Laws & Ethics
Not locking the brakes on a wheelchair causing a resident to fall is an example of this
What is neglect
Someone in restraints must be assessed this often.
What is q15min
This occurs with reaction time as we age.
What is decreases/slows down or takes longer
This is the word for an environmental, physical, or emotional event that may case disruptive behavior.
What is a trigger
This outlines medical care a person wants or does not want if they cannot make decisions for themselves.
What is a living will
The NA cannot obtain this type of consent.
Ativan and Haldol or large doses of benadryl are examples of this type of restraint
What is a chemical restraint
This occurs if a resident is rushed or not allowed time to complete tasks and leads to self blame and feelings of incompetence
What is social breakdown syndrome
This is a sudden severe confusion triggered by illness or change in physical condition that is reversible.
What is delirium
This is when the skin becomes pale/blue/bruised looking, occuring when death is near.
What is mottling
Dehydration, malnutrition, untreated pressure sores, adn poor hygiene are all examples of this
What is neglect
When de-escalating, this is where the NA should be positioned (in relation to the patient)
6 feet/2 arms lengths away, between patient and the door, level with pt (sitting to sitting, standing to standing)
This is one issue that the older adult may have when trying to meet developmental tasks of aging
What is amount/cost of care, nutritional needs, relationships, location of support system, medical care needs, changes in lifestyle, long term care decisions.
This stage of dementia may include difficulty swallowing.
What is late state or severe alzheimers.
This is how the environment should look for a resident near end of life.
What is normal, well lit, well ventilatted, open door/drapes, music
A resident that is extremely withdrawn and voices feelings of helplessness or hopelessness is showing signs of this type of abuse.
What is emotional/psychological abuse
This is the heart of de-escalation
What is great day to day relationships.
This can help the resident adapt to life in the SNF.
Provide privacy and respect personal space, allow down time, ask permission before touching, recognize loss/adjustments, encourage activity, give person centered care.
This is a persistent and high risk behavior of dementia in which residents may fall, elope, or be physically attacked by other residents.
What is wandering
This is the "why me" state of grief, and the resident may become upset by the smallest of things.
What is Anger
A nurse aide that is guilty of abuse, neglect, or misappropriation of property will be listed on this.
What is the Health Care Personnel Registry
This anxiety disorder is characterized by uncontrollable and recurring thoughts and repetitive behaviors.
What is obsessive compulsive disorder
Surveys are done this often in SNFs
What is annually
This occurs when a resident with dementia becomes increasingly confused, agitated, and hyperactive during the afternoon/evening hours.
What is sundowning
This happens to the pupils after death.
What is enlarged, unresponsive to light.