Lesson 11
How often must we provide oral care for a resident?
What direction do we clean a resident when toileting?
How often must we do a complete bed change?
Once a week
List 2 types of modified diets
Thickened liquids, NPO, Liquid diet, Mechanically soft, puree
List 2 facts about the skin
It is the largest organ and it is the first line of defense against infection.
What are contraindications for an electric razor?
Pacemaker, Oxygen, Water
When toileting a resident what do you check for before disposing?
Color, Odor, Character, Amount
What is another name for an Anderson Frame?
Bed cradle
List 3 things you should take into consideration in a regular diet?.
Resident's choice, culture, religion, finances, and food allergies
List the layers of skin
How do we comb hair?
Separate into small sections and brush from ends to roots. (bottom to top)
When dressing a dependent resident what side is dressed first? What side is undressed first?
Undress the unaffected first. Dress the affected first.
What items can be used for reality orientation? List 3
Clocks, calendars, wreaths, pictures outside of their door, family photos
List the 6 basic nutrients
Carbohydrates, fats, minerals, proteins, vitamins, water
List 3 things that would make a resident higher risk for pressure sores.
Impaired mobility, incontinence, obesity, malnutrition, or history of skin breakdown.
What things do we check nails for?
Color, Cuts, Splits, Swelling
What do we check for with catheter care? How much tubing is cleansed from the meatus out?
Secretions, leakage, irritation. 4 inches from the meatus out.
Explain unoccupied bed procedure for a closed bed. Be specific.
Remove pillowcase, remove rest of linens by rolling down and away from uniform. Apply clean bottom sheet to one side, followed by top sheet and blanket on that same side. Going from top to bottom. Miter corner. Repeat on other side. Apply pillow case. Make a cuff and put pillow (opening away from the door) under cuff. Make a toe pleat.
Keep the head of the bed elevated at least 30 degrees.
List the bony prominences and the friction areas.
Friction- armpits, under breasts, skin folds, groin, inner thighs, between buttocks, between toes, around contracted areas, under tubing.
When providing oral care what areas do we observe and what do we observe them for?
Teeth Tongue Lips Mouth for Cracks, Bleeding, Loose Teeth, Odor, Discoloration
After a resident has a bowel movement in a hat for a stool specimen collection how would you get the specimen into the collection container to send it to the lab?
Use 2 tongue blades, to obtain 2 tablespoons of stool, from 2 different areas.
Explain the occupied bed procedure. Be specific
Drape, remove top linens, roll resident away from you, remove bottom sheet and tuck, put on new bottom sheet and tuck, roll resident other way and remove dirty bottom sheet and pull clean bottom sheet over corners, roll resident on back. Apply clean top sheet over drape, remove drape, apply blanket, miter corners, loosen top linens over toes, change pillow case.
List 3 assistive devices for meals, and explain how you would assist a resident who is visually impaired at a meal.
Plate guards, weighted silverware, built up silverware, nosey cups, Divided plates, non skid place mat. Explain their food position in terms of a clock
Explain the 4 stages of pressure sores
1. Redness that doesn't go away, skin intact. 2. Broken, cracked, or blistered area surrounded by redness. 3. Skin over wound is gone and underlying tissue is exposed, make have necrotic tissue or purulent drainage. 4. Extensive tissue damage, muscle and bone visible.