Does the Bus Stop Here?
Don Palermo
What is 2pp, xfr belt
Cueing, wiping, changing soiled, accident monitoring are care needs for 9 of our Residents. Name 3.
Who are: Joann, Nola, Liz, Joyce, Evelee, Gwen, Evie, Dee, Charles
Describe more than 2 non-verbal signs of pain.
What are: Grimacing, wringing hands, moaning, pacing, inability to be still (fidgety).
When is the best time to offer and encourage Rodney to shower?
After stool softener administration.
Party, party, party.
Who is: Gwen?
Marianne Doerfler
What is: 2pp
Needs reminders to go and change and check that he did change.
John and/or Larry
Which of Susie's medications may be a causative factor in falls? Aspirin, acetaminophen, tramadol or morphine sulfate.
What are: tramadol and morphine sulfate
Name a resident that will kick, yell, and refuse cares likely related to increased pain warranting PRN pain medication?
Who are: Pete, Gwen
_________ has been in numerous shouting matches with residents who "don't act right!"
Who is: Ace?
Dean Rogers
What is: 2pp
6 Residents don't stand well unassisted and are planned for scheduled toileting, 2pp and transfer belt. Name 2.
Who are Don, Leo, Marianne, Glora, Dean, Julie
Name more than 2 non-drug pain interventions.
What are: 1:1 attention; favorite drink/snack; lightly rubbing hands or the painful area; ice/warm packs (w/LN ok & direction); rest
2 residents who have increased behaviors overnight and one intervention for each
Who are:
Freddena - 1:1 convo about what her goal is (is she saying she needs to "go home," show her it's middle of the night & maybe tomorrow would be better.)
Charles - Often strips clothing off in public - Encourage re-direction to room. Does he just want to take a walk?
_________ will occasionally approach male residents or caregivers and attempt to hug or kiss them. She often thinks other men are her late husband Stuart. It can be very helpful to show her a picture of her with Stuart and talk about what a good man he was. Validate that she misses him
Who is: Donna?
Glora Lacy
What is 2pp, xfr belt
2x/shift at minimum
Sudden onset or a long-standing pain.
What is acute vs chronic pain.
Beverly is upset. Talk with her about:
What are: bible, turtles, Jonas Brothers, daughter Molly.
_________ likes "KFalls (Flamath Falls) which he states is "God's Country."
Who is: Rodney
Pete Loree
What is: 1pp
When this is noticed when assisting with toileting, it should be reported to the Nurse.
What is blood, discolored urine/feces, foul smelling, complaints of pain/difficulty going
Explain "Get Ahead of Pain" vs "Chase Pain."
Pain meds can only drop pain by half (or so). If you wait till it's a 10, you keep taking more meds to lower, but can't. Start lighter meds at 4 or 5 and keep it down.
Topics to redirect Michael.
What are: IPad, violin, exercise bike
_______________ often shows anxiety by continually trying to pick up small things from the floor.
Who is: Shirley?