ADLs
I signed up to help with trash but I forgot to tie the bags closed so staff did it for me, this support is called??
Total assistance, please always offer to help or verbally prompt through each step before doing it for someone.
Today my group engaged in ruining Tricia's favorite 70s female folk singer, Janice Joplin. What activity did we probably engage in very loudly?
Andrew is watching every move I make, wringing his hands, and when he sees me look at him, he puts his head down on the table. This is a symptom of...
Anxiety
It's lunch time and I notice Jennifer's plate only has 1 piece of bread but everyone else at her table got 2. That's not fair! She must have orders for...
Low Carb Diet...I can find this information in her Part 5.
True or False: Behavior Codes (N, D, V, A, etc) are charted in Observations so I don't have to list what behavior(s) were exhibited to earn this code.
FALSE...each behavior must be explained in the very 1st question or it is impossible to help the person. N or D could look different for multiple people.
Name at least 2 other ways of communicating outside of verbally.
pointing, taking someone by the hand and guiding them, gesturally, acting out, any type of behavior, writing, using a device
We all love Shelli but anytime she talks to you she walks closer and closer to you until she is right up in your personal space. Other staff point this out to me because I forget to put it in my notes (Observations). Since I didn't notice it, I don't need to chart it
FALSE, this should be charted as an N
I normally help clean the bathrooms but its usually because I think I do a better job than most people and actually I end using way more cleaning products than I need to. Which question under the ADLs outcome would prompt me to record this information?
What obstacles, if any, were addressed while engaging in ADLs?
Puzzles, putting holiday gift boxes together, looking at magazines, sitting together to sign papers and discuss the schedule...all are examples of what Enhanced Note Option for Day Support
Tabletop activities
Hitting the top of the door every time I come in, Charging the cabinets or an open door, stimming, smelling people's hair, having to watch a movie every night...these are all examples of what diagnosis?
Obsessive Compulsive Disorder
My client has an Outcome about having his food pureed. All was going well until he started eating a lot at one time and he choked but drank some water and was okay. This needs to be reported on what form and under which OCs?
Event reports, Physical health (were any event reports filed) and food puree outcome (any episodes of choking)
Michelle is so sweet...she loves it when I call her nicknames. I always do as much as I can for her because I know she can't. Michelle knows I will do things for her and don't make her do it....this is called
Manipulation or Escapism
She can do many things for herself!
This staff member writes Part 5s, reviews, follows each client in all services, and is your go to for help with any client issue. Hint: you will see them in the Center off and on throughout the day.
SAS
Choking is a behavior.
FALSE, refusing staff supports, shoveling, eating too quickly, putting too much on the utensil, these are behaviors
I broke my arm and now I need some physical assistance to do my ADLs. Is it necessary to record that and why?
Yes, that is we use what Were any supports given differently than listed in the Part 5? question for...to show skill progression or needs.
A client in my group consistently refuses to go out and refused all activities I offered at the Center. I can't check off any Enhanced Note Options either. When others view his notes, they can't tell I tried to get him to go out or do anything...unless I record this under refused activities
ALL
Certain things make me react negatively: phone calls from my mom, seeing others have visits but not me, talking about hot topics (like crayons, hair styles, weather, etc). So I know I should NOT talk about these (they're in the Part 5) but what are they called?
TRIGGERS
Clarence is slumping over in his chair and I've vp'd like 10 times this morning to sit up straight. Plus he walks humped over with his hands in his pockets. I know he has an outcome about this. What is the focus of this type of outcome?
POSTURE
Doug Tacy has asked all 3 staff on shift if he can help with ADLs...and we've all given him the same answer and Altonette finally had to pull him aside to talk to him. This lasted almost an hour. What behavior codes should I record at least 2 times (to cover 1 hour)?
ND
Some clients require us to use commands when speaking with them so they know how to react, like Gabe P or he will just say no thank you. However, this technique is regularly successful and effective with all other clients. True or False
FALSE, lets make sure we are treating everyone like individuals using manners, asking them to do things, and giving options unless otherwise noted in their plans.
Susan has refused to participate in any activity I offered her today. Since she has a right to, this is not considered a behavior...TRUE OR FALSE
FALSE, yes she has a right to refuse however when she was admitted she agreed to work on program goals hence her Part 5.
Matt B has come in with foul breath and it does not look like he brushed his teeth at all. He's not in my group and I know his Mom is coming to visit this morning. He's not in my group, so I should...
Let his group leader know or offer to help yourself if possible.
Playing with water in a large container, letting sand run through my fingers, squishing bubble wrap, feeling different textures on a painting or book...are all examples of...
Sensory/Tactile Activities
The music is jammin today in Day Support and everyone is enjoying it except a few others like Robert and Allen who has just eloped into the hall and is refusing to go back in side. Bright lights and loud sounds (which can cause irritation/agitation) are often triggers of symptoms of which 2 diagnoses?
Autism and Mood Disorder
My client doesn't have a falls outcome but today she tripped over a stick in the park and fell on her behind. Which question under the physical health outcome should I be reporting this on?
Give a short reason for any event reports filed. (Yes, you have to do an event report too!)
Allen is having a rough day. He came in and kicked the door, pounded his fist on the table, hit Doug D in the shoulder, ran out of the Center into the hall and refused to listen/interact with staff. What behavior codes would Allen get charted?
NDPA
Running into the hall is not eloping. Since he hit a peer it is also a peer to peer incident that requires and event report AND notifying Suzanne or Tricia ASAP.
Medisked contains a spell checker...true or false
TRUE please read through your notes, so we all avoid writing/typing as we talk - we're all guilty of it!
If a client does not want to be in my group and goes to my supervisor, not only do they have to stay in my group because we already have it on the board, I should chart that as a behavior. True or False
FALSE, accommodations can be made based on preference or need BUT must be handled through Day Support Management...and there is a question directly related to this in Medisked ($100 if you can name the question).
We need to understand which ADLs are preferred and which need more training or possibly even different supports to accomplish. To make this happen I always record which ones are...
Refused
Today there was a guest speaker who came in to talk about their job as a policeman. Since there are NO Enhanced Note Options for this, where would I record this information
The activities outcome under List any other CENTER-BASED activities participated in today not in Enhanced Notes.
George has sneezed into his hands and wiped it all over his face. Not only do I need to help him get cleaned up, I should also record this support under which question in the Physical Health Outcome.
What other common issues/supports were noted: wiping nose, rest after walking, diet advice, VPs to drink water, etc.?
We avoid talking about certain topics and subjects to clients to negate behaviors and support their mental health. Name at least 2 other topics/actions that should not occur in front of any client (not a specific client) to negate mental health symptoms?
talk about other staff, foul language or curse words, talk about the client in front of the client, what party (activity) you went to this weekend, upcoming secret client plans, house closures
Make a pretzel, build a bridge and get over it, ask them what they think, look at the schedule, count to ten, setting a date for a phone call...these are all specific examples of
COPING SKILLS..those things/actions/words that help us deal with stressful situations
If I wanted to look up why client was reacting the way they were to the supports I was giving them, I would need to look in....
The Part 5 has the answers you are looking for. Please take the time to read and review the Part 5 - it tells you exactly how the supports each person needs and how to give them!
I see another DSP struggling with a client. The best thing I can do is let them work through it and just focus on my group.
FALSE, we need teamwork to give our clients the best possible supports. That means if we see another team mate struggling or even not doing what needs to be done (on the phone, back turned to clients, etc), we can gently point it out or offer to help in the same manner we would wish to be approached.