1. NATCEP Day Thirty Four & Thirty Five

2.  Define
mental health, mental
illness, developmental disability, and
intellectual disability (ID/DD)
 List methods to identify and utilize the
resident’s strengths to reinforce appropriate
behavior and reduce or eliminate
inappropriate behavior
 Identify roles and responsibilities of the
nurse aide when caring for residents with
mental illness or ID/DD

3. A
person’s ability to cope with and adjust to
everyday stresses in ways that are accepted
by society

4. A
disturbance in the ability to cope or adjust
to stress; behavior and function are
impaired; mental disorder, emotional illness,
psychiatric disorder

5.  Functional



Including mood, thought and personality
disorders
Person is out of touch with reality to the degree
that he/she is unable to function in real-life
situations
Examples: PTSD, Bipolar disorder, anxiety &
panic disorders
 Organic


Occurs as a result of reversible or irreversible
change in brain function
Examples: Schizophrenia, Dementia, Alzheimer’s

6. A
disability occurring before the age of 22
 Can be physical, cognitive, psychological,
sensory or a speech disability
 Permanent
 Function is limited in 3 or more life skills:







Self-care
Learning
Mobility
Self-direction
Capacity for independent living
Economic self-sufficiency
Understanding and expressing language

7. 
Intellectual Disability
Previously known as mental retardation
IQ below 70-75
 Limits in 2 or more adaptive skills areas
 Condition is present before 18 years of age


Down Syndrome
 Cerebral Palsy
 Autism
 Epilepsy
 Spinal Bifida


ID/DD

Abbreviation for Intellectual Disability and
Developmental Disabilities

8.  Spinal
Bifida

9.  Redirect

inappropriate behavior
How?
 Appropriate
behavior may be reinforced
according to plan of care



Focus on strengths
Verbal praise
Rewards

10.  Know
and consistently reinforce plan of
treatment
 Be alert to changes in behavior
 Report changes promptly
 Be patient
 Focus on the resident as a person

AVOID LABELING
 Maintain
resident safety

11. NATCEP Day Thirty Five

12.  Define
sex & sexuality
 Identify factors that my affect sexuality in
the aging person
 Discuss actions nurse aides can take to
protect a resident’s sexuality
 Discuss approptiate nurse aide responses to
perceived sexual advances from a resident
(or others)

13.  Illness,








injury or surgery
Diabetes
Cancer of the Colon
Depression
Alcoholism
Tranquilizers
Anti-hypertensives
Stroke
Death of a sexual partner
 Normal
aging process

14.  Men


Enlarged prostate
Decrease in hormone production
 Women



Vaginitis
Dryness
Decrease in hormone production

15.  Allow
& encourage close relationships and/or
intimacy
 Respect & privacy

Confidential – should not share with family
members
 Protected
from unwanted advances from
others
 Allow & encourage privacy for sexual activity
 Accept sexual relationships – do not judge or
gossip

16.  Calm,
firm tone
 Let resident know actions are inappropriate
 Calmly remove resident’s hands from your
body
 Report actions and your response to charge
nurse
 With charge nurse, explain to resident that
you do not want to be touched or spoken to
in that way