Rehabilitation Nursing/High School (Nurse)

HS nurse Rehabilitation nursing is part of normal nursing care for P/C (Patient/Client). This term includes a method of care where we use learned P/K movement patterns, thereby maintaining range of motion, restoring function and strengthening their use. The goal is therefore to prevent secondary changes and complications resulting from immobility - Immobilization Syndrome.

Testing in Rehabilitation Nursing
The basic indicator of the state is physiological functions.

Gordon test
The Gordons evaluate the test:
 * total mobility,
 * ability to eat,
 * ability to wash,
 * ability to bathe,
 * ability to dress,
 * ability to go to the toilet,
 * ability to move in bed,
 * ability to maintain a household,
 * ability to buy,
 * ability to cook.
 * Activities are evaluated by points 1-5
 * 5 points: Independent, self-sufficient sick.
 * 4 points: Needs minimal assistance, uses equipment alone, manages 75% of daily activities alone.
 * 3 points: Needs less help, supervision, advice. He manages 50% of the daily activities himself.
 * 2 points: Needs a lot of help (from another person or device), can handle less than 25% of daily activities by himself.
 * 1 point: Completely dependent on the help of others, needs complete supervision. Absolute self-care deficit, no active participation. Needs full assistance or is unable to assist.

Barthel test

 * 0-40 points = high degree of dependence
 * 41-60 points = moderate degree of dependence
 * 61-95 points = mild degree of addiction
 * 96-100 points = independent


 * Test modification

Test of functional independence = ADL
In this test, we evaluate motor skills and mental functions.
 * Scoring according to the following parameters:
 * 7 b = repeated full self-sufficiency,
 * 6 b = partial self-sufficiency with an aid,
 * 5b = necessary supervision,
 * 4 b = minimum aid (75% of activity),
 * 3 b = Medium help (50% of activity),
 * 2 b = significant help (only 25% of activity),
 * 1 b = full help.

Test of instrumental daily activities
Rating:
 * < 40 b dependent P/C;
 * 45-75 points partly dependent on P/C;
 * > 80 points independent P/C.

Katz Activity Test

 * 1. part
 * 2. part

Activities Test
With a maximum score of 92.

Neuro-behavioral manifestations
Assessment of behavioral changes due to CNS damage.

MMSE

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

Clock Drawing Test
P/K is presented with a clear circle representing the hours. P/K is invited to complete/finish the numbers and hour hands. The finishing method is evaluated.

Blesed Dementia Scale
In this test, we assess P/K's ability to perform normal activities (ADL/IADL), memory and orientation.

Scaling in Pediatrics
In pediatrics, a child's motor development is evaluated based on the maturity of postural functions. Postural functions are evaluated "according to Vojta" and are classified into 9 locomotion stages.
 * STAGE 0 - LACK OF LOCOMOTION - NEWBORN LEVEL.
 * He does not move forward using the upper or lower limbs, there is a complete lack of motor contact with the environment - absence of a grasping reflex, no support function is created.
 * STAGE 1 - LACK OF LOCOMOTION - LEVEL 3-4 MONTHS OF DEVELOPMENT.
 * He does not move forward, but he is able to turn around, functional grip reflex, leans on his elbows if he is on his stomach, lifts his lower limbs when he is on his back. Newborn reflexes are absent.
 * STAGE 2 - UNDEVELOPED LOCOMOTION - LEVEL END OF 4TH AND BEGINNING OF 5TH MONTHS OF LIFE.
 * In the prone position, uses the upper limbs for support, grasps objects by the supports of the other limb, muscle dierence appears, in the supine position there is an effort to grasp the object. It cannot move forward, but attempts to approach are evident.
 * STAGE 3 - PRIMITIVE LOCOMOCY, CRAWLING - LEVEL 7-8 MONTHS OF LIFE.
 * Moving around the room by crawling, rolling from stomach to back.
 * STAGE 4 – HOPING, EQUAL TO 9TH MONTH.
 * This phase does not occur in a healthy child! The child leans on the fist or wrist, the support in the upper limbs is abnormal. The so-called hopping is a homologous movement, it does not take place like normal climbing in a healthy child. They are able to kneel upright and can move to an inclined sitting position.
 * STAGE 5 - ADVANCED CLIMBING - LEVEL 11 MONTHS.
 * Support when climbing is open hands, a crossed (normal) pattern appears when climbing.
 * STAGE 6 – QUADRUPEDAL LOCOMOTION IN THE FRONTAL PLANE – LEVEL 12-13 MONTHS.
 * The child can pull himself up to a standing position and hold it, thanks to the holding he can move sideways.
 * STAGE 7 - INDEPENDENT WALKING - LEVEL 14 MONTHS - 3 YEARS.
 * STAGE 8 – STAND ON ONE LEG FOR 3 SECONDS – LEVEL 3 YEARS.
 * STAGE 9 - STAND ON ONE LEG FOR MORE THAN 3 SECONDS - LEVEL 4 YEARS.

Retardation Quotient
We divide the motor development age by the calendar age. We will get data according to which progress in rehabilitation can be evaluated.

Related Articles

 * FIM
 * Positioning
 * Mobilization
 * Basal stimulation
 * Rehabilitation
 * Rehabilitation Plan
 * Practice Unit Song