Providing Specialized Care for Residents with Changes in Health

List some CNA/Nurse Aide actions when caring for a Muslim patient or resident

1. Ask the patient or resident if they have any dietary restrictions. Many only eat fish, chicken or beef that is most specifically slaughtered. Most will not eat pork products. 2. Modesty is important. Touch of any kind is prohibited between genders. Female patients or residents should only be cared for by female staff. 3. They pray five times a day. Require fresh water to cleanse themselves before they can begin prayers. Mealtimes may need to be adjusted to allow for the prayers. 4. Muslims use their left hand to cleanse themselves. Do not hand them anything to their left hand.

List some CNA/Nurse Aide actions when caring for a Mormon patient or resident

1. Ask the patient or resident if they have any dietary restrictions. Mormons follow a strict diet code: no coffee, tea, or alcohol. Meat products must not have much blood, many fast one day a month. 2. Some Mormons war a sacred one-or two piece undergarment that is removed only for hygiene and laundering. It must be treated with respect. 3.Mormons do not have specific rituals around death. The family should be informed and allowed to spend as much time as possible with the dying person. 4. If the patient or resident is wearing sacred undergarment, it should be paced on the person after post-mortem care.

List some CNA/Nurse Aide actions when caring for a resident who is aphasia

1. Avoid becoming frustrated 2. Use clear and simple language, in a normal tone of voice. 3. Allow time for the resident to gather their thoughts and respond. 4. Reduce background noise and distractions 5. Do no speak for the resident 6. Stick to one topic at a time. 7. Letter or picture boards can assist communication 8. If the resident is able, writing messages can be helpful

List some CNA/Nurse Aide actions when caring for a client who is hearing-impaired

1. Face the client when speaking to allow for lipreading. 2. Limit background noise, such as television or radio 3. Speak slowly and clearly 4. Deepen the tone of voice 5. Writing may be an effective way to communicate.

List some ways the CNA/Nurse Aide can support a resident who experiences Sundowner's Syndrome.

1. Open curtains and expose resident to natural daylight in the morning, 2. Make sure the resident wears glasses and hearing aids to decrease confusion. 3. Plan the most active tasks for the morning, so the resident can relax later in the day, 4. Try to maintain the same daily schedule 5. Minimize naps, especially in the afternoon, 6. Turn on lights before the evening becomes dark 7. Offer relaxing activities before bed. 8. Keep the bedroom as dark as possible to reinforce that it is night.

Describe care for a dying resident

1. Provide privacy and quiet for the resident and their family. 2. Keep the resident clean and comfortable. 3. Give oral care every 2 hours or more often if needed 4. Turn and reposition every two hours. 5. If the resident seems to be experiencing pain, notify the nurse. 6. Encourage the family to talk to the resident; remind them that hearing is the last sense to fade.

List some CNA/Nurse Aide actions when caring for a Hindu patient or resident

1.Ask the Hindu patient or resident if they have any dietary restrictions. Most Hindus are vegetarian or vegan. If they do eat meat, beef and pork are forbidden. They rinse their mouths after eating. Fasting is required on certain holidays. 2. Modesty is very important. Hindu women require a female physician when possible, and same-gender nurses and nursing assistants. 3. Showers are preferred to baths. If a patient or resident uses a bedpan, a bowel of water us used for clean up. As with Muslims the left hand is considered to be unclean. 4. Hindus pray twice a day. They use a holy book and prayer beads. Provide privacy by drawing bed curtains. 5. Hindus prefer to die at home on the ground, close to Mother Earth. Last Rites can be performed by a priest or the family. Notify the family as soon as possible so rituals can be completed.

Alzheimer's disease

A degenerative and irreversible condition of the brain , with an unknown cause. It is the most common form of dementia, typically starting at age 65 or older , although early-onset Alzheimer's does occur. Initially, the person has short-term memory loss. As the disease progresses, there is increasing confusion, accompanied by the loss of long-term memory, language, and body functions. There is no cure.

Definition of Dementia

A progressive, irreversible decline in mental abilities. It includes loss of memory, reasoning, judgement, understanding, and the ability to understand or learn. Speech and communication skills are also affected.

Cheyne-Stokes Breathing

Breathing pattern of a period of apnea (no breaths) followed by irregular or increased breathing. It is a sign of impeding death.

List some signs of impeding death

Circulation slows, hands and feet feel cold to the touch, muscles weaken. Heart rate, respirations and blood pressure decrease.

Last Sense to go Before Death

Hearing

Definition of Aphasia

Loss of ability to understand or express speech. It can include reading and writing. The cause is brain damage, including stroke, tumors, trauma, or some progressive diseases like Alzheimer's or Parkinson's. It can range from very mild to quite severe.

Definition of Palliative Care

Palliative care is offered to patients and residents who are terminally ill and no longer seeking tereamtnet for their disease or condition. The primary focus is on keeping the patient or resident comfortable. The CNA/Nurse Aids helps provide complete care and support for the patient or resident and their family. Care includes meeting physical, psychological, social and spiritual needs.

The CNA/Nurse Aide role in caring for a patient or resident with an ostomy

The CNA/Nurse Aide should always check the skin around the stoma and report anything unusual to the nurse. If the facility's policy allows the CNA/Nurse Aide to provide ostomy care: 1.Gently remove the ostomy appliance (bag) 2. Carefully clean and dry the skin around the stoma 3. Place as skin protector, as ordered 4. Observe the characteristics of the stool when emptying the collection bag 5. Wash everything thoroughly with soap and water. Rinse completely. 6. Depending on the appliance, replace and ensure there are no leaks. 7. Record the change in the chart. 8. Notify the nurse of any unusual or abnormal observations.