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Professional Health and Safety Training. Israel Buenaventura Instructor. Personal Level of Care.
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Professional Health and Safety Training Israel Buenaventura Instructor
Personal Level of Care • Assistance with activities of daily living that can be performed without professional skills or professional training and include the coordination or provision of intermittent nursing services and the administration of medications and treatments by a nurse.
The Aging Process Chap 12 P167 • Early Old Age (55 – 65 years) • Old Age (65 – 85 years) • The very old (85 and older) • Centenarians
The Aging Process Chapter 25 / Page 349 CONFLICT • Time – different schedules (caregiver / pt) • Identity – reversal of roles ( parent / child) • Power status – elders are in charge (younger caregivers / older pts) • Individuality – different folks, different strokes • Assistive devices – ambulation & safety, in denial.
The Aging Process P349 • False beliefs about aging • Role changes • Role reversal • Cultural diversity • Theories of aging • The elderly patient • End-of-life issues
Anatomy & Physiology Chapter 10 / Page 122 • Integumentary system P122 • Musculoskeletal system P123 • Respiratory system P125 • Circulatory system P127 • Digestive system P130 • Urinary system P130 • Nervous system P131 • Special senses P132 • Endocrine system P134 • Reproductive system P135 • Physical changes P 137
Physical Changes • Changes: • Homeostasis - is the property of a system, either open or closed, that regulates its internal environment and tends to maintain a stable, constant condition. • Functional Reserve – body’s ability to adapt to changes, decreases in older senior.
Physical Changes Physiologic – normal functions of organs / organisms (posture, appearance, skin elasticity) Pathologic - result of a disease process that are either genetic, communicated or induced because of poor lifestyle.
Common Health Problems Chapter 11 / Page 141 • Integumentary system (Dermatitis 141, Skin injuries 142) • Musculoskeletal (Osteoporosis 143, Arthritis 143) • Respiratory (COPD 145) • Circulatory (CAD 146, Angina146, MI147, CHF147, HTN 147) • Digestive (Gallbladder disease) • Urinary (Kidney stones) • Nervous system (MS 148, Parkinson’s disease 149) • Sensory organs • Endocrine (Diabetes 153)
Arthritis • Arthritis is a chronic joint disorder characterized by degeneration of joint cartilage and adjacent bone which can cause pain, stiffness and loss of function of the joint. • Osteoarthritis is associated with physical stress placed on the bone by exercise, repeated motion and obesity. • Rheumatoid arthritis is an autoimmune response that destroys bone
Chronic Obstructive Pulmonary Disease • Chronic Bronchitis • Emphysema
Ostomy Chapter 23 / Page 327 • A surgical procedure creating an opening in the body for the discharge of body wastes. An ileostomy stoma An ileostomy stoma bag covering the stoma
Ostomy • Colostomy - is a when a small portion of the colon (large intestine) is brought to the surface of the abdominal wall to allow stool to be eliminated. • Ileostomy - an opening created in the small intestine to bypass the colon for stool elimination. The end of the ileum, which is the lowest part of the small intestine, is brought through the abdominal wall to form a stoma. • Urostomy is a surgical procedure that diverts urine away from a diseased or defective bladder.
Medical Problems • Diabetes Mellitus: Video • Type I – insulin dependent • Type II – oral medications
Medication Control & Administration • Medication – a prescription or non-prescription substance used to maintain health or to prevent or treat an illness, injury or disease. Medication administration – the direct application of a medication or treatment to the body of a patient.
Medication Control & Administration • Safe Control • Safe Handling • Safe Disposal • Who can prescribed? • MD • Doctor’s Assistant • Nurse Practitioner
Medication Control & Administration • Who can administer? By law: • MD • RN, LPN • Pharmacists, MT • Family members, resident representative With MD order: • Caregivers
Medication Control & Administration • Five rights of Medication Administration • Right individual • Right medication • Right dose • Right route • Right time MDIRT + Right DOCUMENTATION / FORM Right to KNOW THE MEDS & REFUSE.
Medication Control & Administration • Requires NO ASSISTANCE • Assistance with Administration of Medication • Medication Administration
Medication Control & Administration • Medication Storage • PDR • MAR or PRN • Medication Policies & Procedures
Professional Health and Safety Training Personal Level of Care Questions?