Declining health can occur at any given time at any given age, not just during the aging process. Keep in mind that although health may decline it does not necessarily mean that death is imminent. A patient/client is deteriorating when he/she shifts from one state clinically to a worse clinical state, leading to an increased risk in organ failure, prolonged hospital stays and death. Therefore, it is imperative that when decline is noted, one must recognize the signs of health deterioration whether it is decline in a loved one or the home health client you take care of. Signs of Decline in the Home Care Client By: Helen Jenkins MSN, CDCES Director of Education
Remember as the caregiver, you are the first line of defense when providing care to the home care client. You serve as the eyes and ears of the nurses, and it is your responsibility, and requirement to report all changes noticed in the client. It is very important not to delay letting the nurse or the Certified Nurse Assistant Field Supervisor know what is going on.
DOCUMENT ALL CHANGES NO MATTER
HOW SMALL OR INSIGNIFICANT
Common health changes that are signs of decline Below are some of the common health changes that are signs of declining health. Physical changes
Nutrition Decrease in food intake, lack of appetite. Inability to chew or swallow food. New episode of vomiting and diarrhea not related to medication. Cognitive New episodes of forgetfulness without reason or an increase in forgetfulness Inability to comprehend simple tasks
Gait changes: Needing assistive devices such as a walker, increase in falls and bruises. Fluctuations in weight:Loss of weight for no apparent reason. Personal hygiene: Decrease interest in taking a shower, bath, or dental care
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