Assisting in long term care.

List of procedures -- Preface -- About the authors -- Acknowledgements -- Reviewers -- How to use this book -- Long-Term Care Setting: -- Lesson 1: Long-Term Care Facility: -- Community health care facilities -- Types of long-term care facilities -- Functional areas in a long-term care facility -- Health Insurance Portability And Accountability Act OBRA legislation -- Financing in long-term care -- Survey -- Lesson 2: Caregivers: -- Interdisciplinary team members -- Administrative organization -- Educational services -- Lesson 3: Nursing Assistant In Long-Term Care: -- Professionalism -- Personal characteristics -- Attitude -- Personal hygiene -- Uniforms -- Duties and responsibilities: the job description -- Staff relations (teamwork) -- Assignments -- Specific duties -- Organization of time -- Workplace environment -- Self-care -- Sexual harassment -- Continue to grow -- Communication Skills: -- Lesson 4: Communication And Interpersonal Skills: -- Communication process -- Communicating with staff members -- Oral communications -- Written communications -- Communicating with residents: -- Guidelines for communicating with residents -- Communicating through the use of touch -- Communicating with residents who have special needs -- Communicating with the potentially violent resident -- Lesson 5: Language Of Health Care: -- Language of health care -- Word parts -- Expanding your vocabulary -- Abbreviations -- Understanding the body -- Anatomic terms -- Organization of the body -- Cells -- Tissues-- Organs -- Systems -- Membranes -- Lesson 6: Observation, Documentation, And Reporting: -- Observation -- Reporting -- Documentation -- Interdisciplinary health care team process -- Protecting Residents' Rights And Safety: -- Lesson 7: Residents' Rights: -- Purpose of the residents' rights document -- Residents' rights -- Legal aspects of health care -- Ethics and the health care provider -- Lesson 8: Safety: -- Safety in health care facilities -- Employee safety: -- Guidelines for using ergonomic techniques to reduce the risk of having an incident -- Hazards in the work environment -- Resident safety: -- Guidelines for using restraints -- Wheelchair safety -- Fire safety -- Safety issues for disasters/threats -- Lesson 9: Emergencies: -- General measures to follow for emergencies -- Cardiac arrest: -- Guidelines for responding to an emergency -- CPR -- Foreign body airway obstruction (choking) -- Recovery position -- OBRA Procedure 9-1: Assisting the conscious person with obstructed airway: Abdominal Thrusts -- Early defibrillation -- Hemorrhage -- OBRA Procedure 9-2: Obstructed airway, unconscious person -- Shock -- Stroke -- Procedure 9-3: One-rescuer CPR, adult -- Procedure 9-4: Positioning the resident in the recovery position -- OBRA Procedure 9-5: Hemorrhage -- Resident falls -- Seizures -- OBRA Procedure 9-6: Care of falling resident -- Burns -- Orthopedic injuries -- Accidental poisoning -- Fainting -- Lesson 10: Infection: -- Infectious disease -- Microbes -- Chain of infection -- Normal body flora -- Natural body defenses against disease -- Immunity -- Serious infections in health care facilities -- Bacterial infections -- Viral infections -- Other important infections -- Why older residents in long-term care are at risk for infections -- General measures to prevent infections -- Outbreak of infectious disease in a long-term care facility -- Lesson 11: Infection Control: -- Medical asepsis -- OBRA Procedure 11-7: Hand hygiene -- Hand care -- Protecting yourself -- Standard precautions -- Transmission-based precautions: -- Guidelines for standard precautions -- Guidelines for environmental procedures -- OBRA Procedure 11-8: Donning a mask and gloves -- Disinfection and sterilization -- OBRA Procedure 11-9: Removing contaminated gloves -- OBRA Procedure 11-10: Donning a gown -- OBRA Procedure 11-11: Removing contaminated gloves, mask, and gown -- OBRA Procedure 11-12: Caring for lines in isolation unit -- OBRA Procedure 11-13: Measuring vital signs in isolation unit -- OBRA Procedure 11-14: Serving a meal tray in isolation unit -- OBRA Procedure 11-15: Specimen collection for resident in isolation unit -- OBRA Procedure 11-16: Transferring nondisposable equipment outside of isolation unit -- Procedure 11-17: Transporting resident to and from isolation unit -- Sterile procedures -- Procedure 11-18: Opening a sterile package -- Characteristics Of The Long-Term Care Resident: -- Lesson 12: Long-Term Care Resident: -- About aging -- Process of normal aging -- Changes caused by aging -- Illness and disability -- Stereotypes and myths -- Younger resident in the long-term care facility: -- Guidelines for caring for younger residents -- Comfort, rest, and sleep -- Lesson: 13: Psychosocial Aspects Of Aging: -- Basic human needs -- Cultural influences -- Spirituality -- Religion -- Sexuality and intimacy -- Major challenges to adjustments-- Using defense (coping) mechanisms -- Meeting residents' psychosocial needs -- Stress reactions -- Reactive behaviors -- Lesson 14: Alternative And Culturally Based Health Behaviors: -- Scientific (western) approach to health care -- Alternative and adjunctive therapies -- Cultural competence -- Importance for the nursing assistant -- Meeting The Residents' Basic Needs: -- Lesson 15: Care Of The Residents' Environment: -- Resident environment -- Personal space -- Resident unit -- Extended resident environment: -- Guidelines for ensuring a safe and comfortable environment -- Critical procedure actions -- Bedmaking: -- Guidelines for handling linens and making the bed -- OBRA Procedure 15-19: Unoccupied bed: changing lines -- OBRA Procedure 15-20: Occupied bed: changing linens -- Lesson 16: Caring For The Residents' Personal Hygiene: -- Epidermis -- Dermis -- Skin functions -- Skin changes caused by aging -- Skin lesions: -- Guidelines for preventing skin breakdown -- Backrub -- Bathing residents -- OBRA Procedure 16-21: Backrub -- OBRA Procedure 16-22: Bed bath using basin and water -- OBRA Procedure 16-23: Bed bath using a rinse-free cleanser and moisturizerinsert -- OBRA Procedure 16-24: Tub bath or shower -- OBRA Procedure 16-25: Partial bath -- OBRA Procedure 16-26: Female perineal care -- OBRA Procedure 16-27: Male perineal care -- Hair care -- Facial hair -- Hand and fingernail care -- Foot and toenail care -- OBRA Procedure 16-28: Daily hair care -- OBRA Procedure 16-29: Shaving male resident -- OBRA Procedure 16-30: Hand and fingernail care -- OBRA Procedure 16-31: Foot and toenail care -- Oral hygiene -- OBRA Procedure 16-32: Assisting resident to brush teeth -- OBRA Procedure 16-33: Cleaning and flossing resident's teeth -- OBRA Procedure 16-34: Caring for dentures -- OBRA Procedure 16-35: Assisting with oral hygiene for the unconscious resident -- Dressing resident -- OBRA Procedure 16-36: Dressing and undressing resident.

Lesson 17: Meeting The Residents' Nutritional Needs: -- Digestive system -- Digestive process -- Aging changes -- Nutrients -- Electrolyte balance -- 2010 dietary guidelines for Americans -- Nutritional status -- Dehydration -- Intake and output (I & O) -- OBRA Procedure 17-37: Measuring and recording fluid intake -- Diets -- Nursing assistant responsibilities -- OBRA Procedure 17-38: Assisting the resident who can feed self -- OBRA Procedure 17-39: Feeding the dependent resident -- Nourishments and supplements -- Alternate methods of feeding -- Disorders of the digestive system -- Lesson 18: Meeting The Residents' Elimination Needs: -- Introduction -- Continent resident -- Equipment to assist elimination -- OBRA Procedure 18-40: Giving and receiving the bedpan -- OBRA Procedure 18-41: Giving and receiving the urinal -- OBRA Procedure 18-42: Assisting with use of the bedside commode -- OBRA Procedure 18-43: Assisting resident to use the bathroom -- Elimination from the lower digestive tract -- Age-related changes of the lower digestive tract -- Bowel aids -- Ostomies -- Procedure 18-44: Gibing routine stoma care (colostomy) -- Fecal incontinence -- Procedure 18-45: Collecting a stool specimen -- Collecting a stool specimen -- Urinary system -- Urine elimination -- Changes in the urinary system caused by aging -- Urinary retention and incontinence -- Internal urinary catheter drainage -- OBRA Procedure 18-46: Giving indwelling catheter care -- Intake and output (I & O) -- Procedure 18-47: Emptying a urinary drainage bag -- OBRA Procedure 18-48: Measuring and recording fluid output -- Leg bag drainage -- External urinary drainage (male) -- Common conditions -- Procedure 18-49: Connecting catheter to leg bag and emptying the leg bag -- Procedure 18-50: Collecting a routine or clean-catch urine specimen -- Procedure 18-51: Applying an external urinary drainage device -- Special Nursing Assistant Activities: -- Lesson 19: Measuring And Recording Residents' Data: -- Measuring vital signs -- Temperature -- OBRA Procedure 19-52: Measuring a normal temperature (electronic thermometer) -- OBRA Procedure 19-53: Measuring a rectal temperature (electronic thermometer) -- OBRA Procedure 19-54: Measuring an axillary temperature (electronic thermometer) -- OBRA Procedure 19-55: Measuring a tympanic temperature: -- Pulse and respiration -- OBRA Procedure 19-56: Counting the radial pulse rate -- Procedure 19-57: Counting the apical-radial pulse -- OBRA Procedure 19-58: Counting respirations: -- Blood pressure: -- Guidelines for preparing to measure blood pressure -- Weighing and measuring the resident -- OBRA Procedure 19-59: Taking blood pressure -- Recording vital signs -- OBRA Procedure 19-60: Weighing and measuring the resident using an upright scale -- OBRA Procedure 19-61: Measuring weight with an electronic wheelchair scale -- OBRA Procedure 19-62: Weighing the resident in a chair scale -- OBRA Procedure 19-63: Measuring and weighting the resident in bed -- Lesson 20: Admission, Transfer, And Discharge: -- Admitting the resident -- Procedure 20-64: Admitting the resident -- Transferring the resident -- Discharging the resident -- Procedure 20-65: Transferring the resident -- Procedure 20-66: Discharging the resident -- Lesson 21: Warm And Cold Applications: -- Safety -- Commercial preparations -- Use of warm applications -- Procedure 21-67: Applying an aquamatic K-pad -- Use of cold applications -- Procedure 21-68: Applying a disposable or reusable cold pack -- Procedure 21-69: Applying an ice bag -- Introduction To Restorative Care: -- Lesson 22: Restorative And Rehabilitative Care Of The Resident: -- Restorative care and the interdisciplinary health care team -- Purposes of restorative and rehabilitative care -- Preventing complications from inactivity -- Activities of daily living -- Setting up restorative programs -- Restorative environment -- Progressive mobilization -- Range of motion: -- Guidelines for nursing assistant responsibilities in general restorative program -- Guidelines for passive range-of-motion exercises -- OBRA Procedure 22-70: Passive range-of-motion exercises -- Self range-of-motion exercises -- Active range-of-motion exercises -- Positioning the resident -- Guidelines for positioning -- OBRA Procedure 22-71: Moving the resident in bed -- OBRA Procedure 22-72: Turning the resident to the side -- OBRA Procedure 22-73: Logrolling the resident onto the side -- OBRA Procedure 22-74: Supine position -- OBRA Procedure 22-75: Semisupine or tilt position -- OBRA Procedure 22-76: Lateral (side-lying) position -- OBRA Procedure 22-77: Lateral position on the affected side -- OBRA Procedure 22-78: Semiprone position -- OBRA Procedure 22-79: Fowler's position: -- Turning the dependent resident with a turning sheet -- Positioning the dependent resident -- OBRA Procedure 22-80: Chair positioning -- OBRA Procedure 22-81 Repositioning a resident in a wheelchair -- OBRA Procedure 22-82: Wheelchair activities to relieve pressure: -- Independent bed movement -- Continuing with progressive mobilization -- Bowel and bladder programs -- OBRA Procedure 22-83: Assisting with independent bed movement: -- Guidelines for bowel and bladder programs -- Lesson 23: Restoring Residents' Mobility: -- Transfers: -- Guidelines for transfers -- OBRA Procedure 23-84: Using a transfer belt (gait belt) -- OBRA Procedure 23-85: Bringing the resident to a sitting position at the edge of the bed -- OBRA Procedure 23-86: Assisted standing transfer -- OBRA Procedure 23-87: Transferring the resident from chair to bed -- OBRA Procedure 23-88: Assisted standing transfer/two assistants -- OBRA Procedure 23-89: Wheelchair to toilet and toilet to wheelchair transfers -- Procedure 23-90: Transferring to tub chair or shower chair -- OBRA Procedure 23-91: Transferring a nonstanding resident from wheelchair to bed -- Using mechanical lifts -- OBRA Procedure 23-92: Transferring resident with a mechanical lift: -- Sliding board transfer -- Ambulation: -- Guidelines for sliding board transfers -- Procedure 23-93: Sliding board transfer: -- Using a wheelchair: -- Guidelines for ambulation -- OBRA Procedure 23-94: Ambulating a resident -- OBRA Procedure 23-95: Assisting resident to ambulate with cane or walker: -- Special maneuvers with wheelchairs -- Positioning the dependent resident in the wheelchair -- Wheelchair activity.

Residents With Specific Disorders: -- Lesson 24: Caring For Residents With Cardiovascular System Disorders: -- Introduction -- Heart -- Blood vessels -- Blood -- Disorders of the blood -- Disorders of the blood vessels and circulation: -- Guidelines for caring for residents with peripheral vascular disease -- Lymphatic system -- Heart disease -- Procedure 23-96: Applying elasticized (support) stockings -- Lesson 25: Caring For Residents With Respiratory System Disorders: -- Introduction -- Respiratory structures -- Voice production -- Changes caused by aging -- Introduction to pathology -- Chronic obstructive pulmonary disease -- Treatment and care of residents with COPD -- Lesson 26: Caring For Residents With Endocrine System Disorders: -- Introduction -- Endocrine glands -- Aging changes -- Glucose metabolism -- Diabetes mellitus -- Lesson 27: Caring For Residents With Reproductive System Disorders: -- Introduction -- Male reproductive system -- Female reproductive system -- Menstrual cycle -- Menopause -- Changes in the reproductive system as a result of aging -- Related conditions -- Sexually transmitted infections -- Lesson 28: Caring For Residents With Musculoskeletal System Disorders: -- Musculoskeletal system -- Changes in the musculoskeletal system caused by aging -- Conditions affecting the musculoskeletal system -- Osteoporosis -- Lesson 29: Caring For Residents With Nervous System Disorders: -- Components of the nervous system -- Central nervous system -- Autonomic nervous system -- Sense organs -- Changes in the nervous system caused by aging -- Causes of severe vision impairment -- Procedure 29-97: Care of eyeglasses: -- Guidelines for assisting visually impaired residents -- Hearing loss -- Procedure 29-98: Applying and removing in-the-ear or behind-the-ear hearing aids -- Nervous system disorders: -- Guidelines for caring for residents with Parkinson's disease -- Guidelines for caring for residents who have had a stroke -- Guidelines for caring for residents with multiple sclerosis -- Guidelines for caring for residents with Huntington's disease -- Guidelines for caring for residents who have Amyotrophic Lateral Sclerosis -- Guidelines for caring for residents who have Myasthenia Gravis -- Residents With Special Needs: -- Lesson 30: Alzheimer's Disease And Related Disorders (Caring For The Cognitively Impaired Resident): -- Definition of Alzheimer's disease -- Stage and symptoms of Alzheimer's disease -- Caring for residents with Dementia: -- Guidelines for caring for residents with Alzheimer's disease -- Guidelines for activities of daily living (ADL) -- Special problems -- Special management techniques -- Lesson 31: Caring For Residents With Developmental Disabilities: -- Characteristics of a developmental disability -- Intellectual disability (mental retardation) -- Other forms of developmental disabilities -- Caring for residents with developmental disabilities -- Lesson 32: Caring For The Dying Resident: -- Introduction -- Hospice care -- Dying process -- Signs of approaching death -- Postmortem care -- Procedure 32-99: Giving postmortem care -- Lesson 33: Caring For The Person In Subacute Care: -- Description of subacute care -- Special procedures provided in the subacute care unit -- Care of the surgical patient: -- Guidelines for electronic blood pressure monitoring -- Pulse oximetry -- Procedure 33-100: Taking blood pressure with an electronic blood: -- Pressure apparatus -- Intravenous therapy -- Procedure 33-101: Using a pulse oximeter: -- Guidelines for caring for residents with intravenous lines -- Pain management procedures -- Procedure 33-102: Changing a gown on a resident with a peripheral intravenous line in place -- Caring for residents with tracheostomies -- Caring for the resident with sleep apnea -- Caring for the resident receiving dialysis treatments -- Incentive spirometry -- Oncology treatments -- Lesson 34: Caring For The Person In The Home Setting: -- Introduction -- Benefits of home health care -- Home health care team -- Characteristics of the home health nursing assistant -- Home health nursing assistant duties -- Adaptations for the home setting -- Time management -- Safety in the home -- Home management -- Communication and documentation -- Employment: -- Lesson 35: Seeking Employment: -- Congratulations are in order -- Step 1: Self-appraisal -- Step 2: Job search -- Step 3: Resume -- Step 4: References -- Step 5: Taking the step -- Step 6: Interview (putting your best foot forward) -- After the interview -- Keeping the job -- Growing -- Resigning -- Glossary -- Index.

Overview: Now in its 6th Edition, ASSISTING IN LONG-TERM CARE is the complete learning solution for Certified Nursing Assistants! The user-friendly book delivers all required content to prepare you for the certification exam while developing career skills for long-term care and sub-acute hospital settings. Topics include professional communication, daily CNA responsibilities, residents' rights, nutrition and hydration, restorative care, resident mobility, and maintaining a safe environment - all according to federal OBRA standards for nursing home care. ASSISTING IN LONG-TERM CARE, 6th Edition also walks you through more than one hundred clinical procedures, detailing your role as a CNA in each. Available in hard copy and e-book formats, ASSISTING IN LONG-TERM CARE, 6th Edition's helpful study features include review questions and self-tests, icons that point out key material, and a robust package of interactive, supplemental learning tools.