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This study's purpose was to test the methodology and instrument that was developed to investigate the evolving relationship between the severely physically disabled adult (attendee) and his or her personal care attendant (PCA). PCAs were identified as the single most important factor in helping disabled persons achieve independence. The study employed the case study method. Subjects were four matched pairs consisting of a PCA and their severely disabled adult attendee. Conclusions from the study were (1) a successful relationship was defined by both the attendant and attendee as one that was satisfying and balanced by friendship and work productivity, and (2) categories of salient variables affecting the relationship were interpersonal, intrapersonal, technical, and informational in nature.
"Caregiver" means an individual or facility who has responsibility for the care of a vulnerable adult as a result of a family relationship, or who has assumed responsibility for all or a portion of the care of a vulnerable adult voluntarily, by contract, or by agreement.
(a) "Facility" means a hospital or other entity required to be licensed under sections 144.50 to 144.58; a nursing home required to be licensed to serve adults under section 144A.02; a facility or service required to be licensed under chapter 245A; an assisted living facility required to be licensed under chapter 144G; a home care provider licensed or required to be licensed under sections 144A.43 to 144A.482; a hospice provider licensed under sections 144A.75 to 144A.755; or a person or organization that offers, provides, or arranges for personal care assistance services under the medical assistance program as authorized under sections 256B.0625, subdivision 19a, 256B.0651 to 256B.0654, 256B.0659, or 256B.85.
(a) The Department of Health is the lead investigative agency for facilities or services licensed or required to be licensed as hospitals, home care providers, nursing homes, boarding care homes, hospice providers, residential facilities that are also federally certified as intermediate care facilities that serve people with developmental disabilities, or any other facility or service not listed in this subdivision that is licensed or required to be licensed by the Department of Health for the care of vulnerable adults. "Home care provider" has the meaning provided in section 144A.43, subdivision 4, and applies when care or services are delivered in the vulnerable adult's home.
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This course starts by assisting the student in developing life management skills to support success in nursing school. Learning style, study skills, and time management practices are emphasized. NCLEX-PN test taking strategy development is highlighted. The course introduces fundamental nursing concepts and theory which underlie basic assessment and nursing skills. The nursing process is introduced as a framework for competent clinical decision-making. Fundamentals of safety are taught as it applies to evidence-based, client- centered care. The student will demonstrate critical thinking, decision making, and priority setting, essential to successful assessment and application of nursing skills in the laboratory setting. The student will learn personal and professional behaviors that support a caring relationship with clients and colleagues.Prerequisites: Admission to the ProgramCo-requisites: Program sequencing must be followed
(3) the vulnerable adult, who is not impaired in judgment or capacity by mental or emotional dysfunction or undue influence, engages in consensual sexual contact with: (i) a person including a facility staff person when a consensual sexual personal relationship existed prior to the caregiving relationship; or (ii) a personal care attendant, regardless of whether the consensual sexual personal relationship existed prior to the caregiving relationship.
As used in this article, unless the context otherwise requires:(1) "Abuse" means any of the following acts or omissions committed against an at-riskperson:(a) The nonaccidental infliction of bodily injury, serious bodily injury, or death;(b) Confinement or restraint that is unreasonable under generally accepted caretakingstandards; or(c) Subjection to sexual conduct or contact classified as a crime under this title.(2) "At-risk adult" means any person who is seventy years of age or older or any person whois eighteen years of age or older and is a person with a disability as said term is defined in subsection(11) of this section.(2.5) "At-risk adult with IDD" means a person who is eighteen years of age or older and isa person with an intellectual and developmental disability, as defined in section 25.5-10-202 (26)(a), C.R.S.(3) "At-risk elder" means any person who is seventy years of age or older.(4) "At-risk juvenile" means any person who is under the age of eighteen years and is aperson with a disability as said term is defined in subsection (11) of this section.(4.5) "At-risk person" means an at-risk adult, an at-risk adult with IDD, an at-risk elder, oran at-risk juvenile.(5) "Caretaker" means a person who:(a) Is responsible for the care of an at-risk person as a result of a family or legal relationship;(b) Has assumed responsibility for the care of an at-risk person; or(c) Is paid to provide care or services to an at-risk person.(6) (a) "Caretaker neglect" means neglect that occurs when adequate food, clothing, shelter,psychological care, physical care, medical care, habilitation, supervision, or any other treatmentnecessary for the health or safety of an at-risk person is not secured for an at-risk person or is notprovided by a caretaker in a timely manner and with the degree of care that a reasonable person inthe same situation would exercise, or a caretaker knowingly uses harassment, undue influence, orintimidation to create a hostile or fearful environment for an at-risk person.(b) Notwithstanding the provisions of paragraph (a) of this subsection (6), the withholding,Colorado Revised Statutes 2016 315 Uncertified Printoutwithdrawing, or refusing of any medication, any medical procedure or device, or any treatment,including but not limited to resuscitation, cardiac pacing, mechanical ventilation, dialysis, andartificial nutrition and hydration, in accordance with any valid medical directive or order or asdescribed in a palliative plan of care, is not deemed caretaker neglect.(c) As used in this subsection (6), "medical directive or order" includes a medical durablepower of attorney, a declaration as to medical treatment executed pursuant to section 15-18-104,C.R.S., a medical order for scope of treatment form executed pursuant to article 18.7 of title 15,C.R.S., and a CPR directive executed pursuant to article 18.6 of title 15, C.R.S.(7) "Clergy member" means a priest; rabbi; duly ordained, commissioned, or licensedminister of a church; member of a religious order; or recognized leader of any religious body.(8) "Convicted" and "conviction" mean a plea of guilty accepted by the court, including aplea of guilty entered pursuant to a deferred sentence under section 18-1.3-102, a verdict of guiltyby a judge or jury, or a plea of no contest accepted by the court.(9) "Crime against an at-risk person" means any offense listed in section 18-6.5-103 orcriminal attempt, conspiracy, or solicitation to commit any of those offenses.(10) "Exploitation" means an act or omission committed by a person who:(a) Uses deception, harassment, intimidation, or undue influence to permanently ortemporarily deprive an at-risk person of the use, benefit, or possession of any thing of value;(b) Employs the services of a third party for the profit or advantage of the person or anotherperson to the detriment of the at-risk person;(c) Forces, compels, coerces, or entices an at-risk person to perform services for the profitor advantage of the person or another person against the will of the at-risk person; or(d) Misuses the property of an at-risk person in a manner that adversely affects the at-riskperson's ability to receive health care or health care benefits or to pay bills for basic needs orobligations.(10.5) "Mistreated" or "mistreatment" means:(a) Abuse;(b) Caretaker neglect; or(c) Exploitation.(11) "Person with a disability" means any person who:(a) Is impaired because of the loss of or permanent loss of use of a hand or foot or becauseof blindness or the permanent impairment of vision of both eyes to such a degree as to constitutevirtual blindness;(b) Is unable to walk, see, hear, or speak;(c) Is unable to breathe without mechanical assistance;(d) Is a person with an intellectual and developmental disability as defined in section 25.5-10-202, C.R.S.;(e) Is a person with a mental illness as the term is defined in section 27-65-102 (14), C.R.S.;(f) Is mentally impaired as the term is defined in section 24-34-501 (1.3) (b) (II), C.R.S.;(g) Is blind as that term is defined in section 26-2-103 (3), C.R.S.; or(h) Is receiving care and treatment for a developmental disability under article 10.5 of title27, C.R.S.(12) "Position of trust" means assuming a responsibility, duty, or fiduciary relationshipColorado Revised Statutes 2016 316 Uncertified Printouttoward an at-risk adult or at-risk juvenile.(13) "Undue influence" means the use of influence to take advantage of an at-risk person'svulnerable state of mind, neediness, pain, or emotional distress. 2ff7e9595c
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