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Chapter 42 Assisted Living All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.

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Presentation on theme: "Chapter 42 Assisted Living All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved."— Presentation transcript:

1 Chapter 42 Assisted Living All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.

2 Purpose   Most assisted living residents need help with one or more activities of daily living (ADL).   Some have chronic illnesses or are cognitively impaired.   Living areas vary.   Assisted living is a housing option for older persons who need help with ADL yet wish to remain independent as long as possible.   Housing, personal care, support services, health care, and social activities are provided in a home-like setting. 2 All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.

3 Assisted Living Residence Residents and Resident Rights   ALR residents   Usually need some help with one or more ADL.   Do not need 24-hour nursing care.   Are not bedridden.   Need only limited health care or treatment.   Resident rights   ALR residents have rights and liberties as United States citizens.   They also gain special rights under state laws and rules. 3 All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.

4 Staff Requirements   Staff requirements vary from state to state.   Some require nursing assistant training and competency evaluation.   Criminal background and fingerprint checks are common. The assisted living residence (ALR) cannot employ a person with a criminal record. 4 All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.

5 Service Plan   A service plan is a written plan listing the services needed by the person and who provides them.   It addresses how much help is needed.   It relates to ADL, activities and social services, dietary needs, taking medications, and special needs.   It includes health services.   The service plan is reviewed when the person’s condition, wants, or service needs change.   Services are added or reduced as the person’s needs change. 5 All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.

6 Meals and Housekeeping   Meals   Three meals a day and snacks are provided.   Usually no more than 14 hours elapse between the evening meal and breakfast.   Special dietary needs are met.   Housekeeping   Housekeeping measures help prevent infection and keep living units neat and clean. 6 All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.

7 Food, Laundry, and Nursing Services   Food safety   Certain measures are needed when handling, preparing, and storing food to protect against infection.   Laundry   Services include providing clean linens.   Residents can use a washing machine, dryer, iron, and ironing board for personal laundry.   Nursing services   Some ALRs provide limited nursing services.   The nurse assesses each person and monitors health. 7 All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.

8 Medications and Your Role   Medication assistance   The six rights of drug administration are: The right drug The right dose (amount) The right route (by mouth, injection, topical, vaginal, or rectal) The right time The right person The right documentation   Your role in assisting with medications depends on: Your state’s laws ALR policy Your training and education 8 All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.

9 Medication Assistance and Your Role   You do not give drugs.   Residents have the right to refuse to take prescribed drugs.   Residents manage and take their own medications if able. This is called self-directed medication management.   Pill organizers are often used. The person, a family member or legal representative, or a nurse prepares the pill organizer.   Some people need medication reminders. 9 All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.

10 Medication Record and Error Reporting   A medication record is kept for each person needing help with medications.   Report any drug error to the nurse. Complete an incident report for any drug error.   A medication error means one or more of the following: (Report any error to the nurse.) Taking another person’s medications Taking the wrong medication or the wrong dose Taking an extra dose or missing a dose Taking a medication at the wrong time Taking a medication by the wrong route Not taking a medication when ordered Not recording that a medication was taken 10 All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.

11 Medication Storage   Storing medications Medications are kept in a secure place. If the ALR stores the drugs, they are kept in a locked container, cabinet, or area. Some persons manage and store their own medications. Medications must have the original pharmacy label. Expired or discontinued drugs are disposed of following ALR procedures. 11 All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.

12 Additional Services   Activities and recreation   Residents are urged to take part in activity and recreational programs.   An activities director plans, organizes, and conducts the ALR’s activity program.   Special services and safety needs   People need varying degrees of help during an emergency.   If an attendant is needed, the ALR and the person agree on how the person’s needs will be met and who will meet them. 12 All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.

13 Transfer, Discharge, and Eviction   Residents can be transferred, discharged, or evicted.   State laws require that the ALR tell the person about such action. 13 All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.

14 Quality of Life   Assisted living residents have rights.   People choose assisted living for many reasons.   You can help residents by:   Following their service plans   Assisting them as needed   Allowing as much privacy and personal choice as possible 14 All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.


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