CDP Legal & Regulatory Frameworks Flashcards

What does the term 'least restrictive alternative' mean in dementia care regulations?

Answer: Using the intervention that limits freedom the least while still ensuring safety

Regulations require that care interventions impose the minimum necessary restriction on a person's freedom while addressing safety needs.

Under federal nursing home regulations, chemical restraints are defined as:

Answer: Medications used to discipline residents or for staff convenience rather than treatment

Chemical restraints are medications administered not for a medical purpose but to control behavior or convenience care staff, which is prohibited.

Which federal agency oversees the certification and inspection of Medicare- and Medicaid-certified nursing facilities?

Answer: Centers for Medicare & Medicaid Services (CMS)

CMS sets the Conditions of Participation for nursing facilities and oversees state survey agencies that conduct inspections.

What is the role of the Long-Term Care Ombudsman in dementia care?

Answer: Investigating and resolving complaints on behalf of nursing facility residents

The LTC Ombudsman Program, established under the Older Americans Act, advocates for resident rights and investigates complaints.

A person with mild dementia wants to participate in decisions about their own care plan. How should a CDP support this?

Answer: Include them in care plan meetings and use plain language to explain options

Even with mild dementia, individuals retain the right to participate in their care; practitioners must adapt communication to support meaningful involvement.

Which document specifically outlines a person's wishes regarding CPR and mechanical ventilation at end of life?

Answer: Do Not Resuscitate (DNR) order

A DNR order is a physician-signed directive specifying that CPR and certain life-sustaining interventions should not be initiated.