End-of-Life Care
What does DNR mean?
Do not resuscitate, when the residents heartbeat and/or respiration stop, no CPR will be done.
What is often considered the fifth vital sign?
Pain
Before entering a residents room what should a CNA do to ensure the residents privacy is maintained?
Knock and wait for resident to answer
Infection control measures that are used when caring for all residents?
Standard precautions
What should a CNA do if they notice changes in a residents sleeping pattern?
Report it to the nurse
A resident who states that they "just want to live until my fiftieth wedding anniversary, and then I'm ready to die." is in what state of the grieving process?
Bargaining
Is pain considered objective or subjective?
Subjective
What is described as the basic maleness and femaleness of human beings?
Sexuality
Pathogens are spread with small particles like dust?
Airborne Spread
Tissue healing and repair occur when?
During sleep
A resident who wants to talk about death and their plans for the funeral are in what stage of the grieving process?
Acceptance/accommodation
You are caring for a resident and notice that they are more restless then normal and that they keep shifting positions in their wheelchair, what could this be a sign of? What should you do?
Pain/discomfort, report it to the nusre
What should a CNA do if they walk into a residents room to find them masturbating alone?
Provide privacy for the resident.
Equipment or protective barriers used to prevent the spread of disease, may include gloves, mask and/or gowns.
PPE
What are symptoms of sleep deprivation?
Increased irritability, depression, anger, anxiety
A legal document that the resident prepares and that is put into effect if the resident later becomes unable to make decisions. Examples) Living Will, DNR and DPOA
An advance directive
Grimacing, frowning, restless or crying out are considered what type of behavior clues?
Nonverbal
What are ways a CNA can help a resident express their sexuality?
By assisting them with grooming and in selecting attractive clothing.
Touching the source of infection, then touching a susceptible body location?
Direct contact
When a resident is admitted to a facility is important that they go to bed at a certain time that is decided on by the facility. True/False?
False-Follow resident's existing pattern or routine
When a resident is dying their skin may become splotchy (red/purple) due to decreased blood circulation to the extremities, what is this called?
Mottled
What two things may influence if/how pain is reported and described?
The resident's previous experience and cultural background
What causes changes in a residents behavior, sometimes including inappropriate sexual comments and actions?
Dementia
When pathogens are carried by contaminated food, water, blood (bloodborne pathogens).
Vehicle Spread
What can be intensified by a person not getting enough sleep?
Pain