1. Hospital Stays for Self-Advocates Presented by: APS Healthcare Southwestern PA Health Care Quality Unit (HCQU) December 2010 mlg

2. © 2009 APS Healthcare, Inc. 2 Disclaimer Information or education provided by the HCQU is not intended to replace medical advice from the consumer’s personal care physician, existing facility policy or federal, state and local regulations/codes within the agency jurisdiction. The information provided is not all inclusive of the topic presented. Certificates for training hours will only be awarded to those who attend a training in its entirety. Attendees are responsible for submitting paperwork to their respective agencies.

3. © 2009 APS Healthcare, Inc. 3 Note of Clarification While mental retardation (MR) is still recognized as a clinical diagnosis, in an effort to support the work of self-advocates, the APS SW PA HCQU will be using the terms intellectual and/or developmental disability (ID/DD) to replace mental retardation (MR) when feasible.

4. © 2009 APS Healthcare, Inc. 4 Objectives  Participant will: Learn what HELPS them to feel comfortable if they need to go to the hospital

5. © 2009 APS Healthcare, Inc. 5 You May Go To The Hospital When You…  Are feeling sick  Need an operation  Are going to have some tests done

6. © 2009 APS Healthcare, Inc. 6 X ray Room

7. © 2009 APS Healthcare, Inc. 7 Prepare for a Hospital Stay By… Visiting the hospital –Meet the doctors and the nurses –Ask questions Pack personal belongings

8. © 2009 APS Healthcare, Inc. 8 How You Might Feel Sick or in pain Nervous (moody or irritable) Always thinking about the hospital Unable to sleep

9. © 2009 APS Healthcare, Inc. 9 You go to the Hospital to Feel Better Doctors Nurses –Are nice and want to help

10. © 2009 APS Healthcare, Inc. 10 How will the Room Look? Bed with rails and buttons Telephone A curtain A bathroom TV

11. © 2009 APS Healthcare, Inc. 11 Can I Wear My Own Clothes? Pajamas Bathrobe Slippers Sweat suit

12. © 2009 APS Healthcare, Inc. 12 What if You Are Rushed to the Hospital? An emergency What you can do to make it easier? –Take some deep breaths –Relax and don’t be afraid

13. © 2009 APS Healthcare, Inc. 13 What Happens in the Emergency Room? (ER) You will see the nurse and doctor You will see different machines

14. © 2009 APS Healthcare, Inc. 14 When You Need a Shot or IV Medicine

15. © 2009 APS Healthcare, Inc. 15 Admitted to the Hospital Going to your room

16. © 2009 APS Healthcare, Inc. 16 What Happens if you Need an Operation? Can’t eat or drink Wear a hospital gown Medication

17. © 2009 APS Healthcare, Inc. 17 Going to the Operating Room On a wheeled cart People will wear masks, glasses, and hats You will go to sleep

18. © 2009 APS Healthcare, Inc. 18 Waking in the Recovery Room A nurse will be right there for you –Telling you the operation is over –You may not remember much –You may not think clearly

19. © 2009 APS Healthcare, Inc. 19 Back in your Hospital Room The nurse will bring you something to drink Ask for medication if you hurt

20. © 2009 APS Healthcare, Inc. 20 Helping Yourself Ask Questions Keep busy Tell others how you feel Rest

21. © 2009 APS Healthcare, Inc. 21 Relax Breathe deep and slow

22. © 2009 APS Healthcare, Inc. 22 References  Free images, Microsoft Office. Retrieved August 19, 2010 from http://office.microsoft.com/en- us/images/results.aspx?qu=pajamas#ai:MP900407502|mt:2|  Comprehensive Program to Support Patients and Staff Improves Hospital Experience for Adult Patients with Intellectual and Developmental Disabilities, AHRQ Health Care – Innovations Exchange. Retrieved on November 23, 2010 from http://www.innovations.ahrq.gov/content.aspx?id=2781  Stevens, G. (2002). The Hospital, Milwaukee, Wisconsin: World Almanac Education Group Company.  Mindfulness Training Assists Individuals with Moderate MR to Maintain Their Community Placements, Sage Journals Online. Retrieved November 23, 2010 from http://bmo.sagepub.com/cgi/content/abstract/31/6/800

23. © 2009 APS Healthcare, Inc. 23 To register for future trainings, or for more information on this or any other physical or behavioral health topic, please visit our website at www.hcqu.apshealthcare.com

24. © 2009 APS Healthcare, Inc. 24

25. Evaluation Please take a few moments to complete the evaluation form found in the back of your packets. Thank You!