Introducing 

Prezi AI.

Your new presentation assistant.

Refine, enhance, and tailor your content, source relevant images, and edit visuals quicker than ever before.

Loading content…
Transcript

Section I: WELL-BEING DURING TRANSITION

b) Long-Term Care (LC) Facilities

Entry to Long term care (LC) starts many days before client actually goes into facility.

Most LC have :

-coordinators

-bed

-bedstand

-chair

-allow personal items

PSW may help admission process-

remember it is a new and scary idea for client.

c) Hospitals

Signs and Symptoms of Pain

-Admission starts in admission office (except emergency).

-Give client ID No. (Bracelet).

-Client signs consent for treatment.

-PSW asked to prepare room.

-Introduce yourself by name & title.

-Call client by name.

-Remember client is nervous.

-Be friendly, don't rush.

-Procedure is:

  • Weigh/Meas. client
  • Get urine sample if ordered
  • Show client room nursing unit and hospital

Promoting Client Well-Being

a) Admitting client to facility

Admission:

* Legal entry of client into facility.

*Creates fear and anxiety

*Clients worry about tests and surgery

*They are scared of pain

*Also feel sad about leaving home to go to strange place.

d) Transfers

-When client moved from one place to another.

-Usually when client condition CHANGE.

(better or worse)

-Be nice.

-Wish client well as they leave.

e) Discharges

Factors Affecting Pain

-Leaving hospital or other care place

-IF client going home:

-teach about diet, exercise, treatement etc.

-Arrangement for more rehab and home care if needed is made.

-Patient cannot leave without permission.

Past Experience:

-old pain affects client's pain now

-expecting pain can help or hurt how the client handles pain

-clients who never have pain before, will be scared because they never face it

Culture:

-some cultures clients

-other cultures clients show strong pain with verbal reaction

Anxiety:

-pain and anxiety are related

-less anxiety = less pain

ie. if man is going through surgery:

-nurse should tell him he will have pain BUT he will be given medicine.

-now he knows what to expect, so less nervous, therefore less pain.

Support from others:

-pain easier with family/friends

-people=comfort

-loneliness increases anxiety/fear/suffering

-be sensitive to lonely clients

Rest and sleep:

-restore energy and help body repair itself

-ill/injured clients need more sleep

-pain feels worse with less sleep

Meaning of Pain:

-diffeent meaning to different ppl

-some ppl think it is weakness/disease

-some ignore/deny pain

-use pain to avoid people

-use pain to get attention

Attention:

-more attention to pain, more pain.

-less distraction from pain, more pain.

Section III. Pain

-

INTRODUCTION

-

Important to make client feel safe and comfortable in environment.

Examples:

-To have pain means:

-ache

-hurt

-be sore

-Discomfort and pain are subjective

-Cannot see/touch/smell/hear client's pain

-Read client's body language

-Report complaints/observations to supervisor

-Pain is emotional, social and spiritual-not only physical

1.Old man moves into LONG TERM CARE

-PSW helps put his items he brought with him

-Introduce to other staff and clients

Age:

-Children:

-don't understand pain

-don't know what to expect

-caregivers don't know when child is in pain

-use Wong-Baker Pain Rating Scale-use face expresion-make child point at smiley face or sad face.

-Older Adults:

-may confuse new pain to be caused by old health problem

-regular pain may hide new pain

-deny/ignore pain

-pain cannot be identified because of condition (dementia-marathi viyathi)

-unable to recognize pain

-increases risk for undetected injury

-have disease that affects thinking

-therefore PSW must notice behaviour change to report

2.Hospital patient after car accident

-PSW explains what will happen before and after surgery to make him feel better

3.Lady is disabled.

-PSW bathe and dress her. Make her feel clean so she feels comfortable

Types of Pain:

Important Words

Persistent pain:

*Any pain that's MORE THAN six months.

*It can be daily pain or on and off.

1. Acute Pain:

*Any pain lasting less than SIX MONTHS.

*IMMEDIATE PAIN because of :

-injury (adi)

-disease (varutham)

-trauma (adirchi)

Phantom limb pain:

*EXAMPLE: if leg is cut off-the human mind thinks THERE IS STILL PAIN THERE.

*But not 'REAL' because there is no leg.

*"Pain in a body part that is no longer there."

II. Persistent Pain:

-lasts longer than 6 months

-constant pain OR off and on

-arthiritis/cancer = common causes of persistent pain

I. Acute Pain:

-felt suddenly from injury, disease, trauma or surgery

-when tissue is damaged

-usually less than 6 months

-decreases w/ healing

3. Discharge:

*Officially leaving from HOSPITAL or Health

2. Admission:

*Official-legal entrance of CLIENT into HOSPITAL or Health FACILITY

4. Insomnia: Person CANNOT SLEEP or cannot STAY asleep all night

5. Nocturia:

*needing to URINATE @ NIGHT

IV. Referred Pain:

-pain felt in body separate from source

-ie. kidney stone creates pain in groin

Section II. Comfort

III. Radiating Pain:

-not just at site of tissue damage, but also nearby

-ie. heart attack:

felt in left side of chest, left jaw, shoulder, and arm

diseased gall bladder:

pain in upper abdomen, back and right shoulder

I. ODOURS

-Don't use perfume/scented.

-Smoker PSW wash ahnds and brush teeth.

-Wear clean uniform.

-Clear bedpans.

-Change soiled dirty linen/clothes.

-Clean clients who are wet.

-Throw away of incontinence/ostomy products.

-Keep laundry closed.

IV. Ventilation

-keep room ventilated w/ fresh air

-Open window/turn on fan

-NO DRAFT.

II. Temperature

most people like 20 C-23 C.

Sick ppl, old ppl, babies like warmer.

If eectricity too high, give blanket/sweater.

V. Noise

-Clients sensitive to noise

-Answer phone right away

-Use cleaning equip quietly

-Explain strange noise in new

facility so patient isn't scared

V. Phantom Limb Pain:

-felt in body part that is not there

-caused by disruption in nerve endings

-ie. leg amputation and still has leg pain

III. Lighting

-Shadow, glare, dull light all cause :

-FALLS, HEADACHE, EYE STRAIN

-Dim light good for rest

-Bright light good for giving care and feeling happy

-Ask client what they like

Room Furniture

a. Bathrooms

c. Overbed Tables

-Toilets in all facilities higher than home

-good for joint problems

-Make sure client bathroom is clean and safe.

Closet/Drawer

e. Chairs

-both LC and Hospitals have

-Adustable tables to position over bed or chair

-Used for reading, meals, writing, etc

-DO NOT use to put dirty items like bedpan, etc.

-Always keep clean

-One or two chairs in care facilities in client rooms.

-Client often has a favourite chair at home

-PSW must keep clean

b. Beds

-Comfort is important.

-Use pillows to make comfort.

-Hospital bed have remotes.

Medical Equipment

Most hosp have BP equip by wall.

f. Privacy curtains/screen

d. Bedside Furniture

-For personal items.

-Standard in LC and hosp.

-Keep others from seeing client

-At home, portable screen can be used.

Learn more about creating dynamic, engaging presentations with Prezi