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Skilled Nursing Facility Interventions: Applying GEMS States, A Case Study Utilizing Positive Approach To Care

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1.  Which GEMS® state is clear and sharp? Emerald Diamond Ruby Pearl

2.  In which GEMS® state does a person start to miss details? Emerald Diamond Ruby Pearl

3.  During the ruby state, Mr. Bob retains strength and not skills. What is a recommendation for feeding? The use of finger foods Foods that need utensils Foods that need cutting None of the above

4.  What is an important component of the pearl state during ADLs? Staff/caregiver training to slow down and be gentle to reduce the risk of pain Use single words and wait for a facial reaction or response Tell him what you are going to do before you do it, but in simple terms All of the above

5.  What is NOT an appropriate environmental adaptation for someone in a pearl state? Familiar music Loud, stimulating music Lavender spray Slow, instrumental music