Missouri Nursing Home Designs Programs in Restorative and Rehabilitative Nursing Services to Enhance Safety and Comfort of Residents

The Jewish Center for Aged, a 275-bed long-term care facility in Chesterfield, Mo., established a restorative nursing program intended to enhance the safety and comfort of residents.

Key Results

The Jewish Center for Aged developed four divisions of the program.

  • Positioning Division. Develop individualized procedures whereby nursing staff can easily and consistently follow through on residents' positioning needs to prevent contractures (deformities or distortions caused by permanent shortening of muscle or scar tissue); minimize pain, stiffness and edema; facilitate independent self-care; increase socialization; and maximize skin integrity and ability to interact with the environment.
  • Exercise Group Division. Improve residents' ability to perform active, resistive exercise for strength, flexibility and activity tolerance; enhance functional mobility and ability to perform activities of daily living; increase socialization; and allow restorative aides more time to work with residents to complete other modalities.
  • ADL Enhancement Division (called the "Walk to Dine Program"). Facilitate independence in eating in a small group environment and improve mealtime behavior, self-image, and socialization skills through the use of individualized goals.
  • Skin Integrity Division. Identify residents at risk for skin breakdown, falls and poor sitting posture, and provide such residents with mechanical supports and positioning techniques and/or devices.