Sunday, February 2, 2020

The Pain Hangover

Residents or family members living with chronic pain may experience pain hangovers when the pain subsides or when pain is better managed. Patient attitudes and beliefs about pain treatment and pain medication administration may vary when the pain subsides. For example, patients may refuse pain medication for fear of addiction and may try to endure lower levels of pain without therapeutic pain intervention.

Pain hangovers after a significant pain event may leave some patients too exhausted to return to their regular routines, or they may have trouble pacing themselves and try to do too much too soon. As a caregiver or activity professional, it is essential to recognize the after-effects of intermittent pain relief and connect with the interdisciplinary team and discuss the pain event and history to better gauge the assistance and educational intervention that may be needed after an exhausting chronic pain event. 

Tuesday, December 31, 2019

A Meaningful Life for the Resident In Long-Term Care

Dr. Debra Stewart

Positive psychology and empowerment theories have embraced the significance of a meaningful life, which means that humans should strive to live fully and by following their values, and what brings them to a state of awe. The argument is that when people live meaningful lives, they become happier. But in today's society, how long can we live a meaningful life? For example, when an older adult is admitted to long-term care, the interdisciplinary team gathers to understand the history and physical of the resident and what artifacts of their lives are meaningful enough to continue within a variety of adapted ways. However, what we value as meaningful changes across the lifespan because personal and public advocacy issues are resolved with time or given to others to take charge. To help a resident continue a meaningful life throughout the aging and dying process, seek to help them connect to their current values and what inspires them to a state of awe rather than trying to replicate their most challenging past.

Sunday, June 9, 2019

The Preferred Learning Styles of Person's Living with Dementia

When a caregiver such as certified nursing assistance attempts to help a resident with activities of daily living (ADLs), it can be difficult and time-consuming to accomplish even the simplest task because of the patient’s understanding of the process and the resistive behaviors that are often a result of confusion.

Knowing the preferred learning styles of person’s living with dementia and then constructing ADLs based on how the patient still prefers and understands their environment may help reduce resistance to care.  Increased cooperation during direct care may improve dementia unit productivity and help nursing assistants find increased satisfaction in the workplace.


Thursday, August 16, 2018

Senior Adult Bullying

Seldom discussed is senior bullying because as adults age and become marginalized in some way, others think that they must restrict freedom of choice for protection from others or bad personal choices. Still, in other ways, predators are allowed to scam older adults without reprimand. Also, silent bullying occurs such as limited research and funding for the sensory deficits that occur with age, which are known to reduce socialization and lead to more complicated morbidity. Remember the first step in bully management and prevention is to label the behavior, event, or injustice.

Sunday, August 5, 2018

Caring Behaviors

Caregivers can be relationship builders or cold and clinical. Research has found that when caregivers have unmet personal and professional needs, they struggle with caring behaviors toward others. Environmental safety issues and unmet individual needs for love and belonging for the certified nursing assistant, caregiver, or nurse at home and work may interfere with the ability to demonstrate caring behaviors toward those in their care.

Sunday, October 15, 2017

Chaos and Tension in Health Care

Dr. Debra Stewart

The health care bully can easily be identified when there are escalations in chaos and workplace tension because bullies are often central figures who receive credit for all infamous deeds and, sometimes, heroics. Bullies harbor resources, information, and knowledge and undermine every functional process. However, workplace bullies do not suddenly emerge into existence but are fueled by imbalances in the organizational culture and slowly nurtured to take their unfair share of the workplace power.