Laws & Ethics
Actions or failure to act or give proper care resulting in injury
Neglect
A drug or drug dosage used to control behavior or restrict movement
Chemical restraint
how far you should be away from a resident during de-escalation
2 arm lengths
severe confusion that occurs suddenly and is usually reversible.
delirium
Ways an NA can assist with the basic human need for oxygen
elevate head of bed, ensure oxygen (if ordered) is in place and connected, assist oob, as tolerated, assist in breathing exercises
Listings on this can lead to negative consequences for the NA and they can not be employed in a nursing home.
HCPR
how often the resident in restraints must be observed/checked on
Q15min
The heart of de-escalation
Great day to day relationships
a symptom of dementia, increased agitation confusion and hyperactivity beginning late afternoon and building throughout the evening
sundowning
a defense mechanism is which you transfer feelings about one person to another
displacement
This is posted in long term care facilities and given to patient/legal representative on admission, which provides a code of ethics for health care providers in LTC facilities
Resident Rights/Bill of rights for nursing home residents
This is required before restraints can be placed of used (2 things)
Doctors order, consent
This is the primary objective in de-escalation
To reduce the level and intensity of resident behavior
an out of proportion reaction to activities/situations
catastrophic reactions
This occurs when a resident is rushed/not allowed enough time to complete tasks; they may blame themselves and may keep quiet or not ask for slower pace.
social breakdown syndrome
Signs of this type of abuse include helplessness, hopelessness, withdrawal, passiveness.
Emotional/Psychological abuse
How often a residents must be released from restraints and for how long.
Q2hrs for 10-15 min.
Symptoms of this mental illness include headaches, backpain, or rapid heartbeat
anxiety
an event that causes another event
trigger
thinking/learning/understanding/remembering, how messages are changed, stored, recovered, and later used.
cognition
Misappropriation of property
Measures used instead of restraints, ie taking a walk
psychosocial factors for causes of mental illness
interpersonal or family relationships.
average life expectancy after diagnosis of dementia.
3-11 years
adjustment of care based on patients ability/how fast or slow they function.
pacing