promotion of function and health of residents notes

feeding

mealtime is for nutrition, health, and socializing

• promote appetites

• give resident the proper tools

• check temp of food

• respect Resident’s Rights

• encourage independence and function

bathing

promotes health, wellbeing, and hygiene

• removes dirt, oil, and dead skin

• residents could bath in shower or bed

• full baths can be given every other day

• with bathing skills, wash, rinse, and pat dry

perineal care

• work from front to back

• expose only as needed during care

• females: gently separate the labia and wipe front to back

catheter care

• clean the catheter away from the body

• keep the drainage bag lower than the bladder

foot/nail/hand care

• don’t use nail care equipment on more than one resident

• be careful not the create wounds on patients

• clean/file nails

mouth care

• done twice a day, even on unconscious pts

• ensure the resident is sitting upright before putting anything in mouth

skin care

• check for pressure sores

• be mindful of shearing (skin moves, bones don’t) while performing skills

toileting

bedpans. urinals, fracture bedpan

grooming

• allow residents to do what they can for themselves

• be sensitive to routines and preferences

• don’t use personal grooming tools for multiple ppl

dressing/undresssing

• daily care

• weaker side= affected side; stronger side= involved side

• undress the patient starting with the stronger/involved side

• dress the resident starting with the affected

Start strong, end strong

promoting circulation and skin integrity

• movement and exercise

• room exercises

• walking

• stretching

• weight lifting

• layering clothing

nutrition and hydration

• adequate water

• monitor amount of carbs, protein, fats, vitamins, minerals

• fruits and vegetables

• grains

• dairy

in-bed mobility intervention

• passive, active, assisted active range of motion

• move to edge of bed, dangle feet

out of bed mobility interventions

• ambulation

• transfers to wheelchair

maslow’s hierarchy

1. physiological needs

2. security needs

3. love and belonging

4. esteem

5. self-actualization

when using a gait belt to ambulate, where should the CNA stand?

to the side and slightly behind the resident

do you apply lotion on areas developing sores?

NO, dry and report to nurse