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Format | CRRN Course Contents | CRRN Course Outline | CRRN test
Syllabus | CRRN test
Objectives
1. Rehabilitation nursing models and theories (6%)
2. Functional health patterns (theories, physiology, assessment, standards of care, and interventions in individuals with injury, chronic illness, and disability across the lifespan) (58%)
3. The function of the rehabilitation team and community reintegration (13%)
4. Legislative, economic, ethical, and legal issues (23%).
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Domain I: Rehabilitation Nursing Models and Theories (6%)
Task 1: Incorporate evidence-based practice, models, and theories into patient-centered care.
Knowledge of:
a. Evidence-based practice
b. Nursing theories and models significant to rehabilitation (e.g., King, Rogers, Neuman, Orem)
c. Nursing process (i.e., assessment, diagnosis, outcomes identification, planning, implementation, evaluation)
d. Rehabilitation standards and scope of practice
e. Related theories and models (e.g., developmental, behavioral, cognitive, moral, personality, caregiver development and function)
f. Patient-centered care Skill in:
a. Applying nursing models and theories
b. Applying rehabilitation scope of practice
c. Applying the nursing process
d. Incorporating evidence-based practice
Domain II: Functional Health Patterns (theories, physiology, assessment, standards of care, and interventions in individuals with injury, chronic illness, and disability across the lifespan) (58%)
Task 1: Apply the nursing process to optimize the restoration and preservation of the individual's health and wellbeing.
Knowledge of:
a. Physiology and management of health, injury, acute and chronic illness, and adaptability
b. Pharmacology
c. Rehabilitation standards and scope of practice
d. Technology (e.g., smart devices, internet sources, personal response devices, and telehealth)
e. Alterations in sexual function and reproduction
Skill in:
a. Assessing health status and health practices
b. Teaching interventions to manage health and wellness
c. Using rehabilitation standards and scope of practice
d. Using technology
e. Assessing goals related to sexuality and reproduction
f. Teaching interventions and technology related to sexuality and reproduction (e.g., body positioning,
mirrors, adaptive equipment, medication)
Task 2: Apply the nursing process to promote optimal nutrition.
Knowledge of:
a. Adaptive equipment and feeding techniques (e.g., modified utensils, scoop plates, positioning)
b. Anatomy and physiology related to nutritional and metabolic patterns (e.g., endocrine, obesity,
swallowing)
c. Diagnostic testing
d. Diet types (e.g., cardiac, diabetic, renal, dysphagia)
e. Fluid and electrolyte balance
f. Nutritional requirements
g. Skin integrity (e.g., Braden scale, pressure ulcer staging)
h. Pharmacology (e.g., anticholinergics, opioids, antidepressants)
i. Safety concerns and interventions (e.g., swallowing, positioning, food textures, fluid consistency)
Skill in:
a. Assessing nutritional and metabolic patterns (e.g., nutritional intake, fluid volume deficits, skin
integrity, metabolic functions, feeding and swallowing)
b. Implementing and evaluating interventions for nutrition
c. Implementing and evaluating interventions for skin integrity (e.g., skin assessment, pressure relief,
moisture reduction, nutrition and hydration)
d. Teaching interventions for swallowing deficits
e. Using adaptive equipment
Task 3: Apply the nursing process to optimize the individual's elimination patterns.
Knowledge of:
a. Anatomy and physiology of altered bowel and bladder function
b. Bladder and bowel adaptive equipment and technology (e.g., bladder scan, types of catheters,
suppository inserter)
c. Bladder and bowel training (e.g., scheduled self -catheterization, timed voiding, elimination
programs)
d. Pharmacologic and non-pharmacological interventions
Skill in:
a. Assessing elimination patterns (e.g., elimination diary, patients history)
b. Implementing and evaluating interventions for bladder and bowel management (e.g., nutrition,
exercise, pharmacological, adaptive equipment)
c. Teaching interventions to prevent complications (e.g., constipation, urinary tract infections,
autonomic dysreflexia)
d. Providing patient and caregiver education related to bowel and bladder management
e. Using adaptive equipment and technology
Task 4: Apply the nursing process to optimize the individuals highest level of functional ability.
Knowledge of:
a. Anatomy, physiology, and interventions related to musculoskeletal, respiratory, cardiovascular, and
neurological function
b. Assistive devices and technology (e.g., mobility aids, orthostatic devices, orthotic devices)
c. Clinical signs of sensorimotor deficits
d. Activity tolerance and energy conservation
e. Pharmacology (e.g., antispasmodics, vasopressors, analgesics)
f. Safety concerns (e.g., falls, burns, skin integrity, infection prevention)
g. Self-care activities (e.g., activities of daily living, instrumental activities of daily living)
Skill in:
a. Assessing and implementing interventions to prevent musculoskeletal, respiratory, cardiovascular,
and neurological complications (e.g., motor and sensory impairments, contractures, heterotrophic
ossification, aspiration, pain)
b. Assessing, implementing, and evaluating interventions for self-care ability and mobility
c. Implementing safety interventions (e.g., sitters, reorientation, environment, redirection, nonbehavioral restraints)
d. Using technology (e.g., mobility aids, pressure relief devices, informatics, assistive software)
e. Teaching interventions to prevent complications of immobility (e.g., skin integrity, DVT prevention)
Task 5: Apply the nursing process to optimize the individual's sleep and rest patterns.
Knowledge in:
a. Factors affecting sleep and rest (e.g., diet, sleep habits, alcohol, pain, environment)
b. Pharmacology
c. Physiology of sleep and rest cycles
d. Technology
Skill in:
a. Assessing sleep and rest patterns
b. Evaluating effectiveness of sleep and rest interventions
c. Teaching interventions and strategies to promote sleep and rest (e.g., energy conversation,
environmental modifications)
d. Using technology (e.g., sleep study, CPAP, BiPAP, relaxation technology)
Task 6: Apply the nursing process to optimize the individual's neurological function.
Knowledge of:
a. Measurement tools (e.g., Rancho Los Amigos, Glasgow, Mini Mental State Examination, ASIA, pain
analog scales)
b. Neuroanatomy and physiology (e.g., cognition, judgment, sensation, perception)
c. Pain (e.g., receptors, acute, chronic, theories)
d. Pharmacology
e. Safety concerns (e.g., seizure precautions, fall precautions, impaired judgment)
f. Technology
Skill in:
a. Assessing cognition, perception, sensation, apraxia, perseveration, and pain
b. Implementing and evaluating strategies for safety (e.g., personal response devices, alarms, helmets,
padding)
c. Teaching strategies for neurological deficits
d. Teaching strategies for pain and comfort management (e.g., pharmacological, non-pharmacological)
e. Using technology (e.g., TENS unit, baclofen pump)
f. Implementing behavioral management strategies (e.g., contracts, positive reinforcement, rule
setting)
Task 7: Apply the nursing process to promote the individuals optimal psychosocial patterns and holistic wellbeing.
Knowledge of:
a. Individual roles and relationships (e.g., cultural, environmental, societal, familial, gender, age)
b. Role alterations
c. Psychosocial disorders (e.g., substance abuse, anxiety, depression, bipolar, PTSD, psychosis)
d. Theories (e.g., self-concept, role, relationship, interaction, developmental, human behaviors)
e. Traditional and alternative modalities (e.g., medications, healing touch, botanicals)
f. Cultural competence
Skill in:
a. Assessing and promoting self-efficacy, self-care, and self-concept
b. Accessing supportive team resources and services (e.g., psychologist, clergy, peer support,
community support)
c. Promoting strategies to cope with role and relationship changes (e.g., individual and caregiver
counseling, peer support, education)
d. Including the individual and caregiver in the plan of care
e. Incorporating cultural and spiritual values
f. Promoting positive interaction among individual and caregivers
g. Evaluating the effects of values, belief systems, and spirituality of the individual
Task 8: Apply the nursing process to optimize coping and stress management skills of the individual and
caregivers.
Knowledge of:
a. Community resources (e.g., face-to-face support groups, internet, respite care, clergy)
b. Coping and stress management strategies for individuals and support systems
c. Cultural competence
d. Physiology of the stress response
e. Safety concerns regarding harm to self and others
f. Technology for self-management
g. Theories (e.g., developmental, coping, stress, grief and loss, self-esteem, self-concept)
h. Types of stress and stressors
i. Stages of grief and loss
Skill in:
a. Assessing potential for harm to self and others
b. Assessing the ability to cope and manage stress
c. Facilitating appropriate referrals
d. Implementing and evaluating strategies to reduce stress and Excellerate coping (e.g., biofeedback,
cognitive behavioral therapy, complementary alternative medicine, pharmacology)
e. Using therapeutic communication
Task 9: Apply the nursing process to optimize the individual's ability to communicate effectively.
Knowledge of:
a. Anatomy and physiology (e.g., cognition, comprehension, sensory deficits)
b. Communication techniques (e.g., active listening, anger management, reflection)
c. Cultural competence
d. Developmental factors
e. Linguistic deficits (e.g., aphasia, dysarthria, language barriers)
f. Assistive technology and adaptive equipment
Skill in:
a. Assessing comprehension and communication (e.g., oral, written, auditory, visual)
b. Implementing and evaluating communication interventions
c. Involving and educating support systems
d. Using assistive technology and adaptive equipment
e. Using communication techniques
Domain III: The Function of the Rehabilitation Team and Community Reintegration (13%)
Task 1: Collaborate with the interdisciplinary/interprofessional team to achieve patient- centered goals.
Knowledge of:
a. Goal setting and expected outcomes (e.g., SMART goals, functional independence measures [FIM],
WeeFIM)
b. Types of healthcare teams (e.g., interdisciplinary/
interprofessional, multidisciplinary, transdisciplinary)
c. Rehabilitation philosophy and definition
d. Roles and responsibilities of team members
e. Theory (e.g., change, leadership, communication, team function, organizational)
Skill in:
a. Advocating for inclusion of appropriate team members
b. Applying appropriate theories (e.g., change, leadership, communication, team function,
organizational)
c. Communicating and collaborating with the interdisciplinary/
interprofessional team
d. Developing and documenting plans of care to attain patient-centered goals
Task 2: Apply the nursing process to promote the individual's community reintegration.
Knowledge of:
a. Technology and adaptive equipment (e.g., electronic hand-held devices, electrical simulation, service
animals, equipment to support activities of daily living)
b. Community resources (e.g., housing, transportation, community support systems, social services,
recreation, CPS, APS)
c. Personal resources (e.g., financial, caregiver support systems, caregivers, spiritual, cultural)
d. Professional resources (e.g., psychologist, neurologist, clergy, teacher, case manager, vocational
rehabilitation counselor, home health, outpatient therapy)
e. Teaching and learning strategies for self-advocacy
Skill in:
a. Accessing community resources
b. Assessing readiness for discharge
c. Assessing barriers to community reintegration
d. Evaluating outcomes and adjusting goals (e.g., interdisciplinary/interprofessional team and patientcentered)
e. Identifying financial barriers and providing appropriate resources
f. Initiating referrals
g. Participating in team and patient caregiver conferences
h. Planning discharge (e.g., home visits, caregiver teaching)
i. Teaching health and wellness maintenance
j. Teaching life skills
k. Using adaptive equipment and technology (e.g., voice activated call systems, computer supported
prosthetics)
Domain IV: Legislative, Economic, Ethical, and Legal Issues (23%)
Task 1: Integrate legislation and regulations to guide management of care.
Knowledge of:
a. Agencies related to regulatory, disability, and rehabilitation (e.g., CARF, The Joint Commission, APS,
CPS, CMS, SSA, OSHA)
b. Specific legislation related to disability and rehabilitation (e.g., Medicare, Medicaid, ADA,
rehabilitation acts, HIPAA, Affordable Care Act, workers compensation, IDEA, Vocational, IMPACT
Act)
Skill in:
a. Accessing, interpreting, and applying legal, regulatory, and accreditation information
b. Using assessment, measurement, and reporting tools (e.g., functional independence measures [FIM],
patient satisfaction, IRF-PAI)
Task 2: Use the nursing process to deliver cost effective patient-centered care.
Knowledge of:
a. Clinical practice guidelines
b. Community and public resources
c. Insurance and reimbursement (e.g., PPS, workers compensation)
d. Regulatory agency audit process
e. Staffing patterns and policies
f. Utilization review processes
Skill in:
a. Analyzing quality and utilization data
b. Collaborating with private, community, and public resources
c. Incorporating clinical practice guidelines
d. Managing current and projected resources in a cost effective manner
Task 3: Integrate ethical considerations and legal obligations that affect nursing practice.
Knowledge of:
a. Ethical theories and resources (e.g., deontology, ombudsperson, ethics committee)
b. Legal implications of healthcare related policies and documents (e.g., HIPAA, advance directives,
powers of attorney, POLST/MOLST, informed consent)
Skill in:
a. Advocating for the individual
b. Documenting services provided
c. Identifying appropriate resources to assist with legal documents
d. Implementing strategies to resolve ethical dilemmas
e. Applying ethics in the delivery of care
Task 4: Integrate quality and safety in patient-centered care.
Knowledge of:
a. Quality measurement and performance improvement processes (e.g., Agency for Healthcare
Research and Quality; Institute of Medicine; National Database of Nursing Quality Indicators)
b. Models and tools used in process improvement (e.g., Plan, Do, Check, Act; Six Sigma; Lean approach)
c. Federal quality measurement efforts
d. Reporting requirements (e.g., infection rates, healthcare acquired pressure injury, sentinel events,
discharge to community, readmission rates)
Skill in:
a. Assessing safety risks
b. Minimizing safety risk factors
c. Implementing safety prevention measures
d. Utilizing assessment, measurement, and reporting tools (e.g., functional independence
measurement; patient satisfaction)
e. Incorporating standards of professional performance
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Medical Rehabilitation Free PDF
To behavior research and analysis, and deliver correct and professional forecasts on all global markets, a DBMR crew of experts and specialists from a number of streams and verticals bring along critical tried-and-verified abilities, methods, and suggestions. scientific Robots Market report is unfold across a couple of pages and gives most up-to-date trade statistics, market future trends that enables identification of the items and end clients driving profits growth and profitability. The comprehensive business document analyses and examines the vital business developments, market dimension, market share estimates, and sales extent with which companies can bet the recommendations to raise their return on funding (ROI).
the entire facts and assistance gathered within the respectable scientific Robots Market record is studied and analysed with the proven equipment and thoughts such as SWOT evaluation and Porter’s 5 Forces analysis. This world class document additionally provides the business profile, product standards, creation cost, contact suggestions of manufacturer and market shares for business. With the study of competitor evaluation, groups get knowhow of the innovations of key gamers in the market that comprises however aren't restricted to new product launches, expansions, agreements, joint ventures, partnerships, and acquisitions. The giant scale marketing file emphasizes on changing dynamics, increase-using components, restraints, and boundaries.
Market evaluation: international medical Robots Market
The global scientific Robots Market is determined to witness a extremely a success period with technological developments happening often, market will upward push from its initial estimated price of USD 5.9 billion in 2018 to an estimated price of USD 28.9 billion via 2026 registering a CAGR of 21.eight% within the forecast period of 2019-2026
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Market Definition: world scientific Robots Market
scientific Robots are mechanical robots that are used in clinical capabilities. They support in surgical procedures, rehabilitation and even in doling out of medical pharmaceutics. clinical robots are used in loads of surgical practices. These robots act as a tele manipulator performing on behalf of the surgeon to function hazardous projects or even the most precise strategies.
North the united states had the optimum market share in 2017 and the same could be the case through the conclusion of the forecast duration. Asia-Pacific place will witness the highest growth fee from the entire regions.
global medical Robots Market, by using Product (contraptions and add-ons, Surgical Robots, Rehabilitation Robots, Noninvasive Radiosurgery Robots, clinic and Pharmacy Robots, Others), software (Laparoscopy, Orthopedic, Neurosurgeries, Pharmacy, Others), Geography (North america, South the us, Europe, Asia-Pacific, center East and Africa)– business trends & Forecast to 2026
Market Drivers:
medical robots offer up lots of rehabilitation innovations and are vastly helpful in comparison to commonplace rehabilitation options, this component will act as a massive market boom
Technological advancements have superior the medical robots market due to the shut working relationship of docs and the scientific robots trade, which have superior the market growth talents for scientific robots
Market Restraints:
Lack of advantage about the operations of these robots and the applicable information required from the surgeons concerning these robots act as a tremendous market restraint
excessive can charge are restraining the business to effectively leap forward the market share
clinical robots are computerized mechanical accessories and robots that Excellerate the beginning & pleasant of healthcare features. These robots differ on the foundation of the functioning they supply and for this reason are of diverse varieties. These robots supply surgical suggestions, diagnostic advancements and rehabilitation of patients as well as offering prescription drugs. They may operate certain excessive-risk surgical approaches whereas additionally helping surgeons with the aid of acting as their tele manipulator within the operating room.
clinical robots market is growing as a result of effectiveness and adaptations in providing rehabilitation, technological advancements of clinical robots; the outcomes of these elements are mentioned beneath:
Effectiveness and adaptations in presenting rehabilitation: The demand for incredibly helpful and efficient rehabilitation manner is in improved demand, which is expanding the adoption price for scientific robots. this is because these robots can carry more suitable weight load with out the probabilities of sufferers affected by falls or failures. These robots can enhance the usual healthcare servicing, as they outcome in discount of patients undergoing rehabilitative methods. They additionally display definite distinct methods for rehabilitation as in comparison to ordinary rehabilitation techniques which don't seem to be being as effective for the patient
Technological advancements of medical robots: a lot of clinical equipment manufacturers have began a lot of collaborative concepts and involving physicians, surgeons that are expert in their fields to increase the standard operability of the scientific robots. These consultants have offered constructive insights and inputs to the manufacturers resulting in a considerable number of innovations and technical advancements of the robots. This approach is expanding the talents for extra collaborative tactics and innovations in the robotic box
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Regional growth and strategic acquisitions utilized by using the producers:
In February 2019, Johnson & Johnson features, Inc. introduced that they had agreed to purchase Auris fitness for USD 3.four billion, with additional USD 2.35 billion agreed in the deal as milestone funds counting on definite aims. This acquisition will aid Johnson & Johnson enrich their medical contraptions offerings which will be in a position to offer safer surgical techniques and solutions to hospitals and patients
In November 2018, Panasonic organisation announced that they will launch two of their assisted robots for the Indian market via early 2019. The robots include a robot so they can support clients in carrying luggage whereas the different one is a walk-helping robot which can be initially launched for hospitals. These robots are set to be offered to hospitals earlier than indulging in purchaser sales. The business is asking to make investments closely in the place with in-vicinity construction facilities for you to deliver company’s items throughout the complete Asia-Pacific international locations
The market is segmented on the groundwork of product as instruments & add-ons, surgical robots, rehabilitation robots, noninvasive radiosurgery robots, health facility & pharmacy robots, different robots; software is categorised into laparoscopy, orthopedic surgical procedures, neurosurgeries, pharmacy functions, others.
Key trends in the market: international medical Robots Market
On September 1, 2016 Hocoma, introduced a merger with DIH foreign so that it will increase Hocoma’s attain into rehabilitation and medication management globally
On may also 30, 2018, Intuitive Surgical announced the enlargement of its operations in India through a distributor Vattikuti technologies Pvt. Ltd.
aggressive evaluation: international medical Robots Market
The global scientific Robots Market is particularly fragmented and the primary players have used a number of recommendations corresponding to new product launches, expansions, agreements, joint ventures, partnerships, acquisitions, and others to increase their footprints during this market. The record comprises market shares of medical Robots market for world, Europe, North the us, Asia Pacific, South america and middle East & Africa.
Key Market rivals: world clinical Robots Market
important market opponents at the moment working within the medical Robots Market are Intuitive Surgical, Stryker, Hocoma, Mazor Robotics, CMR Surgical Ltd, Auris health Inc., Accuray integrated, Omnicell Inc., ARxIUM, Ekso Bionics, Capsa Healthcare, TransEnterix Surgical Inc., Stereotaxis Inc., ReWalk Robotics, Titan medical Inc., Medtech SA, Aethon, Medrobotics organisation, InTouch applied sciences Inc., McKesson service provider, Renishaw plc., Varian clinical methods Inc., OR productiveness PLC, and Siemens Healthcare GmbH.
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Key Insights within the report:
the important thing market avid gamers are analyzed and their outcomes on the market is additionally followed
Market analysis is carried out for the forecast duration of 2018 to 2025, and the market segmentations are observed all over that duration
The market drivers and restraints were clearly analyzed for the effect that they have over the market in the forecast duration of 2018 to 2025
Thanks for practicing this text, that you may additionally get particular person chapter clever part or area clever file version like North the united states, Europe or Asia.
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