Restorative Care

Assessment Techniques

Assessment observations for restorative care that must be reported to the nurse:

• Weight changes: report gain/loss of 2+ lbs in a day or 5+ lbs in a week
• Report to nurse: elevated temperature, blood pressure outside baseline, new pain, skin breakdown
• Fall risk factors: history of falls, medications (sedatives, diuretics), mobility impairment, cognitive decline
• Behavioral changes: new confusion, agitation, refusing meals, sleep pattern changes
• Skin observations: color changes, redness over bony prominences, bruising, open areas, edema

Step-by-Step Procedure

Step-by-step procedure for positioning (applicable to restorative care):

1. Reposition every 2 hours minimum
2. Use pillows for support and pressure relief
3. Supine, lateral, prone, Fowler, Sims positions
4. Maintain body alignment

Safety note: Check bony prominences for redness. Use draw sheet for moving in bed. Never drag skin against sheets.

Patient Communication

When communicating with residents about restorative care:

• Report behavioral changes to the nurse: withdrawal, aggression, crying, confusion
• Avoid false reassurance (do not say everything will be fine), acknowledge feelings instead
• For cognitively impaired: use simple sentences, one instruction at a time, consistent routine
• Cultural sensitivity: respect food preferences, spiritual practices, family dynamics
• Use open-ended questions to encourage residents to share feelings
• For hearing-impaired: face the resident, speak clearly (not louder), reduce background noise

Equipment & Tools

Nursing approach maintaining/improving function through consistent reinforcement of rehabilitation goals. Tested on CNA exam.

Resident care connections: Right to be treated with dignity and respect at all times. Right to voice grievances without fear of retaliation or discharge.