A
the failure to provide goods or services that are necessary to avoid physical harm or mental anguish
What is NEGELCT
must report suspected abuse, exploitation, and neglect immediately.
who is a MANDATED REPORTER
This is a very serious part of a NA's job; a NA can be criminally prosecuted for failure
reporting suspected abuse
Identify, prevent and report any abuse, exploitation and neglect as Legislated in Act 14
what is the NURSE AIDE DUTY
requires mandatory reporting of abuse to public authorities
what is ACT 13
to ensure that nurse aides have the education, practical knowledge and skills needed to provide care for residents that is free from any kind of abuse, neglect, or exploitation.
what is ACT 14
– Requires nurse aide students to submit a PA-CHRI without prohibitive offenses and annual continuing education in abuse prevention.
what is ACT 14
During dinner, Pete, a nursing assistant, spills hot soup on a resident’s arm. He tells her that she had better not tell anyone about it or he will be very angry at her. Which residents’ right is he violating?
The right to complain
Advocates for residents’ rights, Educates consumers and care providers, Investigates and resolves complaints
who is the OMBUDSMAN
mentally or emotionally disruptive or upsetting condition that occurs due to changes in the environment
what is STRESS
Mrs. Hart is a resident with dementia at Longmeadow Retirement Home. She is usually unresponsive to her surroundings. James, a nursing assistant, notices a pretty bracelet on her dresser. He borrows it for his wife to wear to a formal dinner party, knowing that Mrs. Hart will not notice. Which residents’ right has he violated?
The right to security of possessions
Laura, a nursing assistant at Great Oak Nursing Home, is running behind with her work for the evening. She is helping Mr. Young, a resident with Alzheimer’s, with his dinner. She is getting frustrated with him because he keeps taking the fork out of her hand and dropping it on the floor. Finally, she slaps his hand to get him to stop. Which residents; right has she violated?
The right to dignity, respect, and freedom
the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm or mental anguish.
what is ABUSE
Confinement or separation from others without consent
Involuntary seclusion
Rubbing up against a resident inappropriately
what is an example of SEXUAL ABUSE
Ms. Land, an elderly resident, gets into a loud argument with another resident during a card game. When her daughter comes to see her later that day, Anne, an NA, tells her that Ms. Land is in a bad mood and cannot see anyone. Which residents’ right is she violating?
The right to visits
· muscle tightening
· stomach ache
· crying
· anger
· headache
· change in eating habits
· raising your voice
· sleeping problems
· heart palpitations
· inability to focus
Signs of STRESS
Depression, Mood swings, Fear and anxiety, Lack of appetite, Fear of being left alone
signs of Psychological Abuse
Quality of life
• Services and activities to maintain a high level of
wellness
• Be fully informed regarding rights and services
• Participate in their own care
• Make independent choices
• Privacy and confidentiality
• Dignity, respect, and freedom
• Security of possessions
• Be informed of and consent to transfers and
discharges
• Voice complaints
• Have visits
• Have access to social services
what are resident rights
Sets minimum standards for NA training (75
hours)
• Requires competency exam for NAs
• Requires regular in-service training for NAs (12
hours annually)
• Establishes state registry of NAs
what is OBRA
Amy is a nursing assistant at Sweetwater Retirement Home. Every night when she goes home, she tells her family funny stories about the residents she is working with. Which residents’ right is Amy violating?
The right to privacy and confidentiality
increase exercise, get enough sleep, maintain a healthy diet, do not smoke or use illegal drugs, perform one task at a time, develop a hobby and seek help
actions that will address stress
Unexplained broken bones, Bruising, Injuries that are shaped like a belt buckle, Burns shaped a certain way, Bite or scratches, Missing hair or teeth
what are signs of PHYSICAL ABUSE
Pressure injuries
• Unclean body
• Body lice
• Unanswered call lights
• Soiled bedding or incontinence briefs not being
changed
• Poorly fitting clothing
• Unmet needs relating to hearing aids, eyeglasses
• Weight loss, poor appetite
• Uneaten food
• Dehydration
• No fresh water or beverages
what are signs of NEGLECT
an act or course of conduct by a caretaker or other person against an older adult or an older adult’s resources, without the informed consent of the older adult or with consent obtained through misrepresentation, coercion or threat of force, that results in monetary, personal or other benefit, gain or profit for the perpetrator or monetary or personal loss to the older adult.
what is Exploitation