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31 Cards in this Set
- Front
- Back
Confusion |
Inability to think clearly |
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The 3 C's |
1 name 2 date 3 location |
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Urinary Tract Infection UTI |
Cause of confusion |
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Confusion may come on ___ or ___ |
Suddenly or gradually |
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Cognition |
Some ability to think logically and clearly may be lost with aging |
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Dementia |
Serious loss of mental abilities such as thinking, remembering, reasoning and communicating |
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Alzheimer's disease |
Causes tangled nerve fibers and protein deposits to form in the brain |
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Are skills a person has used over lifetime usually kept longer? |
Yes |
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If the resident is frightened or anxious what should you do? |
Check her body language make sure she is not tense or hurried |
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If the resident forgets or shows memory loss what should you do |
Repeat myself use the same words if I need to repeat instruction or question |
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Perseveration |
Repeat words phrases questions or actions If the resident does this do not stop him answer his questions using the same words each time until he stops |
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If the resident seems not to understand basic instructions were questioned what should you do |
Ask the resident to repeat her word I should use short words and sentences and allow time to answer |
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What else can you do if the resident does not understand basic instructions or questions |
You signs pictures gestures or written words for example a picture of a toilet on the bathroom door can remind them where the bathroom is combining verbal and nonverbal communication is helpful for example she can say let's get dressed now as she holds up clothes |
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If the resident has lost most verbal skills what should you do |
Use non-verbal skills as speaking abilities decline people with Alzheimer's disease will still understand touch smiles and laughter for much longer however some people do not like to be touched |
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If the resident has problems with bathing what should you do |
Schedule bathing when the resident is least agitated she should be organized so the bath can be quick |
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If the resident has problems with grooming and dressing what should you do |
Encourage the resident to pick clothes to wear giving just a few choices is best the NA should layout clothing in the order in which they are put on |
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If the resident has problems with toileting what should you do |
Mark a bathroom with a sign or a picture this is a reminder of where it is and to use the toilet |
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If the resident gas problems with nutrition what should you do |
Finger foods allow eating while moving around also use simple place setting with a single eating utensil and remove other items from the table also plane plates without patterns or colors work best |
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Sundowning |
Resident gets restless and agitated in the late afternoon evening or night |
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If a resident experiences sundowning what should you do |
Set a bedtime routine and keep it |
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If a resident is violent what should you do |
Try to remove triggers |
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Elope |
Residents may try to leave a facility unsupervised and unnoticed |
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If a resident is experiencing hallucinations or delusions what should you do |
Reassure a resident who seems agitated or worried also be calm and reassure resident that I'm there to help |
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What should you do if a resident is repeating phrases |
Be patient and not try to silence or stop her I should answer questions each time they are asked and use the same words each time |
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If a resident is caught in inappropriate sexual behavior what should you do |
I should distract them and if that does not work I can gently direct him to the private area |
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Pillaging |
Taking things that belong to someone else |
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Hoarding |
Collecting and putting things away and I'm guarded way |
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How can you help lessen problems with hoarding and pillaging |
Provide a rummage drawer where items that are safe for the resident can be taken with him |
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Reality orientation |
Using calendars clocks signs and list to help resident remember who and where they are is useful in early stages of Alzheimer's on the resident is confused but not totally disoriented in later stages this can frustrate residents |
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Validating |
Giving value to or approving when using validation therapy the nursing assistant should make no attempt to reorient the resident to actual circumstances this can comfort and reduce agitation it is useful in cases of moderate-to-severe disorientation |
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Reminiscence therapy |
Encourage residents to remember and talk about the past |