Reference no: EM133857328
Assignment:
1. Name and describe the 2 types of data. Give 2 possible examples for each.
2. Mrs. M. is a 78 year old lady who lives in a long term care facility. She is hard of hearing and has arthritis. She is usually talkative and happy to see you. Today she is still in bed when you enter her room and slow to respond when you say good morning. She sits herself up in bed immediately and you can hear her breathing heavily and she looks pale. You approach her and touch her forehead. She feels warm and clammy. She says "I hurt all over."
a. How many senses did the CCA use to assess Mrs. M.? For each sense, what information did the CCA obtain?
b. Describe the subjective data you collected on Mrs M.
c. What should the CCA do?
3. How and where can the CCA determine or find the baseline information on a client? List 10 sources.
4. Why is it important to observe the client's response to care?
5. What is another name for the client's medical record?
6. List 8 items that can be found in the medical record.
7. What are graphic forms used to record? List 5.
8. Mr G is your client. You gave him a Glycerine suppository this morning and he had a large amount of diarrhea afterwards. How would you record this on the Bowel Care Sheet
9. When writing in the progress notes, the CCA should record which 3 things? Give 1 example of each.
10. a. Discuss 5 rules of charting.
b. Provide a charting example using the 5 rules you discussed above:
Date: Time: Note:
1
2
3
4
5
11. What types of information does an MDS collect? Give 4 examples.
12. Describe 4 reasons a Care Plan is useful in Long Term Care.