introduction letter

Topics: The Residents, Dysphagia, Swallowing Pages: 6 (1836 words) Published: October 8, 2014
Monica Zimmerman
Module 9
1) An oral temperature is taken in the mouth when a resident has no difficulty holding a thermometer in the mouth. To get an accurate temperature a person must be able to breathe through the nose. A rectal temperature is taken when the thermometer is placed in the anus, when you cannot take an oral temperature on a person. Never take an oral temperature if a person is confused or disorientated, cannot breathe with the mouth closed, is unconscious, has seizures, is on oxygen, is six years or younger. 2) The normal temperature for adults is:

a) Oral 96.8-99.0 degrees F average- 98.6
b) Rectal 98.6-100 degrees F 99.6 c) Axillary 96.6-98.0 degrees F 97.6 3) You should not take an oral temperature if a person is confused and disoriented, cannot breathe with the mouth closed, is unconscious, has seizures, is on oxygen, or is six years or younger. 4) Measuring a pulse, requires three observations:

a) Rate- number of beats per minute
b) Rhythm-how regular and even the beats are
c) Strength/force- weak or pounding
5) Three common areas for measuring pulse are:
a) The radial pulse- felt on the wrist on thumb side
b) The carotid artery-is in the neck in the groove next to the Adam’s apple c) The apical pulse- is a measurement of heartbeats at the apex of the heart under the left breast 6) Increased respirations may be caused by fever, emotions, exercise, or infections. 7) Breathing irregularities can be a sign of a respiratory problem and you should notify your supervisor immediately. Breathing problems may indicate an emergency. They include: a) Very fast or very slow breathing

b) Noisy (describe the sound)
c) Shallow (very little chest movement)
d) Shortness of breathe
e) Labored (wheezing or breathing with great effort)
f) Blue color (cyanosis) around the lips, nose or fingernails 8) Hypertension is abnormally high blood pressure. The higher the pressure, the greater the risk of stroke or heart attacks. Elderly people tend to have higher blood pressure due to thickening and hardening of the arteries (arteriosclerosis).

Module 10
1) You can help prevent falls by following these guidelines: a. Wipe up spills immediately
b. Keep the call light close to the resident, and respond to the call light promptly c. Use proper lighting
d. Use side rails as necessary (after checking whether side rails are allowed) e. Keep items that are used frequently close at hand so the resident won’t fall reaching for them f. Remove obstacles to walking ( personal items, cords, equipment) g. Assist residents into and out of the bath if needed; never leave them unattended h. Lock wheels when moving residents to and from wheelchairs or gurneys i. Encourage residents to use hand rails when walking

j. Promote ambulation to maintain strength, and assist as needed k. Be alert to furniture or objects that pose safety hazards l. When moving a wheelchair, do not let the resident’s feet drag on the floor; use footrests m. Watch for signs of weakness or dizziness

n. Ensure correct use of assistive devices (crutches, walkers, canes etc) 2) Accidental poisoning can be the result of carelessness, confusion, or not being able to read labels because of poor vision. Keep all cleansing products and disinfectants locked in storage cupboards. 3) Leading causes of burns are cigarettes, bath water and hot liquids. 4) Awareness of fire hazards is the first step in prevention. By removing any of these elements, a fire can be prevented: a. Heat- flame or spark

b. Oxygen- normal air
c. Fuel- any combustible material (items that catch fire and burn easily) 5) In a catastrophe, the top priority is making sure the residents are secured. If a catastrophe strikes, you must be prepared to act quickly, safely, and calmly. Action depends upon the nature of the catastrophe and the facility’s disaster plan. 6) CPR must begin as soon as the heart and lung functions stop...
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