Day Four (Chapter 7 &

Paralysis

The loss of ability to move all or a part of the body.

• Strokes and Spinal Cord injuries affect sensation and awareness or surroundings

Fall

Any sudden, uncontrollable, descent from a higher to a lower level (w or w/o injury)

• Falls make up the majority of accidents that occur in a long term care facility.

Fracture

Broken Bone

Burns

Caused by a dry heat, wet heat, or chemicals

Scalds

Burns caused by hot liquids.

• It takes 5 seconds at 140°F for a serious burn to occur.

What is the temperature coffee and tea is served at?

160° to 180°

Choking

An obstructed airway - If the blockage isn’t removed; death

• Mild Choking- Partially blocked (coughing/wheezing/talking)

• Sever Chocking- Completely obstructed (no air moving at all)

Causes of Choking-

• Pain when chewing

• Weakened swallowing muscles

• Not chewing enough

• Talking/social (Down the wrong tube)

Prevention-

• Proper positioning (90°, 90°, 90°)

• Correct diet

• Proper resident Identification

• Begin meal time w/ a drink & Offer fluids

• Don’t rush & Slow them down

• Watch them eat

*Brain damage can occur within 4-6 mins

If a person is … then NO abdominal / chest thrusts

• Coughing

• Breathing

• Talking

Cyanotic

Discoloration (blueish/gray)

Emergency

Any event that requires help immediately

*In an emergency it is important to provide privacy and dignity for the resident

Procedure:

• Stay calm

• Don’t move the resident until instruction from RN supervisor

• Call 911 and be prepared to provide answers / care

• Document everything that occurs

Seizure

Involuntary contraction of the body muscles

• Brain abnormality

*Remember the time for ems

→ A seizure doesn’t mean a hospitalization

Loss of Consciousness

Not responsive to stimuli

Brief LOC- Fainting (syncope)

→ Can happen during a BM

Sustained LOC- Coma

Causes-

• Fear

• Hunger

• Heat

• Poor ventilation

• Fatigue

• Life threatening conditions (diabetes, choking, heart attack…)

Shock

Organs aren’t receiving adequate blood supply

Symptoms-

• Increased Pulse

• Decreased B/P

• Increased Temp

*TRIO- 100/100/100

→ HR above 100, Temperature above 100, Cyanotic B/P below 100

Hemorage

Severe bleeding

*Head lacerations bleed a lot

Procedure-

• Call for help

• Apply pressure for epidermis exit

• Provide care for oraphase exit

Hip Fracture

Requires a long rehab & Residents don’t tend to bounce back (start of the end)

Poisioning

Look at the Safety Data Sheet

CVA

Cerebral Vascular Accident - Stroke

F- Face (drooping / paralysis)

A- Arm (Drifting / Can’t squeeze / loss of strength)

S- Speech (Slurring / Garbled)

T- Time (How long has it been)

Emesis

Vomiting

• Aspiration → pneumonia

Types of Safety Devices (depends on usage- can become restraints)

• Chair & Bed alarms

• Safety rails

• Wedge Cushions

• Wander Guard

• Body Pillow

Disaster

Unplanned causes of harm

Natural- Hurricane, Tornado, Flood

Human- Riots, Pandemic, Terrorism

Hypoglycemia

Low Blood Sugar- Too much insulin/ not enough food

Hyperglycemia

High Blood Sugar- Not enough insulin/ too much food