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Index
Title page
Table of Contents
Inner front cover
Brief contents
Copyright
Dedication
About the author
Reviewers
Acknowledgments
Instructor preface
Student preface
1. The nursing assistant working in long-term care
Long-term care centers
The nursing team
The interdisciplinary team
Paying for health care
Meeting standards
The nursing assistant in long-term care
Roles and responsibilities
Delegation
Review questions
2. Resident rights, ethics, and laws
Resident rights
Ombudsman program
Ethical aspects
Legal aspects
Reporting abuse
Review questions
3. Work ethics
Health, hygiene, and appearance
Preparing for work
Teamwork
Managing stress
Harassment
Drug testing
Review questions
4. Communicating with the health team
Communication
The medical record
The kardex
Resident care conferences
Reporting and recording
Medical terms and abbreviations
Computers and other electronic devices
Telephone communication
Dealing with conflict
Review questions
5. Assisting with the nursing process
Assessment
Nursing diagnosis
Planning
Implementation
Evaluation
Your role
Review questions
6. Understanding the resident
Caring for the person
Basic needs
Effects of illness and disability
Nursing center residents
Behavior issues
Communicating with the person
Residents with disabilities
Family and friends
Review questions
7. Culture and religion
Review questions
8. Body structure and function
Cells, tissues, and organs
The integumentary system
The musculoskeletal system
The nervous system
The circulatory system
The respiratory system
The digestive system
The urinary system
The reproductive system
The endocrine system
The immune system
Review questions
9. The older person
Growth and development
Psychologic and social changes
Physical changes
Housing options
Review questions
10. Sexuality
Sex and sexuality
Sexual relationships
Injury, illness, and surgery
Sexuality and older persons
Meeting sexual needs
The sexually aggressive person
Sexually transmitted diseases
Review questions
11. Safety
A safe setting
Accident risk factors
Identifying the person
Preventing burns
Preventing poisoning
Preventing suffocation
Controlling bleeding
Preventing infection
Preventing equipment accidents
Wheelchair and stretcher safety
Handling hazardous substances
Fire safety
Disasters
Workplace violence
Risk management
Review questions
12. Preventing falls
Causes of and risk factors for falls
Fall prevention programs
Transfer/gait belts
The falling person
Review questions
13. Restraint alternatives and safe restraint use
History of restraint use
Restraint alternatives
Safe restraint use
Review questions
14. Preventing infection
Microorganisms
Infection
Medical asepsis
Isolation precautions
Bloodborne pathogen standard
Surgical asepsis
Review questions
15. Body mechanics and safe resident handling, positioning, and transfers
Principles of body mechanics
Ergonomics
Positioning the person
Preventing work-related injuries
Moving persons in bed
Turning persons
Sitting on the side of the bed (dangling)
Transferring persons
Repositioning in a chair or wheelchair
Review questions
16. The resident‘s unit
Comfort
Room furniture and equipment
General rules
Review questions
17. Bedmaking
Types of beds
Linens
Making beds
Review questions
18. Hygiene
Daily care
Oral hygiene
Bathing
The back massage
Perineal care
Reporting and recording
Review questions
19. Grooming
Hair care
Shampooing
Shaving
Nail and foot care
Changing clothing and hospital gowns
Review questions
20. Nutrition and fluids
Basic nutrition
Factors affecting eating and nutrition
OBRA dietary requirements
Special diets
Meeting food and fluid needs
Foodborne illnesses
Review questions
21. Nutritional support and IV therapy
Enteral nutrition
Parenteral nutrition
IV therapy
Review questions
22. Urinary elimination
Normal urination
Urinary incontinence
catheters
Bladder training
Review questions
23. Bowel elimination
Normal bowel elimination
Factors affecting bowel elimination
Common problems
Bowel training
Enemas
The person with an ostomy
Review questions
24. Exercise and activity
Bedrest
range-of-motion exercises
Ambulation
Recreational activities
Review questions
25. Comfort, rest, and sleep
Comfort
Pain
Rest
Sleep
Review questions
26. Oxygen needs and respiratory therapies
Factors affecting oxygen needs
Altered respiratory function
Assisting with assessment and diagnostic tests
Promoting oxygenation
Assisting with oxygen therapy
Types of respiratory therapies
Suctioning the airway
Mechanical ventilation
Chest tubes
Review questions
27. Measuring vital signs
Measuring and reporting vital signs
Body temperature
Pulse
respirations
Blood pressure
Review questions
28. Assisting with the physical examination
Your role
Equipment
Weight and height
Preparing the person
Positioning and draping
Assisting with the exam
Review questions
29. Collecting and testing specimens
Urine specimens
Stool specimens
Sputum specimens
Blood glucose testing
Review questions
30. Admissions, transfers, and discharges
Admissions
Moving the person to a new room
Transfers and discharges
Review questions
31. Wound care
Types of wounds
Skin tears
Vascular ulcers
Wound healing
Dressings
Binders
Warm and cold applications
Meeting basic needs
Review questions
32. Pressure injuries
Risk factors
Persons at risk
Pressure injury stages
Sites
Prevention and treatment
Complications
Reporting and recording
Review questions
33. Hearing, speech, and vision problems
Ear disorders
Speech disorders
Eye disorders
Review questions
34. Cancer, immune system, and skin disorders
Cancer
Immune system disorders
Skin disorders
Review questions
35. Nervous system and musculoskeletal disorders
Nervous system disorders
Musculoskeletal disorders
Review questions
36. Cardiovascular and respiratory disorders
Cardiovascular disorders
Respiratory disorders
Review questions
37. Digestive and endocrine disorders
Digestive disorders
Endocrine disorders
Review questions
38. Urinary and reproductive disorders
Urinary system disorders
Reproductive disorders
Review questions
39. Mental health disorders
Basic concepts
Anxiety disorders
Schizophrenia
Mood disorders
Personality disorders
Substance abuse and addiction
Suicide
Care and treatment
Review questions
40. Confusion and dementia
Confusion
Dementia
Alzheimer disease
Care of persons with AD and other dementias
Review questions
41. Developmental disabilities
Intellectual disabilities
Down syndrome
Fragile X syndrome
Cerebral palsy
Autism
Spina bifida
Hydrocephalus
Review questions
42. Rehabilitation and restorative nursing care
Restorative nursing
Rehabilitation and the whole person
The rehabilitation team
Rehabilitation programs and services
Review questions
43. Assisted living
Purpose
ALR residents
Resident rights
Staff requirements
Service plan
Transfer, discharge, and eviction
Review questions
44. Basic emergency care
Emergency care
Basic life support for adults
Hemorrhage
Fainting
Shock
Stroke
Seizures
Burns
Review questions
45. End-of-life care
Terminal illness
The stages of dying
Comfort needs
The family
Legal issues
Signs of death
Care of the body after death
Care for the caregiver
Review questions
46. Getting a job
Beginning a job search
Preparing for work
Resigning from a job
Losing a job
Review questions
Review question answers
Appendix
Glossary
Key abbreviations
Index
Inner back cover
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