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3: Demonstrating Clinical Competency

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    160142

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    Learning Objectives

    Cognition

    1. Verbalize/write three examples of a cognitive problem for the middle stage of dementia.
    2. Verbalize/write three guidelines for providing assistance to cognitively impaired residents.
    3. Verbalize/write what the best environment for working with the cognitively impaired would include.
    4. Identify cueing systems associated with Alzheimer disease.
    5. Identify useful compensatory strategies for each stage of Alzheimer disease.

    Hearing

    1. Verbalize/write three compensatory techniques for communicating with the hearing impaired.
    2. Understand the difference between sensorineural and conductive hearing loss.
    3. Identify appropriate wear schedule for resident who is a new hearing-aid user.

    Communication

    1. Verbalize/write three suggestions for communicating with right CVA residents.
    2. Identify deficits associated with right CVA residents.
    3. Understand the use of a communication board.
    4. Identify compensatory techniques for motor speech disorders.

    Dysphagia and Eating

    1. Verbalize/write three common diagnoses associated with dysphagia.
    2. Identify the three stages of a normal swallow.
    3. Verbalize/write five common swallowing problems.
    4. Verbalize/write three aspiration precautions.
    5. Demonstrate/verbalize/write three aids to facilitating a safe swallow.
    6. Identify two liquid consistencies.
    7. Demonstrate safe positioning for self-feeding.
    8. Demonstrate use of adaptive devices to assist with self-feeding.
    9. Identify two anatomical sites of the larynx.

    Joint Mobility

    1. Identify three purposes for the RNA to perform range of motion.
    2. Verbalize and demonstrate passive and active/assisted range of motion for four joints.
    3. Identify two contraindications for passive range of motion exercise.
    4. Identify three reasons for the RNA to assist in a routine exercise/maintenance program.
    5. Verbalize two indications and two contraindications for performance of routine exercise.
    6. Identify/verbalize the major muscle groups.
    7. Demonstrate one resistive exercise for the upper extremity and one for the lower extremity.
    8. Demonstrate method to reduce edema.
    9. Demonstrate correct application of a splint.

    ADL Training

    1. Demonstrate lower body dressing technique with an orthopedic resident.
    2. Demonstrate upper body dressing technique with a hemiplegic resident.

    Functional Mobility

    1. Define therapy assist level terms (MAX, MOD, MIN, CGA, SUP, IND).
    2. Define weight bearing status (NWB, TDWB, PWB, WBAT, FWB).
    3. Identify, demonstrate and verbalize precautions for the resident with a total hip replacement and ORIF.
    4. Demonstrate one safe transfer technique for the resident with total hip replacement.
    5. Describe a device to maintain weight-bearing status and the reason for its use.
    6. Demonstrate the appropriate use of one assistive device.
    7. Demonstrate safe positioning techniques for the resident with hemiplegia in bed and wheelchair.
    8. Identify three major pressure risk areas for positioning a hemiplegic resident in bed and in a wheelchair.
    9. Demonstrate one bed mobility technique.
    10. Demonstrate one safe transfer technique for the resident with hemiplegia.
    11. Identify components of a safe partial-assist transfer from bed to wheelchair for a resident with PWB hip fracture.
    12. Demonstrate one safe assisted ambulation technique.
    13. Demonstrate slide board transfer.
    14. Demonstrate the use of the gait belt.
    15. Demonstrate wheelchair set-up and safety.

    This page titled 3: Demonstrating Clinical Competency was last modified on Tue, 27 Oct 2026 23:22:19 GMT and is shared under a Public Domain license and was authored, remixed, and/or curated by staff.