Additional Information
Book Details
Abstract
Provide safe and effective care in any type of long-term care setting! Mosby's Textbook for Long-Term Care Nursing Assistants provides a complete guide to the skills you need as a nursing assistant. More than 100 key procedures are described with clear, easy-to-learn instructions. Written by noted educator and author Sheila Sorrentino, this edition adds coverage that will help you care for residents with acute or chronic medical conditions.
- New chapters and expanded content help you care for residents with acute and chronic conditions that previously may have required hospitalization.
- Unique! Key abbreviations are listed at the beginning of each chapter.
- Unique! Multi-language vocabulary list helps you communicate with patients who speak a foreign language.
- Skills video clips on the free companion Evolve website provide visual instructions for performing key procedures.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Mosby's Textbook for Long-Term Care Nursing Assistants Sixth Edition | iii | ||
| Copyright page | iv | ||
| DEDICATION | v | ||
| ABOUT THE AUTHORS | vi | ||
| CONSULTANT AND REVIEWERS | vii | ||
| ACKNOWLEDGMENTS | viii | ||
| INSTRUCTOR PREFACE | ix | ||
| STUDENT PREFACE | xii | ||
| TABLE OF CONTENTS | xvii | ||
| PROCEDURES | xxi | ||
| UNIT 1 WORKING IN LONG-TERM CARE SETTINGS | 1 | ||
| Chapter 1 Working in Long-Term Care | 1 | ||
| Long-Term Care Centers | 2 | ||
| The Nursing Team | 5 | ||
| Nursing Care Patterns | 5 | ||
| The Interdisciplinary Health Care Team | 6 | ||
| Paying For Health Care | 8 | ||
| Meeting Standards | 9 | ||
| Chapter 2 Resident Rights | 11 | ||
| Resident Rights | 12 | ||
| Ombudsman Program | 17 | ||
| Chapter 3 The Nursing Assistant in Long-Term Care | 19 | ||
| History and Current Trends | 20 | ||
| Federal and State Laws | 20 | ||
| Roles and Responsibilities | 23 | ||
| Delegation | 25 | ||
| Chapter 4 Ethics and Laws | 32 | ||
| Ethical Aspects | 33 | ||
| Legal Aspects | 34 | ||
| Reporting Abuse | 38 | ||
| Chapter 5 Work Ethics | 44 | ||
| Health, Hygiene, and Appearance | 45 | ||
| Getting a Job | 45 | ||
| Preparing for Work | 52 | ||
| Teamwork | 53 | ||
| Managing Stress | 55 | ||
| Harassment | 56 | ||
| Resigning from a Job | 57 | ||
| Losing a Job | 57 | ||
| Drug Testing | 57 | ||
| Chapter 6 Communicating With the Health Team | 59 | ||
| Communication | 60 | ||
| The Medical Record | 60 | ||
| The Kardex | 62 | ||
| Resident Care Conferences | 62 | ||
| Reporting and Recording | 62 | ||
| Medical Terms and Abbreviations | 67 | ||
| Computers and Other Electronic Devices | 70 | ||
| Phone Communications | 70 | ||
| Dealing With Conflict | 72 | ||
| Chapter 7 Assisting With the Nursing Process | 74 | ||
| Assessment | 75 | ||
| Nursing Diagnosis | 77 | ||
| Planning | 77 | ||
| Implementation | 80 | ||
| Evaluation | 81 | ||
| Your Role | 81 | ||
| UNIT II FOCUSING ON THE PERSON | 82 | ||
| Chapter 8 Understanding the Resident | 82 | ||
| Caring for the Person | 83 | ||
| Basic Needs | 83 | ||
| Culture and Religion | 84 | ||
| Effects of Illness and Disability | 85 | ||
| Nursing Center Residents | 86 | ||
| Behavior Issues | 87 | ||
| Communicating With the Person | 88 | ||
| Residents With Disabilities | 94 | ||
| Family and Friends | 94 | ||
| Chapter 9 Body Structure and Function | 97 | ||
| Cells, Tissues, and Organs | 98 | ||
| The Integumentary System | 99 | ||
| The Musculo-Skeletal System | 100 | ||
| The Nervous System | 102 | ||
| The Circulatory System | 105 | ||
| The Respiratory System | 107 | ||
| The Digestive System | 107 | ||
| The Urinary System | 108 | ||
| The Reproductive System | 109 | ||
| The Endocrine System | 111 | ||
| The Immune System | 112 | ||
| Chapter 10 The Older Person | 114 | ||
| Growth and Development | 115 | ||
| Psychological and Social Changes | 117 | ||
| Physical Changes | 118 | ||
| Housing Options | 122 | ||
| Chapter 11 Sexuality | 128 | ||
| Sex and Sexuality | 129 | ||
| Sexual Relationships | 129 | ||
| Injury, Illness, and Surgery | 129 | ||
| Sexuality and Older Persons | 130 | ||
| Meeting Sexual Needs | 130 | ||
| The Sexually Aggressive Person | 131 | ||
| Sexually Transmitted Diseases | 132 | ||
| UNIT III PROTECTING THE PERSON | 133 | ||
| Chapter 12 Safety | 133 | ||
| A Safe Setting | 134 | ||
| Accident Risk Factors | 135 | ||
| Identifying the Person | 135 | ||
| Preventing Burns | 136 | ||
| Preventing Poisoning | 137 | ||
| Preventing Suffocation | 138 | ||
| Preventing Infection | 141 | ||
| Preventing Equipment Accidents | 141 | ||
| Wheelchair and Stretcher Safety | 142 | ||
| Handling Hazardous Substances | 143 | ||
| Fire Safety | 145 | ||
| Disasters | 149 | ||
| Workplace Violence | 149 | ||
| Risk Management | 152 | ||
| Chapter 13 Preventing Falls | 156 | ||
| Causes and Risk Factors for Falls | 157 | ||
| Fall Prevention Programs | 158 | ||
| Transfer/Gait Belts | 162 | ||
| The Falling Person | 163 | ||
| Chapter 14 Restraint Alternatives and Safe Restraint Use | 166 | ||
| History of Restraint Use | 167 | ||
| Restraint Alternatives | 168 | ||
| Safe Restraint Use | 169 | ||
| Chapter 15 Preventing Infection | 182 | ||
| Microorganisms | 183 | ||
| Infection | 184 | ||
| Medical Asepsis | 186 | ||
| Isolation Precautions | 191 | ||
| Bloodborne Pathogen Standard | 203 | ||
| Surgical Asepsis | 205 | ||
| Chapter 16 Body Mechanics | 210 | ||
| Principles of Body Mechanics | 211 | ||
| Ergonomics | 213 | ||
| Positioning the Person | 214 | ||
| Chapter 17 Safe Resident Handling, Moving, and Transfers | 219 | ||
| Preventing Work-Related Injuries | 221 | ||
| Moving Persons in Bed | 225 | ||
| Turning Persons | 233 | ||
| Sitting on the Side of the Bed (Dangling) | 236 | ||
| Transferring Persons | 238 | ||
| Re-Positioning in a Chair or Wheelchair | 250 | ||
| UNIT IV ASSISTING WITH ACTIVITIES OF DAILY LIVING | 252 | ||
| Chapter 18 The Resident’s Unit | 252 | ||
| Comfort | 253 | ||
| Room Furniture and Equipment | 254 | ||
| General Rules | 262 | ||
| Chapter 19 Bedmaking | 265 | ||
| Types of Beds | 266 | ||
| Linens | 267 | ||
| Making Beds | 268 | ||
| Chapter 20 Hygiene | 280 | ||
| Daily Care | 282 | ||
| Oral Hygiene | 282 | ||
| Bathing | 290 | ||
| The Back Massage | 302 | ||
| Perineal Care | 305 | ||
| Reporting and Recording | 309 | ||
| Chapter 21 Grooming | 311 | ||
| Hair Care | 312 | ||
| Shampooing | 317 | ||
| Shaving | 319 | ||
| Nail and Foot Care | 322 | ||
| Changing Clothing and Hospital Gowns | 325 | ||
| Chapter 22 Urinary Elimination | 333 | ||
| Normal Urination | 334 | ||
| Urinary Incontinence | 342 | ||
| Catheters | 344 | ||
| Bladder Training | 353 | ||
| Chapter 23 Bowel Elimination | 355 | ||
| Normal Bowel Elimination | 356 | ||
| Factors Affecting Bowel Elimination | 356 | ||
| Common Problems | 357 | ||
| Bowel Training | 359 | ||
| Enemas | 360 | ||
| The Person With an Ostomy | 366 | ||
| Chapter 24 Nutrition and Fluids | 371 | ||
| Basic Nutrition | 372 | ||
| Factors Affecting Eating and Nutrition | 381 | ||
| OBRA Dietary Requirements | 382 | ||
| Special Diets | 383 | ||
| Fluid Balance | 388 | ||
| Meeting Food and Fluid Needs | 391 | ||
| Foodborne Illnesses | 399 | ||
| Chapter 25 Nutritional Support and IV Therapy | 401 | ||
| Enteral Nutrition | 402 | ||
| Parenteral Nutrition | 407 | ||
| IV Therapy | 408 | ||
| Chapter 26 Exercise and Activity | 414 | ||
| Bedrest | 415 | ||
| Range-of-Motion Exercises | 419 | ||
| Ambulation | 424 | ||
| Recreational Activities | 429 | ||
| Chapter 27 Comfort, Rest, and Sleep | 431 | ||
| Comfort | 432 | ||
| Pain | 432 | ||
| Rest | 437 | ||
| Sleep | 437 | ||
| Chapter 28 Oxygen Needs | 442 | ||
| Factors Affecting Oxygen Needs | 443 | ||
| Altered Respiratory Function | 444 | ||
| Assisting With Assessment and Diagnostic Tests | 445 | ||
| Promoting Oxygenation | 448 | ||
| Assisting With Oxygen Therapy | 451 | ||
| Chapter 29 Respiratory Support and Therapies | 457 | ||
| Artificial Airways | 458 | ||
| Suctioning the Airway | 459 | ||
| Mechanical Ventilation | 461 | ||
| Chest Tubes | 462 | ||
| Chapter 30 Assisted Living | 464 | ||
| Purpose | 466 | ||
| ALR Residents | 466 | ||
| Resident Rights | 466 | ||
| Staff Requirements | 468 | ||
| Service Plan | 468 | ||
| Transfer, Discharge, and Eviction | 471 | ||
| UNIT V ASSISTING WITH ASSESSMENT | 473 | ||
| Chapter 31 Measuring Vital Signs | 473 | ||
| Measuring and Reporting Vital Signs | 474 | ||
| Body Temperature | 475 | ||
| Pulse | 483 | ||
| Respirations | 489 | ||
| Blood Pressure | 490 | ||
| Chapter 32 Assisting With the Physical Examination | 496 | ||
| Your Role | 497 | ||
| Equipment | 497 | ||
| Preparing the Person | 497 | ||
| Positioning and Draping | 499 | ||
| Assisting With the Exam | 500 | ||
| Chapter 33 Collecting and Testing Specimens | 502 | ||
| Urine Specimens | 503 | ||
| Stool Specimens | 511 | ||
| Sputum Specimens | 515 | ||
| Blood Glucose Testing | 516 | ||
| Unit VI ASSISTING WITH CARE NEEDS | 517 | ||
| Chapter 34 Admissions, Transfers, and Discharges | 521 | ||
| Admissions | 522 | ||
| Moving the Person to a New Room | 531 | ||
| Transfers and Discharges | 532 | ||
| Chapter 35 Wound Care | 535 | ||
| Types of Wounds | 537 | ||
| Skin Tears | 538 | ||
| Circulatory Ulcers | 539 | ||
| Wound Healing | 546 | ||
| Dressings | 550 | ||
| Binders | 554 | ||
| Heat and Cold Applications | 555 | ||
| Meeting Basic Needs | 561 | ||
| Chapter 36 Pressure Ulcers | 564 | ||
| Risk Factors | 566 | ||
| Persons at Risk | 567 | ||
| Pressure Ulcer Stages | 567 | ||
| Sites | 570 | ||
| Prevention and Treatment | 570 | ||
| Complications | 575 | ||
| Reporting and Recording | 575 | ||
| Chapter 37 Hearing, Speech, and Vision Problems | 578 | ||
| Ear Disorders | 579 | ||
| Speech Disorders | 583 | ||
| Eye Disorders | 584 | ||
| Chapter 38 Cancer, Immune System, and Skin Disorders | 594 | ||
| Cancer | 595 | ||
| Immune System Disorders | 597 | ||
| Skin Disorders | 599 | ||
| Chapter 39 Nervous System and Musculo-Skeletal Disorders | 601 | ||
| Nervous System Disorders | 602 | ||
| Musculo-Skeletal Disorders | 607 | ||
| Chapter 40 Cardiovascular and Respiratory Disorders | 617 | ||
| Cardiovascular Disorders | 618 | ||
| Respiratory Disorders | 621 | ||
| Chapter 41\tDigestive\tand\tEndocrine\tDisorders | 625 | ||
| Digestive Disorders | 626 | ||
| Endocrine Disorders | 631 | ||
| Chapter 42\tUrinary\tand\tReproductive Disorders | 634 | ||
| Urinary System Disorders | 635 | ||
| Reproductive Disorders | 639 | ||
| Chapter 43 Mental Health Problems | 642 | ||
| Basic Concepts | 643 | ||
| Anxiety Disorders | 643 | ||
| Schizophrenia | 645 | ||
| Mood Disorders | 646 | ||
| Personality Disorders | 647 | ||
| Substance Abuse and Addiction | 648 | ||
| Suicide | 652 | ||
| Care and Treatment | 653 | ||
| Chapter 44 Confusion and Dementia | 655 | ||
| Confusion | 656 | ||
| Dementia | 657 | ||
| Alzheimer’s Disease | 658 | ||
| Care of Persons With AD and Other Dementias | 666 | ||
| Chapter 45 Developmental Disabilities | 673 | ||
| Intellectual Disabilities | 674 | ||
| Down Syndrome | 676 | ||
| Fragile X Syndrome | 677 | ||
| Cerebral Palsy | 677 | ||
| Autism | 678 | ||
| Spina Bifida | 679 | ||
| Hydrocephalus | 680 | ||
| Chapter 46 Rehabilitation and Restorative Nursing Care | 682 | ||
| Restorative Nursing | 683 | ||
| Rehabilitation and the Whole Person | 683 | ||
| The Rehabilitation Team | 688 | ||
| Rehabilitation Programs and Services | 689 | ||
| Chapter 47 Basic Emergency Care | 691 | ||
| Emergency Care | 692 | ||
| Basic Life Support for Adults | 693 | ||
| Hemorrhage | 703 | ||
| Fainting | 704 | ||
| Shock | 704 | ||
| Stroke | 705 | ||
| Seizures | 705 | ||
| Burns | 706 | ||
| Chapter 48 End-of-Life Care | 709 | ||
| Terminal Illness | 710 | ||
| Attitudes About Death | 710 | ||
| The Stages of Dying | 712 | ||
| Comfort Needs | 712 | ||
| The Family | 714 | ||
| Legal Issues | 714 | ||
| Signs of Death | 715 | ||
| Care of the Body After Death | 715 | ||
| REVIEW QUESTION ANSWERS | 719 | ||
| APPENDICES | 722 | ||
| A National Nurse Aide Assessment Program (NNAAP™) Written Examination Content Outline and Skills Evaluation | 722 | ||
| B Minimum Data Set | 723 | ||
| C Useful Spanish Vocabulary and Phrases | 756 | ||
| GLOSSARY | 768 | ||
| KEY ABBREVIATIONS | 777 | ||
| INDEX | 779 |