Total care patient in nursing home! Help!

[nursing2017brcc]

So I'm in my first semester of nursing school and just started clinical rotations in a nursing home. We each got assigned a patient that we are supposed to work with and within two weeks be able to pass meds to them and answer questions about all of their medications. My teacher assigned me to one of the few patients in this nursing home that is a total care patient. She told us to go and perform our head to toe assessment on our patients, then do all of their AM care and assist with breakfast. She said that the residents will be able to guide you through what to do with them since most of them know their morning routines. When I got to my patient's room to do my head to toe I realized exactly what they meant by total care patient. This patient had a stroke a few months ago and is now NPO bc she can not swallow or speak, she has a PEG tube with continuous feedings and she's completely immobile. I've only been in school for about a month and a half and although we checked off on doing physical assessments, I was not prepared for someone that couldn't speak to me or answer any questions. I wasn't sure how much I should move her around to check her back or anything so I just did the few parts of the assessment that I could do. I also don't know what to do for her morning care since she can't tell me what she usually does. We started our rotation at 5am and the CNA did not get to my patients room until 8:30 and she just changed her brief and then left. My patients mouth was dry and I wanted to try to provide some oral care or do some type of morning care with her but I'm unsure of what I can and can't do with her. My instructor was no help at all. She told me to figure out how to do my assessment and ask the CNA about morning care. When I asked the CNA she ignored me and said "all i have to do right now is change her briefs."

After a few hours I was given my patients chart to look through and document all of the information that I needed to complete all of my clinical paper work. Her chart was thicker than the bibe and very unorganized. Her medication list had 17 medications listed but when I watched the RN give her her medications she only gave her Tylenol.

I'm very confused on what type of care I'm supposed to be providing to my patient and I am freaking out because I have to pass clinicals to pass the class. Any advice is welcome!!

[GinaJo]

We don't have access to her chart so you need to keep utilizing the staff and her chart. What's the timing on her medications? Are they current or did they have an end date that already passed? Can you do oral care on her (that's an easy one) if her mouth is dry? Does she have limitations to her ROM that would impede you moving her? Prioritize and plan.