Before this quarter’s
clinical rotation, I had never heard the term “restorative nursing.” Restorative nursing refers to nursing
interventions that promote the residents ability to adapt and adjust to living
as independently and safely as possible.
This conept actively focuses on achieving and maintaining optimal
physical, mental, and psychosocial functioning.
A person can start a restorative nursing program upon admission to a facility
with restorative needs, when restorative needs arise during the course of a
long-term stay, or in conjunction with formalized rehabilitation therapy. However, restorative nursing programs are
typically initiated when a resident is discharged from formalized physical
therapy?
I question, why are patients
discharged from formal therapy programs when they still have obvious
restorative needs?
**Functional
decline can lead to depression, withdrawal, social isolation, and complications
of immobility such as incontinence and pressure ulcers. **
What
is Included in Restorative Nursing?
Activities that must be
provided by restorative nursing staff:
·
Passive Range of Motion
·
Active Range of Motion
·
Splint or Brace Assistance
Activities provided by
any staff member under the supervision of a licensed nurse:
·
Bed Mobility
·
Transfers
·
Walking
·
Dressing and/or Grooming
·
Eating and/or Swallowing
·
Amputation or Prosthesis Care
·
Communication
In a restorative nursing
program, these skills must be done at least 15 minutes in a 24-hour
period.
Nurse's
Job
Nurses MUST supervise
the above skills. Nurses formulate
individualized care plans with goals that are measurable and objective. It is their responsibility to reassess progress
on a weekly basis and revise the care plan as necessary. Nursing assistants/aides can be trained in
the techniques, but again, must be supervised by a nurse when performing these
activities.
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