Mental Health and Mental Illness
Includes a 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?
A method of documenting facts surrounding an unexpected event in the healthcare setting which is shared between the facility and the legal team.
What is an incident report?
Any manual method, physical or mechanical device, material or equipment attached to or near an individual that cannot be removed easily and restricts freedom of movement or normal access to one's body
What is a physical restraint?
The ability to deal with slowness, delay, or boredom, without complaining or appearing rushed.
What is patience?
An event that causes other events.
What is a trigger?
Not disclosing or telling information that is personal or private about a resident, except to authorized people.
What is confidentiality?
Giving care for which you are not allowed legally to perform.
What is malpractice?
Drugs or drug doses used to control behavior or restrict movement
What is a chemical restraint?
The awareness and adjustment of nursing care based on how slow or how fast a person is functioning.
What is pacing?
An out of proportion, extreme response to activities or situations.
What is catastrophic reaction?
Milder, but long-lasting form of depression; persistent depressive disorder.
What is dysthymia?
Actions or failure to act or give proper care resulting in injury.
What is negligence?
It creates a secure but quickly releasable tie that can be loosened with one hand in an emergency, preventing patient harm or allowing quick care when needed.
What is a slipknot?
The time it takes for a person to begin an answer or a movement after someone asks him or her a question or makes a request.
*This decreases gradually after age 60
What is reaction time?
A symptom of dementia displayed by increased agitation, confusion, and hyperactivity beginning in late afternoon and builds throughout the evening.
What is sundowning?
Appear calm, Always be at the same eye level. Keep an alert and relaxed posture. Never turn your back for any reason. Maintain neutral facial expression. Maintain limited eye contact.
What is de-escalation?
Emotionally upset or agitated, extremely withdrawn, will not talk or is non-responsive, deferent, passive, acting shamed. Depressed voices feelings of helplessness and hopelessness. Trembling, clinging, cowering, minimal eye contact,
What are signs & symptoms of psychological abuse?
Check on the resident every 15 minutes.
Reposition the resident and attend to their basic needs (food, water, elimination, comfort, safety, hygiene & skin care).
Pad bony prominences as instructed by nurse to prevent pressure and injury.
What is the nurse aide's role in restraint care?
This can occur if a resident is rushed or not allowed enough time to complete tasks.
Resident may begin to feel incompetent with decrease in self-esteem and will likely become frustrated and/or blame self for not being able to keep up.
What is Social Breakdown Syndrome?
A state of severe confusion that occurs suddenly and is usually reversible.
What is delirium?
Supportive day-to-day relationships
What is the "heart" of de-escalation?
You've just witnessed a coworker emotional abuse a resident and decide not to report it.
What is aiding and abetting?
This should be kept in the nurse aide's pocket at all times in the event of an emergency.
What are scissors?
May be beneficial for things like mood, memory, concentration, reasoning, and imagination. These may be especially helpful for the brain if they require learning something new.
What is a brain game?
Resident requires 24 hour care for personal needs. Experiences difficulty with sitting, walking and swallowing. Communication may be difficult. At risk for infections, especially pneumonia.
What are the signs/symptoms of Late-Stage Alzheimer's?