Define that Role
Define Respiratory Therapist
provides care for people who have
respiratory diseases or illnesses
What is the main difference between an Occupational Therapist and a Physical Therapist?
Occupational therapist -works with people who need help ADAPTING to disabilities and performing their activities of daily living.
Physical Therapist-DEVELOPS a treatment plan to improve blood circulation, promote healing, ease pain, PREVENT disability and help a resident regain or maintain mobility
Guidelines to Prevent Skin Breakdown
Name 4 ways to prevent skin breakdown while caring for a resident.
• Avoid friction or shearing (use drawsheet)• Keep linen dry, clean, wrinkle free• Perform ROM• Float Heels• Use pillows to separate skin surfaces• Encourage fluids and proper nutrition• Promptly report skin changes• Perform regular skin care• Keep skin clean and dry• Moisturize• Do not massage discolored areas or bony areas• Reposition at least every 2 hours• If in wheelchair reposition every hour
A patient speaks another language than you. What are 4 communication techniques an NA can use to help in communicating effectively?
- Use Short Simple Message- Use communication board- Use gestures- Use translator or interpreter- Watch for words they understand - Be patient and calm - speak slow and clear
name signs and symptoms of LATE stage Alzheimer's disease.
• May be unable to communicate or control movements• Need significant help with ADLS• May not be able to walk, sit or swallow
Medical Social Worker (MSW)-
determines residents’ social needs and helps with support services, such as counseling or financial assistance.
What does HIPAA stand for? H- I- P- A- A-
The health insurance portability and Accountability Act. A federal law that protects the privacy and security of health information.
A patient is dying. Name 4 Guidelines for a resident who is dying. example: Keep room softly lit.
• Breathing Problems-elevate HOB • Pain relief is critical• Resident may be cyanotic or have mottled skin Skin, Nose, and Mouth Care-*Bathe often*Give incontinence care promptly*Keep residents clean and dry*Turn and reposition often*Frequent oral care and ice chips*Water based lubricant for mouth and nose*Humidifier
A patient just had a stroke and is hard to understand. Please name 2 ways to help in communication with this patient.
REFLECT AND REPHRASEING
Reflecting- means an NA restates the words the resident uses to help ensure that they continue the conversation.
Rephrasing- Means the NA paraphrases those words in order to show that he understands the resident.
Be patient and listen.
Name 3 signs and symptoms of Middle stage Alzheimer disease. ( this stage has the longest duration)
• Longest duration• Forgetting recent events• Forgetting some of one’s own past• Change in personality or behavior• May need help with ADLS• Change in sleep patterns
Activities Director-
plans activities for residents to help them socialize and stay physically and mentally active.
Name normal vital signs
Oral temp?
Pulse range?
Respiration range?
Pulse ox range?
Hypotension begins at?
Hypertension begins at?
• Axillary Temp 96.6-98.6
• Oral Temp 97.6-99.6
• Rectal Temp 98.6-100.6
• Pulse 60-100
• Respirations 12-20
• Hypotension Below 90/60
• Hypertension 140/90 or Above
• Pulse Ox 95%-100%
Guidelines for caring for a resident with an indwelling catheter. Name 5 Main guidelines while caring for this patients Cath.
When cleaning the meatus move in one direction away from the meatus. Secure tubing to inner thigh. Drainage bag always below level of bladder. Do NOT hang bag from the siderail. Cover bag for privacy when in public. Wash hands and wear gloves, daily peri care, use clean area of rag for each stroke. do no allow bag to touch floor. Do not let spout touch inside of cylinder when emptying.
A patient you are helping has an artificial airway. Name 4 alternate communication techniques for a resident with an artificial airway.
• Writing Notes• Drawing Pictures• Communication Boards• Hand and Eye Signals• Be reassuring, calm, empathetic
Early stage of Alzheimer's disease exhibits these s/s's. Name 2
• Some memory lossforgetting some words orlocations of familiar objects• Problems with memory andconcentration• Person may still beindependent
Nursing Assistant (NA)-
performs assigned nursing related tasks such as vital signs, personal care, and help with ADL’s.
What are some REVERSIBLE causes of dementia? Name 3
• Vitamin deficiency
• Thyroid disorders
• Depression
• Hearing/ vision loss
• Medication interactions
Care guidelines for a resident with a CVA. Name 4
• Encourage independence and self-esteem• Encourage Rest• Assist with ROM• Reposition often• Do not refer to weaker side as “BAD” use terms weaker, affected or involved• Encourage fluid and proper nutrition• Be Patient- don’t rush the resident• Assist with ambulation to prevent falls• Place food in unaffected side• Remind residents to avoid one sided neglect• Observe for signs of swallowing problems• Use Praise often
A patient presents with depression. What are some ways a NA can communicate with the resident?
Pressure ulcers have 4 stages. which stage exhibits full thickness extending through skin, tissue, muscle bone and looks like a deep crater? Eschar and slough may be present.
Stage 4 pressure ulcer or (pressure injury)
Speech- Language Pathologist (SLP)-
identifies communication disorders and develops a care plan to aid in improvement or recovery. An SLP also evaluates a person’s ability to swallow food and drink.
Are NA'S allowed to provide foot care to a diabetic patient? If so expand.
Yes Na's are allowed to: • Frequent skin care- clean and dry• Observe and report sores, blisters, cuts or breaks in skin• Report pain or numbness• Supportive/ comfortable shoes
NA'S ARE NOT ALLOWED TO CLIP RESIDENTS TOENAILS - A PODIATRIST WILL DO THIS.
Care guidelines for the Resident with AD. Name 4 important things to remember about AD that could help while caring for a resident with AD.
• Understand Skills a person used over a lifetime are usually kept longer Use this knowledge when caring for someone with AD. • Moderate stage AD is usually the longest duration• Meaningful activities draw on past experiences or life skills
A patient is terminal. The patient seems upset and is crying to the NA, "If only I could make it to Christmas." The NA responds, "Well, maybe God will give you this Christmas with your family. Who knows your energy may return later this week." The NA did a great job while communicating with the patient. True or False
False. This patient is terminal and in the bargaining stage of grief. This might give the resident false hope in their terminal diagnosis. It is better to listen more and talk less when communicating with a dying patient.
Pressure ulcers have 4 stages which stage is the skin still intact, minor redness not relieved after removing pressure, may be painful, may be firm or soft, and may be warmer or cooler than surrounding area?
Stage 1
Stage 2 has partial thickness skin loss of epidermis and dermis
Stage 3 has full thickness fat is visible in the injury, slough may be present, eschar may be present and has damage down to but not through the tissue that covers the muscle.