notice if the rhythm of the heart-beat is regular.
ask if the resident takes any heart medication.
consider the time of day when the pulse is taken.
multiply the rate by four if counted for 30 seconds.
A. notice if the rhythm of the heart-beat is regular.
block exit doors.
restrain residents.
place large stop signs on doors.
keep confused residents in their rooms.
Getting linen from a linen cart
Removing soiled linen from a bed
Performing range of motion exercises
Transferring a resident to a shower chair
Ask if the resident has been eating salty foods lately.
Elevate the residents legs and check again later.
Report the swelling to the charge nurse.
Avoid bathing the residents lower legs.
Arms and hands
Abdominal area
Face and neck
Perineal area
A residents complaint of not getting to activities on time.
A resident who states a need for a new pair of elastic stockings.
A resident with dementia who states the need to talk to the residents son.
A resident who has always been oriented is suddenly scared and confused.
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.
Wear gloves, a mask and a gown when providing care.
Use strict isolation precautions throughout care.
Wash hands and wear gloves throughout care.
Double bag all items removed from the room.
go find the charge nurse.
get the suction machine.
call emergency services (911).
begin abdominal thrusts.
make chewing food easier.
decrease the risk of aspiration.
improve the residents digestion.
allow for better respirations between bites.
Use sterile technique when providing care.
Wear gloves for Standard Precautions.
Avoid cleansing skin near the stoma.
Position the resident on the side.
The residents shoe-fit
The residents pulse rate
The way the resident walks
The color of the residents toes
Use the residents pitcher of water to put out the fire.
Open the window to get the smoke out of the room.
Yell Fire! along with the room number.
Remove the resident from the room.
allows residents to carry health care from the hospital to the nursing home.
provides for insurance coverage for residents and health care workers.
identifies protected health information that must remain confidential.
provides accountability for care offered across health care settings.
Urinary
Musculoskeletal
Circulatory
Digestive
Pain is usually worse in the morning.
Residents with dementia do not feel pain
A persons culture can affect response to pain.
Younger people handle pain better than older adults.
Maybe you can plan to walk a little further this afternoon.
The doctor ordered your walking exercise. You really need to try.
You have the right to refuse. Do you want me to tell the nurse?
Would you prefer to walk a little later?
call the police immediately.
ask if the nurse is feeling stressed about something.
report the situation to the charge nurses supervisor.
ask if any other staff have ever observed this behavior.
It is important that the residents 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.
massage the beard area of the face gently.
rub the beard in the direction of the hair growth.
hold a warm, wet wash cloth against the face first.
lather the face with soap instead of shaving cream.
being consistent with carrying out the toileting schedule.
notifying the family that the resident has been placed on the program.
determining the type of program best suited for the resident.
checking the resident every four hours for incontinence.
Check to see if the tubing is kinked and draining properly.
Report to the charge nurse that the resident is very confused.
Remind the resident this is impossible since a catheter is in place.
Tell the resident to try to urinate since the urine will collect in the bag.
Offer to walk with the resident to the activity departments kitchen.
Remind the resident that the nursing home prepares her meals.
Ask the resident about her husbands favorite dinners.
Explain gently that the residents husband is dead.
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.
try to wake the resident again in a few more minutes.
speak louder to make sure the resident can hear.
wipe the residents face with a cool washcloth.
call for the charge nurse immediately.
A residents change in appetite
A residents complaint of chest pain
A resident who refuses to take a scheduled tub bath
A resident who wanders is found napping in another residents bed
ask the resident when he had his last bowel movement.
check if the resident is hungry or needs to go to the bathroom.
try to keep the resident close to observe the resident throughout the shift.
allow the resident to move around as long he does not harm other residents.
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.
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.
Give the resident more time to swallow.
Keep the amount of fluid small by using a spoon to give fluids.
Add thickener to the fluid and see if it helps stop the coughing.
Stop the feeding and report the coughing to the charge nurse right away.
Dress the resident quickly.
Check the residents vital signs.
Stop the dressing to let the resident rest.
Go to find a nurse to check the resident.