JOB ROLE: GENERAL DUTY ASSISTANT

Sector- Health Care

(Qualification Pack Code: HSS/Q5101 )

PSS Central Institute of Vocational Education

Shymala Hills, Bhopal – 462013 , Madhya Pradesh, India

www.psscive.ac.in

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UNIT 3: ROLE OF GENERAL DUTY ASSISTANT FOR IN- PATIENT CARE

Session 1:

Activities of Patient Care

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Content

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Title Slide No.

Objectives 4

Health Care Delivery System 5

Health Care Model in India 6-11

Hospital 12

Components of Hospitals 13

Functions of Hospital 14-17

Session Objectives

The student will be able to:-

• Explain activities of daily living in health care

• Prepare nursing care plan of a patient

• Understand the role of GDA in patient care.

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Activities of Daily Living (ADLs)

• Activities of daily living in health care are routinely performed by any individual to maintain themselves.

• They are: feeding ourselves, bathing, dressing, grooming, homemaking, and leisure activities.

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Activities of Daily Living (ADLs

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Leisure Activities

Home making

BathingFeeding

Ourselves

Dressing

Grooming

General Duty Assistance in the Hospital

The GDA’s assistance may be of help in doing the following self care activities.

• Bathing and showering (washing the body).

• Bowel and bladder management (related to incontinence).

• Eating (difficulty in chewing and swallowing)

• Dressing

7Cont…

General Duty Assistant in the Hospital

• Feeding (setting up food and bringing it to the mouth)

• Functional mobility (moving from one place to another while performing activities)

• Personal device care

• Personal hygiene and grooming (including washing hair)

• Toilet hygiene (completing the act of relieving oneself)

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Daily Care Plan of Patients by General Duty Assistant (GDA)

• Way to reduce stress of a patient is to establisha regular routine.

• Fine-tuned to ensure patient seemscomfortable.

• Environment needs to be relaxed and friendly.

• Pictures of happy days, or incense, or music , ifthese are helpful to the patient feel comfort.

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Helping Tips

These are some specific activities in health care:-

• Bathing

• Grooming

• Dressing

• Toileting

• Dental care

• Eating

• Drinking water

• Taking medicine10

Bathing

• Temperature of the water is normal.

• A bathroom can be very unsafe for a patient ifleft alone, so stay with the patient.

• A thin towel can be used.

• A bath stool may be needed so that the patientsits down comfortably for the bath.

• Use the bath time to check the patient forinjuries and sores.

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Grooming

• Patients may cut themselves while shavingwith an ordinary razor, and therefore switchto twin blade or electric razors.

• Combing of hair is another activity that needsassistance.

• Fine coordination activities like nail cuttingand filing also needs help to perform.

• If patients are unable to groom forthemselves, the caregiver needs to ensure thepatient is presentable.

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Dressing

• Clothing needs to be comfortable to wear aswhen coordination reduces it becomes difficult.

• Make sure clothes are not long to avoid fall.

• Switch to clothes without much zippers orbuttons.

• Instead of choosing dress with strings, use withelastic or Velcro straps.

• Use shoes with Velcro straps instead of shoeswith laces.

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Toileting

• Incontinence occurs for many reasons likeinability of patient to reach the bathroom intime, or forgetting where the bathroom is.

• Be aware of signs of constipationand dehydration in patient and change diet andwater intake accordingly.

• If the patient shows signs of pain while passingurine or during bowel movements, consult withthe doctor.

• Accidental fall may occur in toilets, hence itshould be kept dry always.

14Cont..

Toileting

• Grab rails or toilet seats with rails may makethe experience of sitting on the toilet seat lessfrightening for the patient.

• Watch the patient to ensure proper wiping, andproper washing of hands.

• For visits outside, diapers may be a good option.Patients will need assistance in wearing andremoving diapers.

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Dental care

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S .No. Dental care

1.

2.

3.

The patient may need help to

brush properly.

Denture cleaning may be

done by the caregiver and

GDA will have to assist the

patient to put on and remove

the dentures.

Care should be taken to place

the dentures properly, or the

patient will get sores in the

mouth.

Eating

• Ensure patient is reminded of taking food by a caregiver.

• Food may need to be cut down in smaller sizes to cheweasily.

• Patients may not mix food while eating hence caregiversmay need to mix food or make combined dishes likepulao, khichdi, bisi bele rice and curd rice.

• Chewing becomes a problem over time, and food mayneed to be made softer, and finally, liquidized in a Mixer.

• Consult doctors about diet supplements

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General Instructions for GDA in Feeding Patients

• Diet of patient should be planned according tohis need, metabolic changes, food habit andsocioeconomic status.

• Provision should be made to wash hands andthe face of the patient before and after themeals.

• Dressings and painful treatments are finishedat least 1 hour before meal is served.

• Playing a soft music adds to the pleasure of thepatient and can serve as appetizer to the meals. 18

Cont ….

General Instructions for GDA in Feeding Patients

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• The patient should be placed in a comfortable position inbed or out of bed.

• Meals should be served in clean and covered containers.

• Fluid requirement should be met to prevent dehydration.Fluids are given at the end of a meal or in between themeals.

• The patients on tube feeding may be given a chance to tastethe food so as to arouse the appetite and for theirsatisfaction.

• The GDA should record and report the quantity of food thepatient has eaten.

Drinking Water

• Sometimes, patients reduce their water intake,to avoid repeated trips to the bathroom.

• They may also forget to drink water.

• Caregivers need to make sure that patients aredrinking enough water.

• Doctors may also ask patients to includeelectrolyte drinks in the daily routine duringelectrolyte imbalance.

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Taking Medication

• Patients cannot keep track of their medicines.so use small labeled boxes for the medicines.

• Forgetting to take medication is a commonproblem thus, caregivers should remind this.

• Doctor should be consulted if the patient finds itdifficult to chew or swallow

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Summary

• Activities of daily living includes feeding ourselves,bathing, dressing, grooming.

• General Duty Assistant (GDA) helps patients inDental care and medications with proper procedure.

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Assignment

S. No. Activity

1. Prepare a care plan for diabetic patient.

2. List any five daily activities of patient.

3. Write some specific activities of health care.

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Thank youPresented By

Mrs. Sudha Tiwari

Mr: Rahul Deshmukh

Contact us

Joint DirectorPSS Central Institute of Vocational Education

Shyamla Hills, Bhopal – 462013 , Madhya Pradesh, INDIA

__________________________________________________________________________

E-mail: jdpsscive@gmail.com

Tel. +91 755 2660691, 2704100, 2660391, 2660564

Fax +91 755 2660481

Website: www.psscive.ac.in 24