This week I visited the Adult Day Care in Bowling Green KY. It was very interesting to find out what goes on there. The Adult Day Care center is a place for families to drop off their parents or any older adult they are looking after for the day. If you think about it almost like a child daycare but for adults and the activities they do there are more geared towards adults. The activities they do are supposed to be for adults but most of the adults there don’t have the capacity to do those adult things so most of them color, play games or do child level activities because that’s what they enjoy doing. At the center they have a couple of different rooms that the adults go in. One room is for the adults that have a higher functioning in daily …show more content…
life and they are able to comprehend more and do more things on an adult level. The second room is for adults that have a lower functioning of living and most of them are in wheelchairs or on feeding tubes but not all of them are like that.
Then the last room is for the adults that have Alzheimer's or some kind of dementia and they do a lot of very simple activities because they have a hard time remembering things. The center has two nurses one full time nurse and on part time nurse. They both mostly do a lot of the typical role of a nurse but what I like the most is when they talk to the adults one they talk to them on a level that they can understand and two they really care about making the time that they spend there is fun and caring because some of the place that these adults go back to are not the best. The facility contributes the care of those with mental health issues by providing activities and care appropriate to their mental illness. What I learn about nursing advocacy and care management is that you need to talk and interact with the adults there on a level that they can comprehend because they will get more out of that then just providing the same care and doing all the same activities that some of them will not know how to do. That is one issue that one of the nurses brought up is when they get audited they have to talk to everybody the same way and treat everyone the same and sometimes you can do that but that facility has so many different adults there with different issues they can’t always do that for
everyone. What I learned about myself is that I need to learn on how to individualize care to each of my patients a little bit better so that they can get the most out of me in a positive way. What I could take into my nursing career is to individualize care to everyone so that my patients can get the best treatment for however long that they are with me.
Due to an ageing population , The Francis Report recommends the introduction of a new status of nurse, the “registered older persons nurse”. One of the illnesses linked in with this is dementia, and multiple factors relating to dementia are having an impact on how nurses are trained and their deliverance of services. In 2013, the Royal College of Nursing (RCN) began a new development program to transform dementia care for hospitals. There aim is to develop skills and knowledge related to dementia, the roles of all those who are involved, understanding the development of action plans that identify key changes.
Nurses have a considerable amount of responsibility in any facility. They are responsible for administering medicines and treatments to there patient’s. While caring for there patients, nurses will make observations on patient’s health and then record there findings. As well as consulting with doctors and other healthcare professionals to plan proper individual patient care. They teach their patients how to manage their illnesses and explain to both the patient and the patients family how to continue treatment when returning home (Bureau of Labor Statistics, 2014-15). They also record p...
I worked with Dementia and Alzheimer patients as a Certified Nursing Assistant for almost three years. Working with the elderly has been one of my greatest achievements. I assisted my residents with bathing, grooming and making them feel comfortable. I was able to create a favorable environment for my residents while working with them. I had the opportunity to see patients go from early stage to their last stage of dementia. This gave me an opportunity to want to do more for people who are in need of my care. From my experience, I learnt that nursing is not just a job; it’s a responsibility and a calling, and it requires that you derive joy in what you are doing even in the toughest moment of caring for your
First and foremost, Sunshine Generations has consistently met and exceeded both State and Federal Nursing Home regulations and standards. We have Nursing Home inspections conducted annually which includes the residents’ rooms and appearance, the living spaces, staff qualification and attributes, food and nutrition, and last but definitely not the least, overall safety and care. We specifically employ a “two-in, two-out rule” which means for every 2 nurses required by state and federal law, there are 2 more nurses assigned per day. This is to insure proper medical care and to reduce the chance for medical errors. This gives us the highest standard of care not commonly seen in the industry. A team work approach is also employed where staff physicians, nurses, nurse aids, and family have a say in the treatment and care of our residents. At any point any staff member or family member...
For the case study one considered the overall working environment of the organisation, with a particular client situation to apply the case study arguments around. This client was experiencing a catastrophic reaction to an event. One applied an integrated person-centred approach which considered meeting their needs by listening to the issue, and working with the person, and their family, as well as care staff, Registered Nurses (RN’s) and the Director of Nursing (DON). In order to find a resolution and meet the client’s needs. As well as, adding to their care plan strategies to assist with future behavioural and psychological symptoms of dementia (BPSD). This particular situation fit perfectly within the two questions of; does the organisation prevent me from providing person-centred care, and do we have formal team meetings to discuss residents’ care.
Taking care of dementia patient one should have a lot of patience as in the story the author says to herself, “why I have forgo my own lunch to try and feed this woman” ( ). The author has to wait for Miss Julianne to eat her lunch first before she could go and eat her own meal. Nurses have to be very cooperative, well behavior, and caretaker. You should show empathy to your patient instead of showing sympathy like the author was concerned about Miss Julianne, and the assistant nurse tells Miss Julianne that the author “ wants to know, if you’re okay. Honey” and should be firm in your decision by using critical thinking. You should communicate with your patient and should have convincing power. The changes that I have faced are before I used to think, its easy to treat older adults but its one of the most challenging job. My mindset is completely changed and I am preparing myself how to deal with tough
Who is going to care for our aging population when they are unable to care for themselves? A Certified Nursing Assistant, also referred to as a CNA will. A CNA has many responsibilities in the healthcare field. CNAs are the primary caregivers to residents in long-term care facilities and hospitals. CNAs help residents perform activities of daily living. A few examples of activities of daily living are feeding, bathing, dressing and toileting. With all the responsibilities CNAs have, their job can be stressful. The night shift for CNAs requires getting patients ready for supper and put to bed. Some people may think this is simple, but it is not. On average a CNA is responsible for twelve residents while toileting every resident, assessing their needs, and watching for the other residents call lights, CNAs need to have every resident to supper by six o’clock. Once all residents are at the table for supper, CNAs must give each resident their trays and then feed them. Once they are done feeding the residents, CNAs start taking residents to bed. While giving bedtime care CNAs toilet the resident, wash the resident, brush their teeth, put pajamas on them, and transfer them into bed. While giving night time care CNAs need to listen for the alarms of fall risk residents, answer call lights, and be patient with the resident they are giving care to. CNAs need to give quality care
A team led by RN, should mentally prepare their patients to understand their responsibility towards good health. This can be done by showing them special documentaries during their stay in the hospital, in a common room where other patients can also join them in a group of six to twelve. After the session, patients should be given a short comments form with multiple choice answers (Appendix A). The purpose is to check their positivity towards the message conveyed through the documentary. At this time patient's vitals should be checked and recorded for the future
nurse manipulates the patients by forcing them to give up many of their personal secrets. They
Kirsebom, M., Wadensten, B., & Hedstrom, M. (2013). Communication and Coordination during transition of older persons between Nursing Homes and Hospital Still in Need of Improvement. Journal of Advanced Nursing, 69, 886—895. DOI: 10.1111/j.1365-2648.2012.06077.x.v
As a provider of care an AD nurse uses a systematic approach in all areas. Using the process of assessment, analysis, implementation, and evaluation the nurse is able to be consistent and efficient when providing care. As a provider of care the AD nurse must assess a patient’s health status, gather medical history, plan, coordinate, and implement care. The nurse will use continual assessment and evaluation in order to ensure the best outcome for the patient. The AD nurse must develop a therapeutic relationship with the patient in order to effectively treat and provide advocacy. During my clinical rotation I was able to implement many of these steps. I provided daily physical assessments, took vital signs, implemented hygiene care, fed patients, re-positioned patients and changed bed linens. During each shift I was respons...
To prevent elder abuse, Robinson, Saisan, and Segal recommend practicing stress reduction strategies when the aide begins to feel overwhelmed. Joining a support group is also suggested so support can be gained from people in the same situation. It is important for the overwhelmed healthcare provider to realize that there are others going through the same situation. Nerenberg suggest that employee screenings should be improved by include background checks and police reports (28). Also, it is necessary for there to be a feasible workload to ensure that the nursing aide can provide quality care for the residents. If the workload is not manageable, the aide will likely be forced to spend less time with each resident causing the care to not be sufficient or of great
These children had the worst histories I have seen in mental health nursing. The opportunity to work with this population was the most difficult and honorable thing I have done in my life. Part of my goal as a nurse practitioner will be to work with the underserved and difficult populations that others are not willing to work with. The next four years I spent floating around seven different units at CenterPointe Hospital. Some of the units include adult detox unit, geriatrics, acute adult, chemical dependency residential programs, and adolescent units. Child and adolescents are my passion but working with dual diagnosis, acute adults and geriatric/dementia populations gave me a well-rounded experience. I have also worked the last 3 years PRN as an eating disorder nurse. This vast experience working with every psychiatric population has taught me much about psychiatric disorders and provided me with balanced work history. In addition, I have worked as charge nurse of these units and gained leadership skills. I intent to use the experience and knowledge from my nursing career to help me assess, diagnose and treat, as a nurse
...on the symptoms of dementia and the behaviors.sourceThe nurse can reassure the caregiver that they are not alone and many other individuals like them are facing similar experiences or difficulties. The nurse can also orient the caregiver to resources for support groups, counseling and information sessions. Nurses can offer resources such as adult day centers, which involves both the caregiver and patient. This can prevent depression, isolation and provide information to the caregiver about coping with elderly patients with dementia.sourceIt is important to note that nurses are in the best position to recognize elder abuse and should be sensitive and tactful when assessing caregivers and dementia patients for the presence of abuse. Source This may help prevent caregiver burn-out and stress, as well as reduce the incidence of elder abuse in dementia patientssource .
Day-care is a place where children ranging from as little as one month, to any other age, are taken care of during the day. This could be due to the parents being too busy to take care of them during the same time, either due to work, school, or other time consuming obligations. Day-care therefore provides alternative care for little children, when their parents are away. This is widely criticized by a large number of people who believe that children should not be left under the care of strangers.