Reality Orientation while giving care. Involve in enjoyable activities which orient to reality and don't depend on orientation. Encourage vistors to bring in ph
reminiscence and small group interaction. Verbal reminders which assist resident in orientation.
otos and mementos. Keep environment free of hazards. Assist in emergencies . Pleasant interaction which reassures resident when confused. Encourage
. Assist in emergencies.Pleasant interaction which reassures resident resident when confused.Encourage reminiscence and small group interaction.Verbal reminders which assist resident in orientation. Post acti
Reality Orientation while giving care. Involve in enjoyable activities which orient to reality and don't depend on orientation. Encourage visitors to bring in photos and mementos. Keep environment free of hazards
vity schedule and assure that resident gets to activities.Monitor weights and appetite.
Reality orientation while giving care. Involve in enjoyable activities which orient to reality and don't depend on orientattion. Encourage visitors to bring in photos and mementos. Keep environment free of hazards
. Assist in emergencies. Pleasant interaction which reassures resident when confused. Explain all procedures. Encourage reminiscence and small group interaction. Verbal reminders which assist resident in orientation Post acti
vity schedule and assure that resident gets to activities.Monitor weights and appetite.
Assist resident in decision making by giving simple choices. Assure that residents wishes are understood by being patient when resident tries to talk. Encourage and assist in choices in care,clothes,and activities.Keep environment free
of hazards and assist in emergencies.Pleasant interaction which reassures resident when confused.Enjoyable activities which don't depend on major decision making abilities. Break tasks up into short segments.Reality orientation while giv
ing care.Verbal reminders while giving care. Monitor weights and appetite.
Use short phrases and questions which require yes or no answers. Use gestures as necessary. Assessary for adequate communication. Reassurance and patience when resident attempts to communicate.Monitor resident for
changes in condition Environment safe with call light answered promptly. Involve in activities which don't depend on residents ability to communicate,music,parties,movies.
Use short phrases and questions which require yes or no answers.Use gestures as necessary. Assess for adequate communication. Reassurance and patience when resident attempts to communicate or doesn't understan
d. Monitor resident for changes in condition. Environment safe with call light answered promptly. Involve in activities which don't depend on residents ability to communicate or understand,music,parties, movies.et
Keep environment free of small objects on floor,very hot liquids,and toxic liquids. Involve in auditory activities,music,parties,exercise. Explain location of food on tray when needed. Explain all procedures. Announce
self when entering resident area. Special precautions in emergencies. Encourage independence in ADL's. Reorient resident if furniture is moved or change in environment.
Encourage independence with minor assistance or verbal reminders. Praise when independence is attempted or done. Have call light near resident and answer promptly. Reminder and assist as necessary in turning every two hours.
Monitor skin for redness. Pressure reducing mattress.
Explain all procedures and purpose. Encourage independence with minor assistance. Praise when independence is attempted or done. Assist with transfer as needed. Call light available and answere
dpromptly.
Explain all procedures and purpose. Encourage independence in self-propelling with minor assistance. Praise when independence is attempted or done. Assist to move around facility a
s needed. Call light available.
Explain all procedures and purpose. Encourage independence with minor assistance. Praise when independence is attempted or done. Encourage resident to pick out own clothes. Dress and change as needed.
Assure proper clothing is available.
Encourage independence with minor assistance. Praise when independence is attempted or done. Feed resident slowly. Encourage resident to eat all food. Adhere to food preferences.
Monitor weights and appetite.
Explain all procedures and purpose. Encourage independence with minor assistance. Praise when independence is attempted or done. Take to bathroom or put on bedpan every two hours as requested.
Have call light close and answer promptly.
Explain all procedures and purpose. Encourage independence with minor assistance. Praise when independence is minor assistance. Praise when independence is attempted or done. Monitor for hygiene needs and re
nder as needed each shift. Oral hygiene to be done Q shift as needed. Encourage choices in care. Shower per schedule and as needed or requested.
Encourage OOB daily. Call light near resident and answered promptly. Staff to assure resident receives assistance when need Staff to instruct resident to use hand rails. Staff to encourage resident to a"
sk for assistance. Staff to respect residents right to independence. Staff to respect residents right to independence. Staff to assure environment is free of wet spots and small items placed low on floor. Staff to assure lighting #
is appropriate. Assure resident gets to activities and out of room as needed.
Clean after each episode of incontinence. Monitor and report all red areas. Cheerful dialogue with resident while cleaning to encourage maintain self esteem. Call light available.
All staff to encourage resident to socialize. Encourage activities of choice and interest. Encourage socialization with roo
mmates. Room visits when resident stays in room for 1:1 socialization. Cheeful dialogue with resident while giving care.
BEHAVIOR INTERVENTIONS When resident is upset,staff to try to alter residents environment take to activities. Encourage resident to be involved in activities. Listen attentively and attempt t
o resolve or discuss area of upset. Encourage 80-100% of diet and fluids. Monitor weight,appetite,fluid intake,labs,medications to assist physician in finding clinical cause. Notify MD if it interferes with functioning.
BEHAVIOR INTEREVENTIONS Always approach resident calmly and unhurriedly. Speak in a calm vocie. Explain why care is needed. Encourage resident to perform independent ADL's and decisions concerning timing ,
of care,clothes to wear,what activities to attend. Encourage and assist resident to help staff in mutual problem solving of causing stimuli.Encourage activcities of resident's choice and preferenc
e when possible. Encourage resident to discuss interests or concerns
Invite to activities daily. Remind and encourage resident to attend activities they particularly enjoy. Room visits with activity supplies when not going to activities.
Respect residents right to refuse activitiessss. Sensory stimulation:music,sounds.
Medications as ordered. Lab as ordered. Monitor B/P as ordered and notify MD if high or low. Diet as ordered. Monitor for edema,chest pains,he
adache,dizziness,and vomiting and report promptly. Encourage activity attendance.
Use short phrases and questions which require yes or no answers.Use gestures as necessary. REassurance and patience when resident attempts to communicate.Monitor resident for changes in condition. Environment safe with call light
answered promptly. Involve in activities which don't depend on residents ability to communicate,music,parties,movies. Small group and 1:1 socialization. Monitor diet and weights.
Medication and lab work as ordered-report abnormal labs to MD promptly. Monitor side rails and positioning for possible injuries. Report all seizures to MD prompt5
ly. Monitor for change in level of consciousness. Monitor for nausea and vomiting and report to MD promptly. Protected environmenet when having seizure. Monitor w
eights and appetite.
Staff to encourage and give oral hygiene before bed at night and PRN with assistance as needed.
Diet as ordered. Monitor tolereance of texture of food. Monitor appetite and weights and report weight loss of 5+ pounds. Dental consult as ordered and ne
eded.
Bed rails to prevent injury from falling out of bed. Reposition at least every two hours. Release and monitor if resident becomes agitated. Evaluate at least every three months for less restrictive measures.
Visual check at least every two hours for positioning and circulatory problems. continued exercise to prevent decreased functioning.
Assess daily for behaviors manifested and notify MD if medications can be reduced. Monitor weights and appetite. Monitor for unsteady balance. Pharmacist to review drug regime
monthly. Call light available. Resident to ask for assistance when unsteady. Monitor behaviors and report monthly to MD to assist to assure lowest possible therapeutic doses given.
Reality Orientation while giving care. Involve in enjoyable activities which orient to reality and don't depend on orientation. Encourage visitors to bring in photos and mementos. Keep environment free of hazards?
. Assist in emergencies. Pleasant interaction which reassures resident when confused. Explain all procedures. Encourage reminiscence and small gro
up interaction. Verbal reminders which assist in orientation.
Assist resident in decision making by giving simple choices.Assure that residents wishes are understood by being patient when tries to talk. Encourage and assist in choices in care,clothes and activities. B
Keep environment free of hazards and assist in emergencies. Pleasant interaction which reassures resident when confused. Break tasks up into short segments. Reality o
rientation while giving care.
Use short phrases and questions which require yes or no answers. Use gestures as necessary. Assess for adequate communication. Reassurance and patience when reE
sident attempts to communicate or doesn't understandd. Monitor resident for changes in condition. Environment safe with call light answered promptly. Involve in activities which don't depend on residents ability t
o communicate or understand.
Explain all procedures and purpose. Encourage independence with minor assistance. Praise when independence is attempted or done. Have call light near resident and answer promptly. Remind and assist as necessary i
n turning every two hours. Monitor skin for redness. Pressure reducing mattress. Monitor and assist with transfers as needed.
Encourage independence with minor assistance. Praise when independence is attempted or done. Take out of room as requested and at least daily unless resident refuses. Call light available.
Explain all procedures and purpose. Encourage independence with minor assistance. Praise when independence is attempted or done. Encourage resident to pick out clothes. Dress and change as needed.
Assure proper clothing is available. Open all cartons and plastic,butter,bread as needed.
Explain all procedures and purpose. Encourage independence with minor assistance. Praise when independence is attempted or done. Monitor for hygiene needs and render as needed each shift. Oral hygiene to be done Q
shift as needed. Encourage choices in care. Shower per schedule and as needed or requested.
ROM BY RNA 5XWEEK Q DAILY. Monitor for pain or increased stiffness. Use positioning devices. Reposition Q 2 hours. Activities which don't depend on
dexterity: Music movies,parties. Keep contracted area clean and odor free.
Encourage OOB daily. Call light near resident and answered promptly. Staff to assure resident receives assistance when needed.Staff to encourage resident to ask for assistance.
Staff to assure environment is free of wet spots and small items placed low on floor. Staff to assure lighting is appropriate. Assure resident gets to activities and out of room as needed.
Clean after each episode of incontinence. Monitor and report all red areas. Cheerful dialogue with resident while cleaning to encourage and maintain self esteem. Call light available.
Bed rails to prevent from falling out of bed. Reposition at least every two hours. Release and monitor if resident becomes agitated. Evaluate at least every three months for less restrictive measures.
Visual check at least every two hours for positioning and circulatory problems. Continued exercise to prevent decreased functioning.
BEHAVIOR INTERVENTIONS When resident is upset, staff to try to alter residents environment take to activities or out of activities. Encourage resident to be involveV
d in activities. Listen attentively and attempt to resolve or discuss area of upset. Encourage 80-100% of diet and fluids. Monitor weight,appetite,fluids intake,labs,medications to assist
physician in finding clinical cause. Notify MD if it interferes with functioning.
BEHAVIOR INTERVENTIONS When resident is upset,staff to try to alter resident environment take to other activities. Encourage resident to be involved in activities of choice. Y
Listen attentively and attempt to resolve or discuss area of upset. Notify MD if interferes with functioning. Monitor labs,appetitie,medications,and environment to assist MD
if determining cause.
Invite to activities daily. Remind resident of activities they particulary enjoy. Staff to get up in time to attend activities of choice.
Encourage resident to assist in planing the activity program as capable.
Provide diet as ordered byn MD. Monitor weight Q month. Report to MD wt loss/gain of over 5lbs. Encourage intake of 80-100% of meals. Enocurage between meal snacks.
Adhere to food preferences. Monitor lab,appetite,environment and medications for possible causes for low weight.
Reality orientation while giving care. Involve in enjoyable activities which orient to reality and don't depend on orientation. Remind resident about days of week. Encourage visitors to bring in `
photos and mementos. Keep environment free of hazards. Assist in emergencies. Pleasant interaction which reassuires resident when confused. Explain all procedures. Encourage reminisce
nce and small group interaction.
Encourage resident towards independence. Explain all procedures and purpose. Praise resident when accomplishment is attained. Reposition every two hours.Call light near resident. Monitor skin for red areas. Presc
sure reducing mattress.Transfer in and out of bed as needed. Shower per schedule.Take out of room as requested and to activities at least daily unless resident refuses or medical condition precludes. Encourage
resdient to pick out own clothes if able. Dress daily.Bath,Shower,or bed bath as needed.
Assist in grooming,eating,and hygiene as needed. Encourage independence. Encourage activities which don't
depend on hand dexterity music,parties,games. Monitor ability to eat and assess for use of adaptive equipment if needed.
Encourage OOB daily. Call light near resident and answered promptly. Staff to assure resident receives assistance when needed. Staff to instruct resident to use hand rails. Staff to encourage resident to ah
sk for assistance. Staff to respect residents right to independence. Staff to assure environment is free of wet spots and small items placed low on floor. Staff to assure lighting is appropriate. Assure re
sident gets out to activities and out of room as needed.
Clean after each episode of incontinence. Monitor and report all red areas. Cheerful dialogue with resident while cleaning to encourage maintained self esteem. Incontinent pads-check and chang
e wet Q 2 hours and PRN. Pressure reducing mattress. Turn and reposition with positioning devices Q 2 hours. Good peri care.
Reality orientation while giving care Involve in enjoyable activities which orient to reality and don't depend on orientation. Encourage family to visit and bring in photos and mementos. Keep environment free m
of hazards. Pleasant interaction which reassures resident when confused.Explain all procedures. Encourage reminiscence and small group interaction. Assist in emergencies. Post acti
Staff to encourage oral hygiene before bed at night and PRN with assistance as needed. Diet as ordered. Monitor tolerance of texture of food. Monitor appetite and weights and
report weight loss of 5+lbs. Dental consult as ordered and needed.
Monitor V/s monthly. Treatment as ordered. Report abnormal symptoms to MD promptly. Talk to resident while performing treatment to help maintain self-esteem.
Cheerful dialogue while rendering ostomy care. Ostomy care as needed to prevent odors. Monitor ostomy site for swelling,pain or redness and report promptly to MD.
Reality orientation while giving care. Involve in enjoyable activities which orient to reality and don't depend on orientation. Encourage visitors to bring in photos and mementos. Keep environment free of hazardst
. Assist in emergencies. Pleasant interaction which reassures resident when confused. Explain all procedures. Post acti
vity schedule and assure that resident gets to activity.
Use short phrases and questions which require yes or no answers.Use gestures as necessary. Assess for adequate communication. Reassurance and patience when resident attempts to communicate or doesn't understanw
d. Monitor resident for changes in condition. Environment safe with call light answered promptly. Involve in activities which don't depend on residents ability to communciate or understan
d,music,parties,movies.
Explain all procedures and purpose. Encourage independence with minor assistance. Praise when independence is attempted or done. Have call light near resident and answer promptly. Remind and assist as necessary iz
n turning every two hours.Monitor skin redness.Pressure reducing mattress. Monitor and assist with transfer as needed. Encourage independence with minor assistance. Assist to move around facility as needed. Assist as
needed to dress,bedpan,toilet use. Assist with bathing or shower 2 times per week.
Assist in grooming,eating,and hygiene as needed. Monitor ability to eat and assess for use of adaptive equipment if needed.Assist in repositioning every two hours.Pressure reducing mattress. Positioning devices. Assure resident receives assista}
nce in eating. Call light available and answere promptly. ROM by staff while giving care. Encourage OOB daily. Staff to instruct residetn to use hand rails. Staff to
respect residents right to independence.
Assist MD in determining why functioning has been lost by monitoring medications,fluid intake,skin turgor,appetite,labs,weights,ability to move,level of consciousness,or recent environmental changes. Assess for rehabilitation.
Encourage resident for rehabilitation.
Clean after each episode of incontinence. Monitor and report all red areas. Cheerful dialogue with resident
while cleaning to encourage and maintain self esteem. Call light available.
Invite to activities daily. Remind and encourage resident to attend activities they particulary enjoy:
Room visits with activity supplies when not going to activities. Respect resident right to refuse activities.
Medication and lab work as ordered-report abnormal labs to MD promptly. Monitor side rails and positioning for possible injuries.
Report all seizures to MD promptly. Monitor for changes in level of consciousness. Monitor for nausea and vomiting and report to MD. Protected
environment when having a seizure. Monitor weights and appetite.
Assess daily for behaviors manifested and notify MD if medication can be reduced. Monitor weights and appetite. Monitor for unsteady balance. Pharmacist to review drug regime
monthly. Call light available. Resident to ask for assistance when unsteady. Monitor behaviors and report monthly to MD to assist to assure lowest possible therapeutic does goven.
Bed rails to prevent injury from falling out of bed. Reposition at least every two hours. Release and monitor if resident
becomes agitated. Evaluate at least every three months for less restrictive measures. Visual check at least every two hours for positioning and circu
latory problems. Continued exercise to prevent decreased functioning.
Vest restraint when:OOB to prevent injury from: Vest release and reposition at least every two hours. Release and monitor if resident becomes agitated. Encourage activity attendance.
Evaluate at least every three months for less restrictive measures. Monitor for effectiveness or need for continued use. Visual check at least every two hours when in bed. Continued
exercise to prevent decrease functioning. ROM by RNA see orders.
Reality orientation while giving care. Involve in enjoyable activities which orient to reality and don't depend on orientation. Encourage visitors to bring in photos and mementos. Keep environment free of hazards
. Assist in emergencies. Pleasant interaction which reassures resident when confused. Explain all procedures.Post activity schedule and assure th
at gets to activity. Monitor weights and appetite.
Use short phrases and questions which require yes or no answers. Use gestures as necessary. Assess for adequate communication. Reassurance and patience when resident attempts to communicate.
Monitor resident for changes in condition. Environment safe with call light answered promptly. Involve in activities which don't depend on residents ability to communicate,music,parties,movies.
Explain all procedures and purpose. Encourage independence with minor assistance. Praise when independence is attempted or done. Reposition every two hours. Call light near resident.Monitor
skin for red areas. Pressure reducing mattress.Transfer in and out of bed as needed. Take out of room as requested and to activities at least daily unless resident refuses or medical condition precludes. Prompt to
eat if needed. Monitor for food preferences. Monitor weights and appetite.BRP with assist and PRN.
ROM by staff while giving care. Monitor for pain or stiffness. Use positioning devices as needed. Reposition Q2 hours. Activities which don't depend on dexterity of legs,music,parties,games. Monitor skin for breakdown.Press
ure reducing mattress. Encourage OOB daily.Call light near resident and answered promptly. Staff to assure resident receives assistance when needed. Staff to instruct resident to use hand rails. Staff to respect resident rights. Environme
nt is free of wet spots and small items placed low on floor. Assure good lighting.
Clean after each episode of incontinence. Monitor and report all red areas. Cheerful dialogue with resident
while cleaning to encourage and maintain self esteem. Call light available.
Medications as ordered. Lab work if ordered with abnormals report promptly to MD. Monitor for 6-8 hours of sleep.
Encourage 80-100% of diet. Encourage activity and mild exercise daily. Encourage
activity attendance. Monitor for chest pains or abnormal pulses and report
Monitor output for blood and report to MD promptly. Dietary to assess for diet needs. Encourage 80-100% of diet.
Lab as ordered,report abnormals promptly. Medications as ordered.
Monitor for GI distress.
Staff to encourage oral hygiene before bed at night and PRN with assistance as needed. Diet as ordered. Monitor tolerance of food. Monitor appetite and weights and report weight loss of 5+lbs. Dental consult as orde
red and needed.
Bed rails to prevent injury from falling out of bed. Reposition at least every two hours. Evaluate at least every three mo
nths for less restrictive measures. Visual check at least every two hours for positioning and circulatory problems.
Continued exercise to prevent decreased functioning.
Vest restraint when OOB to prevent injury from:Falls ___________ Release and reposition at least every two hours. Release and monitor if resdient becomes agitated.
Encourage activity attendance. Evaluate at least every three months for less restrictive measures.Monitor for effectiness or need for continued use. Visual check at least every two hours for
positioning and circulatory problems. Continued exercised to prevent decreased functioning.
Explain all procedures and purpose. Encouraged independence with minor assistance. Praise when independence is attempted or done. Have call light near resident and answer promptly. Remind and assist as necessary i
n turning every two hours. Monitor skin for redness. Pressure reducing mattress. Monitor and assist with transfers as needed. Encourage independence self-propelling with minor assistanc
e. Assist to move around facility as needed.
Explain all procedures and purpose. Encourage independence with minor assistance. Praise when independence is attempted or done. Have call light near resident and answer promptly. Turn and or assist every two hou
rs. Monitor skin for redness.Encourage resident to pick out own clothes. Assist as needed to dress. Assist with bedpan or toilet use as needed. Setup and assist with personal hygiene as needed. Assist wi
th bathing /shower 2 times per week and sponge bath on non shower days as needed.
Have call light available and answer it promptly. Monitor for safety in mobility. Visual check at least Q two hours and reposition.Use pressure reducing devices in w/c. ROM by staff giving care. Keep skin clean and sheets wrink
le free. Activities which don't depend on dexterity,music,movies.Keep contracted area clean and odor free. ROM by RNA. Monitor for pain or stiffness. Monitor for negative expressions of self worth. Assist in
ADL's and mobility as needed.Assist in grooming,hygiene as needed.Encourage independence.
Take to the bathroom at designated times and PRN: Designated Times: ___________ ________________ ____________
Praise when successful,cheerful dialogue when cleaning after episode of incontinence. Monitor and report any red areas. Change position at least every two hours. Call ligh
t available and answered promptly.
Medications as ordered. Lab work if ordered with abnormals reported promptly to MD. Encourage 80-100% of diet. Encourage activity and mild exercise daily. Monitor for chest pains or abnor
mal pulses and report to MD. Monitor for 6-8 hours of sleep. Encourage activity attendance.
Medications as ordered. Monitor: Lab work if ordered with abnormals reported promptly to MD. Encourage 80-100% of diet
. Encourage activity and mild exercise daily. Monitor for chest pains or abnormal pulses and report to MD. Monitor f
or 6-8 hours of sleep. Encourage activity attendance.
Diet as ordered.Medications as ordered. ROM by staff giving care.Monitor vital signs and lab and report abnormals promptly. Invite resident and encourage resident to attend activities daily. Assist residen
t and encourage resident to attend activities daily. Assist resident in attending to ADL's with special attention to grooming. Monitor for verbalizations of poor self esteem due to physical condition.
Monitor output for blood and report to MD promptly. Dietary to assess for diet needs. Encourage 80-100% of diet.
Lab as ordered,report abnormals promptly. Medications as ordered.
Monitor for GI distress.
Staff to encourage oral hygiene before bed at night and PRN with assistance as needed.Diet as ordered. Monitor tolerance of testure of food. Dental consult as ordered and ne
eded. and follow-up as ordered and needed. Good oral hygiene.
Bed rails to prevent injury from falling out of bed. Reposition at least every two hours. Release and monitor if residnet becomes agitated. Evaluate at least every three months for less restrictive measures.
Visual check at least every two hours for positioning and circulatory problems. Continued exercise to prevent decreased functioning.
Reality Orientation while giving care. Involve in enjoyable activities which orient to reality and don't depend on orientation. Encourage visitors to bring in photos and mementos. Keep environment free of hazards
. Assist in emergencies.Pleasant interaction which reassures resident when confused.Explain all procedures. Encourage reminiscence and small group interaction.Verbal reminders which assist resident in orientati
on.Post activity schedule and assure that resident gets to activities.Monitor weights /appetite.
Use short phrases and questions which require yes or no answers.Use gestures as necessary. Assess for adequate communication. Reassurance and patience when resident attempts to communicate or doesn't understan
d. Monitor resident for changes in condition. Environment safe with call light answered promptly. Involve in activities which don't depend on residents ability to communicate or understand.Music,parties, movies.
Keep environment free of small objects on floor, very hot liquids,and toxic liquids. Involve in Auditory activities:Music,parties,exercise. Explain location of food on tray when needed. Explain all procedures.
Announce self when entering residents area. Special precautions in emergencies. Encourage independence in ADL's. Reorient resident if furniture is moved or changed in environment.
Explain all procedures and purpose. Encourage independence with assistance. Praise when independence is attempted or done. Reposition every two hours. Call light near resident. Monitor skin for red areas. Pres
sure reducing mattress.Transfer in and out of bed as needed. Take out of room as requested and to activities at least daily unless resident refuses or medical condition precludes. Assist wi
th oral hygiene twice a day/Bath,shower. As per schedule and PRN.
Reality orientation while giving care. Involve in enjoyable activities which orient to reality and don't depend on orientation. Encourage family to visit and bring in photos and mementos. Keep enivronment free
of hazards. Pleasant interaction which reassures resident when confused. Explain all procedures. Encourage reminiscence and small group interaction. Assist in emergencies. Verbal reminders which assist resident
in orientation. Monitor weight and appetitie.
Clean after each episode of incontinence. Monitor and report all red areas. Cheerful dialogue with resident
while cleaning to encourage and maintain self esteem. Call light available.
Bed rails to prevent injury from falling out of bed. Reposition at least every two hours. Release and monitor if resident
becomes agitated. Evaluate at least every three months for less restrictive measures. Visual check at least every two hours for positioning and circulatory problems. Continued
exercise to prevent decreased functioning.
Belt_______________Restraint when: OOB to prevent injury from Falls. ___BELT_____Release and reposition at least every two hours.
Release and monitor if resident becomes agitated. Encourage activity attendance. Evaluate at least every three months for less restrictive measures. Monitor f
or effectiveness or need for continued use.
Resident will participate in one to one activity ,in a low level group daily:Music,stimulation and exercise. Activity staff will encourage resident to participate in acitivity daily.
Diet as ordered. Encourage resident to eat 80-100% of meal. Ahere to food preferences. Dental consult if indicated. Monitor for choking. Monitor weights and appetite. Head elevated when assisting in bed with meals. Give enough time to eat.
Monitor lab as ordered. Assess ability to eat and provide adaptive equipment. Praise when independence. Monitor weight loss.
Medications as ordered. Lab as ordered. Monitor B/P as ordered and notify MD if high or low. Monthly. Diet as ordered.
Monitor for edema,chest pains,headache,dizziness,and vomiting and report promptly. Encourage activity attendance.
Reality orientation while giving care. Involve in enjoyable activities which orient to reality and don't depend on orientation. Encourage family to visit and bring in photos and mementos. Keep environment free
of hazards. Pleasant interaction which reassures resident when confused. Explain all procedures. Encourage reminiscence and small group interaction. Assist in emergencies.Post activity schedule. Monitor d
ietary intake and weights.
Reality orientation while giving care. Involve in enjoyable activities which orient to reality and don't depend on orientation. Encourage family to visit and bring in photos and mementos. Keep environment free
of hazards. Pleasant interaction which reassures resident when confused. Explain all procedures. Encourage reminiscenece and small group interaction. Assist in emergencies. Verbal reminders which assist resident
in orientation.Post activity schedule.
Staff to encourage oral hygiene before bed. And between meals daily. Staff will assistance and or give oral hygiene. Dental consult as ordered and follow-up as ordered and needed.
Good oral hygiene. Monitor for tolerance of diet.
Reality orientation while giving care. Involve in enjoyable activities which orient to reality and don't depend on orientation. Encourage family to visit and bring in photos and mementos. Keep environment free
of hazards. Pleasant interaction which reassures resident when confused. Expalin all procedures.Encourage reminiscence and small group interaction. Assist in emergencies. Verbal reminders which assist residnet
in orientation. Monitor weight and appetite.
Explain all procedures and purpose. Encourage independence with minor assistance. Praise when independence is atte
mpted or done. Monitor for hygiene needs and render as neededd each shift. Oral hygiene to be done Q shift as needed. Encourage
choices in care.
Assess daily for behavior manifested and notify MD if medication can be reduced. Monitor weights and appetite. Monitor for unsteady balance. Pharmacist to review drug regime
monthly. Call light available. Resident to ask for assistance when unsteady. Monitro behaviors and report monthly to MD to assist to assure lowest possible therapeutic doses given. See Behav
ior Interventions.
Encourage independence with minor assistance. Praise when independence is attempted or done. Assist with bathing/shower 2 tim
es a week and sponge bath on non shower days as needed. Encourage resident to pick out own clothes if able. Bath,shower,or bed bath as needed.
Clean after each episode of incontinence. Monitor and report all red areas. Cheerful dialogue with resident
while cleaning to encourage and maintain self esteem. Call light available.
BEHAVIOR INTERVENTIONS: Assist in reorientation to room. Encourage group activities and attempt to keep occupied.
Assist in orientation to facility when needed. Monitor resident location with visual checks at least Q 2two hours. Put familiar items in resident's room to assist th
em in identfying room. Monitor appetite and eating.
BEHAVIOR INTERVENTIONS: Always approach resident calmly an dunhurriedly. Speak in a calm voice. Explain all procedures and reason before performing. Encourage resident to perform in
dependent ADL's. Listen attentively. Attempt to refocus behavior to something positive when resident is exhibitiing verbally abusive behavior. When residnet is demonstrating an abusive out burst,cal
mly ask resident to tale some deep breathes. And clam down.
Invite to activites daily. Remind and encourage resident to attend activities they particularly enjoy.
Room visits when not going to activites. Respect residents right to refuse.
Reality orientation while giving care. Involve in enjoyable activities which orient to reality and don't depend on orientation. Encourage family to visit and bring in photos and mementos.
Keep environment free of hazaeds. Pleasant interaction which reassures resident when confused. Explain all procedures. Post acti
vity schedule.Monitor dietary intake /weights. Assist in emergencies.
Monitor output for blood and report to MD promptly. Dietary to assess for diet . Encourage 80-100% of diet.
Lab as ordered/report abnormals promptly. Medications as ordered.
(.txt)