Certification Review for Rehabilitation Nurses i Certification Review for Rehabilitation Nurses ii THE REHAB NURSING SERIES CERTIFICATION REVIEW FOR REHABILITATION NURSES WORKBOOK Pamela Masters-Farrell, MSN, RN, CRRN This workbook is for use with the course Certification Review for Rehabilitation Nurses, which is part of the Rehab Nursing Series published by Rehab ClassWorks, LLC®. Notice: The clinical information and tools used in this course are based on current literature, research, and consultation with nursing, medical, and legal authorities. To the best of our knowledge, it reflects current practice. However, appropriate information sources should be consulted, especially for new or unfamiliar procedures. This course contains many references and resources using internet addresses. Although these sites were current at the time of the research, writing, and/or publication, many internet postings are dynamic and subject to expiration or deletion over time. Therefore, Rehab ClassWorks, LLC cannot guarantee currency of electronic references. Please check for the latest information on a cited topic using online search engines. ©2012 Rehab ClassWorks, LLC 14330 S. 2200 W. Bluffdale, UT 84065 Phone: (888) 294-0412 Fax: (801) 253-7520 Email: [email protected] Web Address: http://www.rehabclassworks.com All rights reserved. This document, or any part thereof, may not be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, storage in an information retrieval system or otherwise without prior written permission of Rehab ClassWorks, LLC. Purchasers of a registered multiuser license for the course are granted permission for copying of the workbook and multimedia course for use by staff covered by said license. Certification Review for Rehabilitation Nurses iii THE REHAB NURSING SERIES The Rehab Nursing Series Second Edition Novice, Intermediate, Advanced, and Certification Review courses for Rehabilitation Nurses Introduction to Rehabilitation & Rehabilitation Nursing Not Documented, Not Done: Documenting Professional Rehabilitation Nursing Care Got a Plan, Man? Patient-Centered Care Planning in Rehabilitation 1, 2, Buckle My Shoe: Functional Skill Development Take Care! Safe Patient Handling Works! See One, Do One: Patient & Family Education in Rehabilitation A Little Romance: Providing Sexuality Education & Counseling in Rehabilitation Down, Not Out: Providing Psychosocial Support in Rehabilitation Get Going: Mobilize Your Patients Go HOM! Preventing Complications from Immobility Gotta Go Right Now: Bladder Management in Rehabilitation Full of It: Bowel Management in Rehabilitation Apple a Day: Nutrition & Dysphagia Management He Said/She Said: Disorders of Communication Wandering, Confused, and Agitated: Cognition & Behavior Rehabilitation of Stroke Rehabilitation of Brain Injury Rehabilitation of Spinal Cord Injury Cardiopulmonary Rehabilitation Pediatric Rehabilitation Certification Review for Rehabilitation Nurses INTERACTIVE EDUCATION · NOVICE TO EXPERT · WORKING SMARTER Registration is required for continuing education credit. Register your course by going to www.rehabclassworks.com/reg.html. Certification Review for Rehabilitation Nurses iv ACKNOWLEDGEMENTS This course could not be completed without the help and expertise of our associates and reviewers. Those desiring to be known are listed below. Their contributions are gratefully acknowledged. Reviewers Programming: Sherry Adkins, BSN, RN, CRRN Suzanne Bawden Charlene Bady, RNBC, CRRN Janet Plackemeier Belinda Boyd, RN, CRRN Editor: Tanja Hagen, MS, RN, CRRN Pamela Masters-Farrell, MSN, RN, CRRN Cody Kohles, RN, CRRN Art: Shantel Pilcher Maria Benita Navarro, RN, CRRN Planning, Research, & Development: Pamela Masters-Farrell, MSN, RN, CRRN Sheryl Pinugu, BSN, RN Cheryl Micheel, BS Carolyn Schultz, RN, CRRN Valerie Livingston, RN, CRRN Visit us at www.rehabclassworks.com to learn more about our products, course offerings, and quick tips. Visit our rehab nursing blog at http://www.rehabclassworks.com/Blog.htm. We would love to hear from you regarding your rehabilitation nursing needs and questions. Email to [email protected]. Certification Review for Rehabilitation Nurses v TABLE OF CONTENTS Getting Started ........................................................................................................... x Main Menu ................................................................................................................ x Continuing Education Hours ....................................................................................... xi Using the Course ...................................................................................................... xi Functions of the Navigation Bar in the Computer Course ............................................... xii Other Features ........................................................................................................ xiii Chapter 1 Overview ....................................................................................................1 Chapter Objectives or What is Your Job? ....................................................................... 1 Preparation ............................................................................................................... 2 My Study Plan ........................................................................................................... 2 The Exam—Getting Ready for Test Day ........................................................................ 3 Additional Resources .................................................................................................. 4 Evaluate Your Current Status ...................................................................................... 5 Principles & Philosophy ..............................................................................................6 Chapter 2 The Impact of History & Legislation on the Practice of Rehabilitation ........7 What is Your Job in this Chapter? ................................................................................. 7 The Impact of History ................................................................................................. 8 Chapter 3 Foundations of Rehabilitation Nursing .....................................................13 What is Your Job in this Chapter? ............................................................................... 13 World Health Organization Definitions ........................................................................ 14 Defining Rehabilitation Nursing .................................................................................. 14 Roles of Rehabilitation Nurses ................................................................................... 15 Values & Moral Principles .......................................................................................... 16 Spiritual Distress ..................................................................................................... 18 Chapter 4 Nursing Theories Applicable to Rehabilitation ..........................................19 What is Your Job in this Chapter? ............................................................................... 19 Who? What? ............................................................................................................ 20 Gordon’s Functional Health Patterns ........................................................................... 21 Other Theorists ....................................................................................................... 22 Wellness ................................................................................................................. 22 Chapter 5 The Economics of Healthcare....................................................................24 What is Your Job in this Chapter? ............................................................................... 24 Funding Sources ...................................................................................................... 25 Living Expenses ....................................................................................................... 26 Special Populations & Team Issues ..........................................................................29 Chapter 6 Rehabilitation Teams & Teamwork ...........................................................30 What is Your Job in this Chapter? ............................................................................... 30 Team Membership ................................................................................................... 31 Types of Teams ....................................................................................................... 32 The Continuum of Care ............................................................................................. 33 Coordination of Care ................................................................................................ 34 Certification Review for Rehabilitation Nurses: Table of Contents vi Goals ..................................................................................................................... 36 Conflict ................................................................................................................... 36 Teams of the Future ................................................................................................. 37 Chapter 7 Meeting