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37 Terms

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Definition of empathy

The ability to share and understand feelings

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How NA shows empathy

Promotes independence and self worth, respects choices and feelings

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How NAs treat patient with respect

Be patient, empathetic, positive, supportive and respect choices and belongings

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Patient dignity

State of being worthy of esteem

Provide privacy and encourage independence

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Communication barriers

Age, religion, cultures, language, gender

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Successful communication

Speak clearly , avoid interrupting, be patient, listen

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Communicating with different cultures

Respect values

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Definition of communication

The exchange of information

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Behaviors NA reports

Unusual actions a patient does

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HIPAA

Health insurance portability and accountability act , a law that protects patient privacy

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Medical record information/Recording

Carry notepad

Keep information on you at all times

Validate you are documenting on the correct residents record

Observe and document patients use of senses

Document personal care, treatments, measurements, activities and mental and emotional status

Use black pen

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How to convert military time AM

Add 0 infront of the hour

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Converting military time PM

Add 12 to the hour for PM

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Objective data

Observations

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Subjective data

Information resident tells you

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The 5 steps of the nursing process

Assessment

diagnosis

Planning

Implementation

Evaluation

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Implementation and evaluation

Accurate observation

detailed reporting

Continuously evaluated

Requires teamwork and communication

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Care plan

Consistent care started at admissions

Outlines priorities and goals

Constantly changing

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Consistent care

Begins at admission

Guides the healthcare team

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NA role

Collect information through interactions with resident

Encourage resident to meet goals

Report observations

Report reactions

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Condition NA reports immediately

Sudden or severe pain

Change in residents senses (respond, mobility, vision, facial responses)

Complaints of numbness

Vomiting

Bleeding

Bloody stool

Unusual odor

Abnormal vital signs

Changes in skin color

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Incident definition

Any event that harmed or can harm a person

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When to fill out an incident report

A resident falls

Shows fear or signs of harm

Unusual signs of pain

Has visible misalignment or change in gait(walking)

Resident missing

Mistake is made while providing care

Personal item damaged

Nurse aide is threatened

Sexual remarks

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Incident report documentation

Describe in detail what is seen and heard

Document time

Details should be recorded in sequence

Describe reaction

State facts

State action taken to give care

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Localized infection

infection found and limited to one part of the body

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Systemic infection

infection that affects entire body part of body system

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ADL

activities of daily living

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NA

nurse aide

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OBRA

Federal law enacted by congress in 1987 to improve the quality of life for residents living in the nursing home

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NA scope of practice

taking and recording vitals

caring for residents environment

hygiene/grooming

ADLS

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Nursing process step #1

assessment

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nursing process step #2

diagnosis

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nursing process #3

planning

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nursing process step #4

implementation

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nursing process step #5

evaluation

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