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BNAT > Chapter 6 > Flashcards

Chapter 6 Flashcards

1
Q

What are normal signs of aging

A

Changes or loss of brain cells

Slower nerve conduction and reflexes

Changes in vision, hearing, taste, and smell

Confusion

Memory changes

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2
Q

What is dementia

A

The loss of cognitive function and memory loss caused by changes in brain

A cluster of symptoms include loss of thinking, remembering, reasoning ,poor judgment, personality changes

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3
Q

Causes of Dementia

A

Hereditary
Environment
Drugs
Alcohol
CVA-stroke
depression
multiple sclerosis
parkinson’s disease
brain tumors
infection
trauma

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4
Q

How much is alzheimers disease is dementia

A

70%

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5
Q

What is delirium

A

A temporary change in cognitive function which occur over a short period of time

Reversible

Usually a direct physiological consequence from a medical condition

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6
Q

Diagnosis of dementia

A

Neurological/mental exam

CT scan-Computerised tomography

Neuropsychological testing

Spinal tap

PET-positron emission tomography

EEG-Electroencephalograph

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7
Q

What is PET

A

PET-positive emission tomography

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8
Q

What is a CT

A

Ct- computerised tomography

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9
Q

What does CSF stand for?

A

CSF- spinal tap

A procedure in which a thin, hollow needle is inserted into the lower part of the spine to collect a sample ofcerebrospinal fluid(CSF).
Cerebrospinal fluid(CSF, shown in blue) is made by tissue that lines the ventricles (hollow spaces) in the brain. It flows in and around the brain and spinal cord to help cushion them from injury and provide nutrients.

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10
Q

Neurons

A

We have about 100 billion neurons

New research shows that new neurons are developed throughout life

Cell body

Dendrites

Axon have two distinctive parts- tube like structure and axon branches at the end

(axon terminals) that connect to dendrites of other cells

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11
Q

Myelin Sheath

A

covers axon. Increases the speed of neural signals down the axon

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12
Q

Axon terminals

A

have small storage sacs called synaptic vesicles. This contains neurotransmitter molecules.

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13
Q

Neurotransmitters

A

binds to receptors that it fits

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14
Q

What are Plaques formed from?

A

beta amyloid protein
This protein accumulate around the neuron and cause the cells to die.

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15
Q

What are tangles caused by?

A

twisted strands of protein called tau that form within the cells. Neurons become deformed and clump together.

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16
Q

5.3 million people in US are suffering from AD today

Prevalence of AD in 65 years or older-10%

25-30% - 75 or older

47% - 85 or older

A

Alzheimers disease

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17
Q

What are risk factors of Alzheimer’s disease

A

Increase in age

Family history

Diabetes

Hypertension

Estrogen deficiency

Smoking/Alcohol intake

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18
Q

How early do changes in the brain happen for alzheimers start before diagnosis?

A

20ys

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19
Q

Violent or hostile. Raising one’s voice, yelling, hitting, shoving, kicking, throwing things, biting, spitting, insulting others, and resisting care

A

Combative

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20
Q

How can a NA promote safety with a combative resident

A

Observe for early signs of possible combativeness, such as pacing, tensing the body, a flushed face, and angry look

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21
Q

Giving a bath to patient and person doesn’t want to and screaming and yelling

A

it is ok. Leave them alone. Lower bed and give call light.

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22
Q

what happens in the first stage of Alzheimers disease?

A

Gradual stage-General- Anxiety

Memory- Look at clocks, calendar frequently, takes long time to do routine tasks

Orientation- Time disorientation

Judgment-Impaired

2-4 years

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23
Q

Memory- forgets name words, difficulty focusing attention, initiating actions, difficulty with decisions, spending irresponsibly, cannot make decisions at job. Difficulty concentrating, frequent errors with check books.

A

stage 1 of AD

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24
Q

Stage 2 of AD

A

Increase loss of intellect

More obvious memory loss

Time, place disorientation

Restlessness, uneasy

Dulled senses

Lose impulse control (swear/inappropriate behaviors)

memory loss like important papers, forgets simple directions, forgets medicine

Easily lost, day/ night confusion, forgets meals, judgment is poor, cannot follow

Problem recognizing family and friends

Sun downing

Suspicious, irritable, teary, repetitive movements like tapping

2-10 years

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25
Q

stage 3 of AD

A

Terminal stage

May lose total communication-grunts, cries, groans

Doesn’t recognize themselves or family

Totally dependent for ADL’s

Swallowing problems

May become totally bed bound

Coma-Death

1-3 years

Need tube feeding to survive, cannot swallow.

they are bed bound

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26
Q

Three considerations of AD

A

Caution
communication
comfort

Protect the patient from harm , provide a safe environment

Provide for understanding, both verbal and non verbal

Physical, emotional and environmental comfort

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27
Q

AD daily activites

A

Fearful

*Not understanding

*Forgetting what he needs to do

*Brain- can’t tell the muscles to move

*Bath/ dressing/ eating

*Oral hygiene/ undergarment change

Bath- raining- wet- cold-stepping into shower, take clothes off, get into bathtub

Dressing- tight vest, pulling sweater, forget what he put on, stand up, sit down

Eating- noneatible- chewing on utensils

Oral hygiene- chewing on tooth brush, brushing hair, tooth paste- eating it- person getting too close

Diaper change- doesn’t know that he is wet, don’t want people touching the body

Digestive system—Feeding techniques

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28
Q

May have to go along with ideas or words that are not grounded in reality

*Focuses on steps leading to final outcome

A

Dementia

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29
Q

What should a NA never do with a person with dementia

A

Confront them with loss of memory

*Talk about them in front of their face

*Respond to their accusations

*Get in to power struggle with them

*Put them on the spot, argue with them

*Put them through memory test

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30
Q

Communication Strategies for people with AD

A

State ideas in a positive rather than negative terms

*Avoid questions and state ideas in positive terms. If a question must be asked , limit choice.

*Avoid baby talk; speak to them as an adult

*Do not reason and apply logic

e terms like guide individual to behavior that you would like them to do like “ put your hands in the lap”, negative terms( focus on undesirable behavior and don’t help the individual understand what you would like) “ don’t put your hand in mashed potatoes”.

  1. Rather than asking “ What would you like for lunch today”, state in positive terms like “ we are having chicken nuggets for lunch today or limit choice by saying “ would you like grilled cheese sandwich or chicken stew”
  2. Avoid words and tone of voice normally reserved for children and infants

4.Find an alternative response that does not confront the individual. Don’t say” Now you know you are not supposed to wear your shorts over your pants” say like “ let me help you to take those shorts off”

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31
Q

Techniques with ADL’s for AD patients

A

CONSISTENCY IN APPROACH

*FOCUS ON ABILITY

*TASK BREAKDOWN TECHNIQUE

*CLUEING

*DISTRACTION TECHNIQUE

R SCHEDULE IS IMPORTANT, ROUTINE IS FAMILIAR AND COMFROTING,BE FLEXIBLE WITH THE SCHEDUL,STAY CLAM AND UNHURRIED,RESIDENTS WILL RECAT TO YOU AND YOUR BEHAVIOR( GETTING ANXIOUS AND AGITATED), MAINTAIN A CONSISTENT REALISTIC SCHEDULE BUT BE FLEXIBLE WITHIN THE SCHEDULE.

2..WORK WITH RESIDENTS STRENGTH AND ABILITIES, FOCUS ON WHAT THEY CAN DO AND WHAT THEY CANNOT DO, HELP MAINTAIN ABILITIES FOR AS LONG AS POSSIBLE( KEEP AS INDEPENDENT AS POSSIBLE)

3..BREAKDOWN TASKS INTO STEPS,THE RESIDENT MAY ONLY BE ABLE TO CONCENTRATE ON ONE THING AT ATIME

4..CLUES ARE REMINDRERS THAT STIMULATE THE MEMORY AND HELP A PERSON TO DO THE ATSK( NAMES ON DOOR, PICTURES)

5..YOU CAN CHANGE THE SUBJECT HE WON’T RENMEBERFROM ONE MOMENT TO THE NEXT), COMMENT ON SOMETHING POSITIVE( MARY, YOUR DRESS IS LOVELY), STAY CALM WHEN USING DISTRACTION OR THE RESIDENT WILL PICK UP ON YOUR FEELINGS.

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32
Q

What are some feeding problems for people with AD

A

Doesn’t like food

*Poor nutrition

*No concept of getting food to mouth

*Keep food in the mouth

*Picks up food

*Dehydration

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33
Q

What are some techniques for feeding for people with AD

A

Sit across

*Tell what is on the plate

*Alternate food and water—Chew—water

*Remind to swallow

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34
Q

Adaptive therapies

A

Reality orientation

*Validation

*Reminiscence therapy

*Activities

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35
Q

Wander guard, chair alarm, bed alarm is for someone at risk of

A

Elopement

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36
Q

TOOMANY PEOPLE,NOISE, ACCIDENTS., OR MESSES), INABLITY TO PERFORM AN ACTIVITY, TOOMANY DISTRACTIONS AT ONCE, BEING ASKED TOO MANY QUESTIONS.

A

OVERLOAD

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37
Q

: KEEP THE PACE LOW, ONE QUESTIONS AT A TIME, USE CALMING WORDS AND ACTIONS, REGULAR ROUTINES, AVOID DISTRACTING THE PATIENT.

A

INTERVENTONS for catastrophic reactions

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38
Q

INCREASED RESTLESSNESS AND AGITATION, CONFUSION, SUSPICIOUSNESS, DECREAES ATTENTION SPAN, CONCENTRATION, DEMANDING BEHAVIOR are all aspects of what behavior

A

Catastrophic reactions

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39
Q

What is clueing

A

Reminders, pictures of them when they were young

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40
Q

CAUSES of sundowning-

A

OVERSTIMULATION WHOSE TOLERANCE FOR STRESS IS LOWER AT THE END OF THE DAY.MAY BE CAUSED BY HUNGER, DISCOMFORT, PAIN OR NEED TO URINATE. CAREGIVER’S FATIGUE IS COMMUNICATE DTO RESIDENTS.

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41
Q

INterventions for sundowning

A

INTERVENTIONS: PLAN DAY SOTHAT FEWER THINGS OCCUR BY THE END OF THE DAY, REDUCE ACTIVITY AROUND PATIENT, GIVE SIMPLE CHORE TO DO ( FOLDING, WIPING, PAINTING),HAVE SOME ONE

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42
Q

TENDENCY TO MOVE ABOUT IN SEEMINGLY AIMLESS MANNER.

A

wandering

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43
Q

What are the causes of wandering

A

THERE ARE DIFFERENT KINDS OF WANDERING AND DIFFERENT REASONS WHY A BRAIN IMPAIRED PERSON WILL WANDER. IDENTIFYING THE CAUSES WILL HELP TO PLAN THE WAY TO MANGE IT. IT IS VERY DIFFICULT TO MANGE AT HOEM AND ALSO AT NUSING FACILITY.

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44
Q

What are some dangers of wandering

A

TRAFFIC, GETTING LOST, PEOPLE DEAL WITH ANXIETY AND RESTLESSNES WANDER, THEY HAVE BEEN REAL ACTIVE IN THEIR LIFE AND COULD NEVER SIT STILL, IT’S THEIR WAY OF HANDLING STRESS.WANDERING MAY BE RESULT OF FEELING LOST.IT INCREASES WHEN APERSON MOVES TO ANEW HOME. THEY MAY WANDER INTERMITTENTLY FOR NO APPRENT REASON. IT CAN GO ON FOR HOURS. IT RELEIVE THEM OF BOREDOM.

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45
Q

GETTING INTO OTHER PEOPLE’S THINGS AND HIDING THEM.

A

Rummaging

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46
Q

What are some causes of rummaging

A

DRIVEN TO SEARCH FOR SOMETHING THEY THINK IS MISSING. CAN’T FIGURE OUT WHAT BELONGS TO THEM OR WHAT BELONGS TO OTHER PEOPLE. CAN’T FIGURE OUT WHERE THEY HIDE THINGS OR WHAT THEY HAVE HIDDEN.

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47
Q

How can we manage rummaging

A

KEEP BUSY RUMMAGING,DISTRACT RESIDENT WHEN YOU FIND IN ANOTHER PATIENT;’S ROOM, LEARN HIDING PLACES, DON’T ACCUSE FOR TAKING THINGS, KEEP THE ENVIONMNET SAFE.

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48
Q

Techniques with ADL’s

A

consistency in approach
focus on ability
task breakdown technique
clueing
distraction technique

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49
Q

What do you do when You see people wandering and wandering and find a patient sleeping in another patients room

A

Do not wake them up if they Alzheimer’s patient because they need sleep and rest

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50
Q

A disorder that can occur in men as they age in which the prostate becomes enlarged and causes problems with urination and/or emptying the bladder

A

benign prostatic hypertrophy

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51
Q

A form of female reproductive cancer that begins in the cervix

A

cervical cancer

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52
Q

if patient moving food around on the plate what do you do

A

Move tray back and offer food they want so it doesn’t get cold

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53
Q

a sexually transmitted infection caused by bacteria

generally treated with a single-dose of oralazithromycinor a prescription of oral doxycycline that is taken twice a day for one week.

A

chlamydia

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54
Q

a form of female reproductive cancer that begins in the uterus

A

endometrial cancer

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55
Q

If patient says they don’t want this food

A

offer them something else

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56
Q

what do you do if patient gets up and starts walking around the dining room

A

Give them bites when they are walking around

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57
Q

What do you do if a patient asks to be fed by someone else or mom

A

Tell them your mom just called me, she made this food, talk about their mom, she told me to start feeding you, she is on the way

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58
Q

The inability to have or maintain a penile erection

A

erectile dysfunction

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59
Q

If a patient tells you are doing something wrong or correcting you

A

do it they way they are telling you or ask them to tell you more

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60
Q

What if patient is throwing food at someone else

A

Distract them and remove them from the situation

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61
Q

what if a patient is trying to feed you?

A

remind them I just ate my food. sometimes the CNA eats with patient.

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62
Q

a sexually transmitted incurable infection caused by herpes simplex viruses type 1 (HSV-1) or type 2 (HSV-2)

A

genital herpes

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63
Q

What if someone wet the seat they are sitting on?

A

never blame patient, just help them get changed

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64
Q

Always take blame off patient

A

Never make them feel guilty

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65
Q

a sexually transmitted infection caused by human papillomavirus

A

genital HPV infection

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66
Q

Organs that produce and secrete chemicals called hormones

A

glands

67
Q

The male and female sexual reproductive glands

A

gonads

68
Q

A sexually transmitted bacterial infection that, if untreated, may cause infertility.

Symptoms include painful urination and abnormal discharge from the penis or vagina. Men may experience testicular pain and women may experience pain in the lower belly. In some cases, has no symptoms.

A

gonorrhea

By having unprotected vaginal, anal, or oral sex.

By mother to baby by pregnancy, labor, or nursing.

69
Q

chemical substances produced by the body that control numerous body functions

A

hormones

70
Q

What if patient asks where are my children

A

they are at school. bus is not here yet.

71
Q

the end of menstruation occurs when a woman has not had a menstrual period for 12 months

A

menopause

72
Q

What if patient says they need to go to school or work

A

It is a snow day today, coloring books, school is closed today

73
Q

Where is my mom, I want to see my mom today

A

She is on the way, she is at church, the store, what ever works

74
Q

The shedding of the lining of the uterus that occurs approximately every 28 days also know as a period

A

menstruation

75
Q

What if patient says they want to go home

A

Your spouse is on the way, stay a little longer for a meal, get them to stay a little longer

76
Q

a form of female reproductive cancer that begins in the ovaries

A

ovarian cancer

77
Q

Look at world from perspective of a person. If you woke up from nap and being undressed by a person you have never met before

A
78
Q

female sex cell or egg

A

ovum

79
Q

a form of male reproductive cancer that begins in the prostate gland

A

prostate cancer

80
Q

infections caused by sexual contact with infected people; signs and symptoms are not always apparent

A

sexually transmitted infections (STI’s)

81
Q

male sex cells

A

sperm

82
Q

a sexually transmitted infection caused by bacteria

A

syphilis

83
Q

a form of male reproductive cancer that begins in the testes

A

testicular cancer

84
Q

What should temperature be in a patients room

A

70-81

85
Q

a sexually transmitted infection caused by protozoa (single-celled animals)

A

trichomoniasis

86
Q

an inflammation of the vagina

A

vaginitis

87
Q

What is it called to bring people back to reality

A

normalization

88
Q

reminiscence therapy

A

remembering things of the past. letting people think the past is happening now.

visualize on past memories

89
Q

reality oreintation

A

bringing people to reality, what day it is, or back to room. show them a clock or calendar of what is true. for stage 1.

90
Q

validation/affirmation

A

validate what they are talking about

91
Q

normalization

A

make things they are saying and doing as normal and help them do an activity that they are interested in. Make them feel like they have a normal life. Gardening, or cooking (go over ingredients)

92
Q

The final stage of HIV infection in which infections, tumors, and central nervous system symptoms appear due to a weakened immune system that is unable to fight infection

A

AIDS Acquired immunodeficiency syndrome

93
Q

a disease in which the body is unable to recognize its own tissues and begins to attack these tissues

A

autoimmune disease

94
Q

noncancerous

A

benign

95
Q

the removal of a sample of tissue for examination and dagnosis

A

biopsy

96
Q

a type of severe pain that happens unexpectedly in people who have cancer

A

breakthrough pain

97
Q

a general term used to describe a disease in which abnormal cells grow in an uncontrolled way

A

cancer

98
Q

a fear of homosexuality

A

homophobia

99
Q

a virus that attacks the body’s immune system and gradually disables it; eventually can cause AIDS

A

human immunodeficiency virus (HIV)

100
Q

a clear yellowish fluid that carries disease-fighting cells called lymphocytes

A

lymph

101
Q

cancerous

A

malignant

102
Q

a spread from one part of the body to another

A

metastasize

103
Q

an illness caused by microorganisms that do not affect people with healthy immune systems but cause disease in people with weakened immune systems

A

opportunistic infection

104
Q

the disappearance of signs and symptoms of cancer or other diseases can b temporary or permanent

A

remission

105
Q

a group of abnormally growing cells

A

tumor

106
Q

What are the female hormones?

A

progesterone and estrogen

107
Q

If you see patient hemorrhaging what should you do?

A

Call for help

Wear gloves

Place sterile dressing over the wound

Apply pressure to site until bleeding is stopped or you are instructed otherwise by RN

108
Q

How often should you take vital signs after surgery

A

Every 15min in first hour, every 30min for 1-2hrs, every hour for 4 hours

109
Q

What do you do if there is loss of large amount of blood in short period of time?

A

Call for help

Wear gloves

Place sterile dressing over the wound

Apply pressure to site until bleeding is stopped or you are instructed otherwise by RN

110
Q

What does BPH stand for?

A
111
Q

Difficulty using the bathroom

A

dysuria

112
Q

what is difficulty with the blood

A

hematuria

113
Q

What prevents blood clots

A

SCD- sequential compression devices

prevents blood clots by massaging the legs with wave like motion.

114
Q

What is safety for hot and cold applications

A

Know how to use the equipment

Know the temperature

Know the precise site of application

Observe every 5 minutes

Do not keep no longer than 15-20 minutes

115
Q

When to use heat applications

A

Used for musculoskeletal problems

Sprain, arthritis

Relieves pain and relaxes muscles

Use caution with dementia, elderly, children

Metal implants

116
Q

What effects happen when heat is applied

A

Increases blood flow to the area

Blood vessels dilate – More blood flow to the area

117
Q

What is it called when increases blood flow to the areas

A

vasodilation

118
Q

What happens when cold is applied

A

Blood vessels constrict and decreased flood flow

119
Q

What are types of cold devices?

A

Dry Cold- ice bag, ice collar, ice glove

Moist cold- Cold compress

Cooling blankets

120
Q

What are some complications from cold devices

A

Pain, pale, grey skin

Burns

Blisters

Frost bite, numbness, shivering

Cyanosis- Bluish discoloration

121
Q

what are male components of reproductive system

A

Male- Testes, Scrotum, vas deferens, prostate gland, penis

      Hormone- Testosterone
122
Q

What are female components of reproductive system

A

Female- Ovaries, fallopian tubes, uterus, vagina, clitoris

      Hormone- Estrogen
123
Q

What are age related changes of female

A

Decrease in estrogen and progesterone

Loss of calcium and brittle bones-osteoporosis

Decrease in estrogen- high risk of UTI

124
Q

What are age related changes of male

A

Sexual response slows

BPH -benign prostate hyperplasia

Erectile dysfunction

125
Q

What happens BPH benign prostatic hypertrophy

A

Prostate gland enlarges without tumor development

Causes narrowing of urethra which passes through the prostate

Can produce sufficient enlargement to cause urinary retention

Is non cancerous

126
Q

Signs of symptoms of BPH

A

Symptoms- Frequency, nocturia, hesitancy, painful urination, decrease force of urinary stream.

Dribbling, hematuria, infection, obstruction, and kidney damage occurs as a result of above symptoms.

127
Q

What are complications of bed rest

A

Pressure sores, weak muscles and stiff joints. Circulation issues. Blood clots.

128
Q

What should you do when a patient is hemorrhaging in home care?

A

Apply pressure

129
Q

Name sex hormones

A

testosterone-male
estrogen, progestrogen-female

130
Q

An examination of the body after death by a pathologist to try to determine the cause of death

A

autopsy

131
Q

Respirations gradually increase in rate & depth, then become shallow & slow; breathing may stop (apnea)

A

Cheyne-stokes respirations

132
Q

Describes the support & care given during the time surround death

A

end of life care

133
Q

Care of the body after death done by nursing staff on the unit

A

post-mortem care

134
Q

the condition after death in which the muscles in the body become stiff & rigid

A

rigor mortis

135
Q

a disease or condition that will eventually cause death

A

terminal illness

136
Q

what is POLST

A

newest advance directive only for persons with serious advanced illnesses. more detailed and specific. it summarizes the persons’ wishes for end of life care

137
Q

what are the five stages of death

A

denial, anger, bargaining, depression, acceptance

138
Q

what are signs and symptom of shock

A

Pale, cold clammy skin, rapid & weak pulse, rapid, shallow & irregular breathing, low BP, weak anxious, thirsty, sleepy, lethargic

139
Q

pain indicating damage to nervous system

A

neuropathic pain

140
Q

What types of dementia are reversible

A

Delirium

141
Q

what does stage one dementia look like

A

general anxiety
memory-looks at clocks, calendar, takes a long time to do routine tasks, orientation-time disorientation, udgment -impaired, 2-4yrs

142
Q

what does stage 2 dementia look like

A

increase loss of intellect, more obvious memory loss, time, place disorientation, restlessness, uneasy, dulled senses, lose impulse control (swearing and inappropriate behaviors), problem recognizing family and friends, sun downing, suspicious, irritable, teary, repetitive movements like tapping, 2-10yrs

143
Q

what does stage 3 dementia look like

A

terminal stage, may lose total communication, grunts, cries, groans, doesn’t recognize themselves or family, totally dependent for ADL’s, swallowing problems, may become totally bed bound, coma-death, 1-3yrs

144
Q

how can you help keep a wandering person safe

A

use locks, use alarms, wander guard

145
Q

what are some communication strategies to interact with dementia patients

A

state ideas in a positive rather than negative terms, avoid questions, limit choices, apply logic

146
Q

what are techniques to use with ADL’s for dementia patients

A

consistency in approach, focus on ability, task breakdown techniques, clueing, distraction technique

147
Q

what are some feeding problems with dementia patients

A

doesn’t like food, poor nutrition, no concept of getting food to mouth, keep food in the mouth, picks up food, dehydration

148
Q

what are CAUSE of catastrophic reactions:

A

SUDDEN SENSORY OVERLOAD( TOOMANY PEOPLE,NOISE, ACCIDENTS., OR MESSES), INABLITY TO PERFORM AN ACTIVITY, TOOMANY DISTRACTIONS AT ONCE, BEING ASKED TOO MANY QUESTIONS.

149
Q

what are some interventions of CNA’s for people having a catastrophic reactions

A

INTERVENTONS: KEEP THE PACE LOW, ONE QUESTIONS AT A TIME, USE CALMING WORDS AND ACTIONS, REGULAR ROUTINES, AVOID DISTRACTING THE PATIENT.

150
Q

What is sundowning?

A

SUNDOWNING:INCREASED RESTLESSNESS AND AGITATION, CONFUSION, SUSPICIOUSNESS, CATASTROPHIC REACTIONS, DECREAES ATTENTION SPAN, CONCENTRATION, DEMANDING BEHAVIOR.

151
Q

What causes sundowning?

A

CAUSES- OVERSTIMULATION WHOSE TOLERANCE FOR STRESS IS LOWER AT THE END OF THE DAY.MAY BE CAUSED BY HUNGER, DISCOMFORT, PAIN OR NEED TO URINATE. CAREGIVER’S FATIGUE IS COMMUNICATE DTO RESIDENTS.

152
Q

What are some interventions for sundowning?

A

INTERVENTIONS: PLAN DAY SOTHAT FEWER THINGS OCCUR BY THE END OF THE DAY, REDUCE ACTIVITY AROUND PATIENT, GIVE SIMPLE CHORE TO DO ( FOLDING, WIPING, PAINTING),HAVE SOME ONE SPEND TIME WITH PATIENT.
catastrophic reactions

153
Q

What is wandering

A

WANDERING- TENDENCY TO MOVE ABOUT IN SEEMINGLY AIMLESS MANNER.

154
Q

What causes wandering

A

CAUSES: THERE ARE DIFFERENT KINDS OF WANDERING AND DIFFERENT REASONS WHY A BRAIN IMPAIRED PERSON WILL WANDER. IDENTIFYING THE CAUSES WILL HELP TO PLAN THE WAY TO MANGE IT. IT IS VERY DIFFICULT TO MANGE AT HOEM AND ALSO AT NUSING FACILITY.

155
Q

What are the dangers of wandering

A

DANGERS OF WANDERING- TRAFFIC, GETTING LOST, PEOPLE DEAL WITH ANXIETY AND RESTLESSNES WANDER, THEY HAVE BEEN REAL ACTIVE IN THEIR LIFE AND COULD NEVER SIT STILL, IT’S THEIR WAY OF HANDLING STRESS.WANDERING MAY BE RESULT OF FEELING LOST.IT INCREASES WHEN APERSON MOVES TO ANEW HOME. THEY MAY WANDER INTERMITTENTLY FOR NO APPRENT REASON. IT CAN GO ON FOR HOURS. IT RELEIVE THEM OF BOREDOM.

156
Q

What is rummaging? And what are the causes

A

RUMMAGING: GETTING INTO OTHER PEOPLE’S THINGS AND HIDING THEM.
CAUSES: DRIVEN TO SEARCH FOR SOMETHING THEY THINK IS MISSING. CAN’T FIGURE OUT WHAT BELONGS TO THEM OR WHAT BELONGS TO OTHER PEOPLE. CAN’T FIGURE OUT WHERE THEY HIDE THINGS OR WHAT THEY HAVE HIDDEN.

157
Q

how to help manage a person that rummages

A

MANAGEMNETY: KEEP BUSY RUMMAGING,DISTRACT RESIDENT WHEN YOU FIND IN ANOTHER PATIENT;’S ROOM, LEARN HIDING PLACES, DON’T ACCUSE FOR TAKING THINGS, KEEP THE ENVIONMNET SAFE.

158
Q

what types of therapeutic baths includes

A

tepid whirlpool and sitz bath

159
Q

mr a has mild dementia and doesn’t want his morning care done

A

freedom from coercion and invasion of privacy

160
Q

when a person is dying

A

assume that the person can hear you

161
Q

signs of approaching death include

A

decreasing responsiveness

162
Q

when caring for a dying person you should

A

continue to talk to them while caring for them

163
Q

restorative care

A

maintain a persons functioning

164
Q

what are some restorative care programs

A

elimination, range of motion exercises, positioning, mobility and ambulation, transferring, grooming, eating and drinking, splints or braces, communication

BNAT (6 decks)

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