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Assisting in Long-Term Care

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ISBN-10: 1401899544

ISBN-13: 9781401899547

Edition: 5th 2007 (Revised)

Authors: Barbara Hegner, Mary Jo Mirlenbrink Gerlach, Gerlach

List price: $230.95
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This comprehensive, user-friendly book provides the theoretical knowledge and skills content you need to successfully complete a nursing assistant certification exam. The book meets OBRA guidelines and prepares you to work in a variety of long-term care settings or sub-acute units in the hospital. A major goal of this resource is to help you develop an understanding of the principles of safe and effective care of residents in long-term care. Special emphasis is placed on residents? rights, nutrition and hydration, restorative care, resident mobility, and maintaining a safe environment.
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Book details

List price: $230.95
Edition: 5th
Copyright year: 2007
Publisher: Delmar Cengage Learning
Publication date: 7/27/2006
Binding: Paperback
Pages: 768
Size: 8.75" wide x 11.00" long x 1.25" tall
Weight: 3.278
Language: English

Barbara Hegner, MS, RN Former Professor Emeritus Nursing and Life Science Long Beach City College, CA.

List of Procedures
About the Authors
How to Use This Book
The Long-Term Care Setting
The Long-Term Care Facility
Community Health Care Facilities
Types of Long-Term Care Facilities
Functional Areas in a Long-Term Care Facility
Standards and Regulations
Health Insurance Portability and Accountability
OBRA Legislation
Financing in Long-Term Care
The Survey
The Caregivers
The Interdisciplinary Team Members
Administrative Organization
Educational Services
The Nursing Assistant in Long-Term Care
Personal Characteristics
Personal Hygiene
Duties and Responsibilities: The Job Description
Staff Relations
Specific Duties
Organization of Time
Workplace Environment
Sexual Harassment
Continue to Grow
Communication Skills
Communication and Interpersonal Skills
The Communication Process
Communicating with Staff Members
Oral Communications
Written Communications
Communicating with Residents
Guidelines for Communicating with Residents
Communicating Through the Use of Touch
Communicating with Residents Who Have Special Needs
Communicating with the Potentially Violent Resident
The Language of Health Care
The Language of Health Care
Word Parts
Expanding Your Vocabulary
Understanding the Body
Anatomic Terms
Organization of the Body
Observation, Documentation, and Reporting
The Interdisciplinary Health Care Team Process
Protecting Residents' Rights and Safety
Residents' Rights
Purpose of the Residents' Rights Document
Residents' Rights
Legal Aspects of Health Care
Ethics and the Health Care Provider
Safety in Health Care Facilities
Employee Safety
Guidelines for Using Ergonomic Techniques to Reduce the Risk of Having an Incident
Hazards in the Work Environment
Resident Safety
Guidelines for Using Restraints
Wheelchair Safety
Fire Safety
Safety Issues for Disasters/Threats
General Measures to Follow for Emergencies
Cardiac Arrest
Guidelines for Responding to an Emergency
Foreign Body Airway Obstruction (Choking)
Assisting the Conscious Person with Obstructed Airway-Heimlich Maneuver
The Recovery Position
Early Defibrillation
Obstructed Airway, Unconscious Person
Resident Falls
One-Rescuer CPR, Adult
Positioning the Resident in the Recovery Position
Care of Falling Resident
Orthopedic Injuries
Accidental Poisoning
Infectious Disease
The Chain of Infection
Normal Body Flora
Natural Body Defenses Against Disease
Serious Infections in Health Care Facilities
Bacterial Infections
Viral Infections
Other Important Infections
Why Older Residents in Long-Term Care Are at Risk for Infections
General Measures to Prevent Infections
Outbreak of Infectious Disease in a Long-Term Care Facility
Infection Control
Medical Asepsis
Protecting Yourself
Standard Precautions
Transmission-Based Precautions
Guidelines for Standard Precautions
Guidelines for Environmental Procedures
Disinfection and Sterilization
Donning a Mask and Gloves
Removing Contaminated Gloves
Donning a Gown
Removing Contaminated Gloves, Mask, and Gown
Caring for Linens in Isolation Unit
Measuring Vital Signs in Isolation Unit
Serving a Meal Tray in Isolation Unit
Specimen Collection from Resident in Isolation Unit
Transferring Nondisposable Equipment Outside of Isolation Unit
Transporting Resident to and from Isolation Unit
Sterile Procedures
Opening a Sterile Package
Characteristics of the Long-Term Care Resident
The Long-Term Care Resident
About Aging
The Process of Normal Aging
Changes Caused by Aging
Illness and Disability
Stereotypes and Myths
The Younger Resident in the Long-Term Care Facility
Guidelines for Caring for Residents with Huntington's Disease
Comfort, Rest, and Sleep
The Psychosocial Aspects of Aging
Basic Human Needs
Cultural Influences
Sexuality and Intimacy
Major Challenges to Adjustments
Using Defense (Coping) Mechanisms
Meeting Residents' Psychosocial Needs
Stress Reactions
Reactive Behaviors
Alternative and Culturally Based Health Behaviors
Scientific (Western) Approach to Health Care
Alternative and Adjunctive Therapies
Cultural Sensitivity
Importance for the Nursing Assistant
Meeting the Residents' Basic Needs
Care of the Residents' Environment
Resident Environment
Personal Space
Resident Unit
Extended Resident Environment
Guidelines for Ensuring a Safe and Comfortable Environment
Critical Procedure Actions
Guidelines for Handling Linens and Making the Bed
Unoccupied Bed: Changing Linens
Occupied Bed: Changing Linens
Caring for the Residents' Personal Hygiene
Skin Functions
Skin Changes Caused by Aging
Skin Lesions
Guidelines for Preventing Skin Breakdown
Bathing Residents
Bed Bath Using Basin and Water
Bed Bath Using a Rinse-Free Cleanser and Moisturizer
Tub Bath or Shower
Partial Bath
Hair Care
Female Perineal Care
Male Perineal Care
Facial Hair
Hand and Fingernail Care
Daily Hair Care
Shaving Male Resident
Foot and Toenail Care
Hand and Fingernail Care
Foot and Toenail Care
Oral Hygiene
Assisting Resident to Brush Teeth
Cleaning and Flossing Resident's Teeth
Caring for Dentures
Assisting with Oral Hygiene for the Unconscious Resident
Dressing Resident
Dressing and Undressing Resident
Meeting the Residents' Nutritional Needs
The Digestive System
The Digestive Process
Aging Changes
Electrolyte Balance
The 2005 Dietary Guidelines for Americans
Nutritional Status
Intake and Output (I&O)
Measuring and Recording Fluid Intake
Nursing Assistant Responsibilities
Assisting the Resident Who Can Feed Self
Feeding the Dependent Resident
Nourishments and Supplements
Alternate Methods of Feeding
Disorders of the Digestive System
Meeting the Residents' Elimination Needs
The Continent Resident
Equipment to Assist Elimination
Giving and Receiving the Bedpan
Giving and Receiving the Urinal
Assisting with Use of the Bedside Commode
Assisting Resident to Use the Bathroom
Elimination from the Lower Digestive Tract
The Resident with Constipation
Bowel Aids
Giving an Oil-Retention or Commercially Prepared Enema
Giving a Soapsuds Enema
Rectal Tube and Flatus Bag
Inserting a Rectal Tube and Flatus Bag
Giving Routine Stoma Care (Colostomy)
Fecal Incontinence
Collecting a Stool Specimen
Collecting a Stool Specimen
Urinary System
Urine Elimination
Changes in the Urinary System Caused by Aging
Urinary Retention and Incontinence
Internal Urinary Catheter Drainage
Giving Indwelling Catheter Care
Intake and Output (I&O)
Emptying a Urinary Drainage Unit and Disconnecting the Catheter
Measuring and Recording Fluid Output
Leg Bag Drainage
Connecting Catheter to Leg Bag and Emptying the Leg Bag
Collecting a Routine or Clean-Catch Urine Specimen
External Urinary Drainage (Male)
Common Conditions
Applying a Condom for Urinary Drainage
Special Nursing Assistant Activities
Measuring and Recording Residents' Data
Measuring Vital Signs
Measuring an Oral Temperature (Glass Thermometer)
Measuring a Rectal Temperature (Glass Thermometer)
Measuring an Axillary Temperature (Glass Thermometer)
Measuring an Oral Temperature (Electronic Thermometer)
Measuring a Rectal Temperature (Electronic Thermometer)
Measuring an Axillary Temperature (Electronic Thermometer)
Measuring a Tympanic Temperature
Pulse and Respiration
Counting the Radial Pulse Rate
Counting the Apical-Radial Pulse
Blood Pressure
Counting Respirations
Guidelines for Preparing to Measure Blood Pressure
Taking Blood Pressure
Weighing and Measuring the Resident
Weighing and Measuring the Resident Using an Upright Scale
Measuring Weight with an Electronic Wheelchair Scale
Weighing the Resident in a Chair Scale
Measuring and Weighing the Resident in Bed
Recording Vital Signs
Admission, Transfer, and Discharge
Admitting the Resident
Admitting the Resident
Transferring the Resident
Transferring the Resident
Discharging the Resident
Discharging the Resident
Warm and Cold Applications
Commercial Preparations
Use of Warm Applications
Applying an Aquamatic K-Pad
Use of Cold Applications
Applying a Disposable Cold Pack
Applying an Ice Bag
Assisting with the Application of a Hypothermia Blanket
Introduction to Restorative Care
Restorative and Rehabilitative Care of the Resident
Restorative Care and the Interdisciplinary Healthcare Team
Purposes of Restorative and Rehabilitative Care
Preventing Complications from Inactivity
Activities of Daily Living
Setting Up Restorative Programs
The Restorative and Rehabilitative Environment
Guidelines for Nursing Assistant Responsibilities in General Restorative Program
Progressive Mobilization
Range of Motion
Guidelines for Passive Range-of-Motion Exercises
Passive Range-of-Motion Exercises
Self Range-of-Motion Exercises
Active Range-of-Motion Exercises
Positioning the Resident
Guidelines for Positioning
Turning the Dependent Resident with a Turning Sheet
Moving the Resident in Bed
Turning the Resident to the Side
Logrolling the Resident onto the Side
Positioning the Dependent Resident
Supine Position
Semisupine or Tilt Position
Lateral (Side-Lying) Position
Lateral Position on the Affected Side
Semiprone Position
Fowler's Position
Chair Positioning
Repositioning a Resident in a Wheelchair
Wheelchair Activities to Relieve Pressure
Independent Bed Movement
Assisting with Independent Bed Movement
Continuing with Progressive Mobilization
Bowel and Bladder Programs
Guidelines for Bowel and Bladder Programs
Restoring Residents' Mobility
Guidelines for Transfers
Using a Transfer Belt (Gait Belt)
Bringing the Resident to a Sitting Position at the Edge of the Bed
Assisted Standing Transfer
Transferring the Resident from Chair to Bed
Assisted Standing Transfer/Two Assistants
Wheelchair to Toilet and Toilet to Wheelchair Transfers
Transferring to Tub Chair or Shower Chair
Transferring a Nonstanding Resident from Wheelchair to Bed
Using Mechanical Lifts
Transferring Resident with a Mechanical Lift
Sliding Board Transfer
Guidelines for Sliding Board Transfers
Sliding Board Transfer
Using a Wheelchair
Guidelines for Ambulation
Ambulating a Resident
Assisting Resident to Ambulate with Cane or Walker
Special Maneuvers with Wheelchairs
Positioning the Dependent Resident in the Wheelchair
Wheelchair Activity
Residents with Specific Disorders
Caring for Residents with Cardiovascular Disorders
The Heart
Blood Vessels
The Blood
Disorders of the Blood
Disorders of the Blood Vessels and Circulation
Guidelines for Caring for Residents with Peripheral Vascular Disease
Heart Disease
Applying Elasticized Stockings
Caring for Residents with Respiratory System Disorders
The Respiratory Structures
Voice Production
Changes Caused by Aging
Introduction to Pathology
Collecting a Sputum Specimen
Chronic Obstructive Pulmonary Disease
Treatment and Care of Residents with COPD
Refilling the Humidifier Bottle
Caring for Residents with Endocrine System Disorders
Endocrine Glands
Aging Changes
Glucose Metabolism
Diabetes Mellitus
Caring for Residents with Reproductive System Disorders
The Male Reproductive System
The Female Reproductive System
Menstrual Cycle
Changes in the Reproductive System as a Result of Aging
Related Conditions
Sexually Transmitted Diseases
Caring for Residents with Musculoskeletal System Disorders
The Musculoskeletal System
Changes in the Musculoskeletal System Caused by Aging
Conditions Affecting the Musculoskeletal System
Caring for Residents with Nervous System Disorders
Components of the Nervous System
Central Nervous System
Autonomic Nervous System
Sense Organs
Changes in the Nervous System Caused by Aging
Causes of Severe Vision Impairment
Care of Eyeglasses
Guidelines for Assisting Visually Impaired Residents
Hearing Loss
Applying and Removing In-the-Ear or Behind-the-Ear Hearing Aids
Nervous System Disorders
Guidelines for Caring for Residents with Parkinson's Disease
Guidelines for Caring for Residents Who Have Had a Stroke
Guidelines for Caring for Residents with Multiple Sclerosis
Guidelines for Caring for Residents with Huntington's Disease
Guidelines for Caring for Residents Who Have Amyotrophic Lateral Sclerosis
Guidelines for Caring for Residents Who Have Myasthenia Gravis
Residents with Special Needs
Alzheimer's Disease and Related Disorders (Caring for the Cognitively Impaired Resident)
Definition of Alzheimer's Disease
Stages and Symptoms of Alzheimer's Disease
Caring for Residents with Dementia
Guidelines for Caring for Residents with Alzheimer's Disease
Guidelines for Activities of Daily Living
Special Problems
Special Management Techniques
Caring for Residents with Developmental Disabilities
Characteristics of a Developmental Disability
Mental Retardation
Other Forms of Developmental Disabilities
Caring for Residents with Developmental Disabilities
Caring for the Dying Resident
Hospice Care
The Dying Process
Signs of Approaching Death
Postmortem Care
Giving Postmortem Care
Caring for the Person in Subacute Care
Description of Subacute Care
Special Procedures Provided in the Subacute Care Unit
Care of the Surgical Patient
Guidelines for Electronic Blood Pressure Monitoring
Pulse Oximetry
Taking Blood Pressure with an Electronic Blood Pressure Apparatus
Intravenous Therapy
Using a Pulse Oximeter
Guidelines for Caring for Residents with Intravenous Lines
Pain Management Procedures
Changing a Gown on a Resident with a Peripheral Intravenous Line in Place
Caring for Residents with Tracheostomies
Caring for the Resident Receiving Dialysis Treatments
Oncology Treatments
Caring for the Person in the Home Setting
Benefits of Home Health Care
The Home Health Care Team
Characteristics of the Home Health Nursing Assistant
Home Health Nursing Assistant Duties
Time Management
Safety in the Home
Home Management
Communication and Documentation
Seeking Employment
Congratulations Are in Order
Job Search
The Resume
Taking the Step
The Interview (Putting Your Best Foot Forward)
Keeping the Job