Nurses Can Give And Teach Rehabilitation
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Nurses new to rehabilitation nursing; nurses in orientation for a new job in rehabilitation nursing in any setting; any new nurses who care for patients with: brain injury, spinal cord injury, neurological disorders, and/or orthopedic problems; restorative nurses in long-term care; nurses without prior rehabilitation training who are working in: acute rehabilitation hospital units, post-acute rehabilitation settings such as SNFs, nursing homes, home health, case management, care coordination, and restorative nursing.
In this chapter, rehabilitation nurses will master the core competencies of this specialty practice. This chapter briefly reviews the Rehabilitation Nursing Competency Model, with an emphasis on the beginner level competencies.
Setting patient-centered goals that are mutually established with the interprofessional team is an essential rehabilitation nursing skill. This chapter will teach participants the components of a team goal and how to write appropriate interprofessional goals.
Health care professionals who understand the theory that underlies how people learn are better able to develop and deliver education to patients/residents and caregivers. Foundational teaching-learning theory and models of learning will be discussed. This chapter covers different learning styles and adult learning principles.
Health care professionals need to facilitate learning to improve health and prevent complications from disabling conditions. This chapter reviews evidence-based teaching strategies (e.g., motivational interviewing, the teach-back method) to promote effective learning. The result of effective learning and the impact on patient/resident and caregiver health will be discussed.
Rehabilitation nurses need to understand how quality is measured and reported. This chapter briefly reviews federal quality measurement efforts and reporting requirements for post-acute care settings (inpatient rehabilitation facilities, skilled nursing facilities, and home health agencies).
Rehabilitation nurses need to understand how the quality of rehabilitation care is measured and reimbursed to optimize the effectiveness of their care delivery. This chapter covers a variety of reimbursement and insurance models, utilization management and review, and the regulatory oversight related to payment.
This last chapter of the ethics course encourages participants to analyze their own ethical decision-making process using several case scenarios. This interactive portion of the course will present several real-life dilemmas encountered by nurses across various rehabilitation settings.
The following are teaching and learning activities that can be employed in the classroom to further support nurses in the integration of theory, principles and best practices related to recovery oriented approaches.
There are several steps involved in becoming a rehabilitation nurse. Since rehab nurses are technically registered nurses (RN), they must follow the same education route as an RN. These are the steps involved in becoming a rehab nurse:
Demand for rehabilitation nurses is expected to rise by 6% between 2021 and 2031. As the average life expectancy increases so to does the need for rehab nurses. Access to transformative medical care and treatments for illnesses and injuries will also drive the demand for this sector of the nursing profession.
Inpatient rehabilitation nurses can branch out into many different areas based on their career interests. At Encompass Health, our nurses can specialize with the CRRN certification, advance into supervision or move into positions such as wound care coordinator, charge nurse, infection preventionist, hospital educator, patient assessment standards coordinator, quality/risk coordinator, case manager or rehab liaison. Our nurses can also grow through cross-training, involvement in team initiatives and by becoming a preceptor for our newly hired nurses.
Nurses play a vital role in helping patients undergoing drug rehabilitation. They monitor their progress, help them adjust to life without drugs and teach them how to maintain their sobriety after leaving rehab. Substance abuse nurses need either an associate or bachelor's degree in nursing and must be licensed as registered nurses.
RegisteredNursing.org reports that substance abuse nurses care for patients on both an inpatient and outpatient basis, working at drug treatment centers, psychiatric facilities, methadone clinics and hospitals. Many also work at primary care physicians' offices. Though many work at facilities in metropolitan and urban areas, they're also in demand in rural areas, some of which offer limited options for drug treatment and rehabilitation. The nursing roles in the care of patients with substance use disorders involve patients of all ages, from teenagers undergoing rehab at residential treatment centers for juveniles to adults seeking outpatient services through their primary care physicians.
The role of nurses in prevention of drug abuse is a vital one. Substance abuse nurses often play a teaching role in addition to providing physical care. They teach patients about the dangers of drug abuse, including the physical and psychological effects; the damage to relationships and family life; and the impact on meeting basic needs such as holding down a job. They also educate patients regarding treatment options, including those they can use on either an inpatient or outpatient basis, and those they can use to stay drug-free long-term. Nurses might also educate a patient's family members about what to expect from the rehab process and how they can support their loved one's attempt to conquer drug addiction.
Acute inpatient rehabilitation (rehab) is an intensive form of medical rehabilitation in which patients receive three or more hours per day of core therapies (physical therapy, occupational therapy and speech therapy) overseen by a physician specialized in rehabilitation with around the clock nursing care. This team of physicians, nurses and therapists work together to restore function after traumatic brain injury. Research has shown that participating in inpatient rehabilitation after injury increases the likelihood of discharge to home and decreases risk of mortality among trauma patients, most of whom sustained TBI. 2b1af7f3a8