NURS 2363ATI Level 3 Practice A Remediation
ATI Concept-Based Level 3 Practice A
Remediation
❖ Cognition
➢ Alzheimer's Disease
▪ Neurocognitive Disorders: Identifying the Earliest Possible Indicator of Alzheimer's Disease
• Stage 1: Mild
◆ Memory lapses
◆ Losing or misplacing items
◆ Difficulty concentrating and organizing
◆ Unable to remember material just read
◆ Still able to perform ADLs
◆ Short term memory loss noticeable to close relations
• Stage 2: Moderate
◆ Forgetting events of one's own history
◆ Difficulty performing tasks that require planning and organizing (paying bills,
managing money)
◆ Difficulty with complex mental arithmetic
◆ Personality and behavioral changes: appearing withdrawn or subdued, especially in
social or mentally challenging situations; compulsive; repetitive actions
◆ Changes in sleep patterns
◆ Can wander and get lost
◆ Can be incontinent
◆ Clinical findings that are noticeable to others
• Stage 3: Severe
◆ Losing ability to converse with others
◆ Assistance required for ADLs
◆ Incontinence
◆ Losing awareness of one's environment
◆ Progressing difficulty with physical abilities (walking, sitting, and eventually
swallowing)
◆ Death frequently related to choking or infection
➢ Schizophrenia
▪ Psychotic Disorders: Identifying Cognitive Symptoms of Schizophrenia
• Cognitive Symptoms: Problems with thinking making it very difficult for the client to live
independently
◆ Disordered thinking
◆ Inability to make decisions
◆ Poor problem-solving ability
◆ Difficulty concentrating to perform tasks
1
, Salinas 2
◆ Memory deficits
◆ Long term memory
◆ Working memory, such as inability to follow directions to find an address
❖ End of
Life
➢ Organ and Tissue Donation
▪ Grief, Loss, and Palliative Care: Evaluating Teaching About Organ and Tissue Donation
• Provide support and education to family members as decisions are being made. News
private areas for any family discussions concerning donation.
• Be sensitive to cultural and religious influences.
• In order to keep the organs viable, ventilatory and cardiovascular support must be
maintained
• Answer any of the questions the family has
• Provide care with respect and compassion while attending to the desires of the client
and family per their cultural, religious, and social practices. Check the client’s religion
and make attempts to comply
• The provider typically approaches the family about performing an autopsy
• The law can require an autopsy to be performed if the death is due to homicide, suicide,
or accidental death, or if death occurs within 24 hr of hospital admission
❖ Human Growth and Development
➢ Cerebral Palsy
▪ Chronic Neuromusculoskeletal Disorders: Planning Care for a Toddler Who Has Cerebral Palsy
• Individualized care to meet client needs
• monitor developmental milestones
• evaluate the need for hearing and speech evaluations
• assess the family’s awareness of available resources
• communicate with the child directly, but include the parents as needed
• encourage family to help verify the client's needs if communication is impaired
• maintain an open airway by elevating the head of the child's bed (especially important if
the child has increased oral secretions)
• ensure suction equipment is available if required
• monitor for pain using a developmentally appropriate pain tool
• ensure adequate nutrition
◆ Assess for the possibility of aspiration for children who are severely disabled
◆ Determine the child’s ability to take oral nutrition
◆ Provide foods that are similar to food eaten at home when possible
◆ Maintain weight/height chart
• Administer medication for pain and/or spasms as required
• Provide skin care
◆ Assess skin under splints and braces if applicable
◆ Maintain skin integrity by turning child to keep pressure off bony prominences
• Provide rest periods as needed
• Educate the family about plan of care, medications, therapies, treatments
• Coordinate care with other professionals such as speech, physical and recreational
therapists, and education and/or medical specialists.
2
ATI Concept-Based Level 3 Practice A
Remediation
❖ Cognition
➢ Alzheimer's Disease
▪ Neurocognitive Disorders: Identifying the Earliest Possible Indicator of Alzheimer's Disease
• Stage 1: Mild
◆ Memory lapses
◆ Losing or misplacing items
◆ Difficulty concentrating and organizing
◆ Unable to remember material just read
◆ Still able to perform ADLs
◆ Short term memory loss noticeable to close relations
• Stage 2: Moderate
◆ Forgetting events of one's own history
◆ Difficulty performing tasks that require planning and organizing (paying bills,
managing money)
◆ Difficulty with complex mental arithmetic
◆ Personality and behavioral changes: appearing withdrawn or subdued, especially in
social or mentally challenging situations; compulsive; repetitive actions
◆ Changes in sleep patterns
◆ Can wander and get lost
◆ Can be incontinent
◆ Clinical findings that are noticeable to others
• Stage 3: Severe
◆ Losing ability to converse with others
◆ Assistance required for ADLs
◆ Incontinence
◆ Losing awareness of one's environment
◆ Progressing difficulty with physical abilities (walking, sitting, and eventually
swallowing)
◆ Death frequently related to choking or infection
➢ Schizophrenia
▪ Psychotic Disorders: Identifying Cognitive Symptoms of Schizophrenia
• Cognitive Symptoms: Problems with thinking making it very difficult for the client to live
independently
◆ Disordered thinking
◆ Inability to make decisions
◆ Poor problem-solving ability
◆ Difficulty concentrating to perform tasks
1
, Salinas 2
◆ Memory deficits
◆ Long term memory
◆ Working memory, such as inability to follow directions to find an address
❖ End of
Life
➢ Organ and Tissue Donation
▪ Grief, Loss, and Palliative Care: Evaluating Teaching About Organ and Tissue Donation
• Provide support and education to family members as decisions are being made. News
private areas for any family discussions concerning donation.
• Be sensitive to cultural and religious influences.
• In order to keep the organs viable, ventilatory and cardiovascular support must be
maintained
• Answer any of the questions the family has
• Provide care with respect and compassion while attending to the desires of the client
and family per their cultural, religious, and social practices. Check the client’s religion
and make attempts to comply
• The provider typically approaches the family about performing an autopsy
• The law can require an autopsy to be performed if the death is due to homicide, suicide,
or accidental death, or if death occurs within 24 hr of hospital admission
❖ Human Growth and Development
➢ Cerebral Palsy
▪ Chronic Neuromusculoskeletal Disorders: Planning Care for a Toddler Who Has Cerebral Palsy
• Individualized care to meet client needs
• monitor developmental milestones
• evaluate the need for hearing and speech evaluations
• assess the family’s awareness of available resources
• communicate with the child directly, but include the parents as needed
• encourage family to help verify the client's needs if communication is impaired
• maintain an open airway by elevating the head of the child's bed (especially important if
the child has increased oral secretions)
• ensure suction equipment is available if required
• monitor for pain using a developmentally appropriate pain tool
• ensure adequate nutrition
◆ Assess for the possibility of aspiration for children who are severely disabled
◆ Determine the child’s ability to take oral nutrition
◆ Provide foods that are similar to food eaten at home when possible
◆ Maintain weight/height chart
• Administer medication for pain and/or spasms as required
• Provide skin care
◆ Assess skin under splints and braces if applicable
◆ Maintain skin integrity by turning child to keep pressure off bony prominences
• Provide rest periods as needed
• Educate the family about plan of care, medications, therapies, treatments
• Coordinate care with other professionals such as speech, physical and recreational
therapists, and education and/or medical specialists.
2
