Treatment for Pt's at Rancho Level 4 (Confused-Agitated) Flashcards
1
Q
Goals
A
- Decrease frequency and duration of agitated episodes
- Increase appropriate responses to stimuli
- Increase orientation
2
Q
Pt has ___ the ability to ____ stimuli or to attend to task, easily ____.
A
- Lost
- Filter
- Distracted
3
Q
Structure is very important
A
- Same simplified information presented
- Same Time
- Same Routine
- Same Therapist / Companion
4
Q
Decrease Stimuli
A
- Especially ones that increase agitation
5
Q
Approach the patient in a ___ and ____ manner
A
- Slow
- Calm
6
Q
Avoid ______, if possible but ____ safety ____
A
- Restraints
- always
- 1st
7
Q
Alternatives to restraints
A
- Padded mittens or bed alarm
8
Q
Avoid _______ that can lead to _____
A
- Medications
- Lethargy
9
Q
Calm / Quiet / Predictable environment importantc (Tx)
A
- Wrap in blanket
- Talk in a slow, low voice with short, simple sentences
- Slow rocking or rolling
10
Q
Often need gross motor activities to decrease agitation and tire pt prior to Tx
A
- Walking
- Stair climbing
- Stationary cycle
11
Q
Pt’s usually respond ____ to functional __-___ activities
A
- Better
- Self-care
12
Q
Continue to orient pt
A
- Refer to familiar people, things
- Have pictures and familiar objects
- Always explain
13
Q
Continue to expect completion
A
- Be firm and consistent but calm
- Immediately reward success
14
Q
Have help ____ in case pt becomes ____.
A
- Available
- Hostile
15
Q
Being to give ______ choices between ____ alternatives
A
- Rudimentary
- Alternatives
