Rehabilitation Nursing/School of Nursing (Nurse)

Rehabilitation Nursing' is part of routine nursing care of the P/C (Patient/Client). This term encompasses a method of care where we use the P/K's learned movement patterns, thereby maintaining range of motion, restoring function and reinforcing their use. The aim is therefore to prevent secondary changes and complications arising from immobility - Immobilization Syndrome.

Testing in rehabilitation nursing
A basic indicator of status is physiological function.

Gordon test
The Gordon test assesses:
 * general mobility,
 * ability to eat,
 * the ability to wash oneself,
 * the ability to bathe,
 * the ability to dress,
 * the ability to go to the toilet,
 * the ability to move around in bed,
 * the ability to maintain a household,
 * the ability to shop,
 * the ability to cook.
 * Activities are scored 1-5
 * 5 points': Independent, self-sufficient patient.
 * 4 points': Needs minimal assistance, uses equipment alone, manages 75% of activities of daily living.
 * 3 points': Needs minor assistance, supervision, advice. Manages 50% of activities of daily living alone.
 * 2 points': Needs a great deal of help (from another person or from a machine), can manage less than 25% of daily activities alone.
 * 1 point: Completely dependent on the help of others, needs complete supervision. Absolute self-care deficit, no active participation. Needs complete assistance or is incapable of helping.

Barthel test
'Assessment of the degree of dependence in basic everyday activities. '
 * 0-40 points = high degree of dependence
 * 41-60 points = medium degree of dependence
 * 61-95 points = light dependence
 * 96-100 points = independent


 * Modification of the test

Functional self-sufficiency test = ADL
This test assesses motor skills and psychological function.
 * Scoring according to the following parameters:
 * 7 b = repeated full self-sufficiency,
 * 6 p = partial self-sufficiency with aid,
 * 5p = supervision required,
 * 4 b = minimal assistance (75% of activity),
 * 3 b = Moderate assistance (50% of activity),
 * 2 b = Significant assistance (only 25% of activity),
 * 1 b = full assistance.

Instrumental Activities of Daily Living Test
Assessment:
 * < 40 b dependent P/K;
 * 45-75 points partially dependent P/K;
 * > 80 points independent P/K.

Katz Activity Test

 * Part 1


 * Part 2

Activity test
With a maximum score of 92.

Neurobehavioral Manifestations
Assessment of behavioral changes due to CNS damage.

MMSE
< 10 points severe cognitive impairment;
 * Evaluation:
 * 11-20 points moderate cognitive impairment;
 * 21-23 points mild cognitive impairment;
 * more than 24 points norm.

Clock Drawing Test
P/K is presented with a solid circle representing a clock. P/K is asked to write/draw numbers and hour hands. The method of completion is assessed.

Blesed Dementia Scale
This test assesses the P/K's ability to perform normal activities (ADL/IADL), memory and orientation.

Scaling in pediatrics
In pediatrics, a child's motor development is assessed based on postural maturity. Postural functions are assessed 'according to Vojta'' and are classified into 9 locomotor stages.
 * STAGE 0 - LACK OF LOCOMOTION - NEWBORN LEVEL.
 * Forward movement is not performed by upper or lower limbs, motor contact with the environment is completely absent - absence of grasping reflex, no support function is formed.
 * STAGE 1 - LACK OF LOCOMOTION - LEVEL 3-4. MONTHS OF DEVELOPMENT.
 * Does not move forward but is able to turn, functional grasping reflex, leans on elbows if on stomach, lifts lower limbs in supine position. Lacks neonatal reflexes.
 * STAGE 2 - UNDEVELOPED LOCOMOTION - END LEVEL 4. AND BEGINNING 5. MONTHS OF LIFE.
 * In the prone position, uses the upper limbs for support, grasps objects with the support of the other limb, muscular direrentiation appears, in the supine position there is an effort to grasp the object. He is unable to move forward, but attempts to approach are evident.
 * STAGE 3 - PRIMITIVE LOCOMOTION, CRAWLING - LEVEL 7-8. MONTHS OF LIFE.
 * Movement around the room by crawling, rolling from stomach to back.
 * STAGE 4 - BOUNCING, LEVEL 9. MONTHS.
 * This stage does not occur in a healthy baby! Child leans on fist or wrist, support in upper limbs is abnormal. The so-called bouncing is a homologous movement, it does not proceed as normal crawling in a healthy child. They are able to kneel upright and can move into an oblique sitting position.
 * STAGE 5 - DEVELOPED CLIMBING - 11TH MONTH LEVEL.
 * Open arms are used as support for climbing, and a crossed (normal) pattern emerges.
 * STAGE 6 - QUADRUPEDAL LOCOMOTION IN THE FRONTAL PLANE - LEVEL 12-13. MONTHS.
 * Child can pull himself up to standing and hold it, thanks to holding he can move sideways.
 * STAGE 7 - INDEPENDENT WALKING - LEVEL 14TH MONTH - 3 YEARS.
 * STAGE 8 - STANDING ON ONE LEG FOR 3SECONDS - 3 YEARS LEVEL.
 * STAGE 9 - STANDING ON ONE LEG FOR MORE THAN 3 SECONDS - LEVEL 4 YEARS.

Retardation Quotient
Divide the motor age of development by the calendar age. This gives a figure against which progress in rehabilitation can be assessed.

Related articles

 * FIM
 * Positioning
 * Patient Mobilization/School (Nurse)/Mobilization
 * Basal Stimulation
 * Rehabilitation
 * Rehabilitation Plan
 * Exercise unit composition

References used

 * lecture by MUDr. Volejník, Václav, CSc., Director of Hamzov's Specialist Hospital for Children and Adults Luže - Košumberk
 * lecture by MUDr. Volejník, Václav, CSc., Director of Hamzov's Specialist Hospital for Children and Adults Luže - Košumberk
 * lecture by MUDr. Volejník, Václav, CSc., Director of Hamzov's Specialist Hospital for Children and Adults Luže - Košumberk
 * lecture by MUDr. Volejník, Václav, CSc., Director of Hamzov's Specialist Hospital for Children and Adults Luže - Košumberk