BASIC HUMAN NEEDS

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BASIC HUMAN NEEDS

• Unit two

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BASIC HUMAN NEEDS

• OBJECTIVES
• Describe basic human needs/physical, emotional,
  spiritual
• Identify Developmental tasks associated with the
  aging process
• Discuss age related conditions
• Discuss general characteristics of aging
• Discuss cultural diversity/ individuality

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Describe Basic Human Needs

• Basic Human needs are needs all persons have.
  However individuals meet these needs in different
  ways. Most residents in long term facilities
  will need some assistance to meet their basic
  needs.

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Ways to assist Residents with Physical Needs

• Food
• making meal time as pleasant as possible
• assist resident to eat, feed resident when
  possible
• prepare foods such as cutting meats, opening
  cartons

• Oxygen/Air
• elevate HOB for resident with breathing problems
  or SOB
• position in bed and chairs to allow lung
  expansion
• assist resident to ambulate
• assist nurse with oxygen therapy.

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Meeting Resident Physical needs

• Water
• Offer fluids frequently
• keep water containers within reach
• Keep water fresh, other liquids at correct
  temperatures.

• Elimination
• Assist resident in toileting needs
• provide privacy
• be matter of fact in response to incontinent
  residents

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Meeting Physical Needs

• Rest
• Assist in preparation for sleep
• recognize changes in patterns for sleep
• Activity and Exercise
• Encourage ROM in ADLs
• ambulate, transfer and move properly
• Encourage activity

• Stimulation
• Encourage resident to participate in activities
• Encourage residents to talk and listen carefully
• Do not isolate resident. Place in area where
  they can observe activity.

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Meeting Physical needs

• Sexuality
• Encourage use of male/female clothing, cosmetics,
  hair styles to maintain sexual identity.
• Provide privacy to couples expressing intimacy
  needs, knock before entering

• Respond appropriately to resident who is
  masturbating, (take resident to room, dont shame
  or be judgmental.

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Ways to Assist Resident with Safety and Security
Needs

• Safety
• Keep area safe and free of hazards
• Show residents how to do activities safely
• keep call light within reach
• know how to do tasks
• be alert to safety. Use TB and brakes

• Security
• respect residents belongings
• orient resident to new surroundings
• reassure resident
• welcome family and friends
• provide privacy, knock on doors

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Ways to Assist Love and Belonging Needs

• Caring about someone
• listen to resident, encourage talk of past
• show interest in residents family
• encourage contact with other residents
• read social histories in resident charts
• some residents may have significant others who
  are not family members
• take time with resident, pay attention

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Love and Belonging Needs

• Being cared about
• Show interest in resident
• touch residents in a kind and gentle manner
• be kind and friendly to visitors
• inform family and residents of activities offered
• be patient and understanding
• treat residents as you would like to be treated

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Ways to Meet Self Esteem Needs

• Sense of Identity
• call resident by preferred name
• include resident and family in discussions
  concerning resident care
• give and respect choices made by residents
• respect differences in culture, heredity,
  interests and values

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Meeting Self- Esteem Needs

• Feeling Important, worthwhile
• praise accomplishments of residents
• acknowledge residents at all times
• respect resident property
• talk to resident as an adult
• encourage resident to do as much as abble for
  themselves
• Give residents simple responsibilities and tasks
  to feel important

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Meeting Self- Actualization Needs

• The extras in life
• encourage hobbies
• praise accomplishments and strengths
• Spirituality
• respect religious beliefs
• provide privacy for clergy visit.
• Handle with care religious symbols
• refer clergy requests to Nurse in Charge

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Describe Developmental Tasks

• Theorists suggest that as one matures from
  infancy to old age, persons pass through several
  stages. During each stage developmental tasks
  must be accomplished in order to mature in a
  healthy way. Developmental tasks are social,
  emotional, and psychological growth experiences.

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Growth Development

• Occurs in an orderly pattern simple to complex.
• Is continuous from infancy to adult
• Affects all body parts
• Rate varies from person to person
• Is a total process that affects people,
  physically, mentally, emotionally, spiritually.

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Early adulthood developmental tasks

• Age frame is from about late teens to thirty
• establish personal and economic independence
• forming a support group of friends and others
• developing work skills/career
• making a commitment in a relationship
• establishing a family
• managing optimal healthy lifestyles

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Middle Adulthood tasks

• Age frame from about the thirties to the mid
  sixties
• expand personal and social involvement and
  responsibility
• adjusting to physiological and emotion changes
• reaching and maintaining job satisfaction/
  preparing for retirement
• observing maturation of children
• managing chronic health conditions

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Late Adulthood Tasks

• Age time frame from mid sixties to death. Aging
  is influenced by heredity, nutrition, exercise,
  lifestyle choices such as smoking, and life long
  adjustments to change.

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Young-Old Tasks

• Age frame 65-74 years
• If healthy may not experience ages from middle
  years
• beginning social and emotional adjustments to
  decreasing physical strengths and changes in body
  such as vision and hearing limitations
• adjusting to retirement with loss of job related
  activities
• adjusting to changing family roles with children,
  spouse and grandchildren

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Middle Old and Old- Old

• Middle old, 75-84
• Adjusting to more chronic conditions, such as
  arthritis
• adjusting to losses of abilities to drive car
• losses of friends and siblings
• need to accept lifes experiences

• Old-Old, 85 and older
• Accept physical limitations and dependence on
  others
• acceptance of losses (deaths and activities)
• acceptance to alternate living conditions, such
  as assisted living or long term care

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Age Related Conditions

• Aging is a gradual process/ not illness
• Most residents have experienced some age related
  changes or illness since late 40s or early 50s.
• Due to gradual changes and adaptations most
  conditions are not considered problems

• After age 75 elderly average at least 5 chronic
  conditions that limit some activities.

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Describe Normal Aging

• Integumentary System
• Skin, hair, nails, sweat and oil glands

• Occurring changes
• Skin becomes fragile,tears easily, loss of fatty
  tissue
• hair thins and grays
• nails thicken and harden
• less oil and perspiration produced

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Describe Normal Aging

• Integumentary System
• Skin, hair, nails, sweat and oil glands

• Occurring changes
• Skin becomes fragile,tears easily, loss of fatty
  tissue
• hair thins and grays
• nails thicken and harden
• less oil and perspiration produced

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Integumentary system

• Results
• skin is less resistant to injury
• skin bruises easily
• skin is drier
• skin is slow to heal
• body temperature regulation is difficult
• decreased sensations occur

• Nursing Assistant responsibilities
• use lotion and other skin care products
• prevent pressure areas and other injuries
• select appropriate clothing

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Musculo-Skeletal (bones and muscles)

• Changes
• bones become porous and brittle
• muscles reduce in size
• joints and ligaments become less flexible

• Results
• muscles lose strength
• fractures occur
• Range of Motion is decreased
• NAR responsibilities
• encourage exercise and good nutrition
• balance activity and rest

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Digestive (Stomach and Intestines)

• Changes
• Slowing down of system
• decrease in taste
• saliva reduced
• teeth missing (poor fitting denture)

• Results
• decrease in appetite
• difficulty chewing and swallowing
• constipation
• NAR responsibilities
• watch for choking
• encourage fluids, small bites, and to eat slower

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Circulatory (Heart -blood vessels)

• Changes
• heart does not pump as effectively
• blood vessels become less elastic
• heart disease is common in elderly

• Results
• tires easily
• elevated blood pressure
• dizzy when changing positions
• NAR responsibilities
• provide rest times
• encourage exercise
• change positions

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Respiratory

• Changes
• decreased exchange of oxygen and carbon dioxide
• lungs lose elasticity
• cough reflex is weak

• Results
• deep breathing more difficult
• susceptible to infections
• tires easily and SOB
• NAR Responsibilities
• pace activities
• prevent infections

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Urinary ( Kidney - bladder)

• Changes
• kidney function reduced
• bladder elasticity lessened
• females have stress incontinence
• males have prostate enlargement

• Results
• susceptible to UTIs
• more urgent need to void
• difficulty and incontinence in voiding
• NAR responsibilities
• encourage fluids
• follow BB program
• good peri care

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Nervous System

• Changes
• nerve cells decrease in number
• blood flow to brain is decreased
• diseases may cause abnormalities and personality
  changes

• Results
• slower reaction to stimuli
• forgetfulness
• NAR responsibilities
• Provide adequate time to complete activities
• be alert to safety needs

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Sensory (eyes and ears)

• Changes
• gradual slowing down of all senses
• tears and earwax reduced

• Results
• reduced vision and hearing
• eyes dry, irritated
• impacted ear wax
• problems with glare
• NAR responsibilities
• speak clear, slowly
• face resident
• be alert to safety

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Digestive (Stomach and Intestines)

• Changes
• Slowing down of system
• decrease in taste
• saliva reduced
• teeth missing (poor fitting denture)

• Results
• decrease in appetite
• difficulty chewing and swallowing
• constipation
• NAR responsibilities
• watch for choking
• encourage fluids, small bites, and to eat slower

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REPRODUCTIVE SYSTEM

• Changes
• Females Menstrual cycles ceases, vaginal wall
  become thinner and drier
• Males scrotum is less firm, prostate gland may
  enlarge.
• NAR responsibility Clean Perineums, watch for
  signs of infections.

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Endocrine system (glands)

• Changes
• Less insulin produced, may result in diabetes
• Weight gain/loss
• Increased feeling of nervousness
• Nars should report any behavior or physical
  changes to nurse.

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Describe Needs of Family

• Definition of Family
• Two or more people have chosen to live together
  and share interest, roles, resources commitment
  and love.
• Family emotions include, anxiety, fear, sadness,
  anger, relief, confusion

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ROLE of NAR

• Nursing assistants need to acknowledge family
  members, have a non judgmental attitude, be
  patient, be sensitive, quietly listen, include
  family when appropriate in cares. BE PLEASANT!!!

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RESPECT CULTURAL DIVERSITY

• CLAS stands for culturally and linguistically
  appropriate services.
• Developed in 2000 by the Dept of health and human
  services.
• Clas focuses on health care organizations, and
  also standards for how health care should be
  delivered.

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Personal guidelines

• Think about your personal belief system
• Examine how personal culture influences your own
  behavior
• Dont stereotype
• Ask patients about their culture
• Attend staff development activities and develop
  cultural awareness.

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Cultural influences

• Personal space
• Some cultures will not permit members of the
  opposite sex to provide cares
• Some prefer distance during cares
• Gestures/ eye contact
• Gestures may have different meanings
• Eye contact may be offensive

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Cultural Influences

• Pain
• Some demonstrate pain by being very emotional
• Some view displays of pain as being weak
• Personal hygiene
• Bathing may not be done routinely/ or may be very
  frequent
• Women may not want body hair removed

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Cultural influences

• Clothing
• Men may cover their heads
• Women may cover their heads and only have face
  and hands in view
• Health Practices
• May want cultural remedies
• May want herbs, spices, teas or wraps
• Check to see if this interferes with treatment

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Common Characteristics of Normal Aging

• There are many myths about aging. A myth is an
  unproven idea or belief such as old people cant
  learn.

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Facts about Aging

• Aging is a natural process, begins at birth
• basic needs of the elderly are the same as any
  age group
• Individuals age at different rates
• aging process is influenced by lifestyle,
  nutrition, wellness, mental and emotional health
• Most elderly live healthy, independent lives

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Aging Facts

• Most elderly have satisfying relationships with
  family and friends
• Most elderly enjoy retirement
• Many elderly are involved in community and
  volunteer work
• Many elderly have a deep sense of spirituality
  and feeling of peace
• Aging does not occur at a certain age

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Home Health Aide

• Unit Two
• Basic Human Needs

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Basic Human Needs

• Objectives
• Discuss Life Span Growth and Development
• Discuss Family Dynamics
• Define Family Stress

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Growth and Development

• Growth
• Refers to physical changes in the body
• growth begins at conception and continues to full
  physical maturity
• Physical changes in adulthood are influences by
  nutrition, lifestyle, etc.

• Development
• Refers to social, emotional, and psychological
  changes that occur throughout life.
• Its influenced by life experiences, individual
  behavior
• Moves from simple to complex.

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Family

• A family is a group of people tied together by
  common interests and concern about the well being
  and needs of members. Traditional Family
  usually refers to a married man and women and
  children. Today there are many family units
  containing single parents, extended families, and
  groups of unrelated friends.

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Family Dynamics

• The way individuals in a family relate to and
  interact with each other is known as family
  dynamics
• Each family has individual needs.
• Families have their own rules related to how they
  operate as a group.

• Each person has a role in the group, or several
  roles.
• Usually roles are learned from older family
  members. There may not be a role model for
  healthy development
• In a stressed family children may have an adult
  role.

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Home Health Aide

• HHAs need to be aware of family dynamics and how
  it affects the client.
• Some family dynamics may not feel comfortable for
  you. Discuss your feelings with your supervisor.

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Define Family Stress

• Family Stress occurs when one or more events or
  behaviors affects the normal functioning of the
  family. Some events might include
• Chemical dependency/ substance abuse
• Loss of income due to illness or termination.
  This effects living arrangements, nutritional
  need, insurance coverage, self esteem, everyday
  activities.

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Child Abuse

• Child abuse is any act that causes harm or pain
  to someone who is less then 18 years old.
• Harm can be physical, emotional, or sexual.
• Includes situations that pose a risk for harm

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Chronic Illnesses

• Chronic illnesses are those diseases that last
  for a long time, often the remainder of life.
• Places stress on entire family due to loss of
  role in family unit
• Often places financial stress.

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Developmental Disabilities

• Any condition which interferes with normal growth
  and development is a disability.
• May interfere with the way a person speaks,
  learns, or completes ADLs
• Usually as a result of heredity, or birth injury.
  (cerebral palsy, fetal alcohol,MR.)
• Places stress on family due to health care costs
  and special services needed.

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Children's Response to Family Stress

• Children may not get adequate attention and
  support for normal growth and development.
• Child may withdraw or have untypical behaviors.

• Child fears and anxiety will depend on age.
  They may think a parent will leave or never get
  better.

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Untypical Behaviors

• Child may become over dependent on others and
  demanding
• May not follow normal routines, such as nap time.
• Regresses to earlier stage.(incontinent)
• Physical complaints