Promoting the Resident’s Independence

NATCEP Day Six

Objectives

• Identify losses, both physical and psychosocial, that may decrease independence

• Identify some of the aspects of independent living a person may lose when they reside in an LTCF

• Identify positive techniques a STNA can use to promote the resident’s independence

• Name or list types of choices available to the resident to gain the highest level of independence

Losses the Decrease the Resident’s Independence

• Physical– Loss of physical health– Reduced mobility– Sensory limitations– Activities of daily living

Losses the Decrease the Resident’s Independence

• Psychosocial– Previous lifestyle– Family members– Loved ones– Personal property

Independence Living: Losses when Entering the LTCF• Space

– Choice of living alone– Choice of roommate– Choice of location of room

• Choices– Foods– Transportation– Eating– Wake/Sleep Time

Independence Living: Losses when Entering the LTCF

• Contact with family and friends outside• Pets

How do we promote independence?

• Consider this question for insight– How does the resident cope with losses?

• Encourage positive coping mechanisms to adjust to the new environment– Encourage involvement in activities– Interaction with other residents

• Identify resident strengths – encourage resident to use these to help adjust

• Encourage independence with Activities of Daily Living (ADLs)

• Provide encouragement and assistance with group activities

How do we promote independence?

• Give them CHOICES• Consider when, where, what, which for

possible choices you can provide related to– Eating– Clothing– Activities– Sleeping– Daily care– Who (who they visit, eat with, etc)