Page 29 - From Good Sleep to Wellness

10. Household staff will speak softly and only when necessary when in a resident’s room and the resident or residents appear to be asleep.
11. The least amount of lighting necessary to complete a needed task will be used. When entering the resident’s room adjust the dimmer switch on the entry light to give amount of light needed to safely enter the room. When opening the bathroom door or the hall- way door, ensure that the light does not shine in the resident’s face. A flashlight may be needed.
12. Residents who are incontinent will wear nighttime briefs unless clinically contraindicated.
13. When incontinent residents are awake, they will be checked for incontinence.
14. If a resident who is incontinent is asleep when household staff perform hourly check, the resident will not be awaken unless:
• The resident is at high risk for skin breakdown and the resident was asleep during the previous two hourly checks. A shorter time frame may be needed for residents at very high risk.
• The resident is at low risk for skin breakdown and the resident asleep during previ- ous four hourly checks.
• Refer to Nighttime flow sheet for individual guidelines determined by the resident and/or nurse.
15. Residents who are identified at high risk for pressure ulcers and do not change position without assistance will be repositioned. When household staff makes hourly rounds and finds the resident awake, the resident will be repositioned. If the resident is not awake when it has been more than two hours since last repositioning, household staff will use the weight shift method to relieve pressure over a bony prominence. This can be ac- complished with least disruption to the resident’s sleep.
16. Residents who ask to be out of bed at night will be assisted to be up. Offer the resident a snack and beverage of their choice. If the resident is restless, take to the living room or dining room. When the resident appears to be drowsy, ask if they want to go back to bed. If they indicate yes, return to bedroom and quietly assist them back to bed.
17. Residents will not be awaken at night for vital signs, medications or other procedures unless clinically necessary.
18. The televisions in the household (living room and/or family room) will be turned off during the night. If the television is on in the living room and/or family room for a resident, the volume will be turned down so that resident sleep is not disrupted.
19. Household staff will report successful methods for assisting a resident to sleep at night to the nurse so that it can be added to the resident’s care plan. They will also note it un- der comments on the nighttime rounding flow sheet.
20. Residents will be allowed to sleep as long as they wish in the morning. If a resident