Ineffective Health Maintenance and Rehabilitation – Flashcards

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Ineffective Health Maintenance
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Definition : ability to identify, manage, or seek out help to maintain your health Defining Characteristics (as evidence by): knowledge, lazy, no ride Related Factors: cognitive impairment, communication skill, grieving family FUNCTIONAL HEALTH ASSESSMENT BEOFRE NURSING DIAGNOSIS Assessment, Criteria, and Outcomes: education, connections to what they need Nursing Interventions:
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Primary Prevention
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Nutrition diet, proper exercise, education, immunizations - Influenza (yearly), Pneumococcal (2 dose 13/23), Herpes Zoster (one dose @ age 60)
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Secondary Prevention
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Community screenings - lipid panels, blood pressure clinics, early detection - disease screenings, mammography, PSA, scoliosis
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Tertiary Prevention
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Limit disease progression/halt disease, restore client functioning to pre-disease state, most invasive form of prevention, require multidisciplinary collaboration
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Rehabilitation
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Definition: "restoration of a person with a disability to the fullest physical, mental, social, vocational, and economical usefulness of which he or she is capable", holistic, individualized
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Goals of Rehab
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Maintain and restore function, physical abilities, self care/ADLs, social activities, cognitive abilities
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Rehab Team
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Client, families, RNs, CNAs, MDs, PT, OT, nutritionist, speech and language pathologist, case manager, director of nursing, activities coordinator
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Rehab Settings
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Starts in acute care hospitals, LTC facilities, TCU, community (home pt/outpatient pt)
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Functional Assessment
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Health status, perceptions of health status, ADLs (bathing, ROM, etc), instrumental ADLs (shopping, housekeeping, etc)
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Goal Setting
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PATIENT-CENTERED CARE, collaboration with specialized services, bases on client's ability and disability, developmental level, should be SMART goals - Specific, Measurable, Attainable, Relevant, Timely
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Elder Resources and Financing
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Community, ADA - Americans with Disabilities Act, Medicaid, Medicare
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Community Resources
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PT/OT, VNA, senior center, Meals on Wheels
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American with Disabilities Act of 1990
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Created to protect against workplace discrimination as well as ensure accessibility for those who are disabled, defined as substantial limitation in a major life activity involving - mobility, self-care, physical or sensory limitations, inability to work, mental or emotional conditions
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Medicare
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Options Part A - Part D, federally funded health insurance for those 65 years or older, those under 65 years with certain disabilities, those with ESRD requiring a dialysis or a kidney transplant Does not cover: dental, vision, hearing, LTC, ADL/IADL
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Medicare Coverages
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Part A - hospital insurance, Part B - Medical Insurance, Part C - Part A and Part B thru private, Part D - prescriptions
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Medicaid
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State-administered, needs based, low-income, may be dual-eligible Covers: LTC, homecare
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Elder Mistreat
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Physical, neglect, psychological, sexual, financial, abandonment
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