MNAMNAResidents Rights Residents Rights

Chapter 2Chapter 2

Resident RightsResident Rights

1987

OBRA:

Omnibus Budget Reconciliation Act

Federal Law

Certain standards for LTCF

Requires training and testing of all Nursing assistants

Resident RightsResident Rights

Residents have rights

If unable to exercise rights a representative is appointed.

Rights must be posted through out facility

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Information:

Access to all records

Know about condition

Report request to nurse

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Refuse Treatment

Find out why refusing

Educate about problems that may occur if refuse treatment (walking)

Offer other options

Report refusals to nurse

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Privacy and Confidentiality

Personal privacy

Must give permission for students

Close curtains

Drape to prevent unnecessary exposure

Right to visit others, make phone calls, see mail in private

All resident information kept confidential

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Personal Choice

Choose doctor

Take part in planning care

Clothing

Activities

Visitors

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Disputes and Grievances

Voice concerns, questions, complaints

No punishment for voicing concerns

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Work

Does not work for care, care items or other privileges

Can choose to work if desired (garden, clean, sew, repair work)

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Taking Part in Resident Groups

Can discuss concerns and suggest improvements

Support, plan and take part in educational activities

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Personal Items

Keep and use personal items

Treat with care and respect

Creates home like setting

Label items

Do not go thru personal items w/o permission (good idea to have witness)

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Freedom from Abuse, Mistreatment and Neglect

Abuse:

• Injury, confinement, intimidation or punishment that cause physical harm or mental anguish

•Depriving of goods or services needed.

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Freedom from Restraint

Cannot restrict body movement

Maybe needed to protect resident from harming self or others

Dr. order is required

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Quality of Life

Care for in a manner that promotes dignity and self respect.

Speak in polite courteous manner

Good, honest quality care.

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Activities

Activities enhance physical, mental, psycho-social well being.

Promote creativity, self esteem, pleasure, comfort, education, independence

May be small or large group

Ombudsman ProgramOmbudsman Program

Supports or promotes needs and interest of another person.

Employed by state agency or volunteer

Not nursing center employees

Act on behalf of residents

Ombudsman ProgramOmbudsman Program

Investigates and resolves complaints

Monitors

Educates about services, issues concerning long term care

Center must post:

Names, address and phone numbers of Ombudsman.

Review

A resident can refuse a treatment or procedure.

True or False

Review

Residents are often encouraged to work at the LTCF to lower the cost of their health care.

True or False

Review

Nursing assistants have the right to open resident’s mail.

True or False

Review

Each resident has the right to decided what to wear.

True or False

Review

Personal choice is important for quality of life.

True or False

Review

Residents can be restrained to prevent them from leaving the center.

True or False

Review

Residents can suggest ways to improve the center

True or False

Review

What does an Ombudsman do?

•investigates complaints made by resident

•monitors nursing centers

• informs residents about how to obtain needed services

Questions??