{"id":50,"date":"2025-08-18T22:01:49","date_gmt":"2025-08-18T22:01:49","guid":{"rendered":"https:\/\/vesl.us\/aesl740\/?page_id=50"},"modified":"2025-10-29T19:39:53","modified_gmt":"2025-10-29T19:39:53","slug":"module-14","status":"publish","type":"page","link":"https:\/\/vesl.us\/aesl740\/module-14\/","title":{"rendered":"Module 14"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>Module 14: Rehabilitative Nursing<\/strong><\/h2>\n\n\n\n<p><strong>Statement of Purpose: The purpose of this unit is to introduce the Nurse Assistant to restorative care. Each individual is entitled to reach his\/her optimal level of functioning. The Nurse Assistant assists the patient\/resident in achieving maximum independent living skills through use of rehabilitative or restorative procedures.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Module 14 Vocabulary Study Tool:<\/strong> <a href=\"https:\/\/claude.ai\/public\/artifacts\/11cf294f-bb37-45eb-951f-65614f51ceca\">https:\/\/claude.ai\/public\/artifacts\/11cf294f-bb37-45eb-951f-65614f51ceca<\/a><\/h2>\n\n\n\n<figure class=\"wp-block-audio\"><audio controls src=\"https:\/\/vesl.us\/aesl740\/wp-content\/uploads\/sites\/3\/2025\/10\/Module-14.mp3\"><\/audio><\/figure>\n\n\n\n<p>Performance Standards (Objectives): <strong>Define key terminology:<\/strong><\/p>\n\n\n\n<p>1. Active-assistive range of motion<\/p>\n\n\n\n<p>2. Active range of motion<\/p>\n\n\n\n<p>3. Activities of daily living (ADL)<\/p>\n\n\n\n<p>4. Adaptive<\/p>\n\n\n\n<p>5. Airbed (Kinair, Clinitron, Hill-Rom)<\/p>\n\n\n\n<p>6. Alternating pressure mattress<\/p>\n\n\n\n<p>7. Ambulation<\/p>\n\n\n\n<p>8. Atrophy<\/p>\n\n\n\n<p>9. Bed cradle<\/p>\n\n\n\n<p>10. Cast<\/p>\n\n\n\n<p>11. Contractures<\/p>\n\n\n\n<p>12. Decline<\/p>\n\n\n\n<p>13. Decubitus<\/p>\n\n\n\n<p>14. Disability<\/p>\n\n\n\n<p>15. Egg-crate mattress<\/p>\n\n\n\n<p>16. Embolism<\/p>\n\n\n\n<p>17. Eversion<\/p>\n\n\n\n<p>18. IDT-Interdisciplinary team<\/p>\n\n\n\n<p>19. Heel\/elbow protector<\/p>\n\n\n\n<p>20. Fleece pad<\/p>\n\n\n\n<p>21. Flotation pads<\/p>\n\n\n\n<p>22. Foot board<\/p>\n\n\n\n<p>23. Hemiplegia<\/p>\n\n\n\n<p>24. Independence<\/p>\n\n\n\n<p>25. Inversion<\/p>\n\n\n\n<p>26. Joint<\/p>\n\n\n\n<p>&nbsp;27. Open Reduction Internal Fixation (ORIF)<\/p>\n\n\n\n<p>28. Paralysis<\/p>\n\n\n\n<p>29. Paraplegia<\/p>\n\n\n\n<p>30. Passive range of motion<\/p>\n\n\n\n<p>31. Phlebitis<\/p>\n\n\n\n<p>32. Pneumonia<\/p>\n\n\n\n<p>33. Pressure ulcers<\/p>\n\n\n\n<p>34. Prosthesis<\/p>\n\n\n\n<p>35. Quadriplegia<\/p>\n\n\n\n<p>36. Range of Motion (ROM)<\/p>\n\n\n\n<p>37. Restorative care\/rehabilitation<\/p>\n\n\n\n<p>38. Risk factors<\/p>\n\n\n\n<p>39. Self-care activities<\/p>\n\n\n\n<p>40. Stasis pneumonia<\/p>\n\n\n\n<p>41. Thrombophlebitis<\/p>\n\n\n\n<p>42. Traction<\/p>\n\n\n\n<p>43. Trochanter rolls<\/p>\n\n\n\n<p>44. Turn, cough, deep breathe (TCDB)<\/p>\n\n\n\n<p>45. Water bed<\/p>\n\n\n\n<p><strong>Patient, resident, and client are synonymous terms referring to the person receiving care<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<h1 class=\"wp-block-heading\">Module 14 Vocabulary Sentences for CNA California Exam<\/h1>\n\n\n\n<h2 class=\"wp-block-heading\">Practice Sentences for Adult English Learners<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The nursing assistant provided <strong>active-assistive range of motion<\/strong> by gently helping the resident move her shoulder while she tried to lift her arm.<\/li>\n\n\n\n<li>The physical therapist was pleased that Mr. Johnson could perform <strong>active range of motion<\/strong> exercises by moving all his joints without any help.<\/li>\n\n\n\n<li><strong>Activities of daily living<\/strong> include basic tasks like brushing teeth, bathing, dressing, and eating meals independently.<\/li>\n\n\n\n<li>The occupational therapist ordered an <strong>adaptive<\/strong> spoon with a large handle to help the resident with arthritis eat more easily.<\/li>\n\n\n\n<li>The doctor ordered an <strong>airbed<\/strong> for Mrs. Smith because she was at high risk for developing pressure sores from lying in bed too long.<\/li>\n\n\n\n<li>The <strong>alternating pressure mattress<\/strong> automatically changes which areas are inflated to prevent constant pressure on the same body parts.<\/li>\n\n\n\n<li>The nursing assistant helped the resident with <strong>ambulation<\/strong> by walking slowly with him down the hallway.<\/li>\n\n\n\n<li>After being in bed for several weeks, the resident developed <strong>atrophy<\/strong> in her leg muscles, making them weak and smaller.<\/li>\n\n\n\n<li>The nursing assistant placed a <strong>bed cradle<\/strong> over the resident&#8217;s legs to keep the heavy blankets from pressing on his feet.<\/li>\n\n\n\n<li>The doctor put a <strong>cast<\/strong> on the resident&#8217;s broken arm to keep the bones still while they heal.<\/li>\n\n\n\n<li><strong>Contractures<\/strong> developed in the resident&#8217;s fingers because she couldn&#8217;t move her joints regularly after her stroke.<\/li>\n\n\n\n<li>The resident has the right to <strong>decline<\/strong> any treatment or procedure that she doesn&#8217;t want.<\/li>\n\n\n\n<li>The nursing assistant checked the resident&#8217;s skin regularly to prevent <strong>decubitus<\/strong> ulcers from forming on pressure points.<\/li>\n\n\n\n<li>The resident&#8217;s <strong>disability<\/strong> affects her ability to walk, so she uses a wheelchair to move around the facility.<\/li>\n\n\n\n<li>The <strong>egg-crate mattress<\/strong> has a bumpy surface that helps distribute the resident&#8217;s weight more evenly.<\/li>\n\n\n\n<li>The doctor was concerned about <strong>embolism<\/strong> risk, so the resident wore special stockings to prevent blood clots.<\/li>\n\n\n\n<li><strong>Eversion<\/strong> of the foot means turning the sole outward, away from the other foot.<\/li>\n\n\n\n<li>The <strong>interdisciplinary team<\/strong> included the doctor, nurse, social worker, and physical therapist working together for the resident&#8217;s care.<\/li>\n\n\n\n<li>The nursing assistant placed <strong>heel\/elbow protectors<\/strong> on the resident to prevent skin breakdown from rubbing against the bed.<\/li>\n\n\n\n<li>A soft <strong>fleece pad<\/strong> was placed under the resident&#8217;s back to provide extra cushioning and comfort.<\/li>\n\n\n\n<li><strong>Flotation pads<\/strong> filled with gel were used to reduce pressure on the resident&#8217;s tailbone area.<\/li>\n\n\n\n<li>The <strong>foot board<\/strong> at the end of the bed kept the resident&#8217;s feet in the correct position to prevent foot drop.<\/li>\n\n\n\n<li>After her stroke, the resident developed <strong>hemiplegia<\/strong> and could not move the left side of her body.<\/li>\n\n\n\n<li>The goal of rehabilitation is to help residents achieve maximum <strong>independence<\/strong> in their daily activities.<\/li>\n\n\n\n<li><strong>Inversion<\/strong> of the foot means turning the sole inward, toward the other foot.<\/li>\n\n\n\n<li>Each <strong>joint<\/strong> in the body allows bones to move in specific directions, like the knee bending and straightening.<\/li>\n\n\n\n<li>The resident needed <strong>Open Reduction Internal Fixation<\/strong> surgery to repair her broken hip with metal screws and plates.<\/li>\n\n\n\n<li><strong>Paralysis<\/strong> in his legs meant the resident could not feel or move his lower body after his spinal injury.<\/li>\n\n\n\n<li>The resident with <strong>paraplegia<\/strong> cannot move or feel his legs but has normal function in his arms and upper body.<\/li>\n\n\n\n<li>The nursing assistant performed <strong>passive range of motion<\/strong> by gently moving the resident&#8217;s arms and legs through their normal movements.<\/li>\n\n\n\n<li><strong>Phlebitis<\/strong> caused swelling and pain in the resident&#8217;s leg vein, requiring medication and elevation.<\/li>\n\n\n\n<li>The resident developed <strong>pneumonia<\/strong> and needed antibiotics and breathing treatments to clear the infection from her lungs.<\/li>\n\n\n\n<li><strong>Pressure ulcers<\/strong> form when blood flow is cut off to skin areas that have too much pressure for too long.<\/li>\n\n\n\n<li>The resident learned to walk again using a <strong>prosthesis<\/strong> after his leg was amputated due to diabetes complications.<\/li>\n\n\n\n<li><strong>Quadriplegia<\/strong> means the resident cannot move or feel his arms or legs due to a high spinal cord injury.<\/li>\n\n\n\n<li><strong>Range of motion<\/strong> exercises help keep joints flexible and prevent stiffness in residents who cannot move regularly.<\/li>\n\n\n\n<li><strong>Restorative care<\/strong> focuses on helping residents regain as much independence as possible in their daily activities.<\/li>\n\n\n\n<li><strong>Risk factors<\/strong> for pressure ulcers include being bedridden, poor nutrition, and decreased sensation in the skin.<\/li>\n\n\n\n<li><strong>Self-care activities<\/strong> like combing hair and putting on clothes help residents maintain dignity and independence.<\/li>\n\n\n\n<li><strong>Stasis pneumonia<\/strong> can develop when residents don&#8217;t move enough and fluid collects in their lungs.<\/li>\n\n\n\n<li><strong>Thrombophlebitis<\/strong> is a serious condition where a blood clot causes inflammation in a vein.<\/li>\n\n\n\n<li>The resident&#8217;s broken leg was in <strong>traction<\/strong> with weights and pulleys to keep the bones aligned while healing.<\/li>\n\n\n\n<li><strong>Trochanter rolls<\/strong> made from rolled towels were placed along the resident&#8217;s hips to prevent her legs from turning outward.<\/li>\n\n\n\n<li><strong>Turn, cough, deep breathe<\/strong> exercises help prevent pneumonia by keeping the lungs clear and expanded.<\/li>\n\n\n\n<li>The <strong>water bed<\/strong> filled with warm water helped distribute the resident&#8217;s weight evenly and prevent pressure sores.<\/li>\n<\/ol>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<h1 class=\"wp-block-heading\">Module 14: 5 CNA Dialogues for English Learners<\/h1>\n\n\n\n<h2 class=\"wp-block-heading\">Dialogue 1: Morning Care Assessment<\/h2>\n\n\n\n<p><strong>Maria (CNA):<\/strong> Good morning, Mr. Johnson. How are you feeling today?<\/p>\n\n\n\n<p><strong>Mr. Johnson:<\/strong> I&#8217;m okay, but my left side feels stiff.<\/p>\n\n\n\n<p><strong>Maria:<\/strong> I understand. You have <strong>hemiplegia<\/strong> from your stroke, so it&#8217;s normal to feel stiffness on one side. Let&#8217;s work on your <strong>range of motion<\/strong> exercises to help with that.<\/p>\n\n\n\n<p><strong>Mr. Johnson:<\/strong> Will that really help?<\/p>\n\n\n\n<p><strong>Maria:<\/strong> Yes, these exercises prevent <strong>contractures<\/strong> and <strong>atrophy<\/strong>. We&#8217;ll start with <strong>passive range of motion<\/strong> where I move your arm and leg, then progress to <strong>active-assistive range of motion<\/strong> where you help me.<\/p>\n\n\n\n<p><strong>Mr. Johnson:<\/strong> What&#8217;s the difference?<\/p>\n\n\n\n<p><strong>Maria:<\/strong> With passive ROM, I do all the work moving your joints. With active-assistive, you try to move while I help you. Our goal is <strong>independence<\/strong> in your <strong>activities of daily living<\/strong>.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Dialogue 2: Preventing Pressure Ulcers<\/h2>\n\n\n\n<p><strong>Sarah (CNA):<\/strong> Mrs. Chen, I need to reposition you now. You&#8217;ve been lying on your back for two hours.<\/p>\n\n\n\n<p><strong>Mrs. Chen:<\/strong> Why do I need to turn so often?<\/p>\n\n\n\n<p><strong>Sarah:<\/strong> Because staying in one position too long can cause <strong>pressure ulcers<\/strong>, also called <strong>decubitus<\/strong> ulcers. These are serious wounds that develop when there&#8217;s too much pressure on your skin.<\/p>\n\n\n\n<p><strong>Mrs. Chen:<\/strong> How do we prevent them?<\/p>\n\n\n\n<p><strong>Sarah:<\/strong> We turn you every two hours, use an <strong>alternating pressure mattress<\/strong>, and place <strong>flotation pads<\/strong> under your heels and elbows. I&#8217;m also going to put <strong>trochanter rolls<\/strong> along your sides to keep you in proper position.<\/p>\n\n\n\n<p><strong>Mrs. Chen:<\/strong> What are trochanter rolls?<\/p>\n\n\n\n<p><strong>Sarah:<\/strong> They&#8217;re rolled towels or special pads that prevent your hips from rotating outward. We also have <strong>heel and elbow protectors<\/strong> to cushion those bony areas.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Dialogue 3: Post-Surgery Care<\/h2>\n\n\n\n<p><strong>David (CNA):<\/strong> Good afternoon, Ms. Rodriguez. How are you feeling after your hip surgery?<\/p>\n\n\n\n<p><strong>Ms. Rodriguez:<\/strong> Sore, and I can&#8217;t move around much.<\/p>\n\n\n\n<p><strong>David:<\/strong> That&#8217;s expected. You had an <strong>ORIF<\/strong> &#8211; that&#8217;s <strong>Open Reduction Internal Fixation<\/strong> &#8211; to repair your fractured hip. The doctor put metal plates and screws inside to hold the bone together.<\/p>\n\n\n\n<p><strong>Ms. Rodriguez:<\/strong> When can I walk again?<\/p>\n\n\n\n<p><strong>David:<\/strong> The physical therapist will work with you on <strong>ambulation<\/strong> &#8211; that&#8217;s walking. Right now, we need to prevent complications like <strong>pneumonia<\/strong> and <strong>thrombophlebitis<\/strong>.<\/p>\n\n\n\n<p><strong>Ms. Rodriguez:<\/strong> What&#8217;s thrombophlebitis?<\/p>\n\n\n\n<p><strong>David:<\/strong> It&#8217;s when blood clots form in your veins, usually in your legs, and cause inflammation. That&#8217;s why we need you to do <strong>TCDB<\/strong> &#8211; <strong>turn, cough, and deep breathe<\/strong> &#8211; every two hours to keep your blood moving and your lungs clear.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Dialogue 4: Rehabilitation Planning<\/h2>\n\n\n\n<p><strong>Jennifer (CNA):<\/strong> Mr. Park, the <strong>IDT<\/strong> met yesterday to discuss your care plan.<\/p>\n\n\n\n<p><strong>Mr. Park:<\/strong> What&#8217;s IDT?<\/p>\n\n\n\n<p><strong>Jennifer:<\/strong> The <strong>Interdisciplinary Team<\/strong> &#8211; that&#8217;s your doctor, nurse, physical therapist, occupational therapist, and social worker. We all work together on your <strong>restorative care<\/strong>.<\/p>\n\n\n\n<p><strong>Mr. Park:<\/strong> What did you decide?<\/p>\n\n\n\n<p><strong>Jennifer:<\/strong> We want to focus on your <strong>self-care activities<\/strong> and reducing your <strong>risk factors<\/strong> for falls. Since you have <strong>paraplegia<\/strong>, we&#8217;ll work on upper body strength and transferring skills.<\/p>\n\n\n\n<p><strong>Mr. Park:<\/strong> Will I need any special equipment?<\/p>\n\n\n\n<p><strong>Jennifer:<\/strong> Yes, we&#8217;ll provide <strong>adaptive<\/strong> equipment to help with daily tasks. The goal is to help you reach your optimal level of functioning and prevent further <strong>decline<\/strong>.<\/p>\n\n\n\n<p><strong>Mr. Park:<\/strong> I appreciate all the help.<\/p>\n\n\n\n<p><strong>Jennifer:<\/strong> That&#8217;s what we&#8217;re here for &#8211; to support your journey toward <strong>independence<\/strong>.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Dialogue 5: Equipment and Positioning<\/h2>\n\n\n\n<p><strong>Robert (CNA):<\/strong> Mrs. Thompson, I&#8217;m going to set up some equipment to make you more comfortable.<\/p>\n\n\n\n<p><strong>Mrs. Thompson:<\/strong> What kind of equipment?<\/p>\n\n\n\n<p><strong>Robert:<\/strong> First, I&#8217;ll place this <strong>bed cradle<\/strong> over your feet. It lifts the blankets so there&#8217;s no pressure on your toes. I&#8217;m also putting this <strong>footboard<\/strong> at the end of your bed to prevent foot drop.<\/p>\n\n\n\n<p><strong>Mrs. Thompson:<\/strong> What&#8217;s foot drop?<\/p>\n\n\n\n<p><strong>Robert:<\/strong> It&#8217;s when your foot muscles become weak and your foot hangs down. The footboard helps maintain proper <strong>joint<\/strong> position. I&#8217;m also placing this <strong>fleece pad<\/strong> under your back for comfort.<\/p>\n\n\n\n<p><strong>Mrs. Thompson:<\/strong> This mattress feels different.<\/p>\n\n\n\n<p><strong>Robert:<\/strong> Yes, you&#8217;re on an <strong>egg-crate mattress<\/strong>. The foam has bumps like an egg carton that distribute pressure better. Some patients use an <strong>airbed<\/strong> or <strong>water bed<\/strong> for even better pressure relief.<\/p>\n\n\n\n<p><strong>Mrs. Thompson:<\/strong> Will this prevent sores?<\/p>\n\n\n\n<p><strong>Robert:<\/strong> It helps, along with regular turning and proper positioning. We also watch for <strong>eversion<\/strong> and <strong>inversion<\/strong> of your feet &#8211; that means turning outward or inward &#8211; to prevent problems.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Key Learning Points<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Medical terminology<\/strong> is essential for CNAs to communicate effectively with patients and healthcare teams<\/li>\n\n\n\n<li><strong>Patient positioning<\/strong> and <strong>pressure relief<\/strong> are critical skills for preventing complications<\/li>\n\n\n\n<li><strong>Range of motion exercises<\/strong> help maintain joint function and prevent muscle wasting<\/li>\n\n\n\n<li><strong>Interdisciplinary teamwork<\/strong> is fundamental to providing quality rehabilitative care<\/li>\n\n\n\n<li><strong>Patient education<\/strong> helps individuals understand their care and participate in their recovery<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Module 14: Rehabilitative Nursing Statement of Purpose: The purpose of this unit is to introduce the Nurse Assistant<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-50","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/vesl.us\/aesl740\/wp-json\/wp\/v2\/pages\/50","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vesl.us\/aesl740\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/vesl.us\/aesl740\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/vesl.us\/aesl740\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vesl.us\/aesl740\/wp-json\/wp\/v2\/comments?post=50"}],"version-history":[{"count":6,"href":"https:\/\/vesl.us\/aesl740\/wp-json\/wp\/v2\/pages\/50\/revisions"}],"predecessor-version":[{"id":236,"href":"https:\/\/vesl.us\/aesl740\/wp-json\/wp\/v2\/pages\/50\/revisions\/236"}],"wp:attachment":[{"href":"https:\/\/vesl.us\/aesl740\/wp-json\/wp\/v2\/media?parent=50"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}