Dementia and Delirium
This specific hand position involves holding the patient's hand, gently providing a pumping action. Useful assisting patient w/ ambulation, dressing and eating.
What is "hand under hand positioning"?
What type of restraint order would be expect for your post-op patient who is trying to pull out his new PEG tube?
What is Non-violent restraint?
Your patient is trying to get a rise out of you by saying that you're not as nice as the previous nurse and that they dont like the color of your uniform. It is starting to upset you. What AVADE principle would you enlist here?
What is QTIP (Quit Taking it Personally)?
** This scenario demonstrates what unsafe action?
What is "Safety Video for Psych Jeopardy.mov" ??
What year was the new part of the hospital built?
What is 2010?
Rather than trying to take something away from a patient with dementia, try this technique instead.
What is substitution, a form of redirection or diversion?
What type of restraint order would expect for a patient who is trying to harm themself and staff that enter the room?
What is Violent Restraint?
One technique to help de-escalate a situation is to actively listen t the patient. What is one way that demonstrates this technique?
What is redirect thoughts by asking questions, redirect environment by moving to another location, if possible, clarify or summarize the information to reinforce that you're listening?
Where should your patient sitter be positioned in the room when watching a patient as a patient observer?
What is closest to the door; between the patient and the doorway?
What is the name of our outgoing president of Martha's Vineyard Hospital?
Who is Denise Schepici?
Patients with dementia are at risk for these two safety concerns based on their condition.
What is falls and choking?
What type of restraint would you use for a frail 90-year-old patient who is trying to harm staff?
What are Soft limb restraints?
The term used to describe when a caregiver can longer assist int he de-escalating a patient/situation and may be even triggering the person.
What is Tap Out?
The term used to describe a safe and non-threatening stance when interacting with patients.
What is Bladed Stance (angled, sideways body position where your feet and shoulders are turned, with one foot slightly forward [often at 45 degrees], creating small target profile)?
How many year-round residences live on island?
What is about 22,000 people!!!
This assessment is to be performed every four hours to assess a patient's level of consciousness as part of screening for delirium.
What is RASS score (Richmond Agitation-Sedation Scale)?
What type of restraint would you use for a young patient who is hallucinating and trying to get out of bed because of his delusions?
What is Twice as tough restraints?
The overall goal of using de-escalation techniques is to ...
Hand position that tells the patient you are open to conversation and not hiding anything.
What is Open hands in front, palms up?
How many lighthouses are there on Martha's Vineyard?
What is five lighthouses (East Chop, West Chop, Edgartown, Gay Head, Cape Poge)?
The CAM-modified includes these four separate assessments.
What is F1: Acute Onset/Fluctuating Course; F2: Inattention; F3: Disorienting Thinking: F4: Altered Level of Consciousness?
What three terms are used as a part of the required documentation for restraints that indicate the status of a restraint occurrence?
What is Start, Continued, and Discontinued?
You only get one chance to make a first impression. When first meeting a patient, it is imperative to...
What is introduce yourself and ask them their name?
Top three reasons workplace violence leads to physical assualts.
What are Missed signs and symptoms of imminent attack; being too close to the attacker; giving up the escape route?
in the movie, JAWS, who said "Ya gonna need a bigger boat'?
Who is Brody?