliers
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| HIPAA: Health Insurance Portability & Accountabilities Act | prohibits group insurance plans from exclusionary criteria, I.e. disability, pre-history
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| COBRA: Consolidated Omnibus Budget Reconciliation Act | The right for people to have insurance coverage for 18 months post employment
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| The Economics of Prevention:*** Primary Prevention Secondary Prevention Tertiary Prevention | Primary: supporting or protecting the health and well being of society
2ndary: refers to efforts directed to high risk pop.
Tert: effort to max function and min the sequela of an injury or illness.
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| Home Health: medicare payment services | -must be restricted to their home
-payment based on OASIS (outcome and assessment info set)(Home environmental Tool: measures Adult outcomes in Home
mandated by HCFA (state))
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| DRG: Diagnosis Related Groups | system for Medicare to help pay hospitals. 500 different diagnosis. grouping program: eg. dx,sex,age...
part of PPS
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| 75% Rule | IRF (inpatient Rehab Facilities) must prove that 75% of their patients have 1 of 13 diagnosis otherwise medicare/medicaid do not pay (CA, pul, cardiac rehab do not fall under the dx. These ppl will go to SNFs)
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| Goal of Rehab | improve the quality of life & help pt reach teh fullest potential, team approach,places family and client at center.
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| Modern rehab grew from war. Who was a strong influence in this? | WWI, WwII, Korean, Vietnam
Howard Rusk
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| Rehab Act of 1973 | encouraged the employment of disabled
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| What year was ARN formed? | 1974
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| 1975 Education for All Handicapped Children Act | free education to school age child
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| The Americans with Diabilities Act (ADA)1990 | -public buildings & transportation made accessible to all (disabled)
-prevent discrimination in workplace
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| World Health Organization (WHO) 1980 | *developed the International Classification of Impairment, Disability and Handicap
**WHO is the directing and coordinating authority for health within the United Nations system.
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| WHO: define Impairment | A loss or abnormality of a psychological phsyiological, or anatomical structure and funcion
-organ level
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| WHO: define Disability | A restriction or lack (resulting from an impairment) of ability to perform an activity in the manner or within the range considered normal for a human being
-person level
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| WHO: define Handicap | A disadvantage for a given person resulting from impairment or disability that limits or prevents fulfillment of a role that is normal to that person.
-societal level
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| Medical Model | physician centered
-not consistent w/ rehab model
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| Multidisciplinary Model | -pyramid-like shape
-physician on top
-communication more vertical
-good with unstable team
-professionals work in parallel (each works on a goal)
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| Interdisciplinary Model | -Matrix model
-lateral communication
-decisions are determined by the group
-team goal setting***
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| Transdisciplinary Model | - lead by primary provider (therapist, nurse, or case manager, or etc.)
primary provider receives advice from other disciplines
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| Client Centered Care | type of client (pediatric, geriatric, spinal cord, BI, etc)
-serve specialized pop.
-providers gain expertise in specialty
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| Setting-centered Care | Acute Care
Inpatient
Day program
residential
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| Provider Centered Care | Nursing Model
-primary (led by a primary nurse)
-functional (tasks are divided, ex. 1 RN hands out meds)
Case Mgr: provide high quality, cost effective care
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| Code of Ethics for Nurses (ANA) American Nurses Association | nursing stated its ethical foundation in the Code of Ethics
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| Nursing Social Policy Statement | humans manifest an essential unity of mind, body , and spirit, ex.
-health and illness are human experiences.
-Both RN and patient are involved
-ARN has added 2 more social policy
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| ARN has added 2 more social policy statements to support ANA | 1. Human worth transcends disability
2. rights to decision making
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| ARN definition of Rehab Nursing | the dx and tx of human responses of individuals & groups to actual or potential health problems relative to altered functional ability and lifestyle.
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| ARN's mission for Rehab nursing | to promote rehab nursing thru edu. advocacy, collaboration, and research to enhance the quality of life for those affected by disability and chronic illness
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| Lydia Hall (theorist) | Loeb Center: MD's were consultants
Nursing Models
*Interlocking circles: 1. Core (person), 2. Care (the body), 3. Cure (disease)
*Set Goals with the client
*learning creates max. potential
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| Lydia Hall (Nursing Models) 1.Acute Care 2. Rehab | 1. more medical-focus on cure
2. focus on the core (person)
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| Imogene King_ Theorist (1981) name her theory | Goal Attainment
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| Imogene King (1981)-Goal Attainment -name her 3 interacting systems | 1. Personal System (an individual)
2. Interpersonal system (2 or more personal systems
3. Social system (social forces)
*person and nurse function in all 3 systems
*goals reached thru communication btn rn & client
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| Imogene King (1981)-Goal Attainment Goal of nursing | to interact puposefully w/ clients to mutually establish goals & a means to achieve them.
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| Goal Attainment (I.King) discuss the process | -perceptual congruency
-Role congruence
-communication
*Interpersonal communication btn nurse and client to decide on mutual goals and produce transactions and ***Goal Attainment
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| Dorothea Orem name her theory | Theory of Self Care deficit
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| Theory of Self Care Deficit | Dorothea Orem
popular in rehab
promotes independence and self care
give as much care as needed
*you determine how much care is needed and what level.
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| Imogene King name her theory | Goal Attainment
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| Goal Attainment: name the major concepts | open system
social, rational, sentient being,
concepts: perception, self, growth, and development, body image, time, and space
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| Dorothea Orem (Self Care) Types of deficits: | *universal; basic physiological
*developmental
* health deviation; changes in health status
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| D. Orem (Self Care) Example self care limitations | decreased knowledge
developmental skills
resources
energy
dec. ability to control body movement, attend, sensory, perceptual judgment
* unrecognized need
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| When self care demands exceed self-care agency, a self-care deficit occurs | Dorothea Orem: Self Care
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| Knowles' theory of Andragogy | Adult learning: adults need to know why and will take responsibility
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| Doothea Orem: Interventions: self Care | wholly compensatory
partially compensatory
supportive education
self care needs and the ability to meet those needs
RN helps balance the two.
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| Martha Rogers: unitary | Science of Unitary Human Beings
People are viewed as unified wholes, never sum parts
_you are w/ ur environment (integrally)
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| How does Lydia Hall see Person? | a unit of 3 interrelated parts:
1. the person (core)
2. disease & Tx (cure)
3. body (care)
people strive for their own goals,
behavior is directed more by feelings than knowledge
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| How does King see the person? | An open system;
a social, rational, and sentient being; major concepts include perception, self, growth & devlopmennt, body image, time, and space
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| How does Orem see the person? | A unity, functioning biologically, symbolically, and socially, who values self-care
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| How does Rogers see the person? | A unitary human being who cannot separate from environmental knowledge
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| Ethical Theories: Deontologic | right or wrong doesn't depend on the consequences; it is inherent to act
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| Ethical Theories: Personalized | no universal laws;
allows the person to choose
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| Ethical Theories: Intuitionist | Uses own morals intuition to decide what is good or bad
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| Ethical Theories: Utilitarian | Actions lead to the good of the group
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| Autonomy | self govern
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| Non-maleficence | Do no harm
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| beneficence | generous, doing good
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| advocacy | public support
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| Veracity | accuracy, truthful
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| Client Fiduciary | client trust
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| Primary Nursing | Promote health and prevent Illness
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| Secondary Nursing | limit disability, early identification and prompt treatment
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| Tertiary Nursing | Decrease disabilities & impairments caused by an illness or injury
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| S. Freud's name his theory | Intrapsychic Theory
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| Intrapsychic theory: Freud Oral phase | (1y): explore thru mouth
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| Intrapsychic theory: Freud Anal phase | *Anal Phase (18m-3y: emlimination
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| Intrapsychic theory: Freud Phallic phase | *Phallic Phase (3-6): individuality, gender roles, societies standards
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| Intrapsychic theory: Freud Latent/genital Phase | (6-12y) latent
puberty: genital
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| Interpersonal Theory Sullivan | development based on repeated experiences thru relationships
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| Interpersonal Theory Sullivan 7 stages | 1.Infancy
2. Childhood
3. Juvenille
4. Preadolescence
5. Early aAdolescence
6. Late Adolescence
7. Adulthood
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| Social Learning Theory: Erik Erikson What is the basics | interaction btn parent and child is essential to psychological growth
* stages of development; master 1 stage before you can move to the next
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| Name the 8 stages of Social Learning Theory | 1. Trust vs. Mistrust (inf.)
2. Autonomy vs.Shame & Doubt (tod.)
3. Initiative vs.Guilt (pre-s)
4. Industry vs. Inferiority (sch)
5. Identity vs. Role Confusion (teen)
6. Intimacy vs. Isolation
7. Generativity vs. Stagnation
8. Integrity vs. Despa
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| Who developed the Cognitive Theory? | Piaget
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| Name the 4 periods of Cognitive Development | Sensorimotor (0-2)
Pre-operational (2-7)
Concrete (7-11)
Formal Operational (11-15)
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| Who are the 2 behavioral theoriests | Pavlov & Skinner
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| Pavlov's Theory | Classical Conditioning or Pavlovian Conditioning:
*induce emotion to a neutral stimulus
*internal responses: dog&treat
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| B.F. Skinner's theory | Environmental consequences of behavior theory
Operant Conditioning
**reinforcement (reward or consequence)
*learning
*actions
*behavior
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| Who developed the Interactional Model? | Schaie
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| Interaction Model What are the basic concepts | development focuses on goodness or poorness of fit (consonance or dissonance) *dev. occurs w/ consonance
*progression from dependence to interdependence occurs thru each stage
Adaption corresponds w/ the child's chronological age and interest
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| Kohlberg | extends on Piaget's work
*males studies only
*6 stages of moral development
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| Moral Theories-Kohlberg Stage 1 | 5-6y
Punishment & obedience
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| Moral Theories-Kohlberg Stage 2 | 7-10
Instrumental-relativist orientation
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| Moral Theories-Kohlberg Stage 3 | Age early adolescence: Good boy-Nice girl orientation
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| Moral Theories-Kohlberg Stage 4 | Age adolescent to young adult: Law and Order orientation
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| Moral Theories-Kohlberg Stage 5 | Adult age: social contract-legalistic Orientation
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| Moral Theories-Kohlberg Stage 6 | Age adult: A universal ethical principle orientation
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| Moral Theory-Gilligan | extends work of Piaget
studied female adolescents
broad developmental patterns
no stages
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| Gilligan's basic elements of moral judgement | -a definition & development of the self
-A description of others in relation to the self
-relationships with others
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| Duvall What was his theory? | Family Theory
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| Duvall What are the 8 basic tasks of families? | keep the family together
maintain resources
division of labor
social
reproduction
structure and order
motivation & morale
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| Name Duvall's (Family Theory)'s 8 stages | 1. Marriage
2. Infants
3. Pre-school
4. School Age
5. Teenage
6. Families as launching
7. Families of middle years
8. Families in retirement
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| Stevenson's Family Theory Describe the basics? | 4 stages of family development are based on the couple's relationship over time
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| Name the 4 stages of Stevenson's family development | 1. Emerging Family (1-10y)
2. Cystalizing Family (11-15y)
3. Integrating Family (26-40y)
4. Actualizing Family (>40y)
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| Cranial Nerve 1 | Olfactory-sense of smell
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| CN2 | Optic_sense of sight
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| CN3 | Oculomotor-pupil constriction, dialation
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| CN4 | Trochlear-eye movement
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| CN5 | Trigeminal-facial sensation & mastication
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| CN6 | Abducens-eye movement
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| CN7 | Facial-taste sensation & face expression, sense in ear
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| CN8 | Acoustic-hearing & balance (weber & rinne)
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| CN9 | Glossopharyngeal-taste &swallowing
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| CN10 | Vagus-gag-sense and motor, autonomic functions of the viscera
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| CN11 | Spinal Accessory - head /shoulder movement
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| CN12 | Hypoglossal-tongue movement
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| Glascow Coma Scale | Eye movement, Verbal, Motor
3-15
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| GCS >13 | LOC <20 minutes
Mild
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| GCS 9-12 | LOC >20 min.
Moderate
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| GCS <8 | Severe
Coma, PVS, MCS
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| Anomia | Inability to name an object
(Parietal lobe)
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| Agraphia | inability to locate words for writing
(Parietal lobe)
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| Alexia | problems reading
(Parietal lobe)
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| Agnosia | difficulty w/ identifying colors
Occipital Lobe
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| Prosopagnosia | difficulty recognizing faces (temporal)
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| Wernicke's Aphasia | Receptive aphasia *Temporal Lobe
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| Boca's Aphasia | Expressive Aphasia (Frontal Lobe)
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| Anosognosia | lack of awareness of disability (Parietal Lobe)
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| Normal Swallow Name the steps | Oral phase
Oral Propulsive Phase
Phayngeal Phase
Esophageal Phase
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| Oral Phase of swallowing | bolu formation
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| Oral Propulsive Phase of swallowing | Oral to pharynx (push to back of throat)
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| Pharyngeal Phase of swallowing | soft palate closes to prevent nasal regurg, larynx rises & vocal cords close
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| Esophageal Phase of swallowing | Food moves to stomach
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| Ischemic Stroke-RIND | Reversible Ischemic Neurological Deficit
-takes days to clear (TIA is 24h)
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| Maslow's Hierarchy of needs: 5 basic needs that motivate human behavior | 1. Physiologic
2. Safety & Security
3. Love and belonging
4. Self Esteem
5. Self Actualization
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| Stroke: Left Hemispheric Damage | R paresis
language deficits
aware of deficit
depressed
slow & cautious
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| Stroke: Right Hemispheric Damage | L paresis
visual/spatial deficits
unaware of deficit
misjudges impulsive
cheerful or euphoric
short attn span
gets lost, spills things
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| Decorticate posturing | arms flexed, fists clenched, legs extended
lesion at or above brain stem
*better outcome than decerbrate posturing
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| Decerebrate posturing | arms extended, forearms pronated
intracranial lesion *worse than decorticate posturing
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| SCI | traumatic insult to the Spinal Cord resulting in alterations of normal motor, sensory, and autonomic function.
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| Tetraplegia | Quad
Injury to one of the 8 Cervical segments of the sc
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| Paraplegia | *T12 or below
Impairment or loss of motor or sensory function in the thoracic lumbar, or sacral segments, causing impairment in trunk, legs, and pelvic organs
*T12 or below
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| Name the vertebral segments & # | Cervical (7)
Thoracic (12)
Lumbar (5)
Sacral (5)
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| What are the leading causes of death for a SCI? | pneumonia, Heart disease. , pulmonary emboli, septicemia
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| Most common levels of injury | C4-5
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| describe Spinal Shock | -temporary state of reflex depression of cord function occurring after injury
-Inc. BP
-flaccid paralysis (inlcuding B&B)
-lasts several hours to days
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| Neurogenic hock | -hypotension
-bradycardia
-hypothermia
-common in injuries above T6
-need to differentiate between spinal and hypovolemic shock
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| Autonomic Dysreflexia or Hyperreflexia | -medical emergency
-injury above T6 (common)
-males to females 4:1
-r/t stimulous below injury (B&B, DVT,tight shoes, etc)
-s/s: hypertension (20-40 higher than baseline)
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| Upper Motor Neuron (UMN) | lesions above T12-L1
-no relexes below level of injury (LOI)
-spastisity
-UMN lie within the spinal cord
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| Lower Motor Neuron (LMN) | Injury below T12-L1, conus medullaris, cauda equina)
-no reflex arc (babinski)
-flaccid paralysis
-LMNs branch off from spinal cord
-
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| Conus Medullaris Syndrome | damage to the conus and lumbar nerve roots
areflexia (flaccidity)in B&B, and lower limbs
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| Cauda Equina Syndrome | Damage below conus to lumbar (sacral nerve roots)
-areflexia in B&B, and lower limbs
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| Central Cord Syndrome | cervical damage
-loss of motor and sensation that affects upper limbs more than lower limbs
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| Brown-Sequard Syndrome | damage to one side of the cord (hemisection)
-loss of motor and position sense on the same side as the damage
-loss of pain, temp, & light touch on opposite side
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| Anterior Cord Syndrome | damage to the anterior artery
-affects anterior 2/3rds of cord
-paralysis and loss of pain/temp. below the lesion
-preservation of position sense
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| Skeletal level of injury | stable or unstable
-radiographic exam shows the greatest damage
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| Neurological level of injury | most caudal segment with the most normal sensory and motor function on each side of hte body
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| Complete Injury | an absence of motor and sensory function in the lowest sacral segment
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| Incomplete Injury | partial preservation of sense & motor below the neurologic level
-includes sacral sensation
-
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| ASIA Impairment Scale (1996) | modified version of Frankel Grading System
-freguently used scale that reflects severity of impairment
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| ASIA A | Complete: no sensory or motor function preserved in S4-S5
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| ASIA B | Incomplete: sensory but not motor function below the neurological level and extends thru S4/5
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| ASIA C | Incomplete: motor function preserved below the neurological level
-muscles are grade 3 or lower`
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| ASIA D | Incomplete: motor function preserved below the neurological level
-muscles are grade 3 or higher
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|
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| ASIA E | normal: normal sensory and motor function
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|
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| Sensory Impairment Scale Scores: | 0=absent
1=impaired
2=normal
NT= not tested
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|
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| Other tests for SCI | -Motor Grading Scale
-Spinal Cord Independence Scale Measure (16 items)
-Quadriplegic Index of Function
-Modified Barthel Index (15 items)
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| Spinal Cord Anatomy: Begins? | caudal end of medulla oblongata
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|
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| Spinal Cord Anatomy: Exits? | cranial vault through foramen magnum
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| Spinal Cord Anatomy: Adult spinal cord terminates where? | L1 & L2
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| Spinal Cord Anatomy: Conus Medullaris | (T10-T12)
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| Spinal Cord Anatomy: Cauda Equina | peripheral spinal nerves
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| Muscle grade | 0=absent
1=trace
2=weak
3=against gravity
4=stronger
5=normal
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| UMN or LMN? damage above conus medullaris? | UMN
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|
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| UMN or LMN? damage occurs in conus medullaris or sacral nerve roots in cauda equina | LMN
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|
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| UMN or LMN? flaccid paralysis | LMN
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|
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| UMN or LMN? muscle tone | UMN
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|
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| UMN or LMN? spastisity | UMN
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|
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| UMN or LMN? absent reflexes | LMN
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|
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| UMN or LMN? loss of sphincter tone | LMN
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|
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| UMN or LMN? Babinski's sign (positive relexes) | UMN
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|
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| List UMN signs (lie within the cord) | muscle tone
spastisity
positive reflexes
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|
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| List LMN signs (branch off from the Spinal Cord) | flaccid paralysis
loss of muscle
absent reflexes (no babinski)
no sphincter tone
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|
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| Respiratory Evaluation r/t SCI C1-3 C4-C8 | c1-3:NO diaphragm (vent)
c4-8: no intercostals or abdominals
t1-t6: intercostals but no abs
t6-t12: intercostals & some abs
L1: normal resp.
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|
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| Neurogenic Bowel: Spastic Bowel or Reflexic Bowel | Reflexic or UMN bowel
positive BCR
normal function
slow paristalis
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|
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| Neurogenic Bowel: Flaccid (autonomus, areflexic, atonal) | Areflexic or LMN bowel
neg. BCR
slow paristalis
flaccid bowel
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|
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| Neurogenic Bladder: Spastic bladder or Reflexic bladder | UMN
stimulation of relex
crede
valsalva
IC
relex voiding
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|
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| Neurogenic Bowel: Flaccid (autonomus, areflexic, atonal) | LMN
IC
caution for over filling bladder
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|
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| Joint Commission coin term | health care organization accreditation
compliance
🗑
|
||||
| CARF coin phrase | Rehab facility accreditation
conformance
🗑
|
||||
| tracemaker | follows a patient through a day
JC uses this alot
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|
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| World Health Organization (2001) International Classification of Functioning CIF | WHO voted on 2001
Individual & population (international)
classification of health & related domains that describe
1.body
2.individual
3. societal perspectives
4. environmental factors
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|
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| IFPAI Inpatient Rehabilitation Facility Patient Assessment Instrument | data collection intrument for Inpatient Rehad facilities (IRFs) Prospective Payment System (medicare/caid)
*uses FIM
🗑
|
||||
| Pediatric Evaluation of Disability Inventory | 6mo-7r
self care, mobility, and social
(weeFIM grades self care, mobility , & cognition)
🗑
|
||||
| Models for Performance Improvement | ANA & ARN
🗑
|
||||
| Performance Indicators | quantitative values that show a successful outcome to stakeholders
🗑
|
||||
| When asessing the efficiency, & effectivness of rehab, an organization must show...Reliability & Validity. define both | Reliability: reproducibility of an instrument's findings
Validity: ability of the tool to measure what it was designed or intended to measure.
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|
||||
| Brainstorming | team members create as many creative ideas as possible
🗑
|
||||
| Cause and effect diagram | Fishbone Diagram
🗑
|
||||
| Affinity diagram | gathers large amount of information into groupings
🗑
|
||||
| Check sheet | teams record and collect data from various sources so that patterns and trends are identified.
🗑
|
||||
| run chart | visual display data
🗑
|
||||
| histogram | reviews the amount of variation within the process
🗑
|
||||
| scatter diagram | used to study the possible cause and effect relationship between 2 variables
🗑
|
||||
| control chart | used to monitor, control , and improve variances
similar to run chart but w/ statistical upper and lower
🗑
|
||||
| flowchart | a pictorial rep of various steps
🗑
|
||||
| Force Field analysis | indentifies force in place that affect an issue or problem
🗑
|
||||
| Pareto Chart | bar graphs
🗑
|
||||
| What did ANA develop in 1973? | generic standards of nursing practice for quality
🗑
|
||||
| What did ANA develop in 1974? | standards of practice for Rehab nursing practice
🗑
|
||||
| JC's Plan Do Check Act |
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|
||||
| Sister Callista Roy's Adaptation Model | sees the person as "a biopsychosocial being in constant interaction with a changing environment"
🗑
|
||||
| ADA | Americans with Disabilities Act of 1990
-public buildings & transportation made accessible to all (disabled)
-prevent discrimination in workplace
🗑
|
||||
| Braden Scale | Scale for wound risk.
Assess on admission, quarterly, p/ chg, & return home
🗑
|
||||
| CMS (Centers for Medicaid/care Services) | Center for Medicaid/Medicare Services
*(MDS)Minimum Data Set
*(OASIS) Outcomes and Assessment Information Set
*PPS (Prospective Payment System)
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|
||||
| OSHA(Occupational Safety & Health Administration) | is the main federal agency charged with the enforcement of safety and health legislation
🗑
|
||||
| SSA (Social Security Administration) | Social security check (disability check)
*<65y and "fully insured"
*amount payable in retirement
🗑
|
||||
| workers Comp | injured workers (state)
🗑
|
||||
| Autonomy | pt has right to choose; self-determination
🗑
|
||||
| nonmaleficience | do no harm
🗑
|
||||
| beneficence | doing good
🗑
|
||||
| Advocacy | standing form client (loyalty)
🗑
|
||||
| client fiduciary | recognize cost to client when provided or do not provide treatments
🗑
|
||||
| reciprocity | the practice of changing things for one's benefit
*develop one's talents, integrity- to be true to oneself, impartial, consistent, having respect for client's goals
🗑
|
||||
| Fidelity | faithfulness, always keep promises
🗑
|
||||
| Estate Planning | long-term planning for future care and expenses
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
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Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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Created by:
laurenmick