This document discusses the feelings and actions related to resident admission and discharge from long-term care facilities. At admission, residents may feel lonely, lost, angry, depressed, confused or relieved. Families may feel guilt. Nurse aides should prepare the resident's room, greet them, provide an orientation, assist with personal items, observe abilities, and check on them frequently. At discharge, residents can feel anxious or worried about the change. Nurse aides should allow residents to discuss anxieties, help gather belongings, and transport according to facility policy.

1. Admission and Discharge
NATCEP DAY TWENTY-NINE

2. Objectives
 Identify feelings the resident & family may have at
the time of admission and/or discharge.
 Identify nurse aide actions to assist the resident
during admission.
 Identify nurse aide actions to assist the resident
during discharge.

3. Feelings at Admission
 Awareness of losses experienced with aging and
illness.
 Resident:






Lonely
Lost
Angry
Depressed
Confused
Relieved
 Family: GUILT

4. Nurse Aide Actions
 Prepare the room for the resident’s needs.
 Greet the resident and family.
 Show the resident the room, bathroom and how to use





call bell and equipment.
Assist the resident in making a list of valuables &
clothing – follow agency policy.
Observe how well the resident can move and perform
activities.
Show the resident around the facility.
Introduce to staff and other residents.
Check on the resident frequently.

5. Feelings at Discharge
 Anxious
 Worried about the change

6. Nurse Aide Actions
 Allow the resident to talk about his/her anxieties.
 Help the resident to gather clothing and other
belongings.
 Transport according to facility policy.

7. Height & Weight
NATCEP DAY FIFTEEN

8. Objectives
 Why record height and weight?
 How to weigh accurately
 Methods to measure height
 Methods to record measurements

9. Why Measure Weight?
• To monitor nutrition and hydration status.
• To estimate fluid retention or edema and monitor
effects of diuretic mediation.

10. How to Accurately Measure Weight
• Weigh same time of day after the resident has
voided.
• Use the same scale each time – balance first.
• Re-weigh if there is a discrepancy.
• Record weight accurately