Rehabilitation involves the successful and productive interactions of several clinicians. Rehabilitation is a philosophy of practice and an attuned toward caring for people with disabilities and chronic health problems( Larsen,2011). The National Cancer Institutue, 2013 (as cited in Michelle, Terrie, James, Karion, Susan,Barbara, 2014) states, there is no one universal definition of rehabilitation, but the goal of rehabilitation is to restore mental and/or physical abilities lost to disease, to function in a normal or near-normal way (pg.6). Rehabilitation can occur in several settings ranging from acute, subacute, or long term care. The role of the clinicians participating in the care of the client is slightly different depending on the …show more content…
Rehabilitation nurses, whether novice or expert, search for and use current evidence, and supportive technology to deliver optimal client and family-centered care (Stephanie, Kristen, Cynthia, Pamala, Jill, Wendy, Christine, David, 2015, p.35). According to the association of rehabilitation nurses, “the role of the nurse is to assist clients in adapting to an altered lifestyle while providing a therapeutic environment for client’s and their family’s development”. Rehabilitation nurses identify client and caregiver health and wellness needs, including facilitators and barriers to health improvement, and integrate community care services that manage chronic disease and support healthier time (Smeltzer, 2010)”. Health promotion through primary prevention, as well as preventing complications for those with existing disabilities is essential to the role of the rehabilitation nurse (ARN, 2014a,b). The rehabilitation staff nurse designs and implement treatment strategies that are based on scientific nursing theory related to self-care and promote physical, psychosocial, and spiritual health (ARN, 2014). Specific tasks in relation to rehab nursing can be divided, and explain the nurses’ role and function as a teacher, caregiver, collaborator, and client advocate. Some specific tasks include but are not limited to; …show more content…
The physical therapist assistant (PTA) was the first clinician scheduled to work with the client. PTA got the client up to ambulate the halls and was constantly monitoring his effort, but aware enough not to over-exert. The client ambulated from his room to the back hallway, where he took several more steps before returning to his room. Student nurse Kelvin placed a pulse ox on the patient immediately after returning to his room. He recorded the pulse ox reading, and placed the client back on two liters of oxygen via nasal cannula. The client would fall asleep for close to two hours before occupational therapy came
However, the inpatient rehabilitation approach in the patient’s holistic management is
The proposed program will address the needs of minorities 65 and older at the time the program is implemented. Those taking part in the program would not loose any of the health benefits they are receiving from Medicaid under the current SSI health benefits insurance program. As well the person or persons must prove that they cannot afford to reside in a traditional long term care facility, such as a nursing home or assisted living, without incurring out of pocket cost. To be eligible, the individuals must be African American, U.S. citizen, reside in the state of Mississippi, and have a median $650 SSI income. As well they are not required to liquidate there asset’s and must reapply every year to reevaluate their eligibility.
ResCare, INC. is a company that offers patient support and home health assistance for individuals of all ages that are suffering from disabilities and mental issues that has hindered their daily living. The company also provides family members and caregivers relief services by sending out a certified nursing assistance (CNA’s) or a personal care assistant (PCA”s) into the homes of family members to relieve these caretakers so that they are able to engage in their own personal affairs. This company provides services such as: assist the patients with daily living (ADL”s), hygiene, personal errands, shopping, vital signs, light house keeping, meal preparations, and will also remind clients of their medications and other healthcare needs. However, not all clients have
VA nurses assess, provides nursing diagnoses, plans, implements, and evaluates (ADPIE) care based on maturational focused components. Undertakes accountability for the management of care concentrated on the patient’s process through the range of care, patient and family education, patient self-management, and accompanying circumstances that influence the patient’s satisfaction. The VA nurse considers all attributes of the individual, including age and stages of life, presence of health, race and culture, values, and prior experiences. Administers medications and procedures per policies and procedures. The VA nurse effects patient care outcomes by collaborating with members of the interdisciplinary team.
Initially, I was interested in physiotherapy, however, after completing work experience there I realised I wanted to help people in more meaningful ways rather than simply making a sore shoulder feel better. I was also searching for an alternative after dropping Maths B! I now realise occupational therapy was a natural choice as I am a people person who is interested in the health field and finds helping others extremely fulfilling. Thinking about it now, I was influenced by how occupational therapy improved and transformed my Nanna’s health and wellbeing after she was hospitalised, allowing her to maintain a level of independence. Along with this, I embarked on a Sri Lankan immersion experience last year and immensely enjoyed working alongside
Medication Nursing Assistants Nursing assistants have long been the heartbeat of assisted living, long-term care and rehabilitation facilities alike. Over time, their roles in these settings have evolved to accommodate the needs of the RNs/ LPNs they work alongside and the cliental they care for. In 2001, the National Council of State Boards of Nursing (NCSBN) expanded the capacity of NAs in an effort to facilitate safer staffing ratios.
This nurse’s plan as a registered nursing and student is to become an Advanced Registered Nurse Practitioner (ARNP) with a specialty certification in Family Nurse Practitioner (FNP). The geographical area in the state of California is in a community with patients having health disparities and it is an underserved population. Healthy people 2020 identified patients with healthy disparities as lesbian, gay, bisexual, or transgender, personnel living in nursing homes with disabilities, individuals living in rural areas, and women households with children (Centers for Disease and Control, 2015). The writer’s role as a FNP working in these underserved population will include doing assessments, diagnosis and treatments of common conditions, as well as preventative care services such as ordering laboratory work, medical tests, and prescriptions (American Association of Colleges of Nursing, 2015; National Organization of Nurse Practitioner Faculties, n.d).
Following the care conference, we observed an intake of a new patient. A psychologist, RN, and social worker were present and each took thorough notes to establish a care plan in their respected field. The patient was recently
As I embark on my journey to become a registered nurse at the master's level, I anticipate significant changes in my role and responsibilities. As a registered nurse, I will transition from a student nurse to a fully licensed healthcare professional. This transition entails a shift from primarily observing and assisting in patient care to taking on a more independent and autonomous role in providing comprehensive care to individuals, families, and communities. The standards for my new role as a registered nurse are established by professional nursing organizations, regulatory bodies, and healthcare institutions.
The feeling of being able to alleviate the suffering of an acutely ill patient is at once incredibly satisfying and immensely humbling. I am constantly in awe of the fact that by coming to work everyday, I have the privilege of helping others who cannot care for themselves. During my time in my Clinical Care Extender Internship, I developed a special interest in caring for the geriatric population and have had the opportunity of serving as a personal caregiver to an elderly woman with dementia. I do not take the trust and confidence that my patient places in me lightly and work hard to advocate and provide for her safety because she deserves no less. Thus, in the interest of patient advocacy, as a nurse in your facility, I will seek to improve the practices that will keep my patients safe and promote their healing.
Devoted people in professions such as an Occupational Therapist, work to help their patients recover his or her ability to engage in everyday activities. It is evident that an OT is to help people. There are many duties, characteristics, and qualities an OT should have in order to have a successful career. I asked Dr. Lindberg, “What are your duties or daily routine being an OT?” Dr. Lindberg answered, “There are many duties of being an OT, we must evaluate a patient’s progression and prepare detailed reports of that, test patient’s physical and mental abilities to regulate rehabilitation goals, handpick activities that will help the patients learn life skills within their capabilities, and recommend changes in patient’s living environments
There are ranges of specialists who work on the rehabilitation team, each member of the team has a goal to help patient with a focus of promote QOL. The Case Managers are will be the primary contact person, with whom patient and family/caregiver can direct raise matters and ask for information. It is advised that a neuropsychologist should conduct a cognitive and behavioural/emotional assessment. Cognitive include perception and awareness, orientation, memory, though processing, problem solving, personality and decision making. Behavioural/emotional include emotional status, mood changes, adjustment difficulties, personality changes, inappropriate sexual behaviour, motivation level, substances misuse, depression, anxiety and psychosis.
It also provided the use of critical thinking and clinical judgment on how to prevent falls, support, and be accountable for a client professionally. The practical knowledge I have learned helped me become aware of assessing and assisting a client. As a nurse, our job is to provide “safe, compassionate, competent and ethical care” (p.8) and collaborate as an interprofessional team to deliver safe care and prevent risks from happening while offering quality nursing care (CNA, 2017). I will always provide the professional care under the code of ethics to promote health and wellness for an older adult and prevent risks from happening. As well as following the plan of care, use communication strategies, be aware, acknowledge, and accommodate individuals with different diseases such as with dementia, to promote fall prevention strategies (RNAO, 2017).
As we transition into the new role of NPs, our scope of practice expands. Moreover, as our responsibilities increase, we later become policy makers, and develop autonomy and decision–making skills. NPs are responsible for providing safe nursing care with more specialized knowledge and advanced education. We are also responsible for pursuing continuing education and advanced knowledge to remain competent quality providers, and meet the needs of the community. With our acquired repertoire of skills, it is essential that we utilize them to make informed decisions and collaborate with our community to promote wellness and healthy living.
In the acute rehabilitation portion of the hospital, there were many patients I had seen that were in the recovery process, and occupational therapists were there to create discharge plans for their patients. In this process, I saw many patients working on mobility issues and activities of daily living such as dressing themselves or showering. One patient I shadowed had one last checkpoint to meet before being able to be discharged. I watched how over the course of their time at the hospital the occupational therapist was able to not only support this patient but also push them towards their goals. This patient was able to finally meet this one last goal and be discharged just in time for Christmas and seeing someone achieve something they never thought they could is a feeling like no other.