Chapter 10 Flashcards
Bariatrics
Branch of medicine that deals with the causes, prevention, and treatment of obesity
Biorhythms
Natural rhythms or cycles related to bodily functions
Circadian rhythms
The 24-hour day-night cycle
Closed bed
Bed completely made with the bedspread and blankets in place
Depressant
A substance that causes calmness and drowsiness
Disposable
Only to be used and then disposed
Draw sheet
An extra sheet placed on top of the bottom sheet; used for moving residents
Incontinence
The inability to control the bladder or bowels, which leads to an involuntary loss of urine or feces
Insomnia
The inability to fall asleep or remain asleep
Occupied bed
A bed made while the person is in the bed
Open bed
Bed made with linen folded down to the foot of the bed
Parasomnias
Sleep disorders
Sleep
Natural period of rest for the mind and body during which energy is restored
Stimulant
A drug that increases or quickens actions of the body
Surgical bed
Bed made so that a person can easily move onto it from a stretcher
Unoccupied bed
A bed made while no person is in the bed
Important points about sleep
The human body cannot survive fo long without sleep
Sleep is needed to replace old cells with new ones and provide energy to organs
Sleep promotes healing and healthy body functioning
Getting enough sleep helps decrease the risk of certain illnesses and disease
Sleep helps improve cognitive function and promotes emotional health
For what reasons may a person develop sleep disorders?
Illness Anxiety Fear Stress Medication Trouble breathing Noise Hunger Thirst
What is sleepwalking?
Somnambulism
What is the type of sleep disorder, or parasomnia, that involves talking in your sleep?
Sleeptalking
What is bruxism?
A sleep disorder that involves clenching the teeth during sleep
What is a REM sleep behavior disorder?
A sleeping disorder that often involves talking along with violent movements during REM (dreaming) sleep
What is sleep apnea?
The disruption of breathing while a person is sleeping
What are the factors that may affect residents’ sleep?
Environment Noise level and lighting Problems with odors and inadequate ventilation Temperature problems Anxiety Illness Aging changes Dietary habits Medications, alcohol, and cigarettes
What are the problems that can be caused by not sleeping well?
Decreased mental function
Reduced reaction time
Decreased immune system function
Irritability
NAs must to what before entering a resident’s room?
Knock and wait for permission before entering a resident’s room
What is the standard equipment in a resident’s room?
Bed Bedside stand and dresser Overbed table Chair Bath basin Emesis basin Bedpan Urinal for males Water pitcher and cup Privacy screen or curtain Call light
What are the items typically found on the bedside stand?
Emesis basin Bath basin Urinal Bedpan Soap Toothbrush and toothpaste Comb and brush
Personal articles are usually kept in the top drawer. Why must they be kept separate from basins, urinals, and bedpans?
Basins, urinals, and bedpans are not considered clean items. If they are kept with personal items, then they could contaminate the personal items.
Why should overbed tables be kept clean?
They are used for meals and personal care.
What must never be set on an overbed table?
Bedpans, urinals, and soiled linen.
What is the disposable equipment found in facilities?
Cups Tissues Gloves Paper gowns Masks Disposable razors Pads
Guidelines for residents’ units
1) Keep residents’ units neat and clean
2) Keep all call lights whiting resident’s reach
3) Straighten bed linens and remove crumbs before leaving the room
4) Re-stock resident supplies daily
5) Notify housekeeping department if bathroom needs cleaning
6) Check equipment to make sure it is working and not damaged
7) Refill water pitchers regularly
8) Remove anything that might cause odor or safety hazards
9) Report signs of insects or pests immediately
10) Leave residents’ personal items where you found them
11) After providing care, leave the unit neat and tidy
Guidelines when cleaning a unit after a transfer, discharge, or death
1) Wash hands
2) Wear proper PPE
3) Make sure area is well-ventilated when using strong cleaning solutions
4) Remove and dispose of equipment and supplies carefully
5) Raise bed to safe working level and remove soiled linen. Make the bed.
6) Clean all other unit items and equipment as instructed
7) Report any damaged or broken furniture to the proper department
8) Remove PPE and was hands
9) Place new equipment and supplies in room for new resident
Proper bed making is important for what reasons?
1) the resident will spend a great deal of time in bed
2) neat, well-made beds help the resident sleep better
3) careful bedmaking prevents infection
4) a clean, neat, and dry bed helps prevent skin breakdown and odor and promotes health
What are the types of beds found in a facility?
1) Electric beds
2) beds with built-in weight scales
3) alternating pressure mattresses
4) bariatric beds
What positions should the beds be locked in when the residents are in their beds?
The lowest position
Guidelines for bedmaking
1) change bed linens when they are wet, soiled, or wrinkled
2) wash hands and use proper infection prevention methods. Wear gloves when removing soiled linens
3) gather linen in order of placement in the bed
4) carry clean linen away from uniform
Where do you put the clean linen when preparing to make a bed?
Place clean linen on clean surface within react. (Bedside stand, overbed table, or chair)
What is a safe working level for the bed?
Usually waist high, in flattest position, lock bed wheels
How must the bottom sheet be placed on the bed?
Placed on the bed without shaking linen. Place the crease in the center of the mattress. The seams on both ends must be placed down. Pull tightly over all four corners of the bed.
How do you make hospital corners?
Pull the bottom of the bedspread, about a hand width away from the bottom of the bed, to the top of the bed. Tuck everything on the side underneath.
What goes on the bed after the fitted sheet/bottom sheet?
The draw sheet or absorbent pad
What goes over the top of the draw sheet?
The top sheet
How do you properly put on a pillow case?
Grasp the pillowcase at the closed end. Turn it inside out over your arm. Next. Using the hand that has the pillowcase over it, grasp the one narrow edge of the pillow. Pull the pillowcase over it with your free hand.
How do you make an occupied bed?
Raise the side rail on the far side of the bed. Gently turn the resident onto her side, moving away from you.
Loosen the bottom linen, mattress pad, or absorbent pad on the side closest to you. Roll the bottom soiled linen toward the resident and center of the bed, soiled side inside.
When making a surgical bed, how do you fold the linen?
Form a triangle with the linen. Fanfold the linen triangle into pleated layers and position opposite the stretcher side of the bed. After fanfolding, form a tiny tip with the end of the linen triangle.
What is fanfolding?
Folding the linen several times into pleats
