It was noted by staff on multiple occasions throughout the quarter that Emily was still awake at the start of the overnight shift standing or pacing around her room and appeared to be confused about what to do. She was able to get rest without the aid of her PRN insomnia medication but needed staff to support her with prompts that it was time to go to bed. Overnight staff noted several occasions when Emily was awake standing in her bedroom with her coat on over her pajamas. On one occasion, overnight staff documented that Emily asked if her van to take her to work was there and required reminders that it was evening and time to go to bed. On a different occasion, Emily asked overnight staff to "take her to her house" when prompted to go to the restroom and prepare to get some rest for the evening.
Staff have noted some confusion at different times of day as well. For example, Emily was prompted to pick out her clothes for the day in the morning and stated "What's that mean?" On another occasion, Emily told staff she had missed church that day although it was a …show more content…
Staff supports Emily during these occurrences with preparing an alternate meal. Emily usually requests a sandwich as her alternate meal. One additional observation that has been made is that Emily will often hold her glasses in her hand instead of leaving them on her face. Emily also continues to rush through her routines and ask questions about what she is going to do next.
It was decided upon at Emily's annual meeting that Emily will have an outcome to address her reported anxiety. Staff will support Emily with managing her anxiety effectively by talking with her 1:1 in order for her to manage her anxiety in socially acceptable ways. Staff will discuss recent observations and changes in Emily's behavior with her neurologist during her next
Staff have noted some confusion at different times of day as well. For example, Emily was prompted to pick out her clothes for the day in the morning and stated "What's that mean?" On another occasion, Emily told staff she had missed church that day although it was a …show more content…
Staff supports Emily during these occurrences with preparing an alternate meal. Emily usually requests a sandwich as her alternate meal. One additional observation that has been made is that Emily will often hold her glasses in her hand instead of leaving them on her face. Emily also continues to rush through her routines and ask questions about what she is going to do next.
It was decided upon at Emily's annual meeting that Emily will have an outcome to address her reported anxiety. Staff will support Emily with managing her anxiety effectively by talking with her 1:1 in order for her to manage her anxiety in socially acceptable ways. Staff will discuss recent observations and changes in Emily's behavior with her neurologist during her next