test 4 Flashcards
unnecessary restraints are considered
false imprisonment
be familiar with the criteria for using restraints
protect patient, doctors order, last resort, least restrictive, informed consent,
list everyday practices that can be considered a restraint
side rails, gerichair, walker out of reach, tucking velcro
be familiar with safety guidelines for restraints
patient safety, applied properly, fasten correctly, secure out of reach
restraints should be removed how often and for how long
2 hours for 10 minutes
why do we remove restraints
reposition, attend basic needs
how often do we check on patients in restraints
every 15 minutes
what is the highest priority for restraints
patient safety
define family
a group of people related by blood, marriage, or a feeling of closeness
what is the nurse aides role in family support
orient family, learn names, get to know, remember tradition, communicate, respect, reassure, encourage, avoid family affairs, report negative visit effects
define cognition
the nammer in which messges from the five senses are changed stored in memory, recovered from memory, and later used to answer questions, respond and perform tasks
normal cognitive changes with age
brain cells decrease, total brain mass decrease, increased learning time, slower esponse, easily confused, mild shortterm memory loss
what are the effects of a fast pace in the elderly
negetively impact ability to learn, more cautious for fear of failure,
what are the three stages of alzheimers
mild moderate severe
moderate is the longest
define dementia
progressive condition marked by development of multiple cognitive deficits such as memory impairment, and inability to plan and iniate complex behavior
define delirium
state of sudden confusion that is usually reversible triggered by illness, or change in physical condition
what is the difference between dementia and delirium
deliruim is sudden, severe and reversible, dementia is progressive and irreversible
know the goals of activity based care
focused on assisting resident to find meaning in his day, rather than activities just to keep busy
what is wandering
wandering is known and persistant problem behavior that is high risk for patient safety
what is the priority concern for wandering patients
patient safety
what are alzheimers patients at higher risk of
understand nurse aide burnout and why it is prevalent in caring for cognitively impaired patients
extremely stressful, prone to abuse, extra precautions to avoid overreacting
what is mental health
a resident ability to cope with and adjust to everyday stresses in ways that society accepts
what is importance of mental health caregiving
good day to day relationships. nurse aides knows there normal from agitation
list causes of mental illness
illness, aging, disability, substance, environment, ptsd, traits, stress
know the nurse aides role in caring for those with mental illness
recognize innapropriate behavior, report, deescalate
how do we define pain
anything the patient says it is, occuring whenever patient says
what is the difference between acute and chronic
temporary comes on suddenly,
long term, over 6 months, continues after healing
know the effects that pain can have on patients
giving up hope, depression, exhaustion, withdrawel
know the nurse aides role in pain management
most likely to notice, personal reltaionships important, active role in management
what are some comfort measures that can be taken with pain
supportive talk, music, soft lighting, warm packs, massage, reposition, favorite things.
define end of life care
support anc care provided during the tiem surronding death, last days, weeks and months
what are the five stages of grief
denial anger bargain depression acceptance
what are the physical needs of someone dying
positioning, clean, mouth, nutrition, elimination
what are the emotional needs of someone dying
note behavior changes, give dignity, respect, support, listen, positive attitude, privacy, spend time
know how culture affects end of life care
who can provide care, steps after death, dying at home, organ donation, autopsy, cremation, no meds
what are the symptoms of someone nearing death
physical withdrawel, sleep more, slow pulse, bp drops, shallow breathing, fecal incontinence, dark urine, blurred vision
what are the signs of someone who has died
no pulse, respirations none, pupils dilated
