Residents’ Rights

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Basic Human Rights

– Protected by Constitution– Laws clarify these rights:

• Right to be treated with respect• Right to live in dignity• Right to pursue a meaningful life• Right to be free of fear

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Basic Human Rights

Behaviors that infringe on human rights:

• addressing residents as children• using demeaning nicknames for

residents• leaving door open during bath• threatening a resident with harm

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• Ethical and legal basis• States have adopted or codified

these rights into law• Posted in facility• Distributed on admission in

many facilities

OBRA 1987 Residents’ Bill of Rights

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Residents have the right to:

2. receive care, treatment, and services which are adequate and in compliance with rules

OBRA 1987 Residents’ Bill of Rights

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Residents have the right to:

3. receive a statement of services and charges

OBRA 1987 Residents’ Bill of Rights

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Residents have the right to:

4. have on file the attending physician’s proposed schedule of medical treatment.

OBRA 1987 Residents’ Bill of Rights

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Residents have the right to:

5. privacy

OBRA 1987 Residents’ Bill of Rights

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Residents have the right to:

6. Be free from mental and physical abuse, and free from restraint (except in an emergency)

OBRA 1987 Residents’ Bill of Rights

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Residents have the right to:

7. receive reasonable response to all requests

OBRA 1987 Residents’ Bill of Rights

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Residents have the right to:

8. associate and communicate privately

OBRA 1987 Residents’ Bill of Rights

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Residents have the right to:

9. manage financial affairs

OBRA 1987 Residents’ Bill of Rights

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Residents have the right to:

10.private visits from spouse

OBRA 1987 Residents’ Bill of Rights

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Residents have the right to:

11. privacy in the resident room. Personal items should not be searched.

OBRA 1987 Residents’ Bill of Rights

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Residents have the right to:

12.present grievances and recommend changes

OBRA 1987 Residents’ Bill of Rights

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Residents have the right NOT to:

13.perform services for the facility

OBRA 1987 Residents’ Bill of Rights

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Residents have the right to:

14.retain, store, and use personal clothing and possessions

OBRA 1987 Residents’ Bill of Rights

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Residents have the right NOT to:

15.be randomly discharged or transferred from the facility

OBRA 1987 Residents’ Bill of Rights

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Residents have the right to:

16.be notified if the facility is given a provisional license

OBRA 1987 Residents’ Bill of Rights

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Behaviors That Uphold Residents’ Rights

• Address as Mr., Mrs., or Miss unless asked to use a specific name

• Never withhold social responsiveness• Never ignore residents• Make eye contact

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Behaviors That UpholdResidents’ Rights

–Make eye contact– Allow to complete sentences prior to

leaving room– Don’t shut or slam door to quiet

resident– Never threaten or intentionally hurt

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Behaviors That UpholdResidents’ Rights

• Encourage socialization (meal-time)• Assist to activities/meetings/church• Participate in planned activities• Help with phone calls, cards, mail

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Behaviors That Uphold Residents’ Rights

• Explain care you plan to give • Observe safety precautions• Obtain proper consent after identifying

resident

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Behaviors That Uphold Residents’ Rights

• Treat all residents equally• Promote positive attitudes• Report errors to supervisor immediately

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Behaviors That Uphold Residents’ Rights

• Handle personal items carefully

• Add new items to list of resident’s belongings

• Mark all items with resident’s name

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Behaviors That Uphold Residents’ Rights

• Sit when feeding a resident• Offer a clothing protector; do NOT

automatically place clothing protector on the resident prior to eating

• Give resident centered, not task centered care

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Behaviors That Uphold Residents’ Rights

• Address resident in a dignified way• Listen to what resident has to say• Converse with resident in an adult

manner• Respect resident’s privacy

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Behaviors That Uphold Residents’ Rights

• Adult residents must be treated as adults. Give age appropriate care.

• Age-appropriate considerations:– Style of dress– Hair style and grooming– Recreational activities– Social activities

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Age Appropriate CareGuidelines

• Don’t ignore or humor resident• Explain what care you are going to give• Promote resident independence• Treat resident as you would want to be

treated

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Age Appropriate CareGuidelines

Encourage resident to make choices:• select clothing to wear• select books to read• select television programs to watch

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Age Appropriate CareGuidelines

Encourage resident to make choices:• select food and nourishments• select activities of interest• select friends

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Age Appropriate CareGuidelines

• Recognize value of past experience (validate the resident)

• Praise age appropriate accomplishments• Encourage adult behavior

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