Term
| Feeding someone with a swallowing problem due to weak side |
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Definition
| Feed on side that has better swallowing ability. |
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Term
| How to prepare a resident for meals. |
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Definition
toilet them
wash hands and face
provide oral care
sit upright with head foward
provide a clothing protector |
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Term
| Why should you provide oral care before meals? |
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Definition
| Bad tasting mouth can spoil appetite. |
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Term
| What is the purpose of a care plan? |
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Definition
| to identify individual need of each resident |
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Term
| What is the slit in the tip of the penis called? |
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Definition
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Term
| When should you put hearing aids/glasses on your resident? |
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Definition
| After washing the face and ears. |
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Term
| Dressing/undressing a client with a weak side. |
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Definition
| DRESS weak side first and UNDRESS string side first as the strong side most likely has a greater range of motion. |
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Term
| Why shouldnt you use soap on a seniors face? |
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Definition
| Their skin is already dry and the face is not very dirty in general. |
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Term
| What are the benefits of using a batt mitt? |
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Definition
| To provide a thick soft surface for bathing and to prevent dripping cold water on the client. |
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Term
| What is washed during am/hs care? |
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Definition
Face, hands,axilla,underbreast, perineal area upper and lower back
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Term
| Signs and sympotoms of constipation |
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Definition
"pellet" poop
bloated, hard tummy
pain
loss of appetite
vomiting
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Term
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Definition
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Term
| What are 6 ways to promote self esteem during morning care? |
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Definition
shave
brush hair
make up
allow choice of outfit
let them do what they can
provide privacy
smileand be positive |
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Term
| How do TED stocking work? |
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Definition
| TED stockings reduce blood flow to extremities with pressure. |
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Term
| What is the purpose of TED stockings? |
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Definition
| TEd stockings are used to imporve circulation and prevent sweeling and edema in limbs |
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Term
Three ways to prevent constipation
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Definition
Mobility
fluid intake
high fibre diet |
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Term
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Definition
skin
cognitive ability
incontinence level
chages in behaviour
urine(color, amount, blood)
stool(color, amount, blood, consistency) |
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Term
| DO NOT feed a resident if... |
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Definition
they cannot cough
they cannot swallow
they are unconscious |
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Term
| Guidelines to routine urine specimens |
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Definition
take sample from bedpan or texashat
used for routine or microscopic examination |
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Term
| How to collect a midstream urine sample |
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Definition
do pericare first!
place specimen catcher in toilet
used for culture and sensitvity testing |
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Term
|
Definition
turn client on side
position bedpan on client
roll client on back
position in high fowlers |
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Term
| How to promote safety in toiletting |
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Definition
install grab bars
used a raised toilet seat
give client call bell
put brakes on if its a commode |
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Term
| guidelines for feeding patients with dysphagia |
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Definition
feed slowly
ask client to swallow twice
remind the client to close mouth and swallw |
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Term
| ONLY feed persons with dysphagia when.... |
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Definition
another staff member is present
in the dining hall |
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Term
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Definition
| The clouding over of the lens. |
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Term
| what is diabetic retinopathy? |
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Definition
| blood vessels of retina are damaged and leaking, creating scar tissue. Retinal detachment may occur. |
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Term
| what is retinal detachment? |
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Definition
| when the retina seperates from the surrounding tissues and can no longer function. |
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Term
| Everyday care of hearing aids |
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Definition
return to case with battery doors open
check for clogging
check battery funtion(listen for whistle) |
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Term
| What causes temporary hearing loss? |
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Definition
| the ear canal is clogged with wax |
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Term
| What are causes of flatulence |
|
Definition
constipation
bacterial action in intestines
swallowing air
gas forming foods\
medications |
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Term
|
Definition
low fibre diet
ignoring urge to defecate
decreased fluid intake
inactivity
meds
aging
disease |
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Term
|
Definition
Privacy
Personal Habit
Diet
Fluids
Activity
Meds
Aging
Disability |
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Term
| How frequently do normal people have a BM |
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Definition
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Term
| Why is mouth care so important for seniors? |
|
Definition
soft diet
dry mouth
dentures
infrequent dentistry |
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Term
| How to assist a resident to feed themselves |
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Definition
ensure everything is within reach
allow them to do what they can
note consumption
let them eat at own rate
remove tray immediatly after feeding |
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Term
| Things to watch for in nutrition (chronic) |
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Definition
hunger
weight loss
excess saliva
refusal to eat
dehydration |
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Term
| Things to watch for in nutrution(acute) |
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Definition
coughing
grey skin
wheezing
gasping
pocketing
drooling
unalertness |
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Term
| malnutrition/dehydration can result in |
|
Definition
mental status change
weight loss
skin breakdown
constipation
UTI's |
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Term
| complications that can arise from dysphagia |
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Definition
aspiration
malnutrition/dehydration |
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Term
| things to report to nurse after feeding |
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Definition
"Food is stuck in mu throat"
"I have heartburn"
"I want liquid food instead of solid"
coughing up/regurgitation |
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Term
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Definition
| food gets caught in the airways ad/or lungs |
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Term
| signs and symptoms of UTI |
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Definition
urinanry urgency and frequency
small amounts of urine
painful urination
burning
foul smelling urine
blood in urine
fever
back pain |
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Term
| Safe swallowing techniques |
|
Definition
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|
Term
| safe swallowing techniques |
|
Definition
effortful
supraglottis
cough to clear
2 swallows per bolus
remind to swallow |
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Term
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Definition
| deep breath and hold, swallow, cough |
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Term
| why is mouth care important |
|
Definition
mouth is used for speacking
chewing
socializing
preventing cativities
preventing gum disese
systematic health |
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Term
|
Definition
infection
food to fall into throat
drooling |
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Term
| what is teh cleanest part of the body |
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Definition
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Term
|
Definition
redness
loose nails
ingrown nails
very dry skin
cracked/breaks in skin
odour
bleeding
blisters |
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Term
| what is important to remember when applying barrier cream to incontinent patients |
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Definition
| barrier cream if applied liberally can effect the ability of intontinent products |
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Term
| when is bladder retraining considered succesful? |
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Definition
| after 24 hours of continence |
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Term
|
Definition
maintian regular elimination
maintain dipps |
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Term
| 4 phases of normal swallowing |
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Definition
1)get food from plate to mouth
2)put food in mouth
3)move food into thraot
4)food moves to esophagus and stomach |
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Term
| how long does normal swallowing take |
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Definition
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Term
| requirements of successful swallowing |
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Definition
blockage of nasal passages
airway closes off
cardiac muscle of esophagus opens |
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Term
| what can go wrong with swallowing? |
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Definition
inability to move bolus from front to back of mouth
pocketing occurs
food falls into throat before swallowing occurs
airways are not closed off
cardiac sphinter fails to open |
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Term
| What is the easiest texture to swallow? |
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Definition
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Term
|
Definition
| client chokes gags or coughs |
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Term
| how long should the resident be left upright after a meal?> |
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Definition
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Term
| guidelines for assisting blind to eat |
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Definition
used clock method to tell them what is on the plate if they can feed themselves
if they cannot, touch spoon to bottom lip to signal arrival of food |
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Term
| disorders that may cause dysphagia/ choking? |
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Definition
stroke
parkinsns
alzheimers
ms
hungtintons |
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Term
| when to perform heimlich on patient |
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Definition
they are unable to speak or cough
blue lips or face
cluthcing throat |
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Term
| what to do if residents begins coughing during mealtime? |
|
Definition
encourage coughing until food id dislodged
discontinue feeding IMMEDATLY |
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Term
|
Definition
| complete or partial hair loss |
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Term
|
Definition
| growth of hair i unlikely places for women |
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|
Term
|
Definition
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|
Term
| do not use manual shavers on... |
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Definition
| dementia patients, blod clotting problems |
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Term
| do not use electric razors on... |
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Definition
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Term
| why are footbaths dangerous for people with poor circulation |
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Definition
| they may be unable to feel if the water is too hot and burn themselves |
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Term
| when shouldnt you trim toenails |
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Definition
ingrown or thick nails
diabetes
blood clotting issues
poor circulation of feet |
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Term
| after aplying a TED observe and report |
|
Definition
complaints of tingling, numbness or pain
redness
swelling
skin breakdown |
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Term
| observations and reports for oral care |
|
Definition
bleeding gums
dry, chapped lips
redness or white patches
loose teeth |
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Term
| mouth crae for unconscious |
|
Definition
turn them on their side so th water drain out of their mouth
do not use much liquid
every 2 hours |
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Term
| what is the normal amount of urine excreted per day? |
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Definition
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|
Term
| things that affect urine production? |
|
Definition
age
disease
amount of fluid
salt intake
caffiene
alcohol
meds |
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Term
|
Definition
brougth on by exercise or certain actions
laughing/sneezing
small dribbles |
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Term
|
Definition
sudden urgency to void
caused by UTI bladder cancer or enlarged prostate |
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Term
|
Definition
bladder is too full and dribbles
diabetes |
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Term
|
Definition
| client has control but did not make it to bathrrom in time due to dementia or mobility factors |
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Term
|
Definition
happens at predictable intervals
bladder is full but client does not feel need to urinate |
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