BOOK
Pierson and Fairchild's Principles & Techniques of Patient Care - E-Book
Sheryl L. Fairchild | Roberta Kuchler O'Shea | Robin Washington
(2017)
Additional Information
Book Details
Abstract
Master the basics of rehab patient care with Pierson and Fairchild’s Principles & Techniques of Patient Care, 6th Edition. This proven text not only provides clear "how-to" information on everything from positioning and draping to patient transfers and ambulation activities, but it also includes easy-to-understand rationales explaining the "why" behind these proven techniques. This new edition has been thoroughly updated to reflect the most current accepted patient care standards, principles, and techniques. Plus, additional video clips and expanded learning resources will help ensure you have a solid mastery of patient care in the rehabilitation setting.
- Content based on the World Health Organization’s ICF model (International Classification of Functioning, Disability, and Health) — the model currently endorsed by the APTA and AOTA — ensures you are referencing information that stems from the most current theories and practice guidelines of physical and occupational therapy.
- Procedures boxes with clear written instructions are accompanied by full-color illustrations on performing a variety of proven techniques and patient care tasks such as proper lifting techniques, patient transfers, basic wound care, and assessment of vital signs.
- Insights into the rationales and physiological principles explain why specific techniques and procedures are used.
- More than 800 full color photographs clearly demonstrate proper performance of techniques and procedures used in the assessment and management of patients in the rehabilitation setting.
- Guidelines, principles, and precautions boxes throughout the text offer additional tips for optimal assessment and management of patients in the rehabilitation setting.
- Self-study and problem solving (case study) activities conclude each chapter to help you understand important concepts and improve your decision-making and problem solving skills.
- Video clips on companion Evolve website demonstrate the techniques and procedures described in the text.
- Content on professionalism and the concept of professional values and ethics reinforce existing workplace guidelines and how to apply those guidelines to your patient interactions.
- Online user resources on the companion Evolve website feature video clips and additional activities for you to hone your skills. (What additional activities?)
- NEW! Procedures index lists all of the procedures covered in the text to help you quickly locate procedure descriptions while working in the clinical setting.
- NEW! Additional video clips demonstrate patient transfers, ambulation with aids, donning and doffing PPE, and maneuvering a wheelchair.
- NEW! Video clip table of contents lists over 30 video clips in the front matter of the text.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | cover | ||
Evolve page | IFC1 | ||
Pierson and Fairchild's Principles & Techniques of Patient Care | i | ||
Copyright Page | iv | ||
Preface | v | ||
Acknowledgments | vi | ||
Table Of Contents | vii | ||
List of Videos in Evolve | xi | ||
Contributor | xiii | ||
1 Preparation for Patient Care Activities | 1 | ||
objectives | 1 | ||
key terms | 1 | ||
Introduction | 2 | ||
Interprofessional Collaboration | 2 | ||
Professional Collaboration | 2 | ||
Orientation | 3 | ||
Awareness of Cultural Diversity | 4 | ||
Health Insurance Portability and Accountability Act | 5 | ||
Advance Health Care Directives | 5 | ||
Informed Consent | 5 | ||
Principles of Documentation | 6 | ||
Problem-Oriented Medical Record Description | 7 | ||
Entry Corrections | 8 | ||
Rationale | 9 | ||
Principles of Patient Management | 10 | ||
Differential Diagnosis | 10 | ||
Components of a Differential Diagnosis | 10 | ||
Evidence-Based Practice | 12 | ||
Principles of Patient Examination and Evaluation | 13 | ||
Patient and Family Education | 13 | ||
Communication | 15 | ||
Communicating With a Person With an Impairment | 17 | ||
Safety Considerations | 19 | ||
Hospital Emergency Codes | 19 | ||
Medical Errors | 19 | ||
Types of Errors | 19 | ||
Medication Errors | 20 | ||
Preventing Medical Errors | 20 | ||
Medical Errors in Allied Health Fields | 21 | ||
The Joint Commission Standards | 22 | ||
Summary | 22 | ||
self-study Activities | 23 | ||
problem Solving | 23 | ||
2 Approaches to Infection Control | 24 | ||
objectives | 24 | ||
key terms | 24 | ||
Introduction | 25 | ||
Principles and Concepts | 26 | ||
Microorganisms and the Infection Cycle | 26 | ||
Aseptic Technique | 27 | ||
Medical Asepsis | 27 | ||
Surgical Asepsis | 27 | ||
Infection Control | 28 | ||
Hand Hygiene | 28 | ||
Hand Rubbing | 30 | ||
Handwashing | 31 | ||
Isolation Precautions | 33 | ||
Sterile Field | 36 | ||
Personal Protective Equipment | 37 | ||
Gloves | 37 | ||
Isolation Gowns | 38 | ||
Masks | 38 | ||
Protective Eyewear | 38 | ||
Application of Personal Protective Equipment | 38 | ||
Removal of Contaminated Personal Protective Equipment | 42 | ||
Open-Glove Technique for Asepsis | 42 | ||
Closed-Glove Technique for Asepsis | 42 | ||
Disposal of Instruments and Clothing | 43 | ||
Sterilization | 43 | ||
Disinfection | 43 | ||
Decontamination | 46 | ||
Summary | 47 | ||
self-study Activities | 47 | ||
problem Solving | 47 | ||
3 Assessment of Vital Signs | 49 | ||
objectives | 49 | ||
key terms | 49 | ||
Introduction | 50 | ||
Body Temperature | 50 | ||
Assessment of Body Temperature | 51 | ||
Temporal Artery Scanner | 52 | ||
Ear Thermometer | 52 | ||
Oral Thermometer | 52 | ||
Pulse | 52 | ||
Assessment of Pulse | 53 | ||
Pulse Oximetry | 57 | ||
Blood Pressure | 57 | ||
Assessment of Blood Pressure | 58 | ||
Respiration (Pulmonary Ventilation) | 62 | ||
Assessment of Respiration | 62 | ||
Pulmonary Auscultation | 62 | ||
Pain | 64 | ||
Assessment of Pain | 64 | ||
Summary | 69 | ||
self-study Activities | 70 | ||
problem Solving | 70 | ||
4 Body Mechanics | 71 | ||
objectives | 71 | ||
key terms | 71 | ||
Introduction | 72 | ||
Principles and Concepts of Proper Body Mechanics | 73 | ||
Lifting Principles and Techniques | 73 | ||
Lift Techniques | 75 | ||
Deep Squat Lift | 76 | ||
Power Lift | 76 | ||
Straight Leg Lift | 76 | ||
One-Leg Stance Lift (“Golfer’s Lift”) | 76 | ||
Half-Kneeling Lift | 76 | ||
Traditional Lift | 78 | ||
Stoop Lift | 79 | ||
Pushing, Pulling, Reaching, and Carrying | 79 | ||
Posture and Body Control | 81 | ||
Summary | 84 | ||
self-study Activities | 84 | ||
problem Solving | 85 | ||
5 Positioning and Draping | 86 | ||
objectives | 86 | ||
key terms | 86 | ||
Introduction | 87 | ||
Principles and Concepts | 88 | ||
Positioning | 90 | ||
Restraints | 91 | ||
Supine Position | 92 | ||
Prone Position | 93 | ||
Side-Lying Position | 93 | ||
Sitting Position | 94 | ||
Positioning Summary | 94 | ||
Preventive Positioning | 95 | ||
Transfemoral Amputation | 95 | ||
Transtibial Amputation | 96 | ||
Hemiplegia | 96 | ||
Rheumatoid Arthritis | 96 | ||
Split-Thickness Burns and Grafted Burn Areas | 96 | ||
Orthopedic Surgical Conditions | 97 | ||
Draping | 97 | ||
Summary | 98 | ||
self-study Activities | 99 | ||
problem Solving | 99 | ||
6 Basic Exercise | 100 | ||
objectives | 100 | ||
key terms | 100 | ||
Introduction | 101 | ||
Cardinal or Anatomic Planes of Motion | 102 | ||
Types of Exercise for Range of Motion | 103 | ||
Indications for Passive Range of Motion Exercise | 103 | ||
Indications for Active Range of Motion Exercise | 103 | ||
Preparation for Application of Passive Range of Motion and Active Range of Motion | 104 | ||
Principles of Passive Range of Motion Exercise | 104 | ||
Traditional Passive Range of Motion Movements | 107 | ||
Upper Extremity Movements | 107 | ||
Traditional Anatomic Planes. | 107 | ||
Elongation of Multijoint Muscles. | 114 | ||
Lower Extremity Movements | 116 | ||
Traditional Anatomic Planes. | 116 | ||
Elongation of Multijoint Muscles. | 120 | ||
Trunk Movements | 121 | ||
Traditional Anatomic Planes. | 121 | ||
Diagonal Patterns for Passive Range of Motion Movements | 124 | ||
Upper Extremity | 125 | ||
Flexion and Extension With Elbow Extended. | 125 | ||
Lower Extremity | 127 | ||
Flexion and Extension With Knee Extended. | 127 | ||
Principles of Active Range of Motion Exercise | 128 | ||
Types of Muscle Contraction and Exercise | 128 | ||
Types of Active Exercise | 130 | ||
Isotonic Exercise Application | 130 | ||
Active Assistive Exercise | 130 | ||
Active Exercise | 131 | ||
Active Resistive Exercise | 131 | ||
Isometric Exercise Application | 132 | ||
Isometric Exercise | 132 | ||
Isometric Resistive Exercise | 132 | ||
Summary | 132 | ||
self-study Activities | 133 | ||
problem Solving | 133 | ||
7 Features and Activities of Wheelchairs | 134 | ||
objectives | 134 | ||
key terms | 134 | ||
Introduction | 134 | ||
Wheelchair Seating and Positioning | 135 | ||
Standard Wheelchair Measurements | 136 | ||
Confirmation of Fit | 136 | ||
Potential Adverse Effects of an Improper Fit | 139 | ||
Seat Height | 139 | ||
Leg Length | 139 | ||
Seat Depth | 139 | ||
Seat Width | 140 | ||
Back Height | 140 | ||
Armrest Height | 140 | ||
Patient and Family Education | 140 | ||
Wheelchair Components and Features | 141 | ||
Armrests | 141 | ||
Fixed Armrests | 141 | ||
Removable Armrests | 141 | ||
Desk or Cutout Armrests | 141 | ||
Adjustable Armrests | 141 | ||
Wheels and Tires | 141 | ||
Caster Wheels | 141 | ||
Drive or Rear Wheels | 141 | ||
One-Arm-Drive Chair | 141 | ||
Wheel Locks | 141 | ||
Toggle Lock | 141 | ||
Z or Scissors Lock | 142 | ||
Auxiliary Lock for a Reclining Back Chair | 143 | ||
Caster Locks | 143 | ||
Front Rigging, Legrest, and Footrest Components | 143 | ||
Fixed Footrests | 143 | ||
Swing-Away or Removable Legrests | 143 | ||
Elevating Legrest | 143 | ||
Footrest | 143 | ||
Body Restraints | 144 | ||
Lap (Waist) Belt | 144 | ||
Chest Belt | 145 | ||
Reclining Wheelchairs | 145 | ||
Semireclining Wheelchairs | 145 | ||
Fully Reclining Wheelchairs | 146 | ||
Externally Powered Wheelchair | 147 | ||
Sport or Recreational Wheelchair | 147 | ||
Lightweight or Ultralight Wheelchair | 147 | ||
Folding Wheelchairs | 148 | ||
Functional Activities | 148 | ||
Operation of Wheelchair Components | 150 | ||
Independent Propulsion | 150 | ||
Bilateral Upper Extremities | 150 | ||
One Upper Extremity and One Lower Extremity | 150 | ||
Bilateral Lower Extremities | 150 | ||
Assisted Functional Activities | 150 | ||
Assisted Propulsion on a Level Surface | 150 | ||
Elevation of the Caster Wheels | 151 | ||
Ascending and Descending a Curb | 151 | ||
Ascending a Curb While Facing Forward. | 152 | ||
Ascending a Curb in the Backward Position. | 152 | ||
Descending a Curb in the Backward Position. | 153 | ||
Descending a Curb While Facing Forward. | 153 | ||
Ascending and Descending Stairs | 153 | ||
Ascending Stairs in the Backward Position. | 153 | ||
Descending Stairs While Facing Forward. | 153 | ||
Ascending or Descending a Slope | 155 | ||
Moving Across Rough or Soft Surfaces | 155 | ||
Entering and Exiting Elevators | 156 | ||
Ascending and Descending Escalators | 157 | ||
Entering and Exiting Doors and Doorways | 157 | ||
Independent Functional Activities | 157 | ||
Elevation of the Caster Wheels | 157 | ||
Ascending and Descending Ramps or Inclines | 159 | ||
Ascending an Incline While Facing Forward. | 159 | ||
Descending an Incline While Facing Forward. | 159 | ||
Ascending an Incline in the Backward Position. | 159 | ||
Ascending and Descending Curbs | 159 | ||
Ascending a Curb While Facing Forward. | 159 | ||
Descending a Curb While Facing Forward. | 159 | ||
Descending a Curb in the Backward Position. | 159 | ||
Ascending and Descending Curb Cutouts | 161 | ||
Ascending a Curb Cutout While Facing Forward. | 161 | ||
Descending a Curb Cutout While Facing Forward. | 161 | ||
Descending a Curb Cutout in the Backward Position. | 162 | ||
Ascending and Descending Stairs | 162 | ||
Descending Stairs While Facing Forward. | 162 | ||
Entering and Exiting Doors and Doorways | 162 | ||
Self-Closing Door Opening Away From the Patient. | 162 | ||
Self-Closing Door Opening Toward the Patient. | 162 | ||
Regular Door With No Self-Closing Device. | 163 | ||
Entering and Exiting Elevators | 163 | ||
Reaching an Object on the Floor in Front of the Wheelchair | 165 | ||
Falls in a Wheelchair | 166 | ||
Backward Fall. | 166 | ||
Forward Fall. | 166 | ||
Returning to an Upright Sitting Position. | 166 | ||
Moving From the Wheelchair to the Floor and Returning to the Wheelchair | 166 | ||
General Care and Maintenance of a Wheelchair | 167 | ||
Summary | 168 | ||
self-study Activities | 168 | ||
problem Solving | 168 | ||
8 Transfer Activities | 169 | ||
objectives | 169 | ||
key terms | 169 | ||
Introduction | 169 | ||
Organization of Patient Transfers | 170 | ||
Before the Transfer | 171 | ||
During the Transfer | 171 | ||
Safety Concerns in Transfers | 172 | ||
Conditions Requiring Special Precautions | 172 | ||
Mobility Activities | 173 | ||
Dependent or Assisted Mobility Activities | 174 | ||
Side-to-Side Movement, Patient Supine | 174 | ||
Upward Movement, Patient Supine | 174 | ||
Downward Movement, Patient Supine | 175 | ||
Move to a Side-Lying Position, Patient Supine | 176 | ||
Move to a Prone Position, Patient Supine | 177 | ||
Move to a Supine Position, Patient Prone | 177 | ||
Move to a Sitting Position, Patient Supine | 178 | ||
9 Assistive Devices, Patterns, and Activities | 211 | ||
objectives | 211 | ||
key terms | 211 | ||
Introduction | 212 | ||
Muscle Activity | 213 | ||
Organization of Ambulation Activities | 213 | ||
Assistive Devices | 214 | ||
Preambulation Devices | 215 | ||
Parallel Bars | 215 | ||
Parallel Bar Method for Measurement of Axillary Crutches | 215 | ||
Tilt Table | 215 | ||
Supported Suspension Ambulatory Aid | 217 | ||
Antigravity Treadmill | 218 | ||
Measurement and Fit of Assistive Devices | 218 | ||
Walkers | 219 | ||
Axillary Crutches | 219 | ||
Length of Crutches | 219 | ||
Handgrip Height | 219 | ||
Forearm Crutches | 219 | ||
Canes | 220 | ||
Confirmation of Fit | 220 | ||
Weight-Bearing Status | 220 | ||
Safety Considerations and Precautions | 222 | ||
Preambulation Functional Activities | 225 | ||
Parallel Bar Activities | 225 | ||
Moving From Sitting to Standing and Returning to a Sitting Position While in Parallel Bars | 225 | ||
Balance and Initial Gait Pattern Activities in Parallel Bars | 226 | ||
Basic Gait Patterns | 227 | ||
Four-Point Pattern | 227 | ||
Two-Point Pattern | 227 | ||
Modified Four-Point and Two-Point Patterns | 229 | ||
Three-Point Non–Weight-Bearing Pattern | 230 | ||
Three-One–Point Pattern Partial Weight-Bearing Status | 231 | ||
Preambulation Instruction | 231 | ||
Standing and Sitting Activities | 233 | ||
Standing and Sitting With a Walker | 233 | ||
Alternative Methods. | 234 | ||
Standing and Sitting With Axillary Crutches | 238 | ||
Alternative Methods. | 238 | ||
Standing and Sitting With Forearm Crutches | 238 | ||
Standing and Sitting With a Cane | 238 | ||
Guarding During Gait Training on Curbs, Stairs, and Ramps | 239 | ||
Actions If the Patient Loses Balance or Falls | 241 | ||
Ambulation Functional Activities | 244 | ||
Backward Movement | 244 | ||
Four-Point Pattern | 244 | ||
Two-Point Pattern | 245 | ||
Three-Point Pattern | 245 | ||
Three-One–Point Pattern | 245 | ||
Sideward Movement | 245 | ||
Turning Movement | 245 | ||
Curbs and Stairs | 246 | ||
Ascending a Curb | 247 | ||
Bilateral Canes. | 247 | ||
Unilateral Cane. | 247 | ||
Bilateral Crutches | 247 | ||
Three-One–Point Pattern. | 247 | ||
10 Special Equipment and Patient Care Environments | 261 | ||
objectives | 261 | ||
key terms | 261 | ||
Introduction | 262 | ||
Orientation to the Special Intensive Care Unit | 263 | ||
Types of Beds | 267 | ||
Standard Adjustable Bed | 267 | ||
Air-Fluidized Support Bed (Clinitron) | 268 | ||
Posttrauma Mobility Beds (Roto-Rest) | 268 | ||
Low Air Loss Therapy Bed | 269 | ||
Life Support and Monitoring Equipment | 270 | ||
Mechanical Ventilators | 270 | ||
Types of Ventilators | 270 | ||
Volume-Cycled Ventilators | 270 | ||
Pressure-Cycled Ventilators | 271 | ||
Modes of Ventilation | 271 | ||
Airway Placement | 271 | ||
Monitors | 272 | ||
Vital Signs Monitor | 272 | ||
Oximeter | 272 | ||
Pulmonary Artery Catheter (Swan-Ganz Catheter) | 272 | ||
Intracranial Pressure Monitor | 272 | ||
Central Venous Pressure Catheter | 273 | ||
Arterial Line (A Line) | 274 | ||
Indwelling Right Atrial Catheter (Hickman) | 275 | ||
Reference Laboratory Values | 275 | ||
Anticoagulation | 277 | ||
Feeding Devices | 278 | ||
Nasogastric Tube | 278 | ||
Gastric Tube | 278 | ||
Intravenous Feeding, Total Parenteral Nutrition, and Hyperalimentation Devices | 278 | ||
Intravenous Infusion Lines | 278 | ||
Urinary Catheters | 280 | ||
Foley Catheter | 281 | ||
External Catheter | 281 | ||
Suprapubic Catheter | 281 | ||
Oxygen Therapy Systems | 281 | ||
Modes of Oxygen Delivery | 281 | ||
Nasal Cannula. | 281 | ||
Oronasal Mask. | 281 | ||
Nasal Catheter. | 281 | ||
Tent. | 281 | ||
Tracheostomy Mask or Catheter. | 281 | ||
Chest Drainage Systems | 282 | ||
Ostomy Devices | 282 | ||
Traction | 283 | ||
Types of Skeletal Traction | 283 | ||
Balanced Suspension Traction | 283 | ||
Skull Traction | 284 | ||
External Fixation | 284 | ||
Internal Fixation | 285 | ||
Patient-Controlled Analgesia | 285 | ||
Dialysis Treatment | 286 | ||
Summary | 286 | ||
self-study Activities | 286 | ||
problem Solving | 286 | ||
11 Basic Wound Care and Specialized Interventions | 287 | ||
objectives | 287 | ||
key terms | 287 | ||
Introduction | 288 | ||
Wound Management | 288 | ||
Phases of Healing | 288 | ||
Inflammatory Phase | 289 | ||
Proliferative Phase | 289 | ||
Remodeling Phase | 289 | ||
Processes of Healing | 289 | ||
Wound Classification | 290 | ||
Pressure Injuries | 291 | ||
Causes | 291 | ||
Patient Assessment | 291 | ||
Risk Factors | 291 | ||
Preventive Interventions | 292 | ||
Skin Care | 293 | ||
Wound Classification and Staging | 293 | ||
Wound Assessment | 295 | ||
Wound Care | 297 | ||
Débridement | 297 | ||
Dressings | 297 | ||
Pressure Injury Summary | 298 | ||
Peripheral Vascular Conditions | 298 | ||
Dressings and Bandages | 301 | ||
Removal of a Dressing | 302 | ||
Application of a Sterile Dressing | 304 | ||
Other Specialized Interventions | 306 | ||
Girth Measurement | 306 | ||
Volumetric Measurement | 308 | ||
Oncology Rehabilitation | 309 | ||
Lymphedema | 309 | ||
Lymphedema Certification | 312 | ||
Compression Garments | 312 | ||
Intermittent Pneumatic Compression Devices | 313 | ||
Chest Physical Therapy | 316 | ||
Amputations | 317 | ||
Lower Extremity Amputations | 317 | ||
Carpal Tunnel Syndrome and Cubital Tunnel Syndrome | 320 | ||
Taping Strategies | 322 | ||
Epicondylitis (Tennis Elbow) Wrap | 322 | ||
Plantar Fasciitis Wrap | 323 | ||
Kinesiology Taping | 324 | ||
Summary | 325 | ||
self-study Activities | 326 | ||
problem Solving | 326 | ||
12 Incidents and Emergencies | 327 | ||
objectives | 327 | ||
key terms | 327 | ||
Introduction | 328 | ||
Principles and Concepts | 329 | ||
Emergency Care | 331 | ||
Emergency Care for Specific Conditions | 331 | ||
Allergic Reactions | 331 | ||
Lacerations | 332 | ||
Shock | 332 | ||
Orthostatic (Postural) Hypotension | 333 | ||
Falls | 333 | ||
Fractures | 334 | ||
Burns | 334 | ||
Seizures | 334 | ||
Choking | 335 | ||
Heat-Related Illnesses | 335 | ||
Heat Exhaustion | 335 | ||
Heat Stroke | 336 | ||
Insulin-Related Illnesses | 336 | ||
Insulin Reaction (Hypoglycemia) | 337 | ||
Acidosis (Hyperglycemia) | 337 | ||
Autonomic Dysreflexia (Hyperreflexia) | 338 | ||
Stroke | 338 | ||
Cardiac Arrest/Death | 338 | ||
Support Devices | 341 | ||
Bandage Materials | 341 | ||
Types of Bandages | 342 | ||
Triangular | 342 | ||
Cravat | 342 | ||
Ankle Wrap | 342 | ||
Protective Splints, Sleeves, or Slings | 342 | ||
Summary | 344 | ||
self-study Activities | 346 | ||
problem Solving | 346 | ||
13 Americans With Disabilities Act and Environmental Assessments | 347 | ||
objectives | 347 | ||
key terms | 347 | ||
Introduction | 347 | ||
Definitions | 348 | ||
General Aspects of the Americans With Disabilities Act | 349 | ||
Compliance and Implementation of Regulations | 350 | ||
Assessing the Environment | 353 | ||
Assessment Process | 354 | ||
Accessible Housing | 355 | ||
Summary | 357 | ||
self-study Activities | 358 | ||
problem Solving | 358 | ||
Bibliography | 359 | ||
Appendixes | 368 | ||
Procedures Index | 389 | ||
Index | 391 | ||
A | 391 | ||
B | 392 | ||
C | 393 | ||
D | 394 | ||
E | 395 | ||
F | 396 | ||
G | 396 | ||
H | 396 | ||
I | 397 | ||
J | 399 | ||
K | 399 | ||
L | 399 | ||
M | 399 | ||
N | 400 | ||
O | 400 | ||
P | 400 | ||
Q | 402 | ||
R | 402 | ||
S | 403 | ||
T | 404 | ||
U | 405 | ||
V | 406 | ||
W | 406 |