TalentGro

On-the-job Training

• Incorporate Interventions for the Cognitively Impaired Resident to Facilitate Quality Care as a Member of the Healthcare Team
  • Utilize care plan for interventions and report successful interventions to charge nurse and document accordingly.
  • Monitor and document episodes of targeted behaviors and/or new behaviors according to facility guidelines.
  • Implement interventions to minimize the effects of disruptive behaviors and participates in care planning and/or behavior committees to evaluate effectiveness of these interventions.
  • Assist/direct appropriate interventions of other caregivers including ancillary staff.
  • Recognizes signs of stress and strategies for coping with it in self and other caregivers and family members.
• Demonstrate Effective Communication & Interaction with Cognitively Impaired and Their Families
  • Demonstrate redirecting a resident.
  • Demonstrate use of validation therapy.
  • Verbalize and demonstrate various approaches for a resident who is resisting personal care that will maintain resident dignity and respect.
  • Demonstrate appropriate interventions for resident who is yelling or screaming.
  • Demonstrate use of distraction strategies as a therapeutic intervention.
  • Demonstrate use of therapeutic activities to de-escalate a resident who is anxious
  • Demonstrate therapeutic communication with significant others.
  • Demonstrate coaching techniques to help other caregivers and family members cope with the dementia process.
• Provide Assistance with ADL’s, Mobility, and Therapeutic Activities that will Maximize Functional Well Being Including Culturally Sensitive Dementia
  • Demonstrate use of therapeutic activities/exercises to maintain joint function for the cognitively impaired resident/client.
  • Implements care strategies that encourage ADL’s without increase resident anxiety and respects the resident’s dignity and desire for control.
  • Implements therapeutic activities appropriate for early, middle, and late states of dementia, including end of life care and culturally sensitive dementia care.
  • Demonstrates strategies for promoting independence in all ADL’s
• Apply Nutritional Interventions to Maximize/Maintain Nutritional Well Being in the Cognitively Impaired
  • Demonstrates adapting the dining experience to maximize nutritional intake (i.e., offering small servings, introducing foods one at a time, etc.,)
  • Explain modifications needed to maintain nutritional status.
  • Demonstrates provision of finger foods, frequent meals, snacks, and fluids in a way the cognitively impaired resident will accept.
• Demonstrate Understanding of Effects of Psychoactive Medications and Observe for Side Effects
• Maintain a Safe Environment for Cognitively Impaired
  • Demonstrate maintaining safe environment for wandering resident.
  • Demonstrate/verbalize actions to take for a resident who is striking out at another resident.
  • Implement and describe system/schedule to monitor resident location/criteria for use of elopement alarms, frequency of egress door checks, and other actions to prevent wandering.
  • Demonstrate maintaining safety from potential toxic substances that the confused resident may attempt to ingest.
  • Implement appropriate interventions to minimize environmental stimuli that may increase a confused resident’s agitation, i.e., noise levels, large groups, television, radio, etc.
  • Maintain a safe environment for residents and staff while de-escalating combative behavior.