Mosby's Textbook for Nursing Assistants - Soft Cover Version

by Sorrentino

• ISBN13: 9780323025805
• ISBN10: 0323025803
• Edition: 6th
• Format: Paperback
• Copyright: 2003-11-26
• Publisher: Mosby

Summary

This textbook is known for its comprehensive coverage, readability, and visual presentation. This revision builds on these strengths, adding new content and features to better address learning needs and practice realities. Increased emphasis on delegation and safety help prepare students to function most effectively in today's practice settings. Comprehensive coverage of nursing assistant responsibilities in all settings Nearly 1,000 full-color photos and drawings provide clear, visual explanation of concepts and actions Learning Objectives for each chapter help students focus on information presented Key Terms with definitions help students understand chapter content Step-by-step procedures detail skills and are divided into pre-, procedure, and post-procedure sections for easier learning Icons in section headings alert student to associated procedure Focus On... boxes address the special needs of children, elders, long-term care residents, and home care patients Caring about Culture boxes provide information to help students learn about the practices of other cultures Chapter Review Questions help students evaluate learning Quality of Life sections in the procedures remind students to show respect for the person by performing simple courtesies such as knocking before entering the room, calling the person by name, and more UNIQUE! Mosby's Nursing Assistant CD-ROM, bound in the text, includes 25 procedures with corresponding video clips & exercises, an audio glossary, and Body Spectrum - an electronic anatomy coloring book. Delegation Guidelines detail the nurse assistant's responsibilities when accepting specific delegated tasks Safety Alerts provide cautions and proper techniques for protecting both staff and patients Appendix provides basic Spanish health care terminology to help students communicate effectively Incorporates the new 2002 CDC Hand Hygiene Guidelines so students learn when and how to use both traditional handwashing techniques and the new alcohol-based cleaning agents New chapter on Residents in Assisted Living Settings prepares students to practice in this growing care setting Separate chapter on Assisting with the Nursing Process helps students understand how their role fits in to the nursing team New procedures include Chair or Wheelchair to Bed Transfer, Transferring a Person to and from a Toilet, and Preparing the Person for Meals New chapter on Restraint Alternatives and Safe Restraint Use focuses on the proper techniques for applying restraints as well as strategies to protect patient safety without the use of restraints NNAAP highlighted skills alert students to skills that are part of the National Nurse Aide Assessment Program (NNAAPT) exam New content on meeting standards for licensure, certification, and accreditation alerts students to information they must know to practice Safety chapter has been updated and expanded to include content on bed rail entrapment, crib safety for children, household poisons, wheelchair and stretcher safety, and bomb threats.

Table of Contents

1 Introduction to Health Care Agencies,	1	(12)
Agency Purposes and Types,	3	(3)
Organization,	6	(2)
The Nursing Team,	8	(2)
Nursing Care Patterns,	10	(1)
Paying For Health Care,	10	(1)
Meeting Standards,	11	(2)
2 The Nursing Assistant,	13	(20)
History and Current Trends,	15	(1)
State and Federal Laws,	15	(2)
Roles and Responsibilities,	17	(6)
Delegation,	23	(2)
Ethical Aspects,	25	(1)
Legal Aspects,	26	(2)
Reporting Abuse,	28	(5)
3 Work Ethics,	33	(19)
Personal Health, Hygiene, and Appearance,	34	(2)
Getting a Job,	36	(8)
Preparing for Work,	44	(1)
On the Job,	45	(3)
Managing Stress,	48	(1)
Harassment,	48	(1)
Resigning From a Job,	49	(1)
Losing a Job,	49	(3)
4 Communicating With the Health Team,	52	(20)
Communication,	54	(1)
The Medical Record,	54	(5)
The Kardex,	59	(1)
Reporting and Recording,	59	(3)
Medical Terminology and Abbreviations,	62	(3)
Using Computers,	65	(1)
Phone Communications,	66	(2)
Dealing With Conflict,	68	(1)
Cross-Training Opportunities,	68	(4)
5 Assisting With the Nursing Process,	72	(10)
Assessment,	74	(2)
Nursing Diagnosis,	76	(2)
Planning,	78	(1)
Implementation,	78	(1)
Evaluation,	79	(1)
Your Role,	79	(3)
6 Understanding the Person,	82	(16)
Holism,	83	(1)
Basic Needs,	84	(1)
Culture and Religion,	85	(1)
Being Sick,	86	(1)
Persons You Will Care for,	86	(3)
The Person's Rights,	89	(1)
Communicating With the Person,	89	(5)
The Family and Visitors,	94	(1)
Behavior Issues,	95	(3)
7 Body Structure and Function,	98	(22)
Cells, Tissues, and Organs,	99	(2)
The Integumentary System,	101	(1)
The Musculoskeletal System,	102	(2)
The Nervous System,	104	(3)
The Circulatory System,	107	(2)
The Respiratory System,	109	(1)
The Digestive System,	110	(2)
The Urinary System,	112	(1)
The Reproductive System,	113	(3)
The Endocrine System,	116	(1)
The Immune System,	117	(3)
8 Growth and Development,	120	(13)
Principles,	121	(1)
Infancy (Birth to 1 Year),	122	(2)
Toddlerhood (1 to 3 Years),	124	(1)
Preschool (3 to 6 Years),	125	(1)
School Age (6 to 9 or 10 Years),	126	(1)
Late Childhood (9 or 10 to 12 Years),	127	(1)
Adolescence (12 to 18 Years),	128	(1)
Young Adulthood (18 to 40 Years),	129	(1)
Middle Adulthood (40 to 65 Years),	130	(1)
Late Adulthood (65 Years and Older),	130	(3)
9 Care of the Older Person,	133	(17)
Psychological and Social Changes,	134	(2)
Physical Changes,	136	(4)
Housing Options,	140	(4)
Resident's Rights,	144	(3)
Ombudsman Program,	147	(3)
10 Safety,	150	(31)
The Safe Environment,	151	(1)
Accident Risk Factors,	152	(3)
Identifying the Person,	155	(1)
Preventing Falls,	156	(5)
Preventing Burns,	161	(1)
Preventing Poisoning,	161	(2)
Preventing Suffocation,	163	(1)
Preventing Equipment Accidents,	164	(2)
Wheelchair and Stretcher Safety,	166	(2)
Handling Hazardous Substances,	168	(2)
Fire Safety,	170	(4)
PROCEDURE: USING A FIRE EXTINGUISHER,	171	(3)
Disasters,	174	(1)
Workplace Violence,	174	(3)
Risk Management,	177	(4)
11 Restraint Alternatives and Safe Restraint Use,	181	(18)
History of Restraint Use,	182	(1)
Restraint Alternatives,	182	(3)
Safe Restraint Use,	185	(14)
PROCEDURE: APPLYING RESTRAINTS,	195	(4)
12 Preventing Infection,	199	(34)
Microorganisms,	201	(1)
Infection,	201	(2)
Medical Asepsis,	203	(4)
PROCEDURE: HAND WASHING,	207	(3)
Isolation Precautions,	210	(13)
PROCEDURE: REMOVING GLOVES,	215	(1)
PROCEDURE: WEARING A MASK,	216	(2)
PROCEDURE: DONNING AND REMOVING A GOWN,	218	(3)
PROCEDURE: DOUBLE BAGGING,	221	(2)
Bloodborne Pathogen Standard,	223	(3)
Surgical Asepsis,	226	(4)
PROCEDURE: STERILE GLOVING,	228	(2)
Cross-Training Opportunities,	230	(3)
13 Body Mechanics,	233	(46)
Body Mechanics,	234	(5)
Ergonomics,	239	(1)
Lifting and Moving Persons in Bed,	240	(10)
PROCEDURE: RAISING THE PERSONS HEAD AND SHOULDERS,	241	(3)
PROCEDURE: MOVING THE PERSON UP IN BED,	244	(2)
PROCEDURE: MOVING THE PERSON UP IN BED WITH A LIFT SHEET,	246	(3)
PROCEDURE: MOVING THE PERSON TO THE SIDE OF THE BED,	249	(1)
Turning Persons,	250	(4)
PROCEDURE: TURNING AND POSITIONING THE PERSON,	251	(2)
PROCEDURE: LOGROLLING THE PERSON,	253	(1)
Sitting on the Side of the Bed (Dangling),	254	(2)
PROCEDURE: HELPING THE PERSON SIT ON THE SIDE OF THE BED (DANGLE),	255	(1)
Transferring Persons	256	(16)
PROCEDURE: APPLYING A TRANSFER BELT,	257	(2)
PROCEDURE: TRANSFERRING THE PERSON TO A CHAIR OR WHEELCHAIR,	259	(4)
PROCEDURE: TRANSFERRING THE PERSON FROM THE CHAIR OR WHEELCHAIR TO BED,	263	(2)
PROCEDURE: TRANSFERRING THE PERSON TO A WHEELCHAIR WITH ASSISTANCE,	265	(2)
PROCEDURE: TRANSFERRING THE PERSON USING A MECHANICAL LIFT,	267	(2)
PROCEDURE: TRANSFERRING THE PERSON TO AND FROM THE TOILET,	269	(2)
PROCEDURE: TRANSFERRING THE PERSON TO A STRETCHER,	271	(1)
Positioning,	272	(7)
14 The Person's Unit,	279	(12)
Comfort,	280	(2)
Room Furniture and Equipment,	282	(9)
15 Bedmaking,	291	(20)
Types of Beds,	292	(2)
Linens,	294	(2)
Making Beds,	296	(8)
PROCEDURE: MAKING A CLOSED BED,	298	(6)
The Open Bed,	304	(1)
PROCEDURE: MAKING AN OPEN BED,	304	(1)
The Occupied Bed,	305	(4)
PROCEDURE: MAKING AN OCCUPIED BED,	305	(4)
The Surgical Bed,	309	(2)
PROCEDURE: MAKING A SURGICAL BED,	309	(2)
16 Personal Hygiene,	311	(37)
Daily Care,	314	(1)
Oral Hygiene,	315	(10)
PROCEDURE: ASSISTING THE PERSON TO BRUSH THE TEETH,	316	(1)
PROCEDURE: BRUSHING THE PERSONS TEETH,	317	(2)
PROCEDURE: FLOSSING THE PERSONS TEETH,	319	(2)
PROCEDURE: PROVIDING MOUTH CARE FOR AN UNCONSCIOUS PERSON,	321	(1)
PROCEDURE: PROVIDING DENTURE CARE,	322	(3)
Bathing,	325	(14)
PROCEDURE: GIVING A COMPLETE BED BATH,	327	(6)
PROCEDURE: GNING A PARTIAL BATH,	333	(4)
PROCEDURE: ASSISTING WITH A TUB BATH OR SHOWER,	337	(2)
The Back Massage,	339	(3)
PROCEDURE: GIVING A BACK MASSAGE,	340	(2)
Perineal Care,	342	(4)
PROCEDURE: GIVING FEMALE PERINEAL CARE,	342	(3)
PROCEDURE: GIVING MALE PERINEAL CARE,	345	(1)
Reporting and Recording,	346	(2)
17 Grooming,	348	(23)
Hair Care,	349	(7)
PROCEDURE: BRUSHING AND COMBING THE PERSONS HAIR,	351	(4)
PROCEDURE: SHAMPOOING THE PERSONS HAIR,	355	(1)
Shaving,	356	(2)
PROCEDURE: SHAVING THE PERSON,	357	(1)
Nail and Foot Care,	358	(3)
PROCEDURE: GIVING NAIL AND FOOT CARE,	359	(2)
Changing Gowns and Clothing,	361	(10)
PROCEDURE: CHANGING THE GOWN OF THE PERSON WITH AN IV,	362	(2)
PROCEDURE: UNDRESSING THE PERSON,	364	(4)
PROCEDURE: DRESSING THE PERSON,	368	(3)
18 Urinary Elimination,	371	(25)
Normal Urination,	372	(12)
PROCEDURE: GIVING THE BEDPAN,	376	(3)
PROCEDURE: GIVING THE URINAL,	379	(2)
PROCEDURE: HELPING THE PERSON TO THE COMMODE,	381	(3)
Urinary Incontinence, 382
Catheters,	384	(10)
PROCEDURE: GIVING CATHETER CARE,	386	(3)
PROCEDURE: CHANGING A LEG BAG TO A DRAINAGE BAG,	389	(2)
PROCEDURE: EMPTYING A URINARY DRAINAGE BAG,	391	(2)
PROCEDURE: APPLYING A CONDOM CATHETER,	393	(1)
Bladder Training,	394	(2)
19 Bowel Elimination,	396	(24)
Normal Bowel Movements,	399	(1)
Factors Affecting Bowel Elimination,	399	(1)
Common Problems,	400	(5)
PROCEDURE: CHECKING FOR FECAL IMPACTION,	402	(1)
PROCEDURE: REMOVING A FECAL IMPACTION,	403	(2)
Bowel Training,	405	(1)
Enemas,	406	(7)
PROCEDURE: GIVING A CLEANSING ENEMA,	409	(2)
PROCEDURE: GIVING A SMALL-VOLUME ENEMA,	411	(1)
PROCEDURE: GIVING AN OIL-RETENTION ENEMA,	412	(1)
Rectal Tubes,	413	(2)
PROCEDURE: INSERTNG A RECTAL TUBE,	414	(1)
The Person With An Ostomy,	415	(5)
PROCEDURE: CHANGING AN OSTOMY POUCH,	417	(3)
20 Nutrition and Fluids,	420	(35)
Basic Nutrition,	422	(6)
Factors Affecting Eating and Nutrition,	428	(3)
Special Diets,	431	(4)
Fluid Balance,	435	(3)
Meeting Food and Fluids Needs,	438	(6)
PROCEDURE: MEASURING INTAKE AND OUTPUT,	438	(1)
PROCEDURE: PREPARING THE PERSON FOR MEALS,	439	(2)
PROCEDURE: SERVING MEAL TRAYS,	441	(2)
PROCEDURE: FEEDING A PERSON,	443	(1)
Meeting Special Needs,	444	(8)
Cross-Training Opportunities,	452	(3)
21 Measuring Vital Signs,	455	(27)
Measuring and Reporting Vital Signs,	457	(1)
Body Temperature,	457	(10)
PROCEDURE: TAKING A TEMPERATURE WITH A GLASS THERMOMETER,	461	(3)
PROCEDURE: TAKING A TEMPERATURE WITH AN ELECTRONIC THERMOMETER,	464	(3)
Pulse,	467	(7)
PROCEDURE: TAKING A RADIAL PULSE,	471	(1)
PROCEDURE: TAKING AN APICAL PULSE,	472	(1)
PROCEDURE: TAKING AN APICAL-RADIAL PULSE,	473	(1)
Respirations,	474	(2)
PROCEDURE: COUNTING RESPIRATIONS,	475	(1)
Blood Pressure,	476	(6)
PROCEDURE: MEASURING BLOOD PRESSURE,	479	(3)
22 Exercise and Activity,	482	(23)
Bedrest,	484	(4)
Range-of-Motion Exercises,	488	(6)
PROCEDURE: PERFORMING RANGE-OF-MOTION EXERCISES,	490	(4)
Ambulation,	494	(11)
PROCEDURE: HELPING THE PERSON WALK,	495	(1)
PROCEDURE: HELPING THE FALLING PERSON,	496	(9)
23 Comfort, Rest, and Sleep,	505	(12)
Comfort,	507	(5)
Rest,	512	(1)
Sleep,	512	(5)
24 Admissions, Transfers, and Discharges,	517	(14)
Admissions,	519	(9)
PROCEDURE: PREPARING THE PERSONS ROOM,	519	(4)
PROCEDURE: ADMITTING THE PERSON,	523	(2)
PROCEDURE: MEASURING HEIGHT AND WEIGHT,	525	(2)
PROCEDURE: MEASURING HEIGHT: THE PERSON IS IN BED,	527	(1)
Transfers,	528	(1)
PROCEDURE: TRANSFERRING THE PERSON TO ANOTHER NURSING UNIT,	528	(1)
Discharges,	529	(2)
PROCEDURE: DISCHARGING THE PERSON,	529	(2)
25 Assisting With the Physical Examination,	531	(9)
Your Role,	532	(1)
Equipment,	533	(1)
Preparing the Person,	534	(2)
PROCEDURE: PREPARING THE PERSON FOR AN EXAMINATION,	535	(1)
Positioning and Draping,	536	(1)
Assisting With the Examination,	537	(1)
Cross-Training Opportunities,	538	(2)
26 Collecting and Testing Specimens,	540	(19)
Urine Specimens,	542	(10)
PROCEDURE: COLLECTING A RANDOM URINE SPECIMEN,	543	(2)
PROCEDURE: COLLECTING A MIDSTREAM SPECIMEN,	545	(1)
PROCEDURE: COLLECTING A 24-HOUR URINE SPECIMEN,	546	(1)
PROCEDURE: COLLECTING A DOUBLE-VOIDED SPECIMEN,	547	(2)
PROCEDURE: COLLECTING A URINE SPECIMEN FROM AN INFANT OR CHILD,	549	(1)
PROCEDURE: TESTING URINE WITH REAGENT STRIPS,	550	(1)
PROCEDURE: STRAINING URINE,	551	(1)
Stool Specimens,	552	(4)
PROCEDURE: COLLECTING A STOOL SPECIMEN,	553	(2)
PROCEDURE: TESTING A STOOL SPECIMEN FOR BLOOD,	555	(1)
Sputum Specimens,	556	(3)
PROCEDURE: COLLECTING A SPUTUM SPECIMEN,	557	(2)
27 The Person Having Surgery,	559	(22)
Psychological Care,	561	(1)
Preoperative Care,	562	(8)
PROCEDURE: THE SURGICAL SKIN PREP,	566	(3)
PROCEDURE: GIVING A DOUCHE,	569	(1)
Anesthesia,	570	(2)
Postoperative Care,	572	(9)
PROCEDURE: APPLYING ELASTIC STOCKINGS,	575	(2)
PROCEDURE: APPLYING ELASTIC BANDAGES,	577	(4)
28 Wound Care,	581	(21)
Types of Wounds,	583	(2)
Pressure Ulcers,	585	(6)
Circulatory Ulcers,	591	(1)
Wound Healing,	592	(3)
Dressings,	595	(4)
PROCEDURE: APPLYING A DRY, NONSTERILE DRESSING,	598	(1)
Binders,	599	(1)
Heat and Cold Applications,	600	(1)
Meeting Basic Needs,	600	(2)
29 Heat and Cold Applications,	602	(17)
Heat Applications,	603	(11)
PROCEDURE: APPLYING HOT COMPRESSES,	606	(1)
PROCEDURE: THE HOT SOAK,	607	(2)
PROCEDURE: ASSISTING THE PERSON TO TAKE A SITZ BATH,	609	(2)
PROCEDURE: APPLYING A HOT PACK,	611	(2)
PROCEDURE: APPLYING AN AQUATHERMIA PAD,	613	(1)
Cold Applications,	614	(3)
PROCEDURE: APPLYING AN ICE BAG, ICE COLLAR, ICE GLOVE, OR DRY COLD PACK,	615	(1)
PROCEDURE: APPLYING COLD COMPRESSES,	616	(1)
Cooling and Warming Blankets,	617	(2)
30 Oxygen Needs,	619	(28)
Factors Affecting Oxygen Needs,	621	(2)
Altered Respiratory Function,	623	(5)
PROCEDURE: USING A PULSE OXIMETER,	627	(1)
Promoting Oxygenation,	628	(4)
PROCEDURE: ASSISTING WITH COUGHING AND DEEP-BREATHING EXERCISES,	629	(3)
Assisting With Oxygen Therapy,	632	(6)
PROCEDURE: SETTING UP FOR OXYGEN ADMINISTRATION,	636	(2)
Artificial Airways,	638	(2)
Suctioning the Airway,	640	(2)
Mechanical Ventilation,	642	(1)
Chest Tubes,	643	(1)
Cardiopulmonary Resuscitation,	644	(3)
31 Rehabilitation and Restorative Care,	647	(11)
Restorative Nursing,	649	(1)
Rehabilitation and the Whole Person,	649	(5)
The Rehabilitation Team,	654	(1)
Rehabilitation Services,	655	(1)
Quality of Life,	655	(3)
32 Hearing and Vision Problems,	658	(13)
Ear Disorders,	659	(5)
Eye Disorders,	664	(7)
PROCEDURE: CARING FOR EYEGLASSES,	666	(5)
33 Common Health Problems,	671	(37)
Cancer,	673	(2)
Musculoskeletal Disorders,	675	(11)
Nervous System Disorders,	686	(4)
Respiratory Disorders,	690	(2)
Cardiovascular Disorders,	692	(4)
Urinary System Disorders,	696	(2)
The Endocrine System,	698	(2)
Digestive Disorders,	700	(1)
Communicable Diseases,	701	(7)
34 Mental Health Problems,	708	(9)
Basic Concepts,	710	(1)
Anxiety Disorders	710	(2)
Schizophrenia,	712	(1)
Effective Disorders,	712	(1)
Substance Abuse,	713	(1)
Eating Disorders,	714	(1)
Care and Treatment,	715	(2)
35 Confusion and Dementia,	717	(13)
Confusion,	718	(1)
Dementia,	719	(1)
Alzheimer's Disease,	720	(3)
Care of the Person With AD and Other
Dementias,	723	(7)
36 Developmental Disabilities,	730	(8)
Mental Retardation,	731	(1)
Down Syndrome,	732	(1)
Cerebral Palsy,	733	(1)
Autism	733	(1)
Epilepsy	734	(1)
Spina Bifida	734	(2)
Hydrocephalus	736	(2)
37 Sexuality,	738	(8)
Sex and Sexuality,	739	(3)
Sexual Relationships,	742	(1)
Injury, Illness, and Surgery,	742	(1)
Age-Related Changes,	742	(1)
Meeting Sexual Needs,	742	(2)
The Sexually Aggressive Person,	744	(1)
Sexually Transmitted Diseases,	744	(2)
38 Caring For Mothers and Newborns,	746	(22)
Infant Safety and Security,	747	(3)
Helping Mothers Breast-Feed,	750	(3)
Bottle-Feeding Babies,	753	(3)
PROCEDURE: CLEANING BABY BOTTLES,	753	(3)
Diapering,	756	(2)
PROCEDURE: DIAPERING A BABY,	757	(1)
Care of the Umbilical Cord,	758	(1)
Circumcision,	759	(1)
Bathing an Infant,	760	(3)
PROCEDURE: GIVING A BABY A SPONGE BATH,	761	(2)
PROCEDURE: GIVING A BABY A TUB BATH,	763	(1)
Nail Care,	763	(1)
Weighing Infants,	764	(1)
PROCEDURE: WEIGHING AN INFANT,	764	(1)
Care of the Mother,	765	(3)
39 Assisted Living,	768	(9)
Purpose,	770	(2)
Staff Requirements,	772	(1)
Resident Requirements,	772	(1)
Services,	772	(3)
Transfer, Discharge, and Eviction,	775	(2)
40 Basic Emergency Care,	777	(27)
Emergency Care,	778	(1)
Basic Life Support,	779	(18)
PROCEDURE: ADULT CPR-ONE RESCUER,	784	(1)
PROCEDURE: ADULT CPR-TWO RESCUERS,	785	(1)
PROCEDURE: INFANT CPR-ONE RESCUER,	786	(2)
PROCEDURE: CHILD CPR-ONE RESCUER,	788	(3)
PROCEDURE: FBAO-THE RESPONSIVE ADULT,	791	(1)
PROCEDURE: FBAO-THE UNRESPONSIVE ADULT,	792	(1)
PROCEDURE: FBAO-THE RESPONSIVE INFANT,	793	(1)
PROCEDURE: FBAO-THE RESPONSIVE CHILD,	794	(1)
PROCEDURE: FBAO-THE UNRESPONSIVE INFANT OR CHILD,	795	(2)
Hemorrhage,	797	(1)
Shock,	798	(1)
Seizures,	798	(1)
Burns,	799	(1)
Fainting,	800	(1)
Stroke,	800	(1)
Quality of Life,	801	(3)
41 The Dying Person,	804	(11)
Terminal Illness,	805	(1)
Attitudes about Death,	806	(1)
The Stages of Dying,	807	(1)
Psychological, Social, and Spiritual Needs,	807	(1)
Physical Needs,	808	(1)
The Family,	808	(1)
Hospice Care,	809	(1)
Legal Issues,	809	(1)
Quality of Life,	809	(2)
Signs of Death,	811	(1)
Care of the Body After Death,	811	(4)
PROCEDURE: ASSISTING WITH POSTMORTEM CARE,	812	(3)
Review Question Answers,	815	(6)
Appendix A,	821	(1)
Appendix B,	822	(11)
Appendix C,	833	(19)
Glossary,	852