NATCEP Day Thirty Three
Objectives
 Define depression
 Identify signs and symptoms
 Describe possible causes
 Identifies the nurse aide’s role...
Definition
 An emotional disorder that involves
the body, mood, and thoughts. The
person loses interest in daily
activiti...
Signs & Symptoms
 Sadness
 Inactivity
 Difficulty thinking
 Problems concentrating
 Feelings of despair
 Problems sl...
Causes
 Death of family or friends
 Loss of health
 Loss of body functions
 Loss of independence
 Loneliness/boredom
...
Nurse Aide
Roles/Responsibilities
 Recognize signs & symptoms
 Encourage independence with ADLs
 Maintain safety
 Moni...
Nurse Aide
Roles/Responsibilities
 Don’t make light of or ignore resident
comments or behaviors
 Suicidal?
 Suicide Pre...
Possible Interventions
 One on One interaction
 Activities
 Learn the resident’s preferences and habits
NATCEP Day Thirty Three
Objectives
 Identify possible causes of confusion
 Identify symptoms that indicate a resident
may be confused
 Discuss ...
Possible Causes of
Confusion Medical issues
 Chronic illnesses
 Surgery & injury
 Degenerative brain diseases – Alzhei...
Symptoms of Confusion
 Does not know self or others
 Talks incoherently
 Forgetful
 Does not pay attention
 Does not ...
Implications
 The resident may be
 Frightened, unhappy, bewildered or angry
 Unaware of environment – doesn’t
recognize...
Ways to reduce confusion
 Treat medical condition
 Improve nutrition & hydration
 Change prescribed medications
 Encou...
Behaviors
 Combative
 Withdrawn
 Socially inappropriate
 Verbal or physical aggression
 Wandering
 Abnormal sexual b...
Therapeutic Interventions
 Reality orientation to maintain reality contact
 Reminiscing = life review
 Validation thera...
Therapeutic Interventions
 Begin conversation by identifying yourself
 Do not ask if they remember you
 Eye level with ...
Therapeutic Interventions
 Dementia: eventually unable to understand verbal
communication
 Use pictures and point, touch...
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NATCEP Day 33 Presentation

NATCEP Training
Published on: Mar 3, 2016
Published in: Healthcare      
Source: www.slideshare.net


Transcripts - NATCEP Day 33 Presentation

  • 1. NATCEP Day Thirty Three
  • 2. Objectives  Define depression  Identify signs and symptoms  Describe possible causes  Identifies the nurse aide’s role and responsibility in caring for the resident with depression  Possible nurse aide interventions
  • 3. Definition  An emotional disorder that involves the body, mood, and thoughts. The person loses interest in daily activities.  Most commonly overlooked disorder in the elderly  Misdiagnosised as a cognitive disorder  Can mimic physical illness
  • 4. Signs & Symptoms  Sadness  Inactivity  Difficulty thinking  Problems concentrating  Feelings of despair  Problems sleeping  Changes in appetite  Fatigue  Agitation  Withdrawn  Thoughts of death or suicide  Pain  Irritability
  • 5. Causes  Death of family or friends  Loss of health  Loss of body functions  Loss of independence  Loneliness/boredom  Medications – side effect  Loss of purpose
  • 6. Nurse Aide Roles/Responsibilities  Recognize signs & symptoms  Encourage independence with ADLs  Maintain safety  Monitor food and fluid intake (is it adequate)?  Report observations to nurse  Follow care plan
  • 7. Nurse Aide Roles/Responsibilities  Don’t make light of or ignore resident comments or behaviors  Suicidal?  Suicide Precautions according to policy  Observant for clues of attempts ○ High risk categories include  75 years of age and older  Recent diagnosis of terminal illness  Unrelieved chronic pain  Sudden loss of spouse  Elderly with recent multiple losses
  • 8. Possible Interventions  One on One interaction  Activities  Learn the resident’s preferences and habits
  • 9. NATCEP Day Thirty Three
  • 10. Objectives  Identify possible causes of confusion  Identify symptoms that indicate a resident may be confused  Discuss implications of confusion for the resident  Identify ways in which some of the causes of confusion may be minimized  Identify behaviors hat may be seen  Describe appropriate therapeutic interventions
  • 11. Possible Causes of Confusion Medical issues  Chronic illnesses  Surgery & injury  Degenerative brain diseases – Alzheimers, dementia, arteriosclerosis  Poor nutrition  Poor fluid intake  Medication  Reaction  Combo of meds  Social Isolation  Hearing & Vision Loss  Changes in the usual environment
  • 12. Symptoms of Confusion  Does not know self or others  Talks incoherently  Forgetful  Does not pay attention  Does not understand when someone else is speaking  Sleep disorders  Hallucinates – visual or auditory  Hostile/combative  SUNDOWNING
  • 13. Implications  The resident may be  Frightened, unhappy, bewildered or angry  Unaware of environment – doesn’t recognize danger  Reduced contact with others  Less self expression  Less independence  Insecure  Verbal or physical aggression  Socially inappropriate behavior
  • 14. Ways to reduce confusion  Treat medical condition  Improve nutrition & hydration  Change prescribed medications  Encouraging socialization  Avoid overstimulation  Calm, relaxed and peaceful setting  Hearing aids and glasses
  • 15. Behaviors  Combative  Withdrawn  Socially inappropriate  Verbal or physical aggression  Wandering  Abnormal sexual behavior  Repetitive behaviors  Catastrophic reactions
  • 16. Therapeutic Interventions  Reality orientation to maintain reality contact  Reminiscing = life review  Validation therapy  Focuses on responding to the affect or emotion expressed by the patient rather than the actual content, which may be distorted. Rather than correct and attempt to reorient a disoriented person, positive reinforcement is continually given.  Helps them feel more secure and oriented within their own reality
  • 17. Therapeutic Interventions  Begin conversation by identifying yourself  Do not ask if they remember you  Eye level with eye contact  Pleasant facial expression  Place hand on resident’s arm or hand unless it causes agitation  Control background noise – be sure they can hear you  Lower tone of voice  Short, common words; short, simple sentences  Give resident time to respond  One question at a time – if need to repeat, say same way  Ask resident to do only one task at a time
  • 18. Therapeutic Interventions  Dementia: eventually unable to understand verbal communication  Use pictures and point, touch, or hand the resident items  Demonstrate an action when you want resident to complete a task  Resident may use word substitutes  Consistent – find out what they mean & use yourself  Avoid abstract, common expressions  “You can hop into bed now”  Repeat resident’s last words to help stay on track during conversation  Do not try to “make” resident understand = agitation  Use nonverbal praise freely and always respect resident’s feelings

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