Restorative Care Learning Activity. Facilitated by: Clara Fitzgerald

Transcription

1 Restorative Care Learning Activity Facilitated by: Clara Fitzgerald

2 What does the term disempowering care mean? a. Encourages helplessness b. Promotes independency c. Support interdependent behaviours d. A & B

3 ANSWER: A Disempowering care encourages the development of learned helplessness by increasing motivational, cognitive and emotional deficits. This is can be a negative approach that may be supported by caregivers.

4 What type of 7 components of wellbeing is defined by having good interpersonal skills and understanding the importance of fostering relationships? a. Environmental Sensitivity b. Functional Mobility c. Self-Esteem d. Mutually Satisfying Relationships e. Nutritional Awareness f. All of the above

5 ANSWER: F There are 7 components of well-being: 1. Nutritional Awareness 2. Spirituality/Having a Sense of Purpose 3. Stress Awareness and Management 4. Self-Esteem 5. Mutually Satisfying Relationships 6. Environmental Sensitivity 7. Functional Mobility

6 The term Active Living is a synonym for Physical Activity a. True b. False

7 ANSWER: The answer is FALSE. Physical activity is any body movement produces by skeletal muscles resulting in energy expenditure. Active living is a way of life that integrates physical activity into your everyday routines, such as walking to the store or biking to work. Active living brings together urban planners, architects, transportation engineers, public health professionals, activists and other professionals to build places that encourage active living and physical activity.

8 What is a component of functional mobility? a. Cardiorespiratory endurance b. Flexibility c. Balance d. Strength e. All are correct answers

9 ANSWER: E There are 8 components of Functional Mobility: 1. Cardiorespiratory endurance 2. Anaerobic capacity 3. Muscular Strength 4. Muscular Endurance 5. Flexibility 6. Balance 7. Coordination 8. Body Composition

10 ANSWER Functional Mobility is defined as the ability to interact with one s environment effectively:

11 Ruth finds that she feels dizzy after getting up to quickly from the sofa. This can be attributed to a decrease in blood pressure when moving from a sitting position to a standing position. What can be the cause of this? a. Hypertension b. Past medical history of a heart attack c. Postural hypotension d. Diabetes

12 ANSWER: Postural Hypotension is a sudden decrease in blood pressure experienced when moving from a sitting or lying position to a standing position.

13 Which arthritis is the most common form of arthritis in older adults? a. Osteoarthritis b. Rheumatoid Arthritis c. Fibromyalgia d. Hypertension

14 ANSWER: Osteoarthritis is the most prevalent form of arthritis and is strongly related to age. It may involve the spine, the fingers, the hips and the knees. Fortunately, it is usually a mild condition, causing severe symptoms in only a few. You will be working with people with arthritis: 5 minutes warm-ups, getting participants on a daily routine, working with nursing on pain management, motivating participant to be active throughout the day

15 When you are communicating with a person with dysarthria (a speech disorder) and you don t understand what they are trying to say, you should just pretend that you understood. a. True b. False

16 ANSWER The answer is FALSE Do not pretend to understand - acknowledge that you did not understand the message and provide specific feedback about the nature of your misunderstanding.

17 For people with, they experience when trying to say words. A solution to this would be to count from one to three to encourage the initiation of speech. a. Parkinson s Disease and coughing b. Dysarthria and ringing in their ears c. Parkinson s Disease and a delay d. Dysarthria and discomfort

18 ANSWER: Individuals with Parkinson s disease know what they want to say and how to say it, but the words will not come or there will be a long delay.

19 What are the main components of a Restorative Care Program?

20 ANSWER Mobility Eating Self Dressing ADL s Communication Others?

21 What does the term Outcome Based programing mean?

22 ANSWER Tools that are used to measure SMART goals of your RC intervention

23 Which component of comprehensive communication enhancement is dictated by following routines to be consistently minimizing the effect of poor memory and attention? a. Cognition b. Memory and Attention c. Speech d. Language e. Non-verbal

24 ANSWER Memory and Attention is dictated by following routines to be consistently minimizing the effect of poor memory and attention.

25 Drew uses hearing aids and glasses to be able to see and hear. Which component of the Comprehensive Enhancement Program is he using? a. Memory b. Sensory c. Conversation d. Style e. Perceptions and Attitudes

26 ANSWER Sensory have vision, hearing and tactile senses tested. Individuals use supportive devices (glasses & hearing aids) regularly.

27 Dysphagia, being unable to swallow properly, can be caused by: a. Failure of the esophagus b. Poor coordination of the lips, tongue and jaw c. Poor posture d. A & B e. A & C

28 ANSWER Dysphagia refers to swallowing problems. These problems may be due to physical problems which may include the following: Weakness of lip muscles Weakness of tongue muscles Weakness of throat muscles Poor coordination of lips, tongue and jaw movements Weakness of muscles of the soft palate Failure of the larynx (the voice box) to move properly Failure of the esophagus (the food tube) to open properly Weakness of muscles moving the food from the mouth to the stomach

29 are older adults that are able to have liquids go into their lungs without having any issues. a. Bolus b. Silent aspirators c. Dysphagia d. Epiglottis e. Aryepiglottic folds

30 ANSWER Silent aspirators are older adults that are able to have liquids go into their lungs without having any issues.

31 What are the possible complications of dysphagia? a. Asphyxia (choking), Aspiration Pneumonia and malnutrition b. Low blood pressure and headaches c. Discomfort and high blood pressure d. Migraines and low sugar levels

32 ANSWER A The three possible complications of dysphagia are: 1. Choking/Asphyxia 2. Aspiration Pneumonia 3. Malnutrition and/or Dehydration

33 In a research study 35 nursing assistants identified a list of resident-related barriers to restorative education and care. This list includes: A. Pain and depression B. Dementia and sensory decline C. Family misconceptions about aging and functional abilities, D. Inability of resources available E. All the above F. A, B & C

34 ANSWER E Barriers to implementing restorative care may arise from older individuals, their friends and families, or from formal caregivers. Resident-related barriers include responses to medical symptoms and conditions such as pain and depression, disease and age-related conditions such as dementia and sensory decline, resident and family misconceptions about aging and functional abilities, resident and family expectations of formal caregivers, deconditioning, embarrassment, fear of injury or failure, and transient conditions such as fatigue, discomfort from unmet toileting needs and medication side-effects such as nausea

35 Restorative nursing care focuses on restoration, maintenance of physical function, or both and helps older adults compensate for impairments so that the highest level of physical performance may be achieved. This type of care focuses on what versus what. A. Lifestyle risk factors/ Chronic Disease B. The individual can do / what they cannot do C. Nutrition / Age-related disorders

36 ANSWER Restorative nursing care focuses on restoration, maintenance of physical function, or both and helps older adults compensate for impairments so that the highest level of physical performance may be achieved. This type of care maximizes a resident's abilities by focusing on what the individual can do versus what he or she cannot do, optimizing independence, reducing the level of care required and improving quality of life, selfimage, and self-esteem. (Resnick et al., 2006)

37 True or False: Restorative Care in Long- Term Homes can increase the job satisfaction of Nursing Assistants in Nursing Home Settings A. True B. False

38 ANSWER The answer is TRUE This theme emerged from comments made by the intervention group at 14 months, where dramatically increased job satisfaction was noted. This was supported by the considerably reduced turnover; of the baseline paid caregivers, five people of 28 left their jobs (17.9%), compared with 17 of 40 (42.5%) for the control group (P = 0.03). (King et al., 2012)

39 If the older adult is severely deconditioned what exercise plan should you suggest to them? A. Weight lifting exercises B. No exercise C. Bed exercises D. Simple exercises E. C & D F. All the above can be a correct answer

40 ANSWER Residents who are severely deconditioned may require more individualized exercise programs. For instance, it has been suggested a series of bed exercises. It has also been shown that simple exercises (such as sit-tostand and walking or wheeling to the bathroom) could be incorporated into prompted voiding regimens for frail, incontinent residents.

41 True or False: There are many Canadian studies published on restorative care education as nursing home associations across Canada endorse this approach. A. True B. False

42 ANSWER While nursing home associations across Canada are also encouraging the restorative care approach, The only Canadian study published is through the CCAA (Johnson et al., 2005)

43 Who can encourage and support restorative care approaches? A. Informal Caregivers B. Friends and Family C. Nurse Practitioners D. Health Promoters E. All the above F. None of the above only doctors can prescribe these programs

44 ANSWER Anyone can be a facilitator of restorative care approaches!

45 What is not a major benefit of restorative care outlined by nursing assistants? A. Better adherence to toileting schedules B. Increase in Dignity C. More independence D. Cognitive challenges.

46 ANSWER The Resnick et al. (2008) study outlined 9 benefits cognitive challenges is actually an identified barrier.

47 Works Cited Page Burton, E., Lewin, G., Clemson, L., & Boldy, D. (2013). Effectiveness of a lifestyle exercise program for older people receiving a restorative home care service: Study protocol for a pragmatic randomised controlled trial. BMC Health Services Research, 13(1), doi: / Galik, E. M., & Resnick, B. (2007). Restorative care with cognitively impaired older adults: Moving beyond behavior. Topics in Geriatric Rehabilitation, 23(2), doi: /01.tgr Johnson, C. S. J., Myers, A. M., Jones, G. R., Fitzgerald, C., Lazowski, D., Stolee, P.,... Ecclestone, N. A. (2005). Evaluation of the restorative care education and training program for nursing homes. Canadian Journal on Aging/Revue Canadienne Du Vieillissement, 24(2), doi: /cja King, A. I. I., Parsons, M., & Robinson, E. (2012). A restorative home care intervention in new zealand: Perceptions of paid caregivers. Health & Social Care in the Community, 20(1), doi: /j x Resnick, B., Simpson, M., Galik, E., Bercovitz, A., Gruber-Baldini, A. L., Zimmerman, S., & Magaziner, J. (2006). Making a difference: Nursing assistants' perspectives of restorative care nursing. Rehabilitation Nursing : The Official Journal of the Association of Rehabilitation Nurses, 31(2), doi: /j tb00131.x Resnick, B., Gruber-Baldini, A. L., Galik, E., Pretzer-Aboff, I., Russ, K., Hebel, J. R., & Zimmerman, S. (2009). Changing the philosophy of care in long-term care: Testing of the restorative care intervention. The Gerontologist, 49(2), doi: /geront/gnp026 Resnick, Barbara, PhD, CRNP, FAAN, FAANP, Petzer-Aboff, I., PhD, Galik, Elizabeth, PhD, CRNP, Russ, K., BSN, Cayo, J., BSN, Simpson, M., PhD, & Zimmerman, S., PhD. (2008). Barriers and benefits to implementing a restorative care intervention in nursing homes.journal of the American Medical Directors Association, 9(2), doi: /j.jamda Resnick, B., Galik, E., Gruber-Baldini, A., & Zimmerman, S. (2009). Implementing a restorative care philosophy of care in assisted living: Pilot testing of res-care-al. Journal of the American Academy of Nurse Practitioners, 21(2), doi: /j x Talley, K. M. C., Wyman, J. F., Savik, K., Kane, R. L., Mueller, C., & Zhao, H. (2015). Restorative care's effect on activities of daily living dependency in long-stay nursing home residents. Gerontologist, 55(3), S88-S98. doi: /geront/gnv011 Tinetti, M. E., Baker, D., Gallo, W. T., Nanda, A., Charpentier, P., & O'Leary, J. (2002). Evaluation of restorative care vs usual care for older adults receiving an acute episode of home care. Jama, 287(16), doi: /jama