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CNA-NIC F25 CH4.12
Identify Communication Guidelines for a resident who is comatose
| Question | Answer |
|---|---|
| Nursing assistants may be assigned to care for patients who are | comatose |
| being in a coma is | being comatose |
| COMA | a state of deep unconsciousness, often for a prolonged period of time |
| what can a person in a coma not do | respond to any change in the environment, including pain |
| what is a coma caused by | illness, a condition, or an injury |
| what is an example of an illness that may cause a coma | meningitis |
| what is an example of a condition that may cause a coma | drug overdose |
| what is an example of an injury that may cause a coma | motor vehicle accident |
| a resident who is comatose deserves what | the same respect as an alert resident |
| Resident who is comatose guidelines #1 | Introduce yourself when entering the residents room |
| Resident who is comatose guidelines #2 | Explain each procedure you will be performing. List the steps you will take |
| Resident who is comatose guidelines #3 | Do not hold personal discussions while caring for the resident |
| Resident who is comatose guidelines #4 | Let the resident know when you are going to leave the room |
| a coma | is a state of deep unconsciousness in which a person is unable to be aroused, even by powerful stimulation |
| what does a person in coma do | they do not respond to pain, does not open their eyes, and does not speak |
| a person in a coma can transition to | a persistent vegetative state |
| PVS | persistent vegetative state |
| persistent vegetative state | means the person may have some level of consciousness |
| what does a person in a persistent vegetative state do | may open their eyes, and have some facial movements but these are mostly involuntary reactions and not a response to external stimuli |
| a minimally conscious state is different from | a coma or vegetative state |
| what does a person do in a minimally conscious state | the person exhibits some cognitive behavior and shows sporadic signs of consciousness |
| what are some examples of cognitive behavior and sporadic signs of consciousness | crying or laughing appropriately |
| Even when people are unconscious they may be | able to hear what is going on around them |
| what have unconscious people have been known to do | regain consciousness and relate many of the things they heard while they were unconscious |
| because unconscious people may be able to hear what is going on around them what should NAs do | should limit their discussions to appropriate subjects; they should speak respectfully and explain what they are doing, as they would with any resident |
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