Nurse Assistant - Dementia Specialty - ApprenticeshipStandardsDotOrg

Nurse Assistant - Dementia Specialty

The Good Samaritan Society

South Dakota (OA)

Documents

Individual state requirements may vary. Please contact your local apprenticeship office to ensure this version is suitable to your state’s requirements.

Work Process Schedule

Work Process Content

On the Job Training

Anonymous

Skills

Incorporate Interventions for the Cognitively Impaired Resident to Facilitate Quality Care as a Member of the Healthcare Team

150

Utilize care plan for interventions and report successful interventions to charge nurse and document accordingly.
Monitor and document episodes of targeted behaviors and/or new behaviors according to facility guidelines.
Implement interventions to minimize the effects of disruptive behaviors and participates in care planning and/or behavior committees to evaluate effectiveness of these interventions.
Assist/direct appropriate interventions of other caregivers including ancillary staff.
Recognizes signs of stress and strategies for coping with it in self and other caregivers and family members.

Demonstrate Effective Communication & Interaction with Cognitively Impaired and Their Families

250

Demonstrate redirecting a resident.
Demonstrate use of validation therapy.
Verbalize and demonstrate various approaches for a resident who is resisting personal care that will maintain resident dignity and respect.
Demonstrate appropriate interventions for resident who is yelling or screaming.
Demonstrate use of distraction strategies as a therapeutic intervention.
Demonstrate use of therapeutic activities to de-escalate a resident who is anxious.
Demonstrate therapeutic communication with significant others.
Demonstrate coaching techniques to help other caregivers and family members cope with the dementia process.

Provide Assistance With ADL’s, Mobility, and Therapeutic Activities that will Maximize Functional Well Being

100

Demonstrate use of therapeutic activities/exercises to maintain joint function for the cognitively impaired resident/client.
Implements care strategies that encourage ADL's without increase resident anxiety and respects the resident's dignity and desire for control.
Implements therapeutic activities appropriate for early, middle, and late states of dementia.
Demonstrates strategies for promoting independence in all ADL's.

Apply Nutritional Interventions to Maximize/Maintain Nutritional Well Being in the Cognitively Impaired

100

Demonstrates adapting the dining experience to maximize nutritional intake (i.e. offering small servings, introducing foods one at a time, etc.)
Explain modifications needed to maintain nutritional status.
Demonstrates provision of finger foods, frequent meals, snacks, and fluids in a way the cognitively impaired resident will accept.

Demonstrate Understanding of Effects of Psychoactive Medications and Observe for Side Effects

300

Maintain a Safe Environment for Cognitively Impaired

250

Demonstrate maintaining safe environment for wandering resident.
Demonstrate/verbalize actions to take for a resident who is striking out at another resident.
Implement and describe system/schedule to monitor resident location/criteria for use of elopement alarms, frequency of egress door checks, and other actions to prevent wandering.
Demonstrate maintaining safety from potential toxic substances that the confused resident may attempt to ingest.
Implement appropriate interventions to minimize environmental stimuli that may increase a confused resident's agitation, i.e., noise levels, large groups, television, radio, etc.
Maintain a safe environment for residents and staff while de-escalating combative behavior.

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