Tell the resident, I know what you mean. My days seem long too.
Ask the charge nurse if the resident can have some medication.
Ask about activities the resident has enjoyed in the past.
Tell the resident to check the activity schedule.
C. Ask about activities the resident has enjoyed in the past.
Keeping side rails raised
Using less lotion on the skin
Sliding the resident up in the bed
Dressing the resident in long sleeves
ask how the resident went to the bathroom at home.
ask the resident to wait until the care plan is completed.
get instructions from the nurse about how to toilet the resident.
help the resident to the bathroom immediately, supporting the right-side.
In the morning and at bedtime
At the beginning and near the end of a shift
Whenever the resident is soiled with urine or stool
Every two hours when the nurse aide checks on the resident
set out clothing that the resident can dress in more quickly.
dress the resident to make sure the resident gets to breakfast earlier.
ask if there is any help the resident would like in the morning.
remind the resident that the friends will also be at activities later.
limit physical contact with ill residents who are transferred or walked.
protect the nurse aide's back when walking or transferring a resident.
help steady and support a resident when transferring or walking.
allow residents to transfer or walk independently.
wear gloves to reduce friction against the skin.
avoid pulling or sliding the resident when moved.
tell the resident to be careful and follow directions.
ask the resident to keep arms held over the residents head.
Disconnect the feeding tube temporarily to give the shower.
Protect the pump with a plastic bag before bringing into the shower room.
Ask the charge nurse for assistance with the feeding pump.
Give the resident a bed bath since the resident has a feeding tube.
Partial assistance with range of motion exercises
Full assistance with the nurse aide taking the joints through exercises
Minimal assistance to just remind the resident when it is time to exercise.
Minimal assistance to provide extremity support while the resident moves joints
You do realize that you will look normal when you get your prosthesis?
Do you think you will ever leave your room? It will help you feel better
There is no reason to feel embarrassed about losing your leg?
You used to enjoy activities. What's keeping you in your room so much?
Lets go see if Bingo has started yet. You love Bingo.
Remember you are in a nursing home. Your daughter is all grown up.
Do you mean your greatgranddaughter? Your daughter just turned 60.
What do you like to do with your daughter when she gets home from school?
explain that the shower is required to keep clean and healthy.
try to motivate the resident by collecting clothing and supplies.
ask if the resident has another preference for bathing today.
remind the resident, You do have the right to refuse care.
atrophy.
shearing.
infections.
contractures.
Ask another nurse aide to trade assignments.
Provide the care since the resident cannot be harmed.
Talk to other nurse aides about how to perform the procedure.
Discuss the nurse aide's lack of experience with the nurse.
call the police immediately.
ask if the nurse is feeling stressed about something.
report the situation to the charge nurse's supervisor.
ask if any other staff have ever observed this behavior.
does not remember.
should not be restrained.
does not respond to instructions.
should not be resuscitated.
Your son plans to visit today at 2:00 p.m.
You are in the nursing home. I am here to help you.
This is your daughter Anna. Do you remember her?
Look at the time. Lunch is in 30 minutes. Are you feeling hungry?
accept that the husband has always been in charge.
explain that the nurse aide is certified and able to care for his wife.
suggest that the husband participate in his wife's resident care conference.
understand that the husband wants staff aware of his wife's needs.
Increase the resident's fluids since dehydration causes confusion.
Consider that some memory loss is a normal part of aging.
Ask where the resident believes he is.
Report the change to the charge nurse.
Consider if the task can be performed another way.
Provide the care and perform the task as best as possible.
Contact the ombudsman's office since resident's rights may be violated.
Refuse to perform the task and explain it is not within the nurse aide's role.
Check on the residents every few minutes.
Report the residents' behavior to the charge nurse.
Ask the nurse if the residents should be medicated.
Tell the residents that sex is not allowed in the nursing home.
Don't you think God knows you are in a nursing home?
Would you like it arranged for a priest to visit you?
Sounds like you are not ready to die.
Have you considered praying?
They tend to walk quickly.
They tend to lean back when walking.
They walk normally but with some shakiness.
They shuffle their feet while taking small steps.
Leaving the bedpan in place for extra time
Putting an incontinent brief on the resident
Answering the resident's call light quickly
Controlling fluid intake throughout the day
Dietitian
Social worker
Physical therapist
Activities director
It is important that the resident's day be kept full of activities.
Changing daily routine is often helpful to residents with dementia.
Providing opportunities for activity and periods for rest is important.
Following a strict schedule is required to decrease confusion.
Urinary
Musculoskeletal
Circulatory
Digestive
Getting linen from a linen cart
Removing soiled linen from a bed
Performing range of motion exercises
Transferring a resident to a shower chair
Correct residents' posture
Improve the residents' breathing
Promote circulation at pressure points
Provide an opportunity for incontinent care
hold the gait belt tighter and ask the resident to rest for a minute.
suggest the resident lean on the nurse aide for more support.
guide the resident over to the handrail and ask to hold.
ease the resident to the floor if a chair is not available.
Get the emergency cart
Turn the resident onto her side
Check if the resident is able to talk
Help the resident back into the chair