End of Life Care
__________ care is the care of patients with serious illness from which recovery is not expected.
Palliative
Along with malnutrition, ___________ represents one of the most common health issues in nursing home residents
Dehydration
Who all is responsible for writing witness statements during risk events?
Everyone on the unit, on that shift, on that day.
Who can make medication changes or prescribe medications?
Doctor or NP
Can you wear airpods at work?
NOOOOOOOOOOOOOO
What kind of approach is required for end of life care?
Active, Compassionate
___% of residents in nursing homes are underweight.
50%
What assessments need completed for a fall?
Risk assessment, fall assessment, skin assessment, pain assessment
(don't forget to enter a progress note)
What is the time frame for a medpass?
An hour before and an hour after
T or F: You have to complete your charting prior to leaving your shift
YESSSSSSSSSS
_________ care planning is the process of planning for possible health care decisions that may arise in the future
Advance
Name some of the signs of malnutrition
Oral Symptoms (canker sores and excessive redness, thrush)
Debilitating Muscles (becoming flaccid, fatigue)
Eye Symptoms (redness or swollen corneas, vision deteriorating)
How long after a fall does an intervention need to be put into place?
Immediately
Are you allowed to give residents melatonin or Benadryl without an order?
NO
What side of the hallway can items be sitting on?
Ex. W/C, Lifts, Linen Carts, Etc
Opposite of the fire doors
T or F: A person is considered a full code until a DNR is signed and verified.
True
Approximately ___% of people over 65 have diabetes
25%
When do neuro checks need to be initiated?
Any unwitnessed fall
Head injury
What things have to be dated when opened?
OTC
Eye gtts
Insulin
Liquids
Inhalers
Do we have community peri wash, body wash, lotions, etc.?
No. You are not to share items between residents. This is an infection control issue
Palliative care tackles 4 main types of needs that may arise towards the end of life: Physical, Social, Spiritual, and _________
Psychological
Improper nutrition of residents in nursing homes is normally caused by?
Disregard/unimportant to staff
Carelessness
Lack of concern or knowledge
What needs completed for a resident to resident altercation?
Notify Admin/DON
Witness statements
Pain & Skin on residents involved
Risk assessment on residents involved
Progress note (with updates)
Do you feel safe questionnaire with BIMS >11
Skin sheets on res with BIMS <11
What are the 6 rights?
Drug
Route
Time
Dose
Patient
Documentation
What are the 5 skills of customer service?
Strong communication
Empathy
Patience/ Positive attitude
Customer centered view
Problem solving