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9780323019194

Mosby's Textbook for Long-Term Care Assistants

by
  • ISBN13:

    9780323019194

  • ISBN10:

    0323019196

  • Edition: 4th
  • Format: Nonspecific Binding
  • Copyright: 2003-01-21
  • Publisher: Mosby

Note: Supplemental materials are not guaranteed with Rental or Used book purchases.

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Summary

This popular text provides complete coverage of the knowledge and skills nursing assistants need to work in a long-term care facility. The concise, readable, highly visual format appeals to learners of all levels. The clear, logical presentation of procedures, with hundreds of large, full-color photos and drawings, makes it easy for students to learn and understand. This new edition addresses the expanding role of the nursing assistant in long-term care, providing additional coverage of assisted living, restraint alternatives, transfers, wound care, elderly abuse, and restorative nursing. Covers all of the knowledge and skills needed by the nursing assistant in long-term care. An attractive, full-color design engages students' interest. Over 100 procedures stressing the quality of life are divided into pre-, procedure, and post-procedure sections for easier learning. Hundreds of full-color photos and drawings add visual appeal and show students how to perform important tasks. What You Will Learn and Key Terms with definitions help students focus on essential information and better understand chapter content. Caring About Culture boxes provide insight and awareness about the practices of various cultures. NNAAP Highlighted skills alert students to procedures that are part of the National Nurse Aide Assessment Program (NNAAP) Residents with Dementia boxes detail special care considerations for residents with Alzheimer's disease and other dementias. Quality of Life boxes present actions and considerations that nursing assistants can use to provide care according to the OBRA mandate to enhance/protect residents' rights and improve their overall well-being. OBRA content is highlighted throughout to reinforce the importance of adhering to these federal standards. Focus on Rehabilitation and Subacute Care boxes provide students with information and insights to effectively care for these special residents. Chapter Review Questions help students evaluate learning.

Table of Contents

I WORKING IN LONG-TERM CARE SETTINGS
Introduction to Long-Term Care
2(17)
Long-Term Care Centers
4(2)
The Nursing Team
6(2)
Nursing Care Patterns
8(1)
The Interdisciplinary Health Care Team
8(3)
Paying for Health Care
11(1)
The Omnibus Budget Reconciliation Act of 1987
12(1)
Resident Rights
12(3)
Ombudsman Program
15(4)
The Nursing Assistant in Long-Term Care
19(20)
History and Current Trends
20(1)
Federal and State Laws
21(2)
Roles and Responsibilities
23(4)
Delegation
27(2)
Ethical Aspects
29(1)
Legal Aspects
30(2)
Reporting Abuse
32(7)
Work Ethics
39(18)
Personal Health, Hygiene, and Appearance
40(2)
Gettting a Job
42(7)
Preparing for Work
49(1)
On the Job
49(3)
Managing Stress
52(1)
Harassment
53(1)
Resigning From a Job
54(3)
Communicating With the Health Team
57(25)
Communication
58(1)
The Medical Record
59(2)
The Kardex
61(1)
Nursing Process
61(7)
Assignment Sheets
68(2)
Resident Care Conference
70(1)
Reporting and Recording
70(2)
Medical Terminology and Abbreviations
72(3)
Computers in Health Care
75(1)
Telephone Communications
76(1)
Dealing With Conflict
76(6)
II FOCUSING ON THE PERSON
Understanding the Resident
82(16)
Caring for the Person
83(1)
Needs
84(1)
Culture and Religion
85(1)
Effects of Illness and Disability
86(1)
Nursing Center Residents
86(2)
Behavior Issues
88(1)
Communicating With the Resident
88(6)
Residents With Disabilities
94(1)
Family and Friends
95(3)
Body Structure and Function
98(24)
Cells, Tissures, and Organs
99(1)
The Integumentary System
100(2)
The Musculoskeletal System
102(3)
The Nervous System
105(4)
The Circulatory System
109(2)
The Respiratory System
111(2)
The Digestive System
113(1)
The Urinary System
114(1)
The Reproductive System
115(3)
The Endocrine System
118(1)
The Immune System
119(3)
The Older Person
122(14)
Psychological and Social Changes
123(2)
Physical Changes
125(4)
Housing Options
129(7)
Sexuality
136(7)
Sex and Sexuality
137(1)
Sexual Relationships
137(1)
Injury, Illness, and Surgery
138(1)
Sexuality and Older Persons
138(1)
Meeting Sexual Needs
139(1)
The Sexually Aggressive Person
140(1)
Sexually Transmitted Diseases
140(3)
III PROTECTING THE PERSON
Safety
143(28)
The Safe Environment
144(1)
Accident Risk Factors
144(1)
Identifying Residents
145(1)
Preventing Falls
146(5)
Preventing Poisoning
151(1)
Preventing Burns
151(1)
Preventing Suffocation
152(1)
Preventing Infection
152(1)
Preventing Equipment Accidents
152(2)
Wheelchair and Stretcher Safety
154(1)
Handling Hazardous Substances
155(2)
Fire Safety
157(5)
Using a Fire Extinguisher
158(1)
Procedure: Using a Fire Extinguisher
159(3)
Disasters
162(1)
Workplace Violence
162(3)
Risk Management
165(6)
Restraint Alternatives and Safe Restraint Use
171(18)
History of Restraint Use
172(1)
Restraint Alternatives
173(1)
Safe Restraint Use
174(15)
Applying Restraints
181(3)
Procedure: Applying Restraints
184(5)
Preventing Infection
189(30)
Microorganisms
190(1)
Infection
191(2)
Medical Asepsis
193(5)
Hand Hygiene
193(1)
Procedure: Hand Washing
194(4)
Isolation Precautions
198(11)
Wearing Gloves
202(1)
Procedure: Removing Gloves
203(1)
Wearing Masks and Respiratory Protection
204(1)
Procedure: Wearing a Mask
204(2)
Wearing Protective Apparel
206(1)
Procedure: Donning and Removing a Gown
206(3)
Bloodborne Pathogen Standard
209(4)
Surgical Asepsis
213(6)
Donning and Removing Sterile Gloves
215(1)
Procedure: Donning and Removing Sterile Gloves
215(4)
Body Mechanics
219(44)
Body Mechanics
220(1)
Ergonomics
220(3)
Lifting and Moving Persons in Bed
223(9)
Raising the Person's Head and Shoulders
224(1)
Procedure: Raising the Person's Head and Shoulders
225(1)
Assisting the Person to Move Up in Bed
226(1)
Procedure: Moving the Person Up in Bed
227(1)
Moving the Person Up in Bed With a Lift Sheet
228(1)
Procedure: Moving the Person Up in Bed With A Lift Sheet
229(1)
Moving the Person to the Side of the Bed
230(1)
Procedure: Moving the Person to the Side of the Bed
231(1)
Turning Persons
232(1)
Procedure: Turning and Positioning the Person
233(3)
Logrolling
234(1)
Procedure: Logrolling the Person
235(1)
Sitting on the Side of the Bed (Dangling)
236(1)
Procedure: Helping the Person Sit on the Side of the Bed (Dangle)
237(2)
Transferring Persons
239(15)
Using a Transfer Belt
239(1)
Procedure: Applying a Transfer Belt
240(1)
Bed to Chair or Wheelchair Transfers
241(1)
Procedure: Transferring the Person to a Chair or Wheelchair
241(3)
Chair or Wheelchair to Bed Transfers
244(1)
Procedure: Transferring the Person From the Chair or Wheelchair to Bed
245(1)
Procedure: Transferring the Person to a Wheelchair With Assistance
246(1)
Using Mechanical Lifts
247(1)
Procedure: Transferring the Person Using a Mechanical Lift
248(2)
Transferring the Person to and From the Toilet
250(7)
Procedure: Transferring the Person to and From the Toilet
251(1)
Moving the Person to a Stretcher
252(1)
Procedure: Transferring the Person to a Stretcher
253(1)
Positioning
254(9)
IV ASSISTING WITH ACTIVITIES OF DAILY LIVING
The Resident's Unit
263(12)
Comfort
264(2)
Room Furniture and Equipment
266(9)
Bedmaking
275(17)
Types of Beds
276(1)
Linens
276(2)
Making Beds
278(14)
The Closed Bed
279(1)
Procedure: Making a Closed Bed
279(5)
The Open Bed
284(1)
Procedure: Making an Open Bed
284(1)
The Occupied Bed
285(1)
Procedure: Making an Occupied Bed
285(4)
The Surgical Bed
289(1)
Procedure: Making a Surgical Bed
289(3)
Hygiene
292(34)
Daily Care
293(1)
Oral Hygiene
294(10)
Brushing Teeth
295(1)
Procedure: Assisting the Person to Brush the Teeth
295(1)
Procedure: Brushing the Person's Teeth
296(2)
Flossing
298(1)
Procedure: Flossing the Person's Teeth
298(1)
Mouth Care for the Unconscious Person
299(1)
Procedure: Providing Mouth Care for an Unconscious Person
300(1)
Denture Care
301(1)
Procedure: Providing Denture Care
302(2)
Bathing
304(13)
The Complete Bed Bath
306(1)
Procedure: Giving a Complete Bed Bath
307(4)
The Partial Bath
311(1)
Procedure: Giving a Partial Bath
312(1)
Tub Baths and Showers
313(3)
Procedure: Assisting With a Tub Bath or Shower
316(1)
The Back Massage
317(1)
Procedure: Giving a Back Massage
318(2)
Perineal Care
320(1)
Procedure: Giving Female Perineal Care
320(3)
Procedure: Giving Male Perineal Care
323(1)
Reporting and Recording
324(2)
Grooming
326(23)
Hair Care
327(6)
Brushing and Combing Hair
327(2)
Procedure: Brushing and Combing Hair
329(1)
Shampooing
330(2)
Procedure: Shampooing the Person's Hair
332(1)
Shaving
333(1)
Procedure: Shaving a Person With a Safety Razor
334(1)
Care of Nails and Feet
335(1)
Procedure: Giving Nail and Foot Care
336(2)
Changing Clothing and Hospital Gowns
338(1)
Procedure: Undressing the Person
339(4)
Procedure: Dressing the Person
343(1)
Changing Hospital Gowns
344(1)
Procedure: Changing the Gown of a Person With an IV
345(4)
Urinary Elimination
349(39)
Normal Urination
350(10)
Bedpans
352(1)
Procedure: Giving the Bedpan
353(3)
Urinals
356(1)
Procedure: Giving the Urinal
357(1)
Commodes
358(1)
Procedure: Helping a Person to the Commode
359(1)
Urinary Incontinence
360(2)
Catheters
362(2)
Procedure: Giving Catheter Care
364(5)
Drainage Systems
366(1)
Procedure: Changing a Leg Bag to a Drainage Bag
367(2)
Procedure: Emptying a Urinary Drainage Bag
369(3)
The Condom Catheter
370(1)
Procedure: Applying a Condom Catheter
371(1)
Bladder Training
372(1)
Collecting Urine Specimens
372(6)
The Random Urine Specimen
373(1)
Procedure: Collecting a Random Urine Specimen
373(1)
The Midstream Specimen
374(1)
Procedure: Collecting a Midstream Specimen
374(2)
The Double-Voided Specimen
376(1)
Procedure: Collecting a Double-Voided Specimen
376(1)
The 24-Hour Urine Specimen
377(1)
Procedure: Collecting a 24-Hour Urine Specimen
377(1)
Testing Urine
378(1)
Using Reagent Strips
379(1)
Procedure: Testing Urine With Reagent Strips
379(1)
Straining Urine
380(1)
Procedure: Straining Urine
380(1)
The Person With a Ureterostomy
381(2)
Procedure: Changing a Ureterostomy Pouch
383(1)
Dialysis
384(4)
Bowel Elimination
388(25)
Normal Bowel Movements
389(1)
Factors Affecting Bowel Elimination
390(1)
Common Problems
390(3)
Bowel Training
393(1)
Enemas
393(8)
The Cleansing Enema
395(1)
Procedure: Giving a Cleansing Enema
396(2)
The Commercial Enema
398(1)
Procedure: Giving a Commercial Enema
398(2)
The Oil-Retention Enema
400(1)
Procedure: Giving an Oil-Retention Enema
400(1)
Rectal Tubes
401(1)
Procedure: Inserting a Rectal Tube
402(1)
The Person With an Ostomy
403(4)
Ostomy Pouches
405(1)
Procedure: Changing an Ostomy Pouch
406(1)
Stool Specimens
407(1)
Procedure: Collecting a Stool Specimen
408(5)
Testing Stools for Blood
410(1)
Procedure: Testing a Stool Specimen for Blood
411(2)
Nutrition and Fluids
413(34)
Basic Nutrition
414(6)
Factors That Affect Eating and Nutrition
420(3)
OBRA Dietary Requirements
423(1)
Special Diets
424(6)
Fluid Balance
430(3)
Measuring Intake and Output
431(2)
Procedure: Measuring Intake and Output
433(1)
Meeting Food and Fluids Needs
433(7)
Preparing for Meals
434(1)
Procedure: Preparing the Person for Meals
435(1)
Serving Meal Trays
436(1)
Procedure: Serving Meal Trays
437(1)
Feeding the Person
437(2)
Procedure: Feeding a Person
439(1)
Meeting Special Needs
440(7)
Exercise and Activity
447(22)
Bedrest
448(4)
Range-of-Motion Exercises
452(1)
Procedure: Performing Range-of-Motion Exercises
453(5)
Ambulation
458(1)
Procedure: Helping the Person to Walk
459(7)
The Falling Person
460(1)
Procedure: Helping the Falling Person
461(5)
Recreational Activities
466(3)
Comfort, Rest, and Sleep
469(13)
Comfort
470(1)
Pain
470(5)
Rest
475(1)
Sleep
476(6)
Oxygen Needs
482(27)
Factors Affecting Oxygen Needs
483(1)
Altered Respiratory Function
484(8)
Pulse Oximetry
487(1)
Procedure: Using a Pulse Oximeter
488(1)
Collecting Sputum Specimens
489(2)
Procedure: Collecting a Sputum Specimen
491(1)
Promoting Oxygenation
492(3)
Coughing and Deep Breathing
492(1)
Procedure: Assisting With Coughing and Deep Breathing Exercises
493(2)
Assisting With Oxygen Therapy
495(5)
Preparing for Oxygen Administration
498(1)
Procedure: Setting Up for Oxygen Administration
499(1)
Assisting With Respiratory Therapy
500(9)
Assisted Living
509(10)
Purpose
510(2)
Staff Requirements
512(1)
Resident Requirements
512(1)
Services
512(3)
Transfer, Discharge, and Eviction
515(4)
V ASSISTING WITH ASSESSMENT
Measuring Vital Signs
519(25)
Measuring and Reporting Vital Signs
520(1)
Body Temperature
520(10)
Taking Temperatures
524(1)
Procedure: Taking a Temperature With a Glass Thermometer
524(3)
Electronic Thermometers
527(1)
Procedure: Taking a Temperature With an Electronic Thermometer
528(2)
Pulse
530(7)
Taking a Radial Pulse
533(1)
Procedure: Taking a Radial Pulse
534(1)
Taking an Apical Pulse
534(1)
Procedure: Taking an Apical Pulse
535(1)
Taking an Apical-Radial Pulse
535(1)
Procedure: Taking and Apical-Radial Pulse
536(1)
Respirations
537(1)
Procedure: Counting Respirations
537(1)
Blood Pressure
538(6)
Measuring Blood Pressure
540(1)
Procedure: Measuring Blood Pressure
541(3)
Assisting With the Physical Examination
544(8)
Your Responsibilities
545(1)
Equipment
545(2)
Preparing the Person
546(1)
Procedure: Preparing the Person for an Examination
547(1)
Positioning and Draping
547(2)
Assisting With the Exam
549(3)
VI ASSISTING WITH CARE NEEDS
Admitting, Transferring, and Discharging Persons
552(14)
Admissions
553(8)
Preparing the Room
553(1)
Procedure: Preparing the Person's Room
554(3)
Measuring Height and Weight
557(2)
Procedure: Measuring Height and Weight
559(2)
Procedure: Measuring Height: The Person Is in Bed
561(1)
Transfers
561(1)
Procedure: Transferring the Person to Another Nursing Unit
562(1)
Discharges
563(1)
Procedure: Discharging the Person
563(3)
Wound Care
566(29)
Types of Wounds
568(1)
Skin Tears
568(2)
Pressure Ulcers
570(6)
Leg and Foot Ulcers
576(5)
Elastic Stockings
578(1)
Procedure: Applying Elastic Stockings
579(2)
Elastic Bandages
581(1)
Procedure: Applying Elastic Bandages
581(2)
Wound Healing
583(4)
Dressings
587(4)
Applying Dressings
588(1)
Procedure: Applying a Dry Nonsterile Dressing
589(2)
Heat and Cold Applications
591(1)
Meeting Basic Needs
591(4)
Heat and Cold Applications
595(16)
Heat Applications
596(10)
Hot Compresses
598(1)
Procedure: Applying Hot Compresses
598(1)
Hot Soaks
599(1)
Procedure: The Hot Soak
599(1)
The Sitz Bath
600(1)
Procedure: Assisting the Person to Take a Sitz Bath
601(1)
Hot Packs
602(1)
Procedure: Applying a Hot Pack
603(1)
The Aquathermia Pad
604(1)
Procedure: Applying an Aquathermia Pad
605(1)
Cold Applications
606(1)
Ice Bags, Ice Collars, Ice Gloves, and Dry Cold Packs
606(1)
Procedure: Applying an Ice Bag, Ice Collar, Ice Glove, or Dry Cold Pack
607(2)
Cold Compresses
608(1)
Procedure: Applying Cold Compresses
608(1)
Cooling and Warming Blankets
609(2)
Common Health Problems
611(44)
Cancer
612(2)
Musculoskeletal Disorders
614(12)
Nervous System Disorders
626(4)
Ear Disorders
630(4)
Eye Disorders
634(4)
Respiratory Disorders
638(2)
Cardiovascular Disorders
640(3)
Urinary System Disorders
643(2)
Endocrine System Disorders
645(1)
Digestive Disorders
646(1)
Communicable Diseases
646(9)
Mental Health Problems
655(6)
Basic Concepts
656(1)
Anxiety Disorders
656(2)
Schizophrenia
658(1)
Affective Disorders
658(1)
Personality Disorders
659(1)
Treatment
659(2)
Confusion and Dementia
661(13)
Confusion
662(1)
Dementia
662(2)
Alzheimer's Disease (AD)
664(3)
Care of Person's With AD and Other Dementias
667(7)
Developmental Disabilities
674(9)
Mental Retardation
675(1)
Down Syndrome (DS)
676(1)
Cerebral Palsy (CP)
677(1)
Autism
678(1)
Epilepsy
678(1)
Spina Bifida
679(2)
Hydrocephalus
681(2)
Rehabilitation and Restorative Care
683(9)
Restorative Nursing
684(1)
The Whole Person
685(4)
The Rehabilitation Team
689(1)
Rehabilitation Services
690(2)
Basic Emergency Care
692(20)
Emergency Care
693(1)
Basic Life Support
693(11)
Performing CPR
699(1)
Procedure: Adult CPR---One Rescuer
699(1)
Procedure: Adult CPR---Two Rescuers
700(1)
Foreign-Body Airway Obstruction (FBAO)
701(1)
Procedure: FBAO---The Responsive Adult
702(1)
Finding an Unconscious Adult
703(1)
Procedure: The Unresponsive Adult
703(1)
Hemorrhage
704(1)
Shock
705(1)
Seizures
706(1)
Burns
706(1)
Fainting
707(1)
Stroke
708(4)
The Dying Person
712(11)
Terminal Illness
713(1)
Attitudes About Death
713(1)
The Stages of Dying
714(1)
Psychological, Social, and Spiritual Needs
715(1)
Physical Needs
715(1)
The Family
716(1)
Hospice Care
716(1)
Legal Issues
717(1)
Signs of Death
717(1)
Care of the Body After Death
718(1)
Procedure: Assisting With Postmortem Care
719(4)
Answers To Review Questions 723(6)
Glossary 729(11)
APPENDIXES
A National Nurse Aide Assessment Program (NNAAP™) Written Examination Content Outline
740(1)
National Nurse Aide Assessment Program (NNAAP™) Skills Evaluation
740(1)
B Minimum Data Set
741

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