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Pierson and Fairchild's Principles & Techniques of Patient Care - E-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