exam Flashcards
advanced care directive
it should provide a clear statement that sets your directions including your wishes and values that need to be considered before medical treatment decisions are made on your behalf. a written statement detailing a persons desires regarding future medical treatment in circumstances in which they are no longer able to express informed consent, especially in advance directive
types of restraint
Physical - leather or cloth wrist and ankle restraints, full-sheet restraints, soft belts or vests, hand mitts, crotch/pelvic ties, suit/ harnesses, wheelchair safety bars, gerichairs and overchair tables.
• Chemical - Chemical restraint involves medications. E.g. antipsychotics, antidepressants, beta-blockers
• Environmental - Locked in a room
• Psychological - Threatening a patient so they believe
that the they will suffer an adverse consequence if he
or she moves
restraint is
deliberate action to restrict someone free of movement or decision making. can restrain if; - legal doc order - speak to nok - last resort/all alternatives used - released regularly
elderly rights advocacy
Elder Rights Advocacy (ERA) offers a free, confidential and independent service to older people (or their representatives) who are receiving an Australian Government subsidised aged care service in Victoria.
ERA provides advocacy assistance to support older people to uphold their rights and to prevent the abuse of these rights.
dysphagia
difficulty or discomfort in swallowing, as a symptom of disease
sundowning
is a symptom of Alzheimer’s disease and other forms of dementia. It’s also known as “late-day confusion.” confusion and agitation may get worse in the late afternoon and evening. In comparison, their symptoms may be less pronounced earlier in the day.
acfi (Aged Care Funding Instrument)
- The ACFI is a funding tool measuring only those care elements that best distinguish the costs of care
- ACFI is based primarily on the resident’s dependency (need for care) rather than on care planning or care provided by an aged care home.
12 care need questions to catgorise low, med or high care needs
designed to: - better match funding to the complex care needs of residents;
- reduce the documentation created by aged care providers to justify funding; and
- achieve higher levels of agreement between aged care staff and departmental review officers in review audits (known as validation).
acfi catergories (12)
Activities of Daily Living Domain 1. Nutrition Readiness to Eat Eating 2. Mobility Transfers Locomotion 3. Personal Hygiene Dressing & Undressing Washing & Drying Grooming 4. Toileting Use of Toilet Toilet Completion 5. Continence Urinary Continence Faecal Continence Scheduled Toileting
Behaviour Domain (ACFI 6 to 10) 6. Cognitive Skill PAS Score OR Minimal, Mild, Moderate, Severe Impairment Rating 7. Wandering Type and frequency of behaviour 8. Verbal Behaviour Type and frequency of behaviour 9. Physical Behaviour Type and frequency of behaviour 10. Depression CSD Score OR Level of interference caused by symptoms
Complex Health Care Domain 11. Medication Time Specified procedures 12. Complex Health Care Specified procedures
The Role Of Care Staff In Completing An ACFI Appraisal
Some common activities that care staff may be involved include:
1.Continence Records
2.Completing Behaviour Records -
Wandering, Verbal Behaviour,Physical Behaviour
3. Conducting assessments such as the Cornell Scale for depression in Dementia
4. Providing information to another care worker responsible for conducting an appraisal
hyperthermia
the condition of having a body temperature greatly above normal.
hypothermia
he condition of having an abnormally (typically dangerously) low body temperature
poly pharmacy
Polypharmacy is usually defined as the use of five or more drugs, including prescribed, over-the-counter, and complementary medicines.
