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Lesson 19 Lesson 19

Lesson 19 - PowerPoint Presentation

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Lesson 19 - PPT Presentation

DevicesInterventions ProstheticsHearing Aids Artificial EyeEyeglasses Dentures Compression S tockings Objectives Student will be able to explain the role of the NA related to caring for and maintaining ID: 509113

clean care eye hearing care clean hearing eye resident device residents artificial prosthetic amputation water dry aids ear skin

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Slide1

Lesson 19

Devices/Interventions/ Prosthetics/Hearing Aids/ Artificial Eye/Eyeglasses/ Dentures/ Compression

S

tockingsSlide2

Objectives

Student will be able to explain the role of the NA related to caring for and maintaining:

Prosthetic Devices:

artificial limbs, hearing aids, artificial eyes, eyeglasses, and dentures

Elastic Compression Stockings (TED hose)

Student will be able to explain the role of the NA regarding care for a resident with an amputation and prosthetic deviceSlide3

Prosthetic DevicesAmputation-

removal of body part, usually as a result of injury or disease

Prosthesis/Prosthetic

Device-

device

to substitute for

deformed or missing

body

part

Phantom Pain/Phantom Sensation

- pain in a limb despite amputation as a result of remaining nerve endingsSlide4

Hearing Aids

Hearing aids- small, battery operated device that fit into the ears to amplify sound

RCP #70

Sometimes color indicates which ear

Red=Right

Blue=LeftSlide5

Hearing Aid

Clean residents ear with damp washcloth, clean hearing aid per manufacturers instructions

Keep water away from area where batteries are attached

Once ear is dry, place them in ear per instructions

Ask resident if they can hear which would indicate sound is being amplified

Observe for wax build up, if so report to nurse

Store in labeled case when not in use

If residents is not able to hear, check/change batteries

If buzzing/whistling occurs, volume may need adjusted Slide6

Eye Prosthesis

Device to resemble the natural eye, but does not allow the person to see

Held in the eye socket by suction and the upper and lower eye lids

Can be removed and inserted by nurse, NA, or resident

Check for cleanliness

Stored in clean container in proper solution (saline or distilled water) otherwise drying and cracking of the device can occur

Report if eye socket is inflamed, reddened or draining

Follow Care Plan as some residents may not remove daily

http://www.ericksonlabs.com/v/Artificial_Eyes/care_handling.aspSlide7

Eyeglasses

Should be kept clean

Worn while resident is awake

Clean with warm (not hot) water and a mild soap, dry with cotton cloth or use eye glass solution and cloth

Store in safe place when not in use

Report any damage to the glasses or lens

Report if resident complains of blurred vision, headaches, or not seeing wellSlide8

Dentures RCP #38

May consist of partial sets, with some teeth or full set with no teeth

Encourage wearing them, especially for meals

Removed and stored in labeled denture cup filled with cool water at night and kept in a safe place

Be sure to check napkins, meal trays and bed linens before removing them

Brush at least daily, but many prefer more frequently

Handle with care; they are very fragile and expensive and will break if dropped on the floor or in the sink

Be sure to also GENTLY brush/clean residents mouth, tongue, and any remaining teethSlide9

Denture EssentialsSlide10

Elastic Compression Stockings RCP #71

TED hose (thromboembolic deterrent stocking)-

specialized hosiery designed to help prevent blood clots and swelling by compressing the limb and reducing the diameter of swollen veins so blood doesn’t pool in the lower extremities

To be worn when out of bed and according to the care plan if ordered by the physician

Applied by the NA or nurse

Ensure they are wrinkle free

Wash in sink at bedtime and hang to drySlide11

Amputation & Artificial Limbs

Can often be difficult for resident to accept due to change in body image and functional impairment, therefore, be sensitive to residents feelings

Keep skin under prosthetic clean and dry

Check skin on the stump for signs of pressure and irritation:

R

edness,

W

armth,

Swelling, Tenderness, and Skin Breakdown (open areas)Follow Care Plan regarding care of the prosthesis and applying and removingHandle with careIf resident refuses to wear, respect the decision, but notify the nurseSlide12

Review Questions

When providing care, the stump should be observed for what abnormalities?

How should a hearing aid be cleaned?

What is an important consideration when applying TED stockings?