Clinical Risk Services

Category Archives

Situational Awareness

Situational Awareness is defined as the state of knowing the conditions that affect one’s work. It is a dynamic state of awareness for individual care team members and the team. Situational Awareness is a structured format for obtaining and communicating critical information about the resident, team, environment and overall plan, for the team to provide safe and effective care delivery.
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Resident Sexuality

“People don’t “age out” of being sexual. It is inherent throughout the aging process and even associated with good health! Sexual expression fulfills a natural desire and can connect people, provide opportunities for affection and passion and build or enhance relationships.” According to a research study by the New England Journal of Medicine of 3000 participants, “Sex with a partner in the previous year was reported by 73 percent of people ages 57 to 64; 53 percent of those ages 64 to 75, and 26 percent of people 75 to 85.
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The Holiday Experience

Mrs. Mary Peterson, fell at home in October while attempting to get out of her bathtub. She fell sideways and fractured her hip. She was hospitalized for surgery, transferred to a rehab unit for a short stay, and then was admitted to your facility for continued rehabilitation. Mrs. Peterson’s goal was to return home to her townhome by the holidays or at least be able to live with her daughter for a few weeks before returning home. Mary’s recovery has not gone as she intended and she has not progressed in therapy to the point of being able to return home. Her daughter works during the day and there would be no one to assist Mary while she is away. Additionally, Mary’s daughter lives four hours away and she has children and grandchildren that will be visiting for the holidays.
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Assessing and Counseling Older Drivers

Mrs. Jones is 85 years young and enjoys the benefits of her assisted living apartment-style home. She has a history of hypertension, congestive heart failure, atrial fibrillation, type 2 diabetes mellitus, macular degeneration, and osteoarthritis. Care providers notice that she is having increasing difficulty walking while using her cane and having challenges reading, with her glasses, while attending activities such as BINGO.1 She still drives to a local church for services and she enjoys shopping at the mall. Is Mrs. Jones a safe driver? Is your facility prepared to have a conversation on driving alternatives and driving retirement?
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Transportation Safety

Mr. George Adams has lived in his senior living community for the past two years. George has multiple sclerosis and spends a good portion of each day in his wheelchair.

George is an enthusiastic participant in social events and facility sponsored activities. One of his favorite activities is attending worship services on Sunday mornings. George has attended the same church for the past 40 years.
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Fall Risk, Recognition and Response

Mrs. Helga Olson and her son John request an appointment for a tour of your Assisted Living facility/Skilled Nursing Facility . Helga arrives holding on to her son’s arm. She appears to have some pain while walking. Helga has a large bruise on her right cheek and right arm. She tells you proudly that she has just celebrated her 83 birthday. She also tells you that she has lived in her current home for 46 years. Her husband died three years ago and she has been living alone since his death.
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A Gun Shot Is Heard… Preparing for an Active Shooter

Mary has worked in your dietary department for the past seven months. She is known to be quiet and reserved with a warm and caring personality. Today Mary comes to work with significant bruising on the right side of her face and she has a black eye.
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Charting Practices to Reduce Documentation Risk

Mr. George Johnson is an active octogenarian that lives in assisted living with his wife. George’s wife has severe arthritis and she has limited mobility.

George loves to socialize and is frequently seen walking the halls visiting with staff, family members, and residents. George is mentally alert and enjoys completing the daily tabloid crossword puzzle and frequently shares current events from the news.

One-day George’s wife calls for help and George is found lying on the floor of the shower. He has a large gash above his right temple that is bleeding and he is complaining of significant pain on the right side of his chest. George is confused and doesn’t recall what happened.
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Negativity at Work – An Emotional Drain

Rachel, a recently graduated nurse that was excited to pursue her dream of caring for the
elderly, was hired six months ago. Rachel’s grandmother had lived with her family for many
years while Rachel was growing up. Rachel loved hearing the life stories from her grandmother
and her grandmother’s friends when they visited. Rachel was determined at a rather early age
that she would become a nurse and care for people in their senior years.
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The Emotional Value of Healthcare

Judy, 75-years-old, has recently moved into your assisted living facility. She was diagnosed with stage four lung cancer two months ago. Judy has chosen a board-certified oncologist and is very pleased with his knowledge about her medical history and available treatment options. Judy mentions that while her oncologist is always professional, she doesn’t feel a personal connection with him and he “NEVER” smiles. Print a PDF version: The Emotional Value of Healthcare HCIS July 2017

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