목차
1. 용어 및 약어
1) 용어 및 약어 ·························································································· 3
2. 주요 학습내용
1) 재활의학과 병동에서 주로 시행하는 특수 검사 전 · 후 간호 ························· 5
2) 재활환자 체위 유지 ················································································· 8
3) 재활환자 치료적 운동, 일상생활 동작 훈련 ················································ 9
4) 휠체어 및 목발 등의 보조기구 사용법 ····················································· 11
5) 재활 간호(일상생활 보조) ······································································· 16
6) 재활환자 욕창간호 ················································································· 16
3. 주요 질환
1) 외상성뇌질환 ························································································ 18
2) 염증성 장애 ···························································································· 20
3) 연부조직 질환 ······················································································· 22
4) 퇴행성 질환 ·························································································· 23
5) 마비성 질환 ·························································································· 26
6) 각종 관절염 ·························································································· 28
4. 참고문헌
1) 참고문헌 ······························································································· 30
본문내용
2. 주요 학습내용
1) 재활의학과 병동에서 주로 시행하는 특수 검사 전 · 후 간호
1-1) EMG(근전도 검사, electromyography) : 신경과 근육 등에 발생하는 전기적인 신호를 분석하여 말초신경, 신경근접합부 및 근육에 이상이 있는지를 알기 위해서 시행하는 특수 검사 방법
– 신경 및 근육의 손상에 대해 정확히 진단하고 손상 병변에 대한 정확한 위치를 결정하여 치료 및 예후에 대한 정보를 제공
√ 방법
1) 검사를 시작하기전 환자의 증상 및 병력을 확인
2) 침대에 누워서 신경전도 검사부터 먼저 시행
– 전기로 자극 주는 검사
3) 신경전도 검사가 끝난 후 근육을 바늘로 찌르는 침 근전도 검사를 통해 시행
– 검사 중 통증 유발 가능
4) 처방에 따라 침 근전도 검사를 시행하지 않을 수 있음
√ 검사 전 간호
1) 검사 전, 평소와 같은 식사, 약을 평소와 같이 복용
2) 검사 당일, 혈액 응고에 영향을 주는 약 복용, 인공심장박동기 삽입 환자의 경우 검사 전 고지
3) 검사 당일, 손과 발을 따뜻하게 유지 후 내원 (장갑 및 양말 착용)
4) 검사 당일, 간편한 복장을 착용 (목폴라, 스타킹 금지)
5) 검사 당일, 안면 검사 환자는 화장금지
√ 검사 후 간호
1) 바늘을 근육내 삽입하는 검사이기 때문에 찔린 부위에 통증 지속 가능
2) 검사 당일, 사우나 및 수영장은 금기 (감염 위험)
1-2) 보행분석검사 : – 환자의 보행 시 관절별 각도, 힘, 보행관련 근육의 움직임 정도를 측정하여 평소 보행의 문제점이 무엇인지 평가하는 검사
√ 목적 : 발의 통증, 변형, 걸음걸이 이상에서 나타나는 발에 부하되는 압력을 검사 및 분석하여 이를 통해 적절한 치료 방법 및 효과를 판정
– 평발을 비롯한 선천적 족부 변형
– 관절염, 당뇨병, 말초 혈관 질환으로 인한 발의 변형이 있는 경우
– 각종 스포츠로 인해 과도하게 사용하거나, 잘못된 신발의 착용 등에 의한 발의 변형이 있는 경우
– 정형외과적 수술을 전, 후 평가하는 경우
– 척추손상, 뇌졸중, 뇌성마비 등 중추신경계 질환 또는 하지 골격계 이상으로 · 보행 시 통증이 있거나 걸음걸이에 이상이 있는 경우
– 근 경직에 의한 보행 기능의 이상이 있는 경우
– 보조기 또는 의수족의 기능을 평가하는 경우
출처 : 해피캠퍼스
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