Module 2 Upholding Resident Rights The NA has a legal responsibility to protect each residents rights. Objectives: ‘= Explain resident rights deny egal ases 1 Define quality of ie 1 Diss dierences in beliefs and customs 1 Examine personal ele = Recognize abuse 18 Explain how to deal with abuseMole 2 Uphoing Resident Rights Mole 2 Uphoing Resident igs ena Protecting Resident Rights Promote and support individual rights. Promote and support each residents rights. Ex- cexyone deserves quality care regardless of belief, gender, mental or physical ability, background, race, or sexuality. Your persona beliefs and preferences should nt affect the quality of service or the way you teat people. ‘The Resident Bill of Rights legal document that protects the residents in healtheae facilities, with an emphasis on dignity, choice, and self-determination. ‘Asa Nursing Assistant, you havea egal esponsibility tovuphold cach esidents rights, However, individual rights should not infringe upon the rights of other residents in the facility ‘The facility must provide a written description of| Jegal rights. Obtain an official copy ofthe bil that ensures rights for residents Following ae examples of resident rights: + the ight tobe informed ofall righ before or during admission + considerate and respect care + information about services and charges + complet information about health status and teatment + adequate and appropriate heatheae + free choice at participation in planing care and treatment + the right to refuse medication and treatment + notileation of significant changes advance notice of transferor discharge andthe right to appeal + the right to voice grievances and ile complaints without interference or reprisal + prompt efforts to resolve grievances + established visiting hours n + freedom from abuse, neglect, or mistreatment + confidentiality of personal and clinical = information ‘management and security of personel funds + freedom from any physical or chemical restraint, unless agreed toby the resident, ordered by the doctor, and necessary t0 protect the resident the right not to perform services forthe facility unless the services are part ofthe residents therapeutic cae plan and the resident consents coal + the right to send and receive mail ‘promptly that is unopened + access to private use of @ telephone * + participation in resident and family groups interaction with people in the community participation in social, religious, and ‘community activities + the right to keep and use personal belongings ‘the tight to private visits with spouse or ‘to share a room with resident spouse equal access to quality care regardless of source of paymentedule 2 Upholding Reston hts tnt 2 Ure Resi its In addition to meeting their basic needs, residents have rights to quality of life, focusing on resident- centered care that enhances each person’s dignity and self-esteem (personal pride). Care is based on each resident's strengths, needs, and preferences. Welcome new residents and help them adjust as soon'as they are admitted to the facility. Femiliar- ize residents and their farmlies with the facility and services Show them where hingsare and how to use them (eg, telephones, toilets, aursing stations, call lights/signals). ‘The fcilty has requirement to ensure resident rights. For example, an ombudsman is an impartial person \who investigates complaints and aets as an advocate for residents and/or families to resolve conflicts ues Respecting Int Following are other examples of requirements: + adequate sai? + food of the quality and quantity needed + call system that is easily accesible atall times + good personal hygiene (including ‘measures to prevent pressure ulcers and prevent/reduce incontinence) + ongoing activites that are staffed and ‘equipped to meet interests and needs + homelike environment that is see, clean, and comfortable + adequate lighting, safe and comfortable temperature, good ventilation, and appropriate sound levels CTE Recognize and support individual beliefs and preferences, Actively encourage people in your cae io express their beliefs, wishes, and views, as long as they do not interfere withthe rights of others. Respond in a ‘manner tat is supportive. Beliefs and Preferences Acknowledge individual beliefs about self, religion, politics, culture, ethies, and sexuality. Beliefs and preferences affect many ectivities of covey + foods person eats + how a person worships + values and + interactions with others + clothing preferences + feelings about death and dying Following are ways to support individual belie + Be sensitive to each person's needs. + Support he right to practice individual beliefs, and respect each person's customs and possessions. + Make sure your speech and actions do ‘not offend anyone. + Address individuals in their prefered manner (ttle, name, nickname) + Consider beliefs an lifestyles when ‘aking part in eae planning, BMol 2: poling Resident Rigs + Show interest in each person’ beliefs. + Be willing to listen when a resident ‘wants to talk. + Never question or make fim of another's beliefs. + Never ity to force your beliefs on anyone. Carefully examine any feelings ofhostiity. Your personal beliefs affect your behavior ina variety of direct and indirect ways. Never allow your beliefs to interfere with the quality of service for anyone in your care. Learn all you ean about religions, customs, and beliefs, including practices of ethnic minorities ‘your local area. Ask people to tell you about their beliefs and traditions, or go to the local library for informatc Religious Customs ‘Be familiar with eigious customs, The more you know, the less likely you are to accidently offend someone. People may have religious items in theit oom (such as rosaries or payer books). Ifyou must ‘move these items, handle them with respec. [Never place items on top of Bibles or other reli- ‘gious books or religious articles. Take special care if religious medallions ate pinned to pillows or clothing. celebrated with special rituals. People may need extra help dressing for holidays, or they may need privacy for certain rituals (such as confession or prayer). ‘Clothing: Some religions have certain articles of clothing that should be treated with respect. Foods: Some religions forbid certain foods. Know ‘what ie not allowed and offer othor choices: Re auare ‘of special times that people may fast (zo without food) ‘or eat only certain foods. Medical Treatments: Be aware of any medical treatments that are not allowed because of religious beliefs. ‘Clergy: Ifa person wants to sce a clergy member, make sure your supervisor is informed. Provide privacy whenever a clergy member visits Cra} Peru MCC mice tL Report all complaints and any suspected abuse. ‘Anyone who cares for the elderly must learn 10 recognize the various forms and sigs of eer abuse ‘Careful observation is extremely important. Failure to report any suspected abuse or neglect is grounds for legel action. Reporting is mandatory to protect the rights ofthe resident. Be knowledgeable of your state's requirements regarding mandatory reporting ‘of abuse or neglect. Abuse is any physical or mental mistreatment of ‘resident. It includes neglecting basie needs, failure to provide needed care, services, or supervision— ‘whether deliberate or due to carelessness Ifyou have ‘reasonable cause to believe there isan issu, trust your feelings and follow the eporting procedures for the facility where you work. By intervening promptly, you can prevent suffering and further harm.Module 2: poling sient Rahs inte 2: rig Reset its Following are legal definitions of abusive behavior: abuse: menial, physica, sexual, medical, or financial exploitation assault: an unlawful personal attack an attack where an actual blow is lure to give assigned care, or siving improper eare that causes harm false documentation: entries in a person's ‘record that ae not true or have been altered defamation: falschoods that result in dam- age to person’s reputation or character (libel writen statement) (slander: a spoken statement) If you observe abuse or neglect by anyone, you ‘must report it, Otherwise you wil be held responsible and may be subject to dismissal, Be alert to possible abuse, and repor any unexplained injuries orden, behavioral changes. Some residents are unable to speak for themselves. They may need you to be an advocate (spokesperson or representative) for them. Indicators of possible abuse include the following: + bums, bruises, lacerations tom, sained or bloody underclothing dlificlty walking or sitting + agitation, anxiety, fear, anger + withdrawn, confused, depressed Indicators of possible neglect include the following: contractures, pressure ulcers + dehydration, malnutrition, impaction + poor hygiene, body odors change in appetite, weight Ife residenthas a complaint, o you suspect some- thing is wrong, ‘ell your supervisor immediately. Make a detailed writen report. Following are examples of abuse and neglect + forcing, threatening, calling names + making fun of a resident + sing restraints without doctor's orders + inappropriate touching ina sexual pushing, pinching, unnecessary roughness + forcing wensils into the resident's mouth + fling to provide appropriate eare + not following the plan of care + failing to feed a resident or provide fuids + not raising bedrails when ordered, leading to someone falling from bed + serving the wrong meal + failure to reposition a resident, leading to complications not responding to call light/signal * Ityou hme any conta abo deaing wt ice, seek advice from an appropriate person. Summary ‘Nursing Assistants have a legal obligation to uphold residents rights and to protect them ftom physical and mental harm. Each resident is entitled to ‘uality of life that enhances the person's dignity and selFestoem. Quality care respects individual beliefs and focuses on individuality, strengths, needs, and preferencesule 2: Uphoiing Resident Rights 1, Wentify six or more resident rights. Give five or more examples of abuse. 2. Why sit important to understand al’s beliefs and preferences? 3. Identify five or more ways you can support 7. What s false documentation? an individual's beliefs. 4. What should you do ifa resident complains 8. Describe three or more examples of neglect, about the facility? 16