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Unit 2
- 1. Residents of an Adult Care Home Unit 2
- 2. Who are these People? • Elderly • Disabled • Social Attitudes about the elderly
- 3. Myths About Aging • Old Age starts at 65 • Most elderly live in adult care homes • Older adults are isolated and alone • Older adults are isolated and alone • Older adults are useless segment of society • All elderly have trouble remembering and become confused • The elderly are poor • The elderly are miserable most of the time
- 4. The FACTS • 2005 Census Report • Age • Demographics • Memory
- 5. The FACTS • Creativity • Financial Status
- 6. Basic Human Needs • Maslow’s Hierarchy of Needs – Basic Human Needs • Air, Oxygen • Food • Water • Elimination • Activity, Rest, Sleep • Sex/sexuality
- 7. Maslow’s Hierarchy of Needs Transparency 3-1
- 8. Basic Human Needs • Safety and Security Needs • Belongingness and Love Needs • Self-actualization • Self –esteem and Respect Needs
- 9. Psychosocial Losses & Aging • Ability to work • Social relationships, companionship • Home and property
- 10. Physical Losses • Health – Impairment – Disease – Failing systems – Decreased physical abilities – Memory – Chronic illness
- 11. Psychosocial Aspects • Privacy • Control over environment • Responsibilities for home maintenance • Social contact outside the facility
- 12. 07/15/13 12 OBRA • Sets minimum training and competency evaluation requirements of C.N.A.s – Training program – Competency evaluations – Nursing Assistant Registries
- 13. Resident Rights • OBRA is a federal law. • Nursing centers must: – Protect and promote resident rights. – Inform residents of their rights orally and in writing. • Information • Refusing treatment • Privacy and confidentiality
- 14. Resident Rights • Personal choice • Disputes and grievances • Work • Participation in resident and family groups • Care and security of personal possessions • Freedom from abuse, mistreatment, and neglect • Freedom from restraint • Quality of life
- 15. Ombudsman Program • The Older Americans Act requires a Long-Term Care Ombudsman Program in every state. • An ombudsman is someone who supports or promotes the needs and interests of another person.
- 16. 07/15/13 17 Ethical Aspects • Ethics is the knowledge of right and wrong • Ethical people • Professional Groups
- 17. 07/15/13 18 Elder Abuse • Physical • Mental • Verbal • Involuntary Seclusion • Sexual Abuse • Financial Abuse
- 18. 07/15/13 19 Neglect • Failure to use the care that a reasonable, prudent, and careful person (CNA) would use in a similar situation.
- 19. 07/15/13 21 Exploitation • Resident’s physical or financial resources taken by a caretaker (or anyone else) by use of undue influence, coercion, harassment, duress, deception, false representation or pretense.
- 20. 07/15/13 23 Reporting Abuse (Obj. 11) • Abuse is mental or physical injury to a resident • Abuse is a crime • Abuse must be reported • Failure to report • Method of reporting • Ethical decisions
- 21. 07/15/13 24 Goals of LTC Obj. #1 • Provide an environment that is safe environment • Promote quality of life for each resident • Provide services & activities to aid the resident in attaining the highest practical physical, mental, and psychosocial well- being • Provide quality care • Provide an environment that is home-like
- 22. 07/15/13 25 Types of LTC facilities in Kansas Obj. 2 • LTC units in hospitals • Nursing Facilities • Assisted Living Facilities • Home Plus • Adult day care • Board and care
- 23. 07/15/13 26 Introduction to Healthcare Agencies Purposes: Health Promotion Disease Prevention Detection and Treatment of disease Rehabilitation and Restorative Care
- 24. 07/15/13 27 Organization (Obj3) • Board of Directors or Trustees • Administrator • Directors/Managers • Healthcare Team
- 25. 07/15/13 28 Goals • Provide quality care • Focus on the individual • Team work • Coordination of care • Communication • Cooperation • Promote & maintain Health • Provide a satisfying social environment • Provide a safe environment
- 26. Kansas Long-term care facilities • Nursing Facility • Assisted Living Facility • Residential Health Care • Home Plus • Boarding Care Home • Adult Day Care
- 27. 07/15/13 30 Types of Agencies • Hospitals • Rehabilitation & sub-acute care • Assisted Living • Long Term Care Centers
- 28. 07/15/13 31 Types of Agencies • Skilled Nursing Facilities • Mental Health Centers • Home Health Agencies • Hospices • Health Care Systems • Adult day care
- 29. 07/15/13 32 Types of Agencies • Skilled Nursing Facilities • Mental Health Centers • Home Health Agencies • Hospices • Health Care Systems • Adult day care
Hinweis der Redaktion
- Learning about the aging process and about social attitudes toward the elderly enables the aide to provide resident care with understanding and respect. By federal regulations instruction covering residents rights and promoting independence must be completed prior to direct care to those that live in adult care homes.
- What comes to mind when someone asks you what is an elderly person? What are stereotypes that people have when they think of the elderly? When does old age start? Where do most elderly live? Are most elderly poor? Are they miserable, just waiting to die? What things do they like to do? What is their quality of life?
- Did your list include any of these?
- This web site provides demographic data from the 2005 census. Chronological age is not the basis for determining abilities. Individuals age at different rates. Organs and organ systems also decline at different rates. Normal aging includes the common group of diseases and impairments that characterize many of the elderly. Some get diseases and impairments while others do not. Not all persons living in long term care facilities are elderly. Younger persons may have debilitating illnesses and injuries and require assistance. People of all ages have trouble remembering. There is some memory change with aging but MOST older adults will not face severe memory loss.
- Creativity doesn’t stop. Hobbies can provide personal satisfaction for residents of LTC. The financial status of the elderly can be very limited. Medications and care can be very expensive. The cost of staying in a LTC facility can be between $3,000-$10,000 per month. On the other hand, the Baby-Boomers are coming into the retirement age and this group of people can be some of the most wealthy.
- Air/oxygen When a resident has trouble breathing, elevate the head of the bed Assist to assume a more upright position Allow rest between activities of daily living (ADL) Assist the resident to use supplemental oxygen when ordered/needed ======================================== Food Allow resident to eat more independently, set food up, cue to eat When resident cannot eat without assistance, provide aid at meals and snacks as needed Respect resident’s food choices and preferences ======================================= Water Provide water and other liquids within reach at mealtime, cue as needed to drink Offer sips of water or other liquids before or after providing care Keep resident’s water pitcher filled and accessible ============================================ Assist resident to toilet or to use the bedpan or commode Observe for nonverbal signs of need to urinate or to have a BM ========================================= Activity, rest, and sleep Assist resident with ambulation Provide quiet environment for sleeping and during night hours ================================== Sexuality Provide privacy and do not respond critically when residents masturbate Protect resident rights when residents look for sexual satisfaction with on another Recognize the maleness and femaleness of residents through clothing choices & grooming
- Safety and Security Needs Assist to feel safe from abuse, neglect, exploitation and retaliation Handle gently during care Respond to call signal and requests promptly Help resident accept the facility as home Demonstrate hospitality to family and friends Promote trust by keeping your promises to the resident, but explaining what you are doing before doing it, bu working as a teach with other staff ================================================== Belongingness and love needs Show kindness and consideration to resident and to other members of staff Involve resident in conversation while providing care Demonstrate acceptance of family’s involvement Assist to remain part of the community or church Assist resident to find ways to feel that the facility is their home ================================================ Self-esteem and respect needs Show respect for age and sincere interest in resident’s contribution to society Call resident by preferred name Respect individuality and resident’s right to refuse Respect privacy, including privacy of body during care Accept resident’s request for personal care by member of same sex Recognize resident’s ability to hear and comprehend conversations that take place between staff ==================================== Self Actualization (person growth and fulfillment) Needs Talk about awards or other accomplishments displayed in the resident’s room Encourage to verbalize about past, if resident desires Allow resident to verbalize negative as well as positive feelings about the facility Help the resident participate in meaningful activities Support the resident’s interests Identify daily pleasures =========================================
- Personal satisfaction from work and accomplishments Sense of usefulness Friendships and sense of belonging to a work group Income ================ Death or impairment of a spouse or companion=loss of lover, friend, confidant, companion Death of peers with whom one has shared life experiences Isolation due to limitation of movility as well as other factors mentioned above ================================= Financial health and safety needs may dictate life changes such as moving from home to a long-term care facility.
- Diminishing senses of touch, smell, taste, vision, hearing Change in physical appearance, body image Physical ability, balance, mobility, speed of response time, energy Memory changes such as slower thinking, requiring more memory cues for recall, decrease in ability to concentrate Generalized decline due to cumulative effect of chronic illnesses
- Psychosocial aspects of independent living at rish for loss when entering a long-term care facility include these things So…what can CNAs do to help? Privacy-pull privacy curtain, window curtain, and close door when providing personal care. Do not allow staff who are not involved in care to be present in room or interrupt care unless emergency. Control over space, personal possessions-encourage resident choices. Request permission to handle resident’s personal items before touching or moving them. If a resident would like to help with some areas of the facility, help them do things that make them feel useful. Encourage social contact outside the facility-encourage to attend community activities as able. Allow privacy for making phone calls and visiting with friends/family.
- Privacy, confidentiality of medical records, and the right to know what services are available and their cost.
- Ethical people act ethically, doing what is right. This earns respect and honor. Professional groups have codes of ethics. These codes of ethics coincide with the standard of good, honest, honorable actions.
- This is simply taking advantage of another person.
- Examples: Striking, slapping, hitting or kicking, yelling, calling degrading names, threatening physical abuse, sexual abuse. As CNAs and other healthcare workers, we are required to report all abuse, neglect, and exploitation. It is unlawful not to do so. The Kansas hotline is 1-800-842-0078.
- Board of directors makes the policies. Administrator Manages the facility and is responsible for the overall operation of the adult care home. The Administrator is responsible to the governing board or owners. Directors or Managers oversee the operations within their departments. The director of nursing is responsible for the direction of the nursing staff and resident care staff. She/he is supervised by the Administrator.
- The goals of the team are governed by the quality of care given to the residents/patients. It is important to acknowledge that each is a person who has needs, expectations, rights, and hopes for the future. Teamwork is a term used frequently which requires working together, communicating with other team members, and cooperation between departments.