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Subject: Knee Brace Application |
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1. Topic-
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| Patient "X" needs to safely wear "Y" knee brace |
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2. Content-
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Knee brace
Knee
Straps
Skin inspection
Redness
Pain
Knee Cap
Hinge
Positive/Negative Wear effects |
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3. Goals: Aims/Outcomes-
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1. Caregiver will explain purpose for knee brace, including positive/negative
wear effects
2. Caregiver will apply brace
3. Caregiver will establish time of day for wear, based on wear time
recommendations |
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4. Objectives-
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1. The caregiver will be able to explain the purpose of the brace
for this patient, including describing positive and negative wear
effects of the brace, with 100% accuracy 1 week after completion of
in-service.
2. The caregiver will apply the brace, using marked cues on the brace
for fit accuracy, correctly 100% of the time.
3. The caregiver will participate in deciding the time of day for
the wear hours, according to daily schedule, that will meet the patients
wear time need as well as improve productivity and work flow for the
caregiver 7 days per week. |
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5. Materials and Aids-
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Written instructions (step by step)
Brace
Hourly wear schedule grid |
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6. Procedures/Methods-
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A. Introduction-
1. Lecture focusing on need for brace, positive outcomes, adverse
outcomes
2. Demonstration of brace application
3. Demonstration of brace removal and skin inspection |
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B. Development-
1. Review of need, positive outcomes, adverse outcomes with leading
questions for CNA to answer
2. "Hand over hand" application of brace, using step by step written
instructions
3. "Hand over hand" removal with discussion led by CNA of skin inspection
using step by step written instructions
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C. Practice-
1. CNA to explain need for brace and state positive outcomes, adverse
outcomes.
2. CNA to apply brace with supervision
3. CNA to remove brace with supervision and perform skin inspection
4. CNA to assist in developing wear schedule based on recommended
wear times |
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D. Independent Practice-
1. CNA to explain need for brace and state positive outcomes and
adverse outcomes to another CNA caring for this patient.
2. CNA to independently apply brace with therapist randomly checking
during wear time for appropriate application.
3. CNA to independently remove brace at time planned per schedule,
performing skin inspection appropriately with therapist randomly checking
wear times and skin for compliance. |
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E. Accommodations (Differentiated Instruction)-
1. Written materials will use numbered steps for application that
match numbers on brace straps
2. Written materials will be modified using verbiage as stated by
CNA for understanding |
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F. Checking for understanding-
| 1. Random inspection of patient during brace wear time to be performed
by therapist. |
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G. Closure-
| 1. Transition care to CNA/RNP program for tracking and monitoring.
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7. Evaluation-
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1. No adverse skin/joint reactions in 6 months related to bracing.
2. ROM will be maintained or improve in 6 month period as result of
consistent brace wear times. |
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