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Understanding People. By: Cindy Quisenberry. Mindful. Continually being aware. Mindful Caregiving. Paying attention to details, looking at situations openly, being observant, and being willing to change. routine. - PowerPoint PPT Presentation
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By: Cindy Quisenberry
UNDERSTANDING PEOPLE
Mindful Caregiving Paying attention to details, looking at situations openly, being observant, and being willing to change
Mindful Continually being aware
routine Pattern of activities you set with each resident individually; something repeated on a schedule
Quality of Life (QOL)
A broad multidimensional concept that usually includes subjective evaluations of both positive and negative aspects of life. Although health is one of the important domains of overall quality of life, there are other domains as well—for instance, jobs, housing, schools, the neighborhood. Aspects of culture, values, and spirituality are also key aspects of overall quality of life that add to the complexity of its measurement.
What are questions that you can ask to learn about a person’s values?
What do or did you do for a living? What is or was special about your job? Do you go to religious services? Tell me about your family. What is important to you? How do you spend or like to spend your free time?
Quality of Care The balance of science and caring skills, which are the tasks you must perform, and the art of caregiving, which is your personal caregiving style. These two are equally important and must work together. If either is missing, you cannot give quality care and meet your patients’ needs for quality of life. ie: Talking to your patients/residents while you are doing tasks – it is not just about getting the job done.
Best way to learn about your patients is to ask questions (put yourself in their place)
How do you like to start your day? How do you like to bathe? What do you need help with? What can I do to make you more comfortable? What do you do in your spare time? Does anything give you trouble when getting dressed? How much would you like me to help with your personal care? Is there anything you like or dislike?
values Beliefs people have about what is important to them.
Being healthy and activeRespecting persons with authority Being able to take care of oneself Making money Practicing religious beliefs Being useful Having close friends Family Privacy
contracture Deformity caused by a permanent shortening of a muscle or ligaments, or by scar tissue
resuscitate To revive from apparent death
Culture The customary beliefs, social forms, and traits of a racial, religious, or social group Culture has a strong influence on values.
Food preferences Personal care practices Clothing choices Family relationships Personal space
Patient History Knowing the patient’s/resident’s history will help you to understand them better.
Quality of Life Dignity – a feeling pride and self-respect Perception – a mental image of something Single-minded – an attitude of seeing someone in only one way Bladder Training – a care plan to help a resident regain voluntary control of urination Alternative – a choice, a different possibility Eden Alternative – a type of long term care environment; to make every life worth living, you must help prevent loneliness, helplessness, and boredom (must learn how to care, not just how to treat) Habitat – a place where plants and animals are found growing naturally
Quality of Life Eden Alternative
A long term care facility is transformed form an institution that treats resident into a home – one that meets residents’ needs for companionship, their need to care for others, and their need for variety. (Developed by Dr. William Thomas)
Ethics Knowledge, awareness or study of good and bad, right and wrong, and moral duty Never argue with a patient or family member about their values or ethics.
Psychosocial Involving psychological, emotional, and social aspects of mental health
Need Something necessary for a person
Ethical Decisions based on values
VALUE ETHICAL DECISION
Life is worth living only if there is some hope that you can take care of yourself.
• To choose not to be resuscitated , in cardiac arrest, bedridden, severe contractures, etc.• To choose not to have a feeding tube if you can no longer eat• To choose to remain in the facility if seriously ill, and not be moved to a hospital
Life is worth living no matter whether or not you can ever take care of yourself again.
• To choose to be resuscitated , in cardiac arrest, etc.• To choose to have a feeding tube• To choose to go to the hospital for treatment of a life-threatening illness
General Terms for erikson Assertive – being confident Generativity – ability to produce or create something Gross Motor Skills – abilities in the larger physical skills (ie: running, catching a ball, etc.) Fine Motor Skills – (ie: drawing a picture, writing, etc.) Hierarchy – a specific organized order or ranking Integrity – being whole or complete Theory – a set of ideas or principles offered to explain something observed
Another way of wording Maslow’s
Physical Needs Consider this: Have you ever had someone else take care of you? You might find it pleasant at first, but not being able to take care of yourself for a long time is very frustrating. It can sometimes lead to feelings of worthlessness and depression. Do not do something for residents simply because you think it “takes too long” for them to do it themselves. Remember that a resident has less independence if you do everything for them. Over time they may become more dependent and have less self-worth.
Another way of wording Maslow’s
Safety and Security Needs As we grow older, our physical senses – sight, hearing, touch- may diminish, making us less independent. We again become vulnerable to injury and abuse. We depend on others to help us stay safe.
Social Needs – includes the need for the approval and acceptance of others
A part of many people’s personal identity comes from belonging to groups. Resident’s have a need for interaction and recognition. Bring residents together with similar interests. Encourage them to attend social functions.
Another way of wording Maslow’s
Status Needs – respect from others Call them by their proper name Always ask their permission before acting Explain the care you give Knock on their door and wait for permission to enter Recognize their achievements Respect their belongingsEncourage them to get fully dressed and to use their personal belongings
Another way of wording Maslow’s
Self-fulfillment Needs – you are achieving your goals; you feel satisfied with your life
Involves achievement, independence, and being all you can be Encourage residents to set goals
Other Needs of Residents Sexual Needs Spiritual Needs
What Is Family? Can include:
Spouse Brothers Sisters Nieces/Nephews Grandchildren Significant Others (Companion, Neighbors, Friends, etc.)
Can affect us emotionally and influence us in many ways. They help bring meaning into our lives as we share experiences.
Role of the Family Family – a group of persons of common ancestry or associated by marriage; includes significant others, or persons important to the resident Stress – physical or emotional reaction that causes mental tension Guilt – negative feelings experienced by someone who has committed an offense or believes they have done something wrong to another person Feedback – information received that is corrective or evaluative
Role of the Family Why is the family important?
Family members: Are familiar to residents when everything else in the facility is at first unfamiliar Can bring comfort to a resident Can share their knowledge about a resident Can help care for a resident May provide financial support
What Happens To Families When Residents Are Admitted? Redefining the Family’s FunctioningThe Adjustment Process
Guilt Anger and Resentment Uncertainty Sadness Loss of Control Relief
Role of the Family Being friendly with family members helps create a positive relationship with them The patient’s relationship with family members is an important part of the patient’s life Admission of a family member to a facility is often a stressful time for the whole family Family members can often be angry with staff Family members need support as they go through the adjustment process Family members can help motivate and cheer up a patient Family members can play an important role in caregiving
Role of the Family Patients’/Residents’ care conferences and council meetings are great times for family members to get involved Family members are good sources of information about the patient Always give your full attention when sharing information with a patient’s family member Talking on the phone is an important way for patients to stay in touch with family members. Encourage family members to be involved in events and activities that are important to the patient. May need to bring in a social work, when family members become upset (ie: due to decline in the patient’s health, etc.) Handout – Roll of the Family
Pulling It All Together
It is important always to be interested in who a patient/resident is. You cannot just walk into a resident’s room thinking that how you see them today is enough for you to give them the best care possible. As you read the following poem written by a resident, think about your responsibility to get to know all your residents.
Pulling It All Together
The legal penalties for violating a resident’s rights are severe. They show how important your role is to promote patients’ health and well-being. Many patients are vulnerable b/c their physical and psychological frailties. You must keep the facility environment safe for them. Treating them with dignity and genuine respect as unique individuals helps protect their rights. If you do your job in a caring way, you do not have to worry about violating residents’ rights.
Pulling It All Together
Think about why you want to be a healthcare worker. This will help you be successful in your work. Being a healthcare worker is a career, not just a job. You should look forward to doing it because you can make a difference in patients’ quality of life and care.
The keys to quality caregiving include adopting a philosophy of mindful caregiving; being open, observant, caring, and willing to change; and balancing the art of caregiving with the skills of your profession.
