HCA
202
written
portion
PIECES
stands
for
and
means
-
ANS
Physical-
Basic
needs:
(Hunger,
thirst,
need
to
toilet)
Recent
change
in
medical
condition:
(pain,
delirium,
infection)
Medication:
(new
med,
dosage,
prns)
Altered
senses
(cold,
hot,
glasses
hearing
aids)
Intellectual-
getting
to
know
them
on
a
intellectual
level
Emotional
-
How
is
the
person
feeling
and
doing.
Capabilities
-what
are
they
still
capable
of
Environment
-Making
sure
its
safe,
Eliminate
clutter,
is
too
hot
or
cold)
Social
-
supporting
them
in
engaging
in
social
activities,
asking
them
for
walks
Seven
A's
of
Dementia
-
ANS
Anosognosia-
loss
of
insight
Amnesia:
is
the
loss
of
memories
Altered
Perception:
loss
of
perceptual
acuity
Aphasia:
loss
of
language
Apathy:
loss
of
initiation
Agnosia:
is
the
loss
of
the
ability
to
recognize.
Apraxia:
Loss
of
purposeful
movements
Normal
Changes
Related
to
Aging
-
ANS
Some
brain
cells
are
lost.
Nerve
conduction
slows.
Response
and
reaction
times
are
slower.
Reflexes
are
slower. Blood
flow
to
the
brain
is
reduced.
Mild
word-finding
problems
occur.
Vision
and
hearing
decrease
gradually
with
age.
Taste
and
smell
decrease.
Early
Warning
Signs
of
Dementia
and
examples
-
ANS
•
Memory
impairment
that
affects
daily
activities
(e.g.,
misplacing
items
or
putting
them
in
odd
places)
•
Disorientation
(e.g.,
getting
lost
in
familiar
places
or
forgetting
how
to
use
simple,
everyday
items
such
as
a
microwave)
•
Repeating
words
or
sentences;
difficulties
finding
the
right
words
or
following
conversations
•
Poor
judgement
(e.g.,
going
outdoors
in
the
snow
without
shoes)
•
Difficulties
with
common
tasks
(e.g.,
dressing,
cooking,
driving)
•
Changes
in
mood,
behaviour,
or
personality
(e.g.,
unfounded
jealousy,
suspiciousness,
or
poor
social
behaviour)
•
Loss
of
interest
in
activities
or
hobbies
Supporting
Clients
With
Disorientation
or
Dementia
-
ANS
•
When
visiting
clients
living
with
dementia,
you
should
introduce
yourself
every
time
you
see
them,
no
matter
how
well
they
once
knew
you.
•
Maintain
the
day-night
cycle.
Open
curtains,
shades,
and
drapes
during
the
day.
Close
them
at
night.
Use
a
night
light
at
night.
The
client
should
wear
regular
clothes
during
the
day—not
sleepwear.
•
To
ensure
the
client's
safety,
try
to
keep
the
surroundings
calm,
quiet,
and
peaceful.
Prevent
loud
noises
from
occurring,
avoid
making
hurried
movements,
and
clear
congested
hallways
and
rooms.
•
Talk
about
current
events
and
plans
for
the
day.
Keep
discussions
as
short
as
possible.
Allow
time
for
the
client
to
respond.
•
Follow
the
client's
established
routine.
Having
a
schedule
for
meals,
bathing,
exercise,
watching
TV,
and
other
activities
promotes
a
sense
of
order
and
of
what
to
expect.
•
When
taking
care
of
a
client
who
is
disoriented,
frequently
remind
the
person
of
their
location.
202
written
portion
PIECES
stands
for
and
means
-
ANS
Physical-
Basic
needs:
(Hunger,
thirst,
need
to
toilet)
Recent
change
in
medical
condition:
(pain,
delirium,
infection)
Medication:
(new
med,
dosage,
prns)
Altered
senses
(cold,
hot,
glasses
hearing
aids)
Intellectual-
getting
to
know
them
on
a
intellectual
level
Emotional
-
How
is
the
person
feeling
and
doing.
Capabilities
-what
are
they
still
capable
of
Environment
-Making
sure
its
safe,
Eliminate
clutter,
is
too
hot
or
cold)
Social
-
supporting
them
in
engaging
in
social
activities,
asking
them
for
walks
Seven
A's
of
Dementia
-
ANS
Anosognosia-
loss
of
insight
Amnesia:
is
the
loss
of
memories
Altered
Perception:
loss
of
perceptual
acuity
Aphasia:
loss
of
language
Apathy:
loss
of
initiation
Agnosia:
is
the
loss
of
the
ability
to
recognize.
Apraxia:
Loss
of
purposeful
movements
Normal
Changes
Related
to
Aging
-
ANS
Some
brain
cells
are
lost.
Nerve
conduction
slows.
Response
and
reaction
times
are
slower.
Reflexes
are
slower. Blood
flow
to
the
brain
is
reduced.
Mild
word-finding
problems
occur.
Vision
and
hearing
decrease
gradually
with
age.
Taste
and
smell
decrease.
Early
Warning
Signs
of
Dementia
and
examples
-
ANS
•
Memory
impairment
that
affects
daily
activities
(e.g.,
misplacing
items
or
putting
them
in
odd
places)
•
Disorientation
(e.g.,
getting
lost
in
familiar
places
or
forgetting
how
to
use
simple,
everyday
items
such
as
a
microwave)
•
Repeating
words
or
sentences;
difficulties
finding
the
right
words
or
following
conversations
•
Poor
judgement
(e.g.,
going
outdoors
in
the
snow
without
shoes)
•
Difficulties
with
common
tasks
(e.g.,
dressing,
cooking,
driving)
•
Changes
in
mood,
behaviour,
or
personality
(e.g.,
unfounded
jealousy,
suspiciousness,
or
poor
social
behaviour)
•
Loss
of
interest
in
activities
or
hobbies
Supporting
Clients
With
Disorientation
or
Dementia
-
ANS
•
When
visiting
clients
living
with
dementia,
you
should
introduce
yourself
every
time
you
see
them,
no
matter
how
well
they
once
knew
you.
•
Maintain
the
day-night
cycle.
Open
curtains,
shades,
and
drapes
during
the
day.
Close
them
at
night.
Use
a
night
light
at
night.
The
client
should
wear
regular
clothes
during
the
day—not
sleepwear.
•
To
ensure
the
client's
safety,
try
to
keep
the
surroundings
calm,
quiet,
and
peaceful.
Prevent
loud
noises
from
occurring,
avoid
making
hurried
movements,
and
clear
congested
hallways
and
rooms.
•
Talk
about
current
events
and
plans
for
the
day.
Keep
discussions
as
short
as
possible.
Allow
time
for
the
client
to
respond.
•
Follow
the
client's
established
routine.
Having
a
schedule
for
meals,
bathing,
exercise,
watching
TV,
and
other
activities
promotes
a
sense
of
order
and
of
what
to
expect.
•
When
taking
care
of
a
client
who
is
disoriented,
frequently
remind
the
person
of
their
location.
