Caring for a Blind Resident 

Purpose: 

To maximize resident communication, provide for safety, and maintain resident dignity. 

Procedure: 

1. Communication and Interaction: 

• Identify yourself when you arrive. 

• Announce your intention to leave before you do so. 

• Speak clearly and slowly, with your mouth directed toward the resident. 

• Include the resident in conversations and introduce them to others involved in the conversation. 

• Take the time to explain what is happening around the resident and describe the environment.

• 2. Assistance and Guidance: 

• Lead and never push the resident. 

• Tell the resident when you move an object from a familiar place. 

• Use the clock placement method to describe the location of each kind of food on a plate. 

• Go through a door ahead of the blind resident and indicate which way the door opens. 

• Place the resident’s hand on a chair or bed before they sit. 

• Stop completely before helping the resident up or down stairs.

• 3. Safety Measures: 

• Always ensure that the environment is free of obstacles that may pose a hazard. 

• Ensure the resident knows where emergency exits and important facilities are located. 

Documentation: 

• Record the date and time (or shift) as appropriate. 

• Document how well the resident is able to safely function in their environment and how well they accept their limitations. 

• Include any specific observations or incidents that occurred during the care period. 

Compliance and Documentation: 

• Adhere to CMS guidelines and Requirements of Participation for Long-Term Care Facilities. 

• Ensure all procedures and interactions are documented accurately in the resident’s care plan. 

• Regularly review and update techniques for caring for blind residents according to the latest clinical best practices and regulatory standards. 

• Provide training to staff on proper procedures for caring for blind residents to ensure their safety, communication, and dignity. 

• Conduct regular audits to ensure compliance with this policy and address any gaps in practice or documentation. 

References: 

• Centers for Medicare & Medicaid Services (CMS). State Operations Manual (SOM), Appendix PP - Guidance to Surveyors for Long-Term Care Facilities. 

• CMS Requirements of Participation for Nursing Homes.