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Mosby's Textbook for Long-Term Care Nursing Assistants - E-Book

Mosby's Textbook for Long-Term Care Nursing Assistants - E-Book

Clare Kostelnick

(2014)

Additional Information

Book Details

Abstract

Mosby’s Textbook for Long-Term Care Nursing Assistants clearly and comprehensively addresses current responsibilities of the nursing assistant working in a long-term care setting. Written at a 7th grade reading level, in an appealing visual format, this text addresses the needs of learners of all levels. More than 100 procedures provide clear instructions for completing skills in manageable segments for easier learning. The newly updated companion CD contains over 25 animated procedures with exercises and an audio glossary to assist the multi-modal learner.

  • 7th grade reading level promotes comprehension in all levels of learners including ESL students.
  • OBRA and CMS content highlights OBRA and CMS requirements for providing care.
  • Quality-of-Life boxes in each chapter and content throughout reinforce the importance of promoting residents’ rights and enhancing the quality of life while providing care.
  • Over 100 procedures with detailed step-by-step instructions for completing nursing assistant skills in manageable segments for easier learning.
  • NNAAP certification exam icons alert you to skills tested on the National Nurse Aide Assessment Program and state certification exams.
  • Promotion Safety and Comfort boxes offer guidelines for practicing safe and effective care to enhance patient safety and comfort.
  • Residents with Dementia boxes provide specific considerations for safe and effective care of residents with dementia that help you meet the special needs of residents with dementia.
  • Focus on Rehabilitation boxes clarify considerations and insights about rehabilitation and restorative care.
  • Delegation Guidelines boxes highlight nursing assistant responsibilities for delegated tasks to better prepare you to deliver safe and effective care.
  • Caring About Culture boxes illustrate examples of cultural and ethnic beliefs and customs to help you become a more sensitive care provider.
  • Focus on Communication boxes emphasize importance of good communication and provide practical tips to help you communicate more effectively and confidently.
  • Teamwork and Time Management boxes supply specific guidelines to help nursing assistants provide excellent, efficient care and cooperation among members of health care team.
  • NEW! Video clip icons in the procedures alert you to video clips on the accompanying Evolve site to enhance your learning from the brand-new edition of Mosby’s Nursing Assistant Video Skills.
  • Procedure icons next to content headings alert you to related procedures.
  • Review questions at the end of each chapter help you evaluate learning.

Table of Contents

Section Title Page Action Price
Front Cover Cover
IFC IFC
Brief Contents i
Copyright iv
Dedication v
About the Author vii
Consultant and Reviewers ix
Acknowledgments xi
Instructor Preface xiii
Organizational Strategies xiii
Content Issues xiii
New Content xiv
New Procedures xiv
New Time to Reflect Boxes xiv
Features and Design xiv
Student Preface xv
Preview xv
Question xv
Read and Record xv
Recite and Review xv
Contents xxi
CHAPTER 1 - THE NURSING ASSISTANT WORKING IN LONG-TERM CARE 1
The Nursing Assistant Working in Long-Term Care 1
LONG-TERM CARE CENTERS 2
THE NURSING TEAM 4
THE INTERDISCIPLINARY TEAM 5
PAYING FOR HEALTH CARE 6
MEETING STANDARDS 8
THE NURSING ASSISTANT IN LONG-TERM CARE 8
ROLES AND RESPONSIBILITIES 11
DELEGATION 13
CHAPTER 2 - RESIDENT RIGHTS, ETHICS, AND LAWS 19
Resident Rights, Ethics, and Laws 19
RESIDENT RIGHTS 20
OMBUDSMAN PROGRAM 25
ETHICAL ASPECTS 25
LEGAL ASPECTS 27
REPORTING ABUSE 29
REVIEW QUESTIONS 33
CHAPTER 3 - WORK ETHICS 35
Work Ethics 35
HEALTH, HYGIENE, AND APPEARANCE 35
GETTING A JOB 36
PREPARING FOR WORK 41
TEAMWORK 42
MANAGING STRESS 47
HARASSMENT 47
RESIGNING FROM A JOB 47
LOSING A JOB 48
DRUG TESTING 48
REVIEW QUESTIONS 49
CHAPTER 4 - COMMUNICATING WITH THE HEALTH TEAM 51
Communicating With the Health Team 51
COMMUNICATION 52
THE MEDICAL RECORD 52
THE KARDEX 54
RESIDENT CARE CONFERENCES 56
REPORTING AND RECORDING 56
MEDICAL TERMS AND ABBREVIATIONS 58
COMPUTERS AND OTHER ELECTRONIC DEVICES 61
TELEPHONE COMMUNICATION 62
DEALING WITH CONFLICT 62
REVIEW QUESTIONS 65
CHAPTER 5 - ASSISTING WITH THE NURSING PROCESS 66
Assisting With the Nursing Process 66
ASSESSMENT 67
NURSING DIAGNOSIS 71
PLANNING 71
IMPLEMENTATION 75
EVALUATION 75
YOUR ROLE 76
REVIEW QUESTIONS 77
CHAPTER 6 - UNDERSTANDING THE RESIDENT 78
Understanding the Resident 78
CARING FOR THE PERSON 78
BASIC NEEDS 79
CULTURE AND RELIGION 80
EFFECTS OF ILLNESS AND DISABILITY 82
NURSING CENTER RESIDENTS 82
BEHAVIOR ISSUES 83
COMMUNICATING WITH THE PERSON 84
RESIDENTS WITH DISABILITIES 89
FAMILY AND FRIENDS 90
REVIEW QUESTIONS 91
CHAPTER 7 - BODY STRUCTURE AND FUNCTION 93
Body Structure and Function 93
CELLS, TISSUES, AND ORGANS 93
THE INTEGUMENTARY SYSTEM 94
THE MUSCULO-SKELETAL SYSTEM 95
THE NERVOUS SYSTEM 97
THE CIRCULATORY SYSTEM 100
THE RESPIRATORY SYSTEM 101
THE DIGESTIVE SYSTEM 102
THE URINARY SYSTEM 103
THE REPRODUCTIVE SYSTEM 103
THE ENDOCRINE SYSTEM 105
THE IMMUNE SYSTEM 106
REVIEW QUESTIONS 107
CHAPTER 8 - THE OLDER PERSON 108
The Older Person 108
GROWTH AND DEVELOPMENT 108
PSYCHOLOGICAL AND SOCIAL CHANGES 110
PHYSICAL CHANGES 112
HOUSING OPTIONS 115
REVIEW QUESTIONS 120
CHAPTER 9 - SEXUALITY 122
Sexuality 122
SEX AND SEXUALITY 122
SEXUAL RELATIONSHIPS 123
INJURY, ILLNESS, AND SURGERY 123
SEXUALITY AND OLDER PERSONS 123
MEETING SEXUAL NEEDS 123
THE SEXUALLY AGGRESSIVE PERSON 124
SEXUALLY TRANSMITTED DISEASES 125
REVIEW QUESTIONS 126
CHAPTER 10 - SAFETY 127
Safety 127
A SAFE SETTING 128
ACCIDENT RISK FACTORS 128
IDENTIFYING THE PERSON 129
PREVENTING BURNS 130
PREVENTING POISONING 130
PREVENTING SUFFOCATION 130
PREVENTING INFECTION 133
PREVENTING EQUIPMENT ACCIDENTS 133
WHEELCHAIR AND STRETCHER SAFETY 134
HANDLING HAZARDOUS SUBSTANCES 134
FIRE SAFETY 137
DISASTERS 140
WORKPLACE VIOLENCE 140
RISK MANAGEMENT 143
REVIEW QUESTIONS 148
CHAPTER 11 - PREVENTING FALLS 150
Preventing Falls 150
CAUSES OF AND RISK FACTORS FOR FALLS 150
FALL PREVENTION PROGRAMS 150
?TRANSFER/GAIT BELTS 155
?THE FALLING PERSON 155
REVIEW QUESTIONS 159
CHAPTER 12 - RESTRAINT ALTERNATIVES AND SAFE RESTRAINT USE 160
Restraint Alternatives and Safe Restraint Use 160
HISTORY OF RESTRAINT USE 161
RESTRAINT ALTERNATIVES 161
SAFE RESTRAINT USE 161
REVIEW QUESTIONS 174
CHAPTER 13 - PREVENTING INFECTION 175
Preventing Infection 175
MICROORGANISMS 176
INFECTION 176
MEDICAL ASEPSIS 178
ISOLATION PRECAUTIONS 183
BLOODBORNE PATHOGEN STANDARD 193
SURGICAL ASEPSIS 195
REVIEW QUESTIONS 198
CHAPTER 14 - BODY MECHANICS AND SAFE RESIDENT HANDLING, POSITIONING, AND TRANSFERS 200
Body Mechanics and Safe Resident Handling, Positioning, and Transfers 200
PRINCIPLES OF BODY MECHANICS 200
ERGONOMICS 201
POSITIONING THE PERSON 203
PREVENTING WORK-RELATED INJURIES 206
MOVING PERSONS IN BED 207
?TURNING PERSONS 217
?SITTING ON THE SIDE OF THE BED (DANGLING) 221
TRANSFERRING PERSONS 223
RE-POSITIONING IN A CHAIR OR WHEELCHAIR 234
REVIEW QUESTIONS 236
CHAPTER 15 - THE RESIDENT’S UNIT 237
The Resident’s Unit 237
COMFORT 237
ROOM FURNITURE AND EQUIPMENT 239
GENERAL RULES 247
REVIEW QUESTIONS 248
CHAPTER 16 - BEDMAKING 250
Bedmaking 250
TYPES OF BEDS 250
LINENS 250
MAKING BEDS 252
REVIEW QUESTIONS 263
CHAPTER 17 - HYGIENE 264
Hygiene 264
DAILY CARE 264
ORAL HYGIENE 266
BATHING 273
?THE BACK MASSAGE 284
?PERINEAL CARE 286
REPORTING AND RECORDING 290
REVIEW QUESTIONS 292
CHAPTER 18 - GROOMING 293
Grooming 293
HAIR CARE 293
?SHAMPOOING 297
SHAVING 299
?NAIL AND FOOT CARE 301
CHANGING CLOTHING AND HOSPITAL GOWNS 304
REVIEW QUESTIONS 314
CHAPTER 19 - NUTRITION AND FLUIDS 315
Nutrition and Fluids 315
BASIC NUTRITION 316
FACTORS AFFECTING EATING AND NUTRITION 321
?OBRA DIETARY REQUIREMENTS 323
SPECIAL DIETS 323
FLUID BALANCE 326
MEETING FOOD AND FLUID NEEDS 330
FOODBORNE ILLNESSES 337
REVIEW QUESTIONS 338
CHAPTER 20 - NUTRITIONAL SUPPORT AND IV THERAPY 340
Nutritional Support and IV Therapy 340
ENTERAL NUTRITION 340
PARENTERAL NUTRITION 344
IV THERAPY 345
REVIEW QUESTIONS 349
CHAPTER 21 - URINARY ELIMINATION 351
Urinary Elimination 351
NORMAL URINATION 351
URINARY INCONTINENCE 359
?CATHETERS 361
BLADDER TRAINING 370
REVIEW QUESTIONS 371
CHAPTER 22 - BOWEL ELIMINATION 373
Bowel Elimination 373
NORMAL BOWEL ELIMINATION 373
FACTORS AFFECTING BOWEL ELIMINATION 374
COMMON PROBLEMS 375
BOWEL TRAINING 377
ENEMAS 377
THE PERSON WITH AN OSTOMY 383
REVIEW QUESTIONS 387
CHAPTER 23 - EXERCISE AND ACTIVITY 388
Exercise and Activity 388
BEDREST 389
?RANGE-OF-MOTION EXERCISES 392
?AMBULATION 394
RECREATIONAL ACTIVITIES 401
REVIEW QUESTIONS 403
CHAPTER 24 - COMFORT, REST, AND SLEEP 405
Comfort, Rest, and Sleep 405
COMFORT 405
PAIN 406
REST 410
SLEEP 411
REVIEW QUESTIONS 415
CHAPTER 25 - OXYGEN NEEDS AND RESPIRATORY THERAPIES 416
Oxygen Needs and Respiratory Therapies 416
FACTORS AFFECTING OXYGEN NEEDS 417
ALTERED RESPIRATORY FUNCTION 417
ASSISTING WITH ASSESSMENT AND DIAGNOSTIC TESTS 418
PROMOTING OXYGENATION 421
ASSISTING WITH OXYGEN THERAPY 425
TYPES OF RESPIRATORY THERAPIES 429
SUCTIONING THE AIRWAY 431
MECHANICAL VENTILATION 432
CHEST TUBES 434
REVIEW QUESTIONS 436
CHAPTER 26 - MEASURING VITAL SIGNS 438
Measuring Vital Signs 438
MEASURING AND REPORTING VITAL SIGNS 438
BODY TEMPERATURE 439
PULSE 444
?RESPIRATIONS 449
BLOOD PRESSURE 450
REVIEW QUESTIONS 454
CHAPTER 27 - ASSISTING WITH THE PHYSICAL EXAMINATION 455
Assisting With the Physical Examination 455
YOUR ROLE 455
EQUIPMENT 455
?WEIGHT AND HEIGHT 456
?PREPARING THE PERSON 460
POSITIONING AND DRAPING 461
ASSISTING WITH THE EXAM 461
REVIEW QUESTIONS 464
CHAPTER 28 - COLLECTING AND TESTING SPECIMENS 465
Collecting and Testing Specimens 465
URINE SPECIMENS 465
?STOOL SPECIMENS 474
?SPUTUM SPECIMENS 478
?BLOOD GLUCOSE TESTING 479
REVIEW QUESTIONS 483
CHAPTER 29 - ADMISSIONS, TRANSFERS, AND DISCHARGES 485
Admissions, Transfers, and Discharges 485
ADMISSIONS 486
?MOVING THE PERSON TO A NEW ROOM 491
?TRANSFERS AND DISCHARGES 492
REVIEW QUESTIONS 494
CHAPTER 30 - WOUND CARE 495
Wound Care 495
TYPES OF WOUNDS 496
SKIN TEARS 497
VASCULAR ULCERS 498
WOUND HEALING 504
DRESSINGS 509
BINDERS 512
WARM AND COLD APPLICATIONS 513
MEETING BASIC NEEDS 519
REVIEW QUESTIONS 520
CHAPTER 31 - PRESSURE ULCERS 522
Pressure Ulcers 522
RISK FACTORS 524
PERSONS AT RISK 524
PRESSURE ULCER STAGES 525
SITES 525
PREVENTION AND TREATMENT 525
COMPLICATIONS 529
REPORTING AND RECORDING 529
REVIEW QUESTIONS 531
CHAPTER 32 - HEARING, SPEECH, AND VISION PROBLEMS 533
Hearing, Speech, and Vision Problems 533
EAR DISORDERS 533
SPEECH DISORDERS 537
EYE DISORDERS 539
REVIEW QUESTIONS 548
CHAPTER 33 - CANCER, IMMUNE SYSTEM, AND SKIN DISORDERS 550
Cancer, Immune System, and Skin Disorders 550
CANCER 550
IMMUNE SYSTEM DISORDERS 553
SKIN DISORDERS 555
REVIEW QUESTIONS 556
CHAPTER 34 - NERVOUS SYSTEM AND MUSCULO-SKELETAL DISORDERS 557
Nervous System and Musculo-Skeletal Disorders 557
NERVOUS SYSTEM DISORDERS 557
MUSCULO-SKELETAL DISORDERS 562
REVIEW QUESTIONS 571
CHAPTER 35 - CARDIOVASCULAR AND RESPIRATORY DISORDERS 573
Cardiovascular and Respiratory Disorders 573
CARDIOVASCULAR DISORDERS 573
RESPIRATORY DISORDERS 577
REVIEW QUESTIONS 579
CHAPTER 36 - DIGESTIVE AND ENDOCRINE DISORDERS 581
Digestive and Endocrine Disorders 581
DIGESTIVE DISORDERS 581
ENDOCRINE DISORDERS 586
REVIEW QUESTIONS 587
CHAPTER 37 - URINARY AND REPRODUCTIVE DISORDERS 589
Urinary and Reproductive Disorders 589
URINARY SYSTEM DISORDERS 589
REPRODUCTIVE DISORDERS 594
REVIEW QUESTIONS 596
CHAPTER 38 - MENTAL HEALTH DISORDERS 598
Mental Health Disorders 598
BASIC CONCEPTS 599
ANXIETY DISORDERS 599
SCHIZOPHRENIA 601
MOOD DISORDERS 601
PERSONALITY DISORDERS 603
SUBSTANCE ABUSE AND ADDICTION 603
SUICIDE 604
CARE AND TREATMENT 607
REVIEW QUESTIONS 609
CHAPTER 39 - CONFUSION AND DEMENTIA 611
Confusion and Dementia 611
CONFUSION 611
DEMENTIA 611
ALZHEIMER’S DISEASE 613
CARE OF PERSONS WITH AD AND OTHER DEMENTIAS 620
REVIEW QUESTIONS 625
CHAPTER 40 - DEVELOPMENTAL DISABILITIES 627
Developmental Disabilities 627
INTELLECTUAL DISABILITIES 628
DOWN SYNDROME 629
FRAGILE X SYNDROME 630
CEREBRAL PALSY 630
AUTISM 630
SPINA BIFIDA 631
HYDROCEPHALUS 632
REVIEW QUESTIONS 633
CHAPTER 41 - REHABILITATION AND RESTORATIVE NURSING CARE 635
Rehabilitation and Restorative Nursing Care 635
RESTORATIVE NURSING 635
REHABILITATION AND THE WHOLE PERSON 636
THE REHABILITATION TEAM 639
REHABILITATION PROGRAMS AND SERVICES 640
REVIEW QUESTIONS 641
CHAPTER 42 - ASSISTED LIVING 642
Assisted Living 642
PURPOSE 643
ALR RESIDENTS 644
RESIDENT RIGHTS 644
STAFF REQUIREMENTS 644
SERVICE PLAN 644
TRANSFER, DISCHARGE, AND EVICTION 648
REVIEW QUESTIONS 649
CHAPTER 43 - BASIC EMERGENCY CARE 650
Basic Emergency Care 650
EMERGENCY CARE 650
BASIC LIFE SUPPORT FOR ADULTS 652
HEMORRHAGE 660
FAINTING 661
SHOCK 661
STROKE 662
SEIZURES 662
BURNS 663
REVIEW QUESTIONS 665
CHAPTER 44 - END-OF-LIFE CARE 666
End-of-Life Care 666
TERMINAL ILLNESS 666
ATTITUDES ABOUT DEATH 667
THE STAGES OF DYING 668
COMFORT NEEDS 668
THE FAMILY 670
LEGAL ISSUES 670
SIGNS OF DEATH 671
?CARE OF THE BODY AFTER DEATH 671
CARE FOR THE CAREGIVER 675
REVIEW QUESTIONS 677
Review Question Answers 679
CHAPTER 1 679
CHAPTER 2 679
CHAPTER 3 679
CHAPTER 4 679
CHAPTER 5 679
CHAPTER 6 679
CHAPTER 7 679
CHAPTER 8 679
CHAPTER 9 679
CHAPTER 10 679
CHAPTER 11 679
CHAPTER 12 679
CHAPTER 13 679
CHAPTER 14 679
CHAPTER 15 680
CHAPTER 16 680
CHAPTER 17 680
CHAPTER 18 680
CHAPTER 19 680
CHAPTER 20 680
CHAPTER 21 680
CHAPTER 22 680
CHAPTER 23 680
CHAPTER 24 680
CHAPTER 25 680
CHAPTER 26 680
CHAPTER 27 680
CHAPTER 28 680
CHAPTER 29 680
CHAPTER 30 680
CHAPTER 31 680
CHAPTER 32 680
CHAPTER 33 681
CHAPTER 34 681
CHAPTER 35 681
CHAPTER 36 681
CHAPTER 37 681
CHAPTER 38 681
CHAPTER 39 681
CHAPTER 40 681
CHAPTER 41 681
CHAPTER 42 681
CHAPTER 43 681
CHAPTER 44 681
Appendix 682
National Nurse Aide Assessment Program (NNAAP®) Written Examination Content Outline 682
National Nurse Aide Assessment Program (NNAAP®) Skills Evaluation 682
Key Abbreviations 693
Glossary 683
IBC Content 712
Anchor 7 712