Slide 1 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany...

Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany Lippincott's Textbook for Nursing Assistants.

Slide 1

Textbook For Nursing Assistants

Chapter 13 - The Patient or Resident Environment


Slide 2

The Patient or Resident Unit


Slide 3

Patient or resident rooms in a health care facility will vary according to the purpose of the facility and the needs of the person being cared for in the roomA patient room in a hospital is a person’s temporary homeA resident room in a long-term care or assisted-living facility usually becomes a person’s permanent home

Patient or Resident Unit


Slide 4

Patient rooms in the hospital vary, depending on the needs of the patient

For example:A typical double-occupancy room

A room in the intensive care unit (ICU)

A birthing suite in the maternity ward

A room in the subacute care unit

Hospitals


Slide 5

Patients staying in double-occupancy rooms are those who are recovering from

An illness

A surgery

Hospital Rooms: Double-Occupancy


Slide 6

Patients staying in an intensive care unit are those who:

Are very ill

Need special equipment to monitor vital signs such as heart beat, blood pressure

Need special equipment to support their vital functions such as breathing

Hospital Rooms: Intensive Care Unit


Slide 7

A room where new mothers and babies receive care before, during, and after the birthing process

Very home-like, with curtains, attractive furniture

A special bed designed to make the process of labor and delivery easier

Hospital Rooms: Birthing Suite


Slide 8

A unit for patients who are not quite well enough to go home, but not quite sick enough to be in a typical hospital room

Designed to be more home-like, and may include:

A common dining room

Activity rooms for the patients

Hospital Rooms: Sub-acute Care Unit


Slide 9

Provide care for people who are not able to care for themselves independentlyIn most cases, a person moving into a long-term care facility is making a permanent move into what is truly a new homeFor most people, moving into a long-term care facility is very emotionalPeople who are moving into a long-term care facility are allowed to furnish their rooms with one or two favorite pieces of furniture and various personal items to help ease the transition

Long-term Care Facilities


Slide 10

Each room in a long-term care facility may have A full private bath, consisting of a shower or tub, a toilet, and a sink ORA partial bath, consisting of a toilet and a sink, shared between two rooms ORA communal bath area, designed to accommodate the bathing of several residents at the same time

A bathroom with special modifications, such as handrails and a means of calling for helpCommon rooms to socialize, such as

Dining roomsActivity rooms

A small chapel where religious services are conductedPatios and gardens to allow the residents access to outdoor activities

Long-term Care Facilities


Slide 11

Residents in an assisted-living facilities are usually independentPrivate apartments consisting of a common area, one or two bedrooms, a bathroom, and possibly even a small kitchen Suites consisting of a private bedroom and bath, with communal dining and activity rooms

Assisted-Living Facilities


Slide 12

Ensuring Comfort


Slide 13

The following aspects of the resident’s environment are regulated by OBRA:

The size The lightingThe temperature The measures taken to maintain air qualityThe measures taken to control noiseThe types of furnishings and equipmentEquipment to ensure safety (such as handrails and a call light or intercom system in the bathroom)The minimal amount of personal space for storage of belongings that each resident is entitled to

OBRA Regulations


Slide 14

Furniture and Equipment


Slide 15

“Standard” furniture for a patient’s or resident’s room includes:

An adjustable or non-adjustable bed

Chairs

An over-bed table

A storage unit

A call light and intercom system

Privacy curtains and room dividers

Furniture


Slide 16

Two types of bedsAdjustable bedsElectrically operatedManually operatedHave side rails and casters (wheels)

Regular beds Some assisted-living and long-term care facilities

allow people to bring their own beds from home, if they prefer

Furniture: Beds


Slide 17

Precautions to be taken when using adjustable beds include the following:

Ensure the safety of electrically operated beds

Fold the cranks down and away under the bed after you are finished using manually operated beds

Use side rails according to your facility’s policies and the person’s individual care plan, as side rails are a form of restraint

Make sure the bed’s wheels are locked

Furniture: Beds


Slide 18

One or two chairs for the person and visitorsPeople with disabilities require special chairs

Geri-chairsWheelchairsChairs with special lifting devices that help the person to get in and out of the chair easily

A person recovering from hip or spinal surgery may need a chair that has firm upholstery, a straight back, and no armrestsMany residents of long-term care facilities will bring a favorite chair or two from home

Furniture: Chairs


Slide 19

Used to hold basins and other articles when carrying out personal care for a patient or resident Used as a writing surfaceUsed for eating a meal or snackPlace to keep a water pitcher and other items the person may want close byConsidered a “clean” area, so:

Items placed there should be either sterile or clean Dirty items, such as bedpans or soiled linens, are never placed on the over-bed table

Furniture: Over-Bed Tables


Slide 20

Bedside tables have drawers or a combination of drawers and closed shelves

Personal care items in top drawer

Basins, bedpans, and other care equipment stored neatly underneath in the lower drawers or shelves

The telephone, a flower arrangement, and other personal items may be placed on top of the bedside table

A closet is provided in the long term care facility

Furniture: Storage Units


Slide 21

Call light and intercom systems are used for communication

The call light system allows patients or residents to signal that they need help

The intercom system allows members of the health care team to communicate with patients or residents without leaving the nurses’ station

Call Light and Intercom System


Slide 22

Used to help maintain a resident’s or patient’s privacy when care is being given

Do little to keep voices and other sounds private, so door to room should also be closed

Privacy Curtains and Room Dividers


Slide 23

Hanging intravenous (IV) poles

Outlets for oxygen and suction devices

Personal protective equipment (PPE) Gloves

Disposal equipment

A wall-mounted sharps disposal box

A wall-mounted box of disposable gloves

Equipment


Slide 24

End of Presentation

Slide 1 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany...

Documents

Transcript of Slide 1 Copyright © 2005. Lippincott Williams & Wilkins. Instructor's Manual to Accompany...