natcep day 2
TRANSCRIPT
THE RESIDENT’S
RIGHTSNATCEP Day Two
OBJECTIVES
Identify legal rights of the resident contained in the ORBR
Discuss ways to respect residents’ rights
RESIDENT RIGHTS
Legal Rights of the residents
Outlined in OBRA
Must be read and signed by each resident and/or their legal
representative and be included in the medical record
RIGHT TO INFORMATION
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Access to all records about the person
Medical record
Contracts
Incident reports
Financial records
The person has the right to be fully informed of his or her health
condition.
The person must also have information about his or her doctor.
REFUSING TREATMENT
The person has the right to refuse treatment.
A person refusing treatment cannot be treated against his or her wishes.
Advance directives are part of the right to refuse treatment.
Living wills
Instructions about life support
Report treatment refusal to the nurse.
The person’s care plan may be changed.
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PRIVACY AND CONFIDENTIALITY
Residents have the right to personal privacy.
Staff must provide care in a manner that maintains privacy of the person’s body.
The residents have the right to visit with others in private.
Residents have the right to make phone calls in private.
The right to privacy also involves mail.
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PERSONAL CHOICE
Residents have the right to make their own choices.
Choosing their own doctors
Taking part in planning and deciding about their care and treatment
Choosing activities, schedules, and care based on their preferences
Personal choice promotes quality of life, dignity, and self-respect.
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GRIEVANCES
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Residents have the right to voice concerns, questions, and
complaints about treatment or care.
Problem may involve another person.
Problem may be about care given or not given.
The center must promptly try to correct the matter.
No one can punish the person in any way for voicing the
grievance.
WORK
The person has the right to work or perform services if he or she
wants to.
He or she does not work for care, care items, or other things or privileges.
Other persons need work for rehabilitation or activity reasons.
Some people like to garden, repair or build things, clean, sew, mend, or cook.
Residents volunteer or are paid for their services.
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TAKING PART IN RESIDENT
GROUPS
The person has the right to form and take part in resident groups.
They can:
Discuss concerns and suggest center improvements.
Support each other.
Plan activities.
Take part in educational activities.
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PERSONAL ITEMS
Residents have the right to keep and use personal items.
Type and amount depend on space needs and the health and safety of others
Treat the person’s property with care and respect.
The center must investigate reports of lost, stolen, or damaged items.
The person’s property is protected.
Do not go through a person’s property without his or her knowledge and consent.
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IMPRINT OF ELSEVIER INC. ALL RIGHTS
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FREEDOM FROM ABUSE,
MISTREATMENT, AND NEGLECT
Residents have the right to be free from verbal, sexual, physical,
and mental abuse. They also have the right to be free from
involuntary seclusion.
No one can abuse, neglect, or mistreat a resident.
Nursing centers must investigate suspected or reported cases of abuse.
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FREEDOM FROM RESTRAINT
Residents have the right not to have body movements restricted.
Restraints
Drugs
Restraints may be used only if required to treat the person’s
medical symptoms.
Doctor’s order is needed.
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IMPRINT OF ELSEVIER INC. ALL RIGHTS
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13
QUALITY OF LIFE
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Residents have the right to quality of life.
Protecting this right promotes quality of life and shows respect for the
person.
Residents must be cared for in a manner and setting that promote
dignity and respect for self.
ACTIVITIES
Residents have the right to activities that enhance each person’s
physical, mental, and psychosocial well-being.
Activities must have a purpose and relate to the person’s needs, interests,
culture, and background.
You assist residents to and from activity programs.
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IMPRINT OF ELSEVIER INC. ALL RIGHTS
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ENVIRONMENT
Residents have the right to a safe, clean, comfortable, and
home-like setting.
Allow the person to have and use personal items to the full extent possible.
Provide a setting and services that meet the person’s needs and
preferences.
Promote the person’s independence, dignity, and well-being.
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THE OLDER AMERICANS ACT
(OMBUDSMAN PROGRAM)
The Older Americans Act is a federal law.
The law requires a long-term care ombudsman program in every state.
Residents have the right to voice grievances and disputes.
OBRA requires that nursing centers post the names, addresses, and phone
numbers of local and state ombudsmen where residents can easily see them.
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IMPRINT OF ELSEVIER INC. ALL RIGHTS
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SUMMARY OF
RESIDENT
RIGHTSNATCEP Day Two
OBJECTIVES
Describe the role of the Ohio long-term care ombudsman program
Identify examples of ways to promote the residents’ right to
personal choices
Describe methods of providing the resident with privacy
Describe methods to maintain confidentiality
Describe ways to ensure the security of the resident’s
possessions
Describe abuse, mistreatment, neglect and exploitation
Demonstrate techniques to help the resident resolve grievances
or complaints
THE ROLE OF THE OMBUDSMAN
Basic Role
Investigate and resolve complaints
Educator for residents, family and staff
Consultant to LTCF
Contact information for the ombudsman is located in each facility
RESIDENT CHOICES
Encourage participation in self-care
Know activities available – facilitate participation
Understand right not to participate
Encourage and facilitate resident’s participation in resident and
family groups
PRIVACY
In the resident’s room
Knock & get permission before entering
Keep doors open or closed as preferred
Enter closets and drawers only with permission
During visits
Knock & get permission before entering
Close doors if requested
Don’t eavesdrop
PRIVACY
During phone conversations
Provide privacy
During treatments, procedures and/or exams
Close door
Draw privacy curtain
Use sheets or blankets to shield body
CONFIDENTIALITY
Discuss information only with those involved in the care of the
resident
Be aware of where you are discussing
Refer questions to the charge nurse
Never release information to the news media
Violate?
RESIDENT’S POSSESSIONS
Know how the resident want them handled
Make suggestions – how to secure
Know related facility policies
Help residents access stored items
ABUSE
Verbal
Name calling, foul language directed at resident intended to cause mental
anguish
Physical
Inflict physical harm/injury
Hit
Pinch
Slap
Kick
Push
MISTREATMENT
Treat badly
NEGLECT
Fail to provide care that a reasonably prudent person with the
same training would provide in the same situation that results in
injury to the person
Fail to clean an incontinent resident
Lice – didn’t provide personal hygiene care
EXPLOITATION
Manipulate a vulnerable person for personal gain
MENTAL
Includes, but is not limited to:
Humiliation
Harrassment
Threats of punishment
Threats of deprivation
“I will make sure you don’t get your supper”
SEXUAL
Includes, but is not limited to:
Sexual Harrassment
Coercing sex
Sexual Assault
GRIEVANCES OR COMPLAINTS
Know facility policies and procedures
Know role of ombudsman and state agencies
Where are contact numbers located?
Know your duty when a resident wants to report abuse, neglect or
mistreatment