CNA Lesson 1 new material guide 2023

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School

Grand Canyon University *

*We aren’t endorsed by this school

Course

651

Subject

Nursing

Date

Nov 24, 2024

Type

pdf

Pages

Uploaded by carolnje

CNA Lesson 1 new material guide 2023 Activity director - an individual who plans the activities for the residents and assists them to socialize and to stay physically and mentally active. Activities of Daily Living (ADLs) - personal daily care tasks including bathing, dressing, caring for teeth and hair, toileting, eating and drinking Acute - a current illness that has severe symptoms and maybe as a result of a sudden onset Administrator - manages all departments within the facility Adult Day Care - care given at a facility during daytime hours; generally for individuals who need some assistance and/or supervision but are not seriously ill or disabled; usually reside outside of the facility Advanced Practice Nurse - a registered nurse having education beyond the basic nursing education and certified by a nationally recognized professional organization in a nursing specialty, or meeting other criteria established by a Board of Nursing Assisted Living - facilities where residents live who need limited assistance, but do not require skilled care Call Light - means to communicate to staff a need for assistance. The call light should be available to the resident at all times Certified Nursing Assistant (CNA) - an individual who has completed a state approved course and has successfully completed certification testing. A CNA provides direct care. Chain of Command - the line of authority in the facility which addresses to whom each employee/department reports Chronic - the disease or condition is long term or will be long lasting Clichés - phrases that are used frequently and which often have a different meaning, making it difficult for the resident to understand Communication - the process of exchanging information with others Cultural Differences - beliefs, values, habits, diet and health practices that relate to a person's culture or religion Cultural Diversity - the variety of people living and working together in the facility

Culture - a system of behaviors people learn from the people by which they are surrounded Culture Change - a philosophy that focuses on providing "person-centered" care to residents and creating a positive work environment for healthcare workers Denial - rejection of a thought or feeling Dependent - requires staff assistance to carry out activities of daily living Dietitian - plans menus, special diets and monitors nutritional needs of the resident Displacement - transferring a strong negative feeling to something or someone else Health Insurance Portability and Accountability Act (HIPAA) - law that requires health information to be kept secure (protected) and private Home Health Care - care provided in a person's home Hospice Care - care for individuals who have an estimated six months or less to live; hospice provides physical and emotional care and comfort Housekeeping Department - responsible to maintain the facility in a clean and sanitary manner Independent - able to carry out activities of daily living without staff assistance Interdisciplinary Team - professionals from each discipline within the nursing facility who meet to discuss and plan the care of the resident Laundry Department - oversees laundering of facility linens and residents' person clothing Licensed Practical Nurse (LPN) - a licensed professional who has completed 1 to 2 years of education and has completed an exam for licensure. This is about the CNA's Long Term Care (LTC) - care for persons who require 24 hour care and assistance Maintenance Department - maintains facility and grounds in good repair Medical Director - physician who provides oversight to the nursing staff regarding care provided to the residents Medical Doctor (MD) - physician

Non-Verbal Communication - communication without using words, such as facial expressions, tone of voice, posture, gestures, touch, body language, etc. Objective Information - information based on what factually seen, heard, touched, or smelled. A direct observation Occupational Therapist (OT) - a therapist who helps residents to learn to compensate for their disabilities and assist them with activities of daily living Ombudsman - resident advocate who investigates complaints and assists to achieve agreement between parties, often defending the rights of residents Optometrist - provides eye care for the residents Palliative Care - care that focuses on the comfort and dignity of the person rather than on curing him or her Person-Centered Care - A philosophical approach to nursing home care that honors and respects the voice of elders and those working closest with them; it involves a continuing process of listening, trying new things, seeing individualize care and de- institutionalize the nursing home environment Physical Therapist - provides therapy in the form of heat, cold, massage, ultrasound, electricity, and exercise to residents with muscle, bone, and joint problems. A PT may help a person to safely use a walker, cane, or wheelchair Podiatrist - a physician who examines and cares for the residents' feet Policy - a course of action determined by the facility that should be taken every time a certain situation occurs Professionalism - how a person behaves when he/she is on the job. Examples of professional interactions with the resident include, but are not limited to: - keeping a positive attitude doing the assigned tasks you are trained to perform - keeping information about the residents confidential - being polite-- not discussing your personal problems with a resident or with a co- worker in front of a resident - not using profanity, ever if a resident uses profanity - listening to the resident - calling the resident by Mr., Mrs., or by the name he/she prefers - always explaining the care you will be providing before beginning to provide the care - presenting a positive image through personal hygiene, appearance and state of mind Projection - seeing feelings in others that are really one's own

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Qualified Medication Aide (QMA) - a certified nursing assistant who has completed required state training and has completed examination in an effort to administer medications and certain treatments in accordance with the specific scope of practice of the QMA Rationalization - making excuses to justify a situation Registered Dietitian (RD) - a professional who creates special diets for residents with specific with specific needs and plans menus to ensure residents' nutritional needs are met Registered Nurse (RN) - a licensed professional who has completed 2 to 4 years of nursing education and has completed the examination for licensure Regression - going back to an old immature behavior Repression - blocking painful thoughts or feeling from the mind Respiratory Therapist - provides breathing treatment(s) and special equipment for respiratory conditions Scope of Practice - the tasks for which a nurse aide is trained, thus, allowed to do. * Nurse Aide duties include but are not limited to: - feeding residents - helping residents with toileting and elimination needs - assisting residents' living areas neat and clean - encouraging residents to eat and drink - caring for supplies and equipment - helping to bathe and dress residents - making beds - helping residents with oral care and other hygiene needs Skilled Care - medically necessary care given by a nurse or therapy Slang - terms/words used that may be specific to a generation and not easily recognizable and/or easily misinterpreted by the residents Social Worker (SW) - an individual who helps residents with psycho-social needs and assists to arrange needed services Speech Therapist (ST) or Speech Language Pathologist (SLP) - a therapist who helps residents with speech and swallowing problems Standard 14 - " The nurse aide will perform only the tasks in the course standards and Resident Care Procedures manual, unless trained appropriately by licensed staff of the facility with policies and procedures and a system for ongoing monitoring to assure

compliance with the tasks, which are not prohibited by paragraphs 2 and 3 of this section and by current rule, which prohibits the giving injections. The nurse aide will not perform any invasive procedures, including enemas and rectal temperatures, checking for and/or removing fecal impactions, instillation of any fluids, through any tubing, administering vaginal or rectal instillations. The nurse aide will not administer any medications, perform treatment or apply or remove any dressing. Exception to the above would be the application of creams/ ointments to intact skin as moisture barrier cream." Subjective Information - information that could not be or was not observed. The information is based on what a person thinks or something that was reported by another person that may or may not be true Terminal illness - a disease or condition that will eventually cause death Verbal Commucation - written or spoken messages Introduction to long term care - long term care- acute, chronic, and terminal care skilled care adult day care assisted living home health care hospice care palliative care The role of the nurse aide - A. Requirements - limited criminal history performed - mantoux testing or health screen and physical examination - completion of an approved training program B. Professionalism - accountability - confidentiality - health insurance portability and accountability act (hipaa) C. scope of practice- standard 14 ---- Indiana specific D. provide care according to the resident's comprehensive care plan 1. direct care needs/ use of a nurse aide assignment sheet E. actively listen and communicate with the resident, the family and the health care team F. observe and report any change in the resident's appearance, behavior or mood to the nurse 1. objective observation/ information 2. subjective observation/ information 3. observations that indicate an acute condition requiring immediate attention from the nurse include but are not limited to: severe pain, fall/accident, seizures, swelling, bleeding, loss of consciousness, difficulty breathing, lethargy, delirium G. participate in care planning, w

The care team and chain of command - A. interdisciplinary team- often includes 1. activity director, certified nursing assistant, licensed practical nurse, medical doctor, social worker, occupational therapist, physical therapist, qualified medication aide, dietary manager and/or registered dietitian, registered nurse, speech therapist, administrator 2. resident and family member/ responsible party 3. ombudsman, upon resident request B chain of command 1. director of nursing 2. licensed nurse (charge nurse/supervisor) 3. certified nursing assistant/ qualified medication aide Communication and Interpersonal Skills - A. effective communication 1. formulate the message 2. receive the message (listen) 3. observe for feedback B. verbal and non-verbal communication C. barriers to communication 1. cliché 2. slang 3. impairments a. a person who is visually impaired relies on verbal cues, including words and tone of voice a. state your name before beginning a conversation b. describe persons, things, and environment c. inform the resident when you are entering or leaving the room d. explain in detail what you are doing and ask the resident what they would like to do independently e. touch the resident, if appropriate f. read resident's mail or personal documents, only if asked g. sit where resident can easily see you if resident has partial vision b. a person who is hearing impaired relies on nonverbal cues including body language, sign language, and writing - speak slowly and distinctly - use short sentences - face the resident - use facial expressions and gestures - reduce outside distractions - Resident-Centered Care (Person-Centered Care) - A. respecting resident choice/ preference 1. provide a home-like and safe living environment with daily routines designed to meet the resident's specific needs and in accordance with former lifestyle B. practices which reflect resident-centered care (include, but not limited to :)

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1. time to awake/ retire to bed 2. frequency of bath/ shower 3. preferred activities 4. choice of clothing 5. choice of mealtimes 6. choice of toileting times C. cultural diversity D. respecting cultural differences E. respecting religious preferences

CNA Lesson 1 new material guide 2023

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