Do you remember when?
Losing or misplacing items
What are early signs of Alzheimer's?
When caring for a patient with dementia, do this to help the resident
What is find meaning in their day?
Primary objective in de-escalation is this
What is to reduce the level and intensity of the resident's feeling?
A feeling of worry, nervousness, or unease; fear characterized by behavioral disturbance
What is anxiety?
Depression, anxiety, restlessness, agitation, change in facial expressions, refusal of care, and withdrawal are this
What are effects of pain?
5th Vital sign
Living will and durable healthcare power of attorney as well as DNR are examples
What are advances directives?
"Why me" stage of greiving
What is Anger (stage 2)?
State of severe and sudden confusion
Dementia behavior is typically this
What is a response to a need?
DO this when you attempt to de-escalate and are not successful.
What is STOP, (collaborate and listen) (JK) and calmly call for help?
To reduce the intensity of (a conflict or potentially violent situation) to become less dangerous or difficult
What is De-escalate?
Physial, psychological, genetics, and stressors are contributing factors and causes of this
What is mental illness?
Pain is whatever the patient says it is and is ________ data
What is subjective?
Form of palliative care for someone that has terminal illness and six months to live
What is hospice?
What is bargaining (stage 3)?
Positive Tone, Medium volume, simple sentences, Rapport building conversations, open body language, avoidance of distractions, creative problem solving
What are characteristics of Nurse Aide communication with the dementia patient?
Dementia symptom displayed by increased agitation, confusion, and hyperactivity beginning in the late afternoon and builds throughout the evening.
What is sundowning?
Nurse aide's role when a resident is getting upset telling them something
What is engage in resident's story?
Persistent feelings of sadness and/or loss of interest in activities once enjoyed
What is depression?
Symptoms of this may include headaches, back pain and a rapid heartrate
What is anxiety?
Pain that serves a purpose to warn the body of a problem; lasts less than 6 months
What is acute pain?
Nurse aide interventions that can be used in relation to resident and loved ones emotional and psychological needs with end-of-life care
What are use touch when appropriate and listen to resident and loved ones?
"yes me" stage of grieving where the resident begins mourning, cries, and withdraws from others
What is depression (stage 4)?
What type of memory impairment is reversible?
What is Delirium?
Known and persistent behavior with a high-risk factor for resident safety
The following are examples of this:
Minimize excessive gesturing, maintain neutral facial expression, maintain limited eye contact, refrain from becoming defensive, use low monotonous tone voice, speak calmly at average an average volume
What are ways the nurse aide has self-awareness during de-escalation?
Ability to cope with and adjust to everyday stresses in ways society accepts
What is mental health?
Nurse aide's personal relationship with resident can be helpful in this
What is pain management?
Pain that comes on gradually and people have hard time pinpointing source and can be hard to treat; lasts at least 6 months or longer
What is chronic pain?
Psychological and physical withdrawal, decreased level of alertness with increased periods of sleeping, and circulatory system fails (mottling occurs) are signs of this
What are signs of impending death?
Stage of grieving where patient has worked through all of the feelings and emotions
An increased percentage of older adults experience this
What is grief, social isolation, and loneliness?
______ and ________ are common behaviors displayed by restlessness and frustration
What are anxiety and agitation?
A resident with a mental illness may display this
What is behavior beyond their control?
Wide range of disorders including thinking, emotion, and/or behavior; a disturbance in the ability to cope or adjust to stress; impaired behavior and function either short-lived or long term
What is mental illness?
Written order by a doctor at the request of the resident which tells the health care team the resident does not wish extraordinary measures to be used when the resident suffers cardiac arrest.
What is DNR (DO NOT RESUSITATE)
Arthritis, stroke, and pain associated with contractures are examples of this
What are examples of causes of pain in older adults?
No pulse, no respirations, and pupils are fixed.
What are signs of death?
6th stage of grieving
What is Meaning?