Nurse Aide Certification Renewal Process and Dementia Care Guidelines
Renew your Nurse Aide Certificate every even year, complete required work hours and continuing education. Understand challenging behaviors associated with dementia and learn effective care strategies. Additionally, explore key chapters on developmental disabilities and mother-baby care in nursing.
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Renewing your Nurse Aide Certificate March of EVEN years 2018, 2020, 2022 After passing the exam you will be certified to work as a C. N. A. until March 31, 2018 You should not need any work hours until after March 2018 but then you will need a paid position of 160 hours. You will need 12 hours of continuing education the first time then 24 hours for any future renewals. Current cost is $100-renew online Feb 2018 You may NOT work if your certification lapses.
Challenging Behaviors Wandering, restlessness, rummaging Sundowning Hallucinations and Delusions Paranoia Agitation, aggression, combativeness Communication problems Catastrophic Reaction Try to explain not with dementia
Mr. Jones is throwing his food off his tray. What will you do? Pg 747 Ms. Smith starts acting out around 6pm every day. What might be happening? Pg 746 Ms. Jones is telling everyone you stole her watch. It has been misplaced. What will you do? Pg 747 Mr. Andrews tries to go out the back door over and over. What can you do? Pg 746 Ms. Jane takes books from the shelf and piles them on the table. She does this over and over. Mr. Jones doe not like it. What can you do? Pg 748 Everyone is frustrated that Mr. Z gets up every night and wanders. What can you do to help him sleep at night? Pg 751 Mr. T s family wants to make the house safer for him. What suggestions would you give? Pg 750 Ms. Confused tells you her mother is in the room with her. You know her mother is dead. What would you do? Pg 751
The art of caring for person with dementia Change and manage the environment to allow for as much comfort and routine as possible- pg 752 Speak gently, reassure frequently, constantly watch for safety issues Limit choices-offer only 1 or 2 Reduce excess-clutter, noise, visual stimulus Never take what is done or said personally Don t TRY TO EXPLAIN>>>
Chapter 47 Chapter 48 Define a developmental disability Down Syndrome- common genetic cause of mild to moderate disabilities Autism-the cause is unknown. May have genetic and environment factors. Spina Bifida Spina Bifida Occulta Why do older people have sex less often than younger folks? Intimacy vs Sex Sexual abuse-many vulnerable people in nursing care Page 768
Mother Baby Care Mother Post delivery complications Post partum depression Breast Feeding Bleeding Episiotomy C-Section Family Baby Nurture vs Scheduling Umbilical cord Circumcision Diaper changes Weights-BE ACCURATE Bathing Burping SIDS
Assisted Living Residence (Home) ALR or ALH Similar in licensing to child care-the number of residents impacts the rules Many people in assisted living care WILL manage their own medications (know your role with medications) Any questions that has SKILLED care and Assisted Living in the answer is wrong. NO skilled care in ALR Nurse Aide roles/opportunities
Rules of emergency care- Box 51-1 on page 800 Know your facility procedures Preparedness
Terminal Care What do YOU think happens when you die? Each death is unique-needs and care specific to the wishes and comfort of the person Religion and Culture play a huge role End of life directives-DNR and Living Will Family dying alone CARE-good personal care is vital to comfort Ask how the person might want the room Listen and use touch (bathing) Keep the bed clean, wrinkle free Don t be afraid to show your own sadness
Next Tuesday is our last online class! Quiz 5 opens at noon on Friday, ends Sunday 605-569-6261 for the weekend Online next Tues review for final, 2 hours Final exam is now Monday May 2nd-arrive by 7:45 a.m. Schedules have been changed. Prepare for abbreviations and medical terms as well-not clear when you will take those.
This work is licensed under a Creative Commons Attribution 4.0 International License. This workforce product was funded by a grant awarded by the U.S. Department of Labor s Employment and Training Administration. The product was created by the grantee and does not necessarily reflect the official position of the U.S. Department of Labor. The U.S. Department of Labor makes no guarantees, warranties, or assurances of any kind, express or implied, with respect to such information, including any information on linked sites and including, but not limited to, accuracy of the information or its completeness, timeliness, usefulness, adequacy, continued availability, or ownership. UAF HEART is an equal opportunity employer/program and auxiliary aids and services are available upon request to individuals with disabilities. This project received $2.5 million (27% of its total cost) from a grant awarded under the TAACCCT grants, as implemented by the U.S. Department of Labor s Employment and Training Administration.
