1. | Psychology/psychiatry consult |
2. | Pharmacy consultation for possible side effects/drug interactions |
3. | Involve resident in new/different leisure time activities |
4. | Social work 1:1 to discuss feelings and provide support |
5. | Staff members on each shift provide daily support |
6. | Involve resident in group programs/activities |
7. | Seat resident in appropriate groups in dining room and/or near nurses' station |
8. | Appropriately limit time resident spends alone in room |
9. | Provide rest periods during periods of pacing |
10. | Provide items to fold during episode of hand wringing and picking (cloth only) |
11. | Other resident other activities that use hands |
12. | Schedule regular staff visits to insure resident is having needs met and does not feel abandoned, lonely, or frightened |
13. | Provide with nightlight and/or lighted clock to decrease fears |
14. | Place resident in group settings when possible |
15. | Avoid disagreements with resident |
16. | Encourage participation in physical activities if possible |
17. | Remove all potentially dangerous objects from resident's room |
18. | Provide resident with disposable eating utensils |
19. | Establish constant 1:1 with resident or visualize every ______ minutes around the clock |
20. | Have dietary re-review resident preferences for foods |
21. | Obtain O.T. referral to evaluate for adaptive equipment |
22. | Obtain P.T. referral to evaluate for need for changes in position during eating |
23. | Obtain Speech Pathology referral to evaluate swallowing ability |
24. | Obtain Dental referral to check teeth/dentures |
25. | Provide resident with distraction-free space for meals |
26. | Place resident in congregate setting for meals |
27. | Place resident in room for meals |
28. | Play music during meal times |
29. | Set up resident's tray |
30. | Provide intermittent or constant encouragement while eating |
31. | Assist resident with feeding/feed resident directly |
32. | Provide resident with one food item at a time |
33. | Allow resident longer time to finish meal completely |
34. | Provide resident snacks between meals |
35. | Weight resident daily and record |
36. | Obtain P.T. evaluation to insure ROM/ambulatory status has not deteriorated |
37. | Discuss reasons for decreased resident participation with family or significant other |
38. | Have Activities Therapist re-evaluate resident preferences for activities |
39. | Have all staff encourage attendance at activities of choice (passive attendance is acceptable) |
40. | Provide positive reinforcement for resident when attending activities |
41. | Seat resident next to leader during activities |
42. | Staff members on all shifts to encourage participation in self-care |
43. | Utilize task segmentation for self-care tasks |
44. | Give resident verbal prompts/cues |
45. | Model self-care techniques for resident |
46. | Provide extra time for resident to complete tasks |
47. | Insure privacy for resident while dressing |
48. | Encourage resident to pick out own clothing |
49. | Remind resident to toilet; direct and assist if needed |
50. | Provide resident with bedside commode, urinal, or bedpan while in bed |
51. | Provide positive reinforcement for resident participation in self-care tasks |
52. | Obtain Audiology evaluation for resident |
53. | Obtain Speech Pathology evaluation for resident |
54. | Speak with resident in quiet area when possible |
55. | Stand directly in front of resident when conversing |
56. | Provide resident with tap bell |
57. | Give resident longer time to respond |
58. | Provide resident paper and pen to assist with communication |
59. | Provide resident picture board to assist with communication |
60. | Provide resident 1:1 activities/resocialization |
61. | Provide resident with hearing aid/check current hearing aid |
62. | Crush pills and mix with food if possible |
63. | Have different staff members attempt to administer medications if resident refuses initial offer |
64. | Provide resident with positive reinforcement when all medications are taken |
65. | Administer medication at a different time of day if possible |
66. | Provide no extra attention if resident refuses medication |
67. | Re-explain to resident why medication is needed |
68. | Give resident external reason to take medication (i.e., "Your son said that you should take it.") Involve family members if possible |
69. | Tell resident that this is the last dose of this medication (Only for demented resident who will forget) |
70. | Assess resident's previous sleep history |
71. | Discuss reasons for unpleasant mood with resident and family/significant other |
72. | Discuss pervious work history with resident and family/significant other |
73. | Evaluate resident rest with evening and night shift staff |
74. | Evaluate noise levels near resident room during sleeping hours |
75. | Evaluate noise level made by resident's roommate during sleeping hours |
76. | Obtain Dietary consult to determine need for snacks before/during sleeping hours |
77. | Evaluate resident to UTI |
78. | Monitor bathroom trips during sleeping hours |