Transcript userfiles/133/my files/chapter_42 assisted living unit 6 assisting with

Chapter 42
Assisted Living
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.
Purpose

Most assisted living residents need help with one or
more activities of daily living (ADL).
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Some have chronic illnesses or are cognitively impaired.
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Living areas vary.
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Assisted living is a housing option for older persons
who need help with ADL yet wish to remain
independent as long as possible.
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Housing, personal care, support services, health
care, and social activities are provided in a home-like
setting.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.
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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.
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Resident rights
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ALR residents have rights and liberties as United
States citizens.
They also gain special rights under state laws and
rules.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.
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Staff Requirements
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Staff requirements vary from state to state.
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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.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.
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Service Plan

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A service plan is a written plan listing the services
needed by the person and who provides them.
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It addresses how much help is needed.
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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.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.
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Meals and Housekeeping

Meals
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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.
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Housekeeping

Housekeeping measures help prevent infection
and keep living units neat and clean.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.
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Food, Laundry, and Nursing
Services
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Food safety
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Certain measures are needed when handling,
preparing, and storing food to protect against
infection.
Laundry
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Services include providing clean linens.
 Residents can use a washing machine, dryer, iron,
and ironing board for personal laundry.
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Nursing services
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Some ALRs provide limited nursing services.
 The nurse assesses each person and monitors
health.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.
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Medications and Your Role
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Medication assistance
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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
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.
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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.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.
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Medication Record
and Error Reporting
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A medication record is kept for each person needing help
with medications.
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Report any drug error to the nurse.
• Complete an incident report for any drug error.
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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
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.
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Medication Storage
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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.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.
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Additional Services
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Activities and recreation
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Residents are urged to take part in activity and
recreational programs.
 An activities director plans, organizes, and
conducts the ALR’s activity program.
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Special services and safety needs
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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.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.
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Transfer, Discharge, and Eviction
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Residents can be transferred, discharged, or
evicted.
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State laws require that the ALR tell the person
about such action.
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.
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Quality of Life
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Assisted living residents have rights.
People choose assisted living for many
reasons.
You can help residents by:
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Following their service plans
Assisting them as needed
Allowing as much privacy and personal choice as
possible
All items and derived items © 2015, 2011 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved.
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