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Summary PSW: Final Exam study set, With Complete Verified Solution. Updated 2024/2025. Actual Exam Questions from past Exams Included. Download to Score 100%.€12,68
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Summary PSW: Final Exam study set, With Complete Verified Solution. Updated 2024/2025. Actual Exam Questions from past Exams Included. Download to Score 100%.
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PSW: Final Exam study set, With Complete Verified Solution. Updated 2024/2025. Actual Exam Questions from past Exams Included. Download to Score 100%.
PSW: Final Exam study set, With
Complete Verified Solution. Updated
2024/2025. Actual Exam Questions from
past Exams Included. Download to
Score 100%.
Holistic Care
Considering the whole person. Considering their physical, social, emotional, cognitive and spiritual
dimensions.
Professionalism
an approach to work that demonstrates respect for others, commitment, competence, and appropriate
behaviours.
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Professional Boundaries
Appropriate limitations on behaviour, meant to protect the vulnerable client from the caregiver who has
access to private knowledge about him or her.
Regulation of a PSW
The PSW is an unregulated profession. For an unregulated care provider there are clearly identified
services we provide under the supervision of the client, family member, regulated health care provider
or employer. There is no legislation to regulate PSW's or an organization of professional college that
governs the role. There is no official code of ethics but they must adhere to the codes of behaviour from
their employer.
Regulated Health Professions Act
Regulated Health Professions. In Ontario, regulated health professions are governed under the Regulated
Health Professions Act, 1991 (RHPA) and health profession Acts (i.e., Medicine Act, 1991). This legislative
framework establishes health regulatory colleges, which regulate the professions in the public interest.
i.e. the college of nurses.
Role of the occupational therapist
Focuses on rehabilitation; teaches clients skills needed to perform ADLs; designs adaptive equipment for
ADLs
,Role of the physical therapist
Focuses on rehabilitation; assist clients with musculo-skeletal impairments; focuses on restoring function
and preventing disability from illness or injury
Role of Registered Nurse (RN)
assesses, makes nursing diagnoses, plans, implements, and evaluates nursing care. Tends to clients with
unstable health conditions; provides direct client care, administers medications, supervises support
workers
Role of RPN Licenced practical nurse (LPN)
a health care provider licensed and regulated by the province or territory to carry out nursing techniques
and provide client care. Known as a registered practical nurse (RPN) in Ontario.
ALL RULES REGARDING DELEGATION
Only regulated health care providers like nurses have the authority (legal right) to perform certain tasks
because they have the knowledge, skill and training to perform them. They are called controlled acts and
are considered harmful if they are performed by unqualified people. In some circumstances some acts
will be delegated to you. In order to do this, specific conditions called "exceptions" must be met for
delegation to be permitted. The nurse must feel confident the support worker understands what the
responsibilities are when performing the task, knowns when and who to ask for assistance, and knowns
when, how and whom to report the outcome of the task.
Tasks that may be delegated to support workers must be routine ones with predictable outcomes that
require little supervision and can only be delegated for stable clients.
Delegation tasks may include: suctioning a permanent tracheotomy in and out catherization;
administering glucometers, dressings, tube feedings and medication.
Only some nursing tasks can be delegated. Your employer's policies and guidelines, your job description
and provincial or territorial legislation determine what tasks can be delegated to you.
Sometimes these rules vary between community and LTC.
In Ontario an RN, RPN and LPN can delegate.
A delegated task is not transferrable to another client. Just because you did it for one person, does not
mean you are able to perform the SAME task on another client without training.
Before delegating tasks, the nurse must know the following:
• What tasks your province or territory allows support workers to perform.
• The tasks included in your job description.
• What you were taught in your training program.
• What skills you have learned and how they were evaluated.
• Your work experiences.
A nurse who delegates a task is required to:
• Have the knowledge, skill, and judgement to perform the task competently.
• Have the additional knowledge, skill and judgement to teach the task to others. The delegating nurse is
responsible for providing all necessary teaching, but not everyone is able to teach others how to perform
,something. Good communication skills and patience required.
• Accept responsibility for teaching the task to the support worker. The nurse must first determine the
risks and benefits of teaching the task and be able to confidently predict its outcome.
• Assess your performance. The nurse must determine if you're able to perform the task correctly.
• Determine if the task that is taught can be performed for more than one client. Each client is unique.
• Monitor you over time to ensure you remain able to perform the task correctly and safely.
In the community the nurse may provide you with written instructions, predicted outcome and what to
record.
You can refuse a task to be delegated to you if:
• you have concerns about your ability to do the task
• it is beyond your scope of practice
• the client's condition changes
5 RIGHTS OF DELEGATION
right task
right circumstance
right person
right direction/communication
right supervision/evaluation
The right task
Can the task be delegated? Does the provincial nursing act or health professions act allow the nurse to
delegate the task? Is the task in your job description? Have you been trained to do the task? A job
description should be available.
The right circumstances
What are the client's physical, emotional, social, spiritual and cognitive needs currently? Do you
understand the purpose of the task for the client? Do you have the equipment and supplies needed to
perform the task? Do you know how to use the equipment and supplies?
The right person
Do you have the training and experience to safely perform the task for this client? Do you have concerns
about performing the task?
The right directions and communication
has the nurse provided clear directions and instruction? Has the nurse told you what to do, when to do
it, what observations to make and when to report back? Are the directions legal, ethical, and consistent
with employer policies? Can you review the task with the nurse? Do you understand what the nurse
expects?
The right supervisions and evaluation
, Is a nurse available to answer questions? Is a nurse available if a client's condition changes or if problems
occur? After the task is completed, does the nurse assess how the task affected the client? Does the
nurse discuss your performance with you, telling you what you did well and how to improve your work?
culture: the characteristics of a group of people, including
language, values, beliefs, customs, habits, ways of life, rules for behaviour, music and tradition
CULTURE
makes a society distinctive. It refers to the characteristics of a group of people, the language, values,
beliefs, way of life, habits, implied rules and behaviours, music and traditions that are shared or perhaps
even passed down generation to generation. Culture may be influences by age, race, gender, occupation
sexual orientation or lifestyle.
Everyone is part of a culture. Some people belong to more than one culture. Cultural characteristics
which are learned by living in a group influence a person's behaviours and attitudes.
Ethnicity is an important influence on a person's culture but it is not the only influence.
Some people have chosen to assimilate their styles of dress, eating habits, or other behaviours when
with people from another culture.
A person's culture can change over time as the person leaves one group and joins another or encounters
new life experiences.
Culture and Religion
In most cultures, religion is very important. Religion relates to spiritual beliefs, needs, and practices and
ay promote beliefs and practices related to daily living habits, behaviours relationships with others, diet,
healing, days of worship, birth and birth control, medicine and death. Many people rely on religion for
comfort during illness. They may want to pray, observe certain practices and may want a visit from a
spiritual leader/advisor. Promptly report this request to your supervisor. Never try to convert a client and
treat all religious items with respect - do not touch unless permitted.
Maslow's Hierarchy of Needs
A need is something that is necessary or desirable for maintaining life and psychosocial well-being.
According to Maslow, certain basic needs must be met for a person to survive and function. These needs
are arranged in a hierarchy, or order or importance. Lower-level needs must be met before higher-level
needs.
The basic needs from the lowest-level to the highest-level as follows:
• Physical needs (must be met first): oxygen, food, water, elimination, rest and shelter.
• Need for safety: protection from harm, danger, fear and pain.
• Need for love and belonging: Romantic and physical love. The need for a rightful place in society, in a
peer group and in family
• Need for self-esteem: thinking well of oneself and being well thought of by others. When self-esteem is
fulfilled, a person feels confident, adequate and useful.
• Need for self actualization, or the fulfillment of one's potential (last need to be met) Learning,
understanding, and creating one's best life.
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