Nurse Aide 1: Module S
Admission to a nursing home
About 1/3 of men and over 1/2 of women who turn 65 are expected to live in a nursing home before they die; 75% female
Elimination(4)
Assist with toileting as needed, Provide for privacy, Change soiled linen immediately, Follow routine for bowel and bladder training as required
Water(2)
Be sure it is within reach, Provide fresh water at periodic intervals during the day
Oxygen(4)
Elevate head of bed, up in chair, Assist with breathing exercises and report cyanosis (blue lip color)
Food(3)
Feed those unable to feed themselves, Make sure dentures stay in place, Serve food at proper temperature, in a friendly manner, in a pleasant environment, in appropriate amounts.
Love and Affection Needs
Friendship, Social Acceptance, Closeness, Meaningful Realtionships, Love, Sexuality, Belonging, Nursing staff can become family
Life in a Nursing Home
Loss of independence, Lack of Privacy, Limited Space
Sleep(2)
Minimize noise and lights during sleep hours, Provide back rubs to relax residents, Report complaints of pain to nurse, Listen to concerns or worries, Leave night light on if requested
What are the 7 Physical needs(requirements for sustaining life)
Oxygen, Food Water, Shelter, Sleep, Elimination, and Activity
Life in a nursing Home(Nurse Aide's Role)
Provide emotional support, Privacy, Respect of personal space
Shelter(3)
Provide warmth, Dress resident properly for temperature, Be aware of drafts and drafty areas
Activity(5)
Range of motion exercises as directed, Turn and reposition at least every two hours, Assist with activity as directed, Encourage movement, Encourage interesting recreational activities
Most older adults view their homes as what?
a castle
Rationalization(Defense Mechanism)
false reason for situation
Regression(Defense Mechanism)
going back to past behavior
Identification(Defense Mechanism)
idolizing another and trying to copy him/her
Omnibus Budget Reconciliation Act (OBRA)
major legislation passed nationally to protect residents in nursing homes and assure they have quality of care and quality of life
Compensation(Defense Mechanism)
making up for a situation in some other way
Displacement(Defense Mechanism)
transferring feelings about the one person to another
Defense Mechanisms
unconscious behaviors that residents (and all of the rest of us) may display when stressed
What are the 5 basic human needs
Self-Actualization, Self-Esteem, Love & Affection, Safety & Security, and Physical Needs
Psychological Effects of Aging
an exploration of feelings, emotional stress, physical, psycho-social and psychological adjustments that are part of the aging process
Projection(Defense Mechanism)
blaming others
Repression(Defense Mechanism)
blocking painful events
Basic Human Needs
elements necessary for survival and physical and mental well-being
Daydreaming(Defense Mechanism)
escape from reality
Denial(Defense Mechanism)
pretending a problem does not exist
Sublimation(Defense Mechanism)
redirecting feelings to constructive activity