Mosby's Textbook for Nursing Assistants (6 PAP/CDR)

Mosby's Textbook for Nursing Assistants (6 PAP/CDR)

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Table of Contents

1 Introduction to Health Care Agencies,            1  (12)
Agency Purposes and Types, 3 (3)
Organization, 6 (2)
The Nursing Team, 8 (2)
Nursing Care Patterns, 10 (1)
Paying For Health Care, 10 (1)
Meeting Standards, 11 (2)
2 The Nursing Assistant, 13 (20)
History and Current Trends, 15 (1)
State and Federal Laws, 15 (2)
Roles and Responsibilities, 17 (6)
Delegation, 23 (2)
Ethical Aspects, 25 (1)
Legal Aspects, 26 (2)
Reporting Abuse, 28 (5)
3 Work Ethics, 33 (19)
Personal Health, Hygiene, and Appearance, 34 (2)
Getting a Job, 36 (8)
Preparing for Work, 44 (1)
On the Job, 45 (3)
Managing Stress, 48 (1)
Harassment, 48 (1)
Resigning From a Job, 49 (1)
Losing a Job, 49 (3)
4 Communicating With the Health Team, 52 (20)
Communication, 54 (1)
The Medical Record, 54 (5)
The Kardex, 59 (1)
Reporting and Recording, 59 (3)
Medical Terminology and Abbreviations, 62 (3)
Using Computers, 65 (1)
Phone Communications, 66 (2)
Dealing With Conflict, 68 (1)
Cross-Training Opportunities, 68 (4)
5 Assisting With the Nursing Process, 72 (10)
Assessment, 74 (2)
Nursing Diagnosis, 76 (2)
Planning, 78 (1)
Implementation, 78 (1)
Evaluation, 79 (1)
Your Role, 79 (3)
6 Understanding the Person, 82 (16)
Holism, 83 (1)
Basic Needs, 84 (1)
Culture and Religion, 85 (1)
Being Sick, 86 (1)
Persons You Will Care for, 86 (3)
The Person's Rights, 89 (1)
Communicating With the Person, 89 (5)
The Family and Visitors, 94 (1)
Behavior Issues, 95 (3)
7 Body Structure and Function, 98 (22)
Cells, Tissues, and Organs, 99 (2)
The Integumentary System, 101(1)
The Musculoskeletal System, 102(2)
The Nervous System, 104(3)
The Circulatory System, 107(2)
The Respiratory System, 109(1)
The Digestive System, 110(2)
The Urinary System, 112(1)
The Reproductive System, 113(3)
The Endocrine System, 116(1)
The Immune System, 117(3)
8 Growth and Development, 120(13)
Principles, 121(1)
Infancy (Birth to 1 Year), 122(2)
Toddlerhood (1 to 3 Years), 124(1)
Preschool (3 to 6 Years), 125(1)
School Age (6 to 9 or 10 Years), 126(1)
Late Childhood (9 or 10 to 12 Years), 127(1)
Adolescence (12 to 18 Years), 128(1)
Young Adulthood (18 to 40 Years), 129(1)
Middle Adulthood (40 to 65 Years), 130(1)
Late Adulthood (65 Years and Older), 130(3)
9 Care of the Older Person, 133(17)
Psychological and Social Changes, 134(2)
Physical Changes, 136(4)
Housing Options, 140(4)
Resident's Rights, 144(3)
Ombudsman Program, 147(3)
10 Safety, 150(31)
The Safe Environment, 151(1)
Accident Risk Factors, 152(3)
Identifying the Person, 155(1)
Preventing Falls, 156(5)
Preventing Burns, 161(1)
Preventing Poisoning, 161(2)
Preventing Suffocation, 163(1)
Preventing Equipment Accidents, 164(2)
Wheelchair and Stretcher Safety, 166(2)
Handling Hazardous Substances, 168(2)
Fire Safety, 170(4)
PROCEDURE: USING A FIRE EXTINGUISHER, 171(3)
Disasters, 174(1)
Workplace Violence, 174(3)
Risk Management, 177(4)
11 Restraint Alternatives and Safe Restraint 181(18)
Use,
History of Restraint Use, 182(1)
Restraint Alternatives, 182(3)
Safe Restraint Use, 185(14)
PROCEDURE: APPLYING RESTRAINTS, 195(4)
12 Preventing Infection, 199(34)
Microorganisms, 201(1)
Infection, 201(2)
Medical Asepsis, 203(4)
PROCEDURE: HAND WASHING, 207(3)
Isolation Precautions, 210(13)
PROCEDURE: REMOVING GLOVES, 215(1)
PROCEDURE: WEARING A MASK, 216(2)
PROCEDURE: DONNING AND REMOVING A GOWN, 218(3)
PROCEDURE: DOUBLE BAGGING, 221(2)
Bloodborne Pathogen Standard, 223(3)
Surgical Asepsis, 226(4)
PROCEDURE: STERILE GLOVING, 228(2)
Cross-Training Opportunities, 230(3)
13 Body Mechanics, 233(46)
Body Mechanics, 234(5)
Ergonomics, 239(1)
Lifting and Moving Persons in Bed, 240(10)
PROCEDURE: RAISING THE PERSONS HEAD AND 241(3)
SHOULDERS,
PROCEDURE: MOVING THE PERSON UP IN BED, 244(2)
PROCEDURE: MOVING THE PERSON UP IN BED WITH 246(3)
A LIFT SHEET,
PROCEDURE: MOVING THE PERSON TO THE SIDE OF 249(1)
THE BED,
Turning Persons, 250(4)
PROCEDURE: TURNING AND POSITIONING THE 251(2)
PERSON,
PROCEDURE: LOGROLLING THE PERSON, 253(1)
Sitting on the Side of the Bed (Dangling), 254(2)
PROCEDURE: HELPING THE PERSON SIT ON THE 255(1)
SIDE OF THE BED (DANGLE),
Transferring Persons 256(16)
PROCEDURE: APPLYING A TRANSFER BELT, 257(2)
PROCEDURE: TRANSFERRING THE PERSON TO A 259(4)
CHAIR OR WHEELCHAIR,
PROCEDURE: TRANSFERRING THE PERSON FROM THE 263(2)
CHAIR OR WHEELCHAIR TO BED,
PROCEDURE: TRANSFERRING THE PERSON TO A 265(2)
WHEELCHAIR WITH ASSISTANCE,
PROCEDURE: TRANSFERRING THE PERSON USING A 267(2)
MECHANICAL LIFT,
PROCEDURE: TRANSFERRING THE PERSON TO AND 269(2)
FROM THE TOILET,
PROCEDURE: TRANSFERRING THE PERSON TO A 271(1)
STRETCHER,
Positioning, 272(7)
14 The Person's Unit, 279(12)
Comfort, 280(2)
Room Furniture and Equipment, 282(9)
15 Bedmaking, 291(20)
Types of Beds, 292(2)
Linens, 294(2)
Making Beds, 296(8)
PROCEDURE: MAKING A CLOSED BED, 298(6)
The Open Bed, 304(1)
PROCEDURE: MAKING AN OPEN BED, 304(1)
The Occupied Bed, 305(4)
PROCEDURE: MAKING AN OCCUPIED BED, 305(4)
The Surgical Bed, 309(2)
PROCEDURE: MAKING A SURGICAL BED, 309(2)
16 Personal Hygiene, 311(37)
Daily Care, 314(1)
Oral Hygiene, 315(10)
PROCEDURE: ASSISTING THE PERSON TO BRUSH 316(1)
THE TEETH,
PROCEDURE: BRUSHING THE PERSONS TEETH, 317(2)
PROCEDURE: FLOSSING THE PERSONS TEETH, 319(2)
PROCEDURE: PROVIDING MOUTH CARE FOR AN 321(1)
UNCONSCIOUS PERSON,
PROCEDURE: PROVIDING DENTURE CARE, 322(3)
Bathing, 325(14)
PROCEDURE: GIVING A COMPLETE BED BATH, 327(6)
PROCEDURE: GNING A PARTIAL BATH, 333(4)
PROCEDURE: ASSISTING WITH A TUB BATH OR 337(2)
SHOWER,
The Back Massage, 339(3)
PROCEDURE: GIVING A BACK MASSAGE, 340(2)
Perineal Care, 342(4)
PROCEDURE: GIVING FEMALE PERINEAL CARE, 342(3)
PROCEDURE: GIVING MALE PERINEAL CARE, 345(1)
Reporting and Recording, 346(2)
17 Grooming, 348(23)
Hair Care, 349(7)
PROCEDURE: BRUSHING AND COMBING THE PERSONS 351(4)
HAIR,
PROCEDURE: SHAMPOOING THE PERSONS HAIR, 355(1)
Shaving, 356(2)
PROCEDURE: SHAVING THE PERSON, 357(1)
Nail and Foot Care, 358(3)
PROCEDURE: GIVING NAIL AND FOOT CARE, 359(2)
Changing Gowns and Clothing, 361(10)
PROCEDURE: CHANGING THE GOWN OF THE PERSON 362(2)
WITH AN IV,
PROCEDURE: UNDRESSING THE PERSON, 364(4)
PROCEDURE: DRESSING THE PERSON, 368(3)
18 Urinary Elimination, 371(25)
Normal Urination, 372(12)
PROCEDURE: GIVING THE BEDPAN, 376(3)
PROCEDURE: GIVING THE URINAL, 379(2)
PROCEDURE: HELPING THE PERSON TO THE 381(3)
COMMODE,
Urinary Incontinence, 382
Catheters, 384(10)
PROCEDURE: GIVING CATHETER CARE, 386(3)
PROCEDURE: CHANGING A LEG BAG TO A DRAINAGE 389(2)
BAG,
PROCEDURE: EMPTYING A URINARY DRAINAGE BAG, 391(2)
PROCEDURE: APPLYING A CONDOM CATHETER, 393(1)
Bladder Training, 394(2)
19 Bowel Elimination, 396(24)
Normal Bowel Movements, 399(1)
Factors Affecting Bowel Elimination, 399(1)
Common Problems, 400(5)
PROCEDURE: CHECKING FOR FECAL IMPACTION, 402(1)
PROCEDURE: REMOVING A FECAL IMPACTION, 403(2)
Bowel Training, 405(1)
Enemas, 406(7)
PROCEDURE: GIVING A CLEANSING ENEMA, 409(2)
PROCEDURE: GIVING A SMALL-VOLUME ENEMA, 411(1)
PROCEDURE: GIVING AN OIL-RETENTION ENEMA, 412(1)
Rectal Tubes, 413(2)
PROCEDURE: INSERTNG A RECTAL TUBE, 414(1)
The Person With An Ostomy, 415(5)
PROCEDURE: CHANGING AN OSTOMY POUCH, 417(3)
20 Nutrition and Fluids, 420(35)
Basic Nutrition, 422(6)
Factors Affecting Eating and Nutrition, 428(3)
Special Diets, 431(4)
Fluid Balance, 435(3)
Meeting Food and Fluids Needs, 438(6)
PROCEDURE: MEASURING INTAKE AND OUTPUT, 438(1)
PROCEDURE: PREPARING THE PERSON FOR MEALS, 439(2)
PROCEDURE: SERVING MEAL TRAYS, 441(2)
PROCEDURE: FEEDING A PERSON, 443(1)
Meeting Special Needs, 444(8)
Cross-Training Opportunities, 452(3)
21 Measuring Vital Signs, 455(27)
Measuring and Reporting Vital Signs, 457(1)
Body Temperature, 457(10)
PROCEDURE: TAKING A TEMPERATURE WITH A 461(3)
GLASS THERMOMETER,
PROCEDURE: TAKING A TEMPERATURE WITH AN 464(3)
ELECTRONIC THERMOMETER,
Pulse, 467(7)
PROCEDURE: TAKING A RADIAL PULSE, 471(1)
PROCEDURE: TAKING AN APICAL PULSE, 472(1)
PROCEDURE: TAKING AN APICAL-RADIAL PULSE, 473(1)
Respirations, 474(2)
PROCEDURE: COUNTING RESPIRATIONS, 475(1)
Blood Pressure, 476(6)
PROCEDURE: MEASURING BLOOD PRESSURE, 479(3)
22 Exercise and Activity, 482(23)
Bedrest, 484(4)
Range-of-Motion Exercises, 488(6)
PROCEDURE: PERFORMING RANGE-OF-MOTION 490(4)
EXERCISES,
Ambulation, 494(11)
PROCEDURE: HELPING THE PERSON WALK, 495(1)
PROCEDURE: HELPING THE FALLING PERSON, 496(9)
23 Comfort, Rest, and Sleep, 505(12)
Comfort, 507(5)
Rest, 512(1)
Sleep, 512(5)
24 Admissions, Transfers, and Discharges, 517(14)
Admissions, 519(9)
PROCEDURE: PREPARING THE PERSONS ROOM, 519(4)
PROCEDURE: ADMITTING THE PERSON, 523(2)
PROCEDURE: MEASURING HEIGHT AND WEIGHT, 525(2)
PROCEDURE: MEASURING HEIGHT: THE PERSON IS 527(1)
IN BED,
Transfers, 528(1)
PROCEDURE: TRANSFERRING THE PERSON TO 528(1)
ANOTHER NURSING UNIT,
Discharges, 529(2)
PROCEDURE: DISCHARGING THE PERSON, 529(2)
25 Assisting With the Physical Examination, 531(9)
Your Role, 532(1)
Equipment, 533(1)
Preparing the Person, 534(2)
PROCEDURE: PREPARING THE PERSON FOR AN 535(1)
EXAMINATION,
Positioning and Draping, 536(1)
Assisting With the Examination, 537(1)
Cross-Training Opportunities, 538(2)
26 Collecting and Testing Specimens, 540(19)
Urine Specimens, 542(10)
PROCEDURE: COLLECTING A RANDOM URINE 543(2)
SPECIMEN,
PROCEDURE: COLLECTING A MIDSTREAM SPECIMEN, 545(1)
PROCEDURE: COLLECTING A 24-HOUR URINE 546(1)
SPECIMEN,
PROCEDURE: COLLECTING A DOUBLE-VOIDED 547(2)
SPECIMEN,
PROCEDURE: COLLECTING A URINE SPECIMEN FROM 549(1)
AN INFANT OR CHILD,
PROCEDURE: TESTING URINE WITH REAGENT 550(1)
STRIPS,
PROCEDURE: STRAINING URINE, 551(1)
Stool Specimens, 552(4)
PROCEDURE: COLLECTING A STOOL SPECIMEN, 553(2)
PROCEDURE: TESTING A STOOL SPECIMEN FOR 555(1)
BLOOD,
Sputum Specimens, 556(3)
PROCEDURE: COLLECTING A SPUTUM SPECIMEN, 557(2)
27 The Person Having Surgery, 559(22)
Psychological Care, 561(1)
Preoperative Care, 562(8)
PROCEDURE: THE SURGICAL SKIN PREP, 566(3)
PROCEDURE: GIVING A DOUCHE, 569(1)
Anesthesia, 570(2)
Postoperative Care, 572(9)
PROCEDURE: APPLYING ELASTIC STOCKINGS, 575(2)
PROCEDURE: APPLYING ELASTIC BANDAGES, 577(4)
28 Wound Care, 581(21)
Types of Wounds, 583(2)
Pressure Ulcers, 585(6)
Circulatory Ulcers, 591(1)
Wound Healing, 592(3)
Dressings, 595(4)
PROCEDURE: APPLYING A DRY, NONSTERILE 598(1)
DRESSING,
Binders, 599(1)
Heat and Cold Applications, 600(1)
Meeting Basic Needs, 600(2)
29 Heat and Cold Applications, 602(17)
Heat Applications, 603(11)
PROCEDURE: APPLYING HOT COMPRESSES, 606(1)
PROCEDURE: THE HOT SOAK, 607(2)
PROCEDURE: ASSISTING THE PERSON TO TAKE A 609(2)
SITZ BATH,
PROCEDURE: APPLYING A HOT PACK, 611(2)
PROCEDURE: APPLYING AN AQUATHERMIA PAD, 613(1)
Cold Applications, 614(3)
PROCEDURE: APPLYING AN ICE BAG, ICE COLLAR, 615(1)
ICE GLOVE, OR DRY COLD PACK,
PROCEDURE: APPLYING COLD COMPRESSES, 616(1)
Cooling and Warming Blankets, 617(2)
30 Oxygen Needs, 619(28)
Factors Affecting Oxygen Needs, 621(2)
Altered Respiratory Function, 623(5)
PROCEDURE: USING A PULSE OXIMETER, 627(1)
Promoting Oxygenation, 628(4)
PROCEDURE: ASSISTING WITH COUGHING AND 629(3)
DEEP-BREATHING EXERCISES,
Assisting With Oxygen Therapy, 632(6)
PROCEDURE: SETTING UP FOR OXYGEN 636(2)
ADMINISTRATION,
Artificial Airways, 638(2)
Suctioning the Airway, 640(2)
Mechanical Ventilation, 642(1)
Chest Tubes, 643(1)
Cardiopulmonary Resuscitation, 644(3)
31 Rehabilitation and Restorative Care, 647(11)
Restorative Nursing, 649(1)
Rehabilitation and the Whole Person, 649(5)
The Rehabilitation Team, 654(1)
Rehabilitation Services, 655(1)
Quality of Life, 655(3)
32 Hearing and Vision Problems, 658(13)
Ear Disorders, 659(5)
Eye Disorders, 664(7)
PROCEDURE: CARING FOR EYEGLASSES, 666(5)
33 Common Health Problems, 671(37)
Cancer, 673(2)
Musculoskeletal Disorders, 675(11)
Nervous System Disorders, 686(4)
Respiratory Disorders, 690(2)
Cardiovascular Disorders, 692(4)
Urinary System Disorders, 696(2)
The Endocrine System, 698(2)
Digestive Disorders, 700(1)
Communicable Diseases, 701(7)
34 Mental Health Problems, 708(9)
Basic Concepts, 710(1)
Anxiety Disorders 710(2)
Schizophrenia, 712(1)
Effective Disorders, 712(1)
Substance Abuse, 713(1)
Eating Disorders, 714(1)
Care and Treatment, 715(2)
35 Confusion and Dementia, 717(13)
Confusion, 718(1)
Dementia, 719(1)
Alzheimer's Disease, 720(3)
Care of the Person With AD and Other
Dementias, 723(7)
36 Developmental Disabilities, 730(8)
Mental Retardation, 731(1)
Down Syndrome, 732(1)
Cerebral Palsy, 733(1)
Autism 733(1)
Epilepsy 734(1)
Spina Bifida 734(2)
Hydrocephalus 736(2)
37 Sexuality, 738(8)
Sex and Sexuality, 739(3)
Sexual Relationships, 742(1)
Injury, Illness, and Surgery, 742(1)
Age-Related Changes, 742(1)
Meeting Sexual Needs, 742(2)
The Sexually Aggressive Person, 744(1)
Sexually Transmitted Diseases, 744(2)
38 Caring For Mothers and Newborns, 746(22)
Infant Safety and Security, 747(3)
Helping Mothers Breast-Feed, 750(3)
Bottle-Feeding Babies, 753(3)
PROCEDURE: CLEANING BABY BOTTLES, 753(3)
Diapering, 756(2)
PROCEDURE: DIAPERING A BABY, 757(1)
Care of the Umbilical Cord, 758(1)
Circumcision, 759(1)
Bathing an Infant, 760(3)
PROCEDURE: GIVING A BABY A SPONGE BATH, 761(2)
PROCEDURE: GIVING A BABY A TUB BATH, 763(1)
Nail Care, 763(1)
Weighing Infants, 764(1)
PROCEDURE: WEIGHING AN INFANT, 764(1)
Care of the Mother, 765(3)
39 Assisted Living, 768(9)
Purpose, 770(2)
Staff Requirements, 772(1)
Resident Requirements, 772(1)
Services, 772(3)
Transfer, Discharge, and Eviction, 775(2)
40 Basic Emergency Care, 777(27)
Emergency Care, 778(1)
Basic Life Support, 779(18)
PROCEDURE: ADULT CPR-ONE RESCUER, 784(1)
PROCEDURE: ADULT CPR-TWO RESCUERS, 785(1)
PROCEDURE: INFANT CPR-ONE RESCUER, 786(2)
PROCEDURE: CHILD CPR-ONE RESCUER, 788(3)
PROCEDURE: FBAO-THE RESPONSIVE ADULT, 791(1)
PROCEDURE: FBAO-THE UNRESPONSIVE ADULT, 792(1)
PROCEDURE: FBAO-THE RESPONSIVE INFANT, 793(1)
PROCEDURE: FBAO-THE RESPONSIVE CHILD, 794(1)
PROCEDURE: FBAO-THE UNRESPONSIVE INFANT OR 795(2)
CHILD,
Hemorrhage, 797(1)
Shock, 798(1)
Seizures, 798(1)
Burns, 799(1)
Fainting, 800(1)
Stroke, 800(1)
Quality of Life, 801(3)
41 The Dying Person, 804(11)
Terminal Illness, 805(1)
Attitudes about Death, 806(1)
The Stages of Dying, 807(1)
Psychological, Social, and Spiritual Needs, 807(1)
Physical Needs, 808(1)
The Family, 808(1)
Hospice Care, 809(1)
Legal Issues, 809(1)
Quality of Life, 809(2)
Signs of Death, 811(1)
Care of the Body After Death, 811(4)
PROCEDURE: ASSISTING WITH POSTMORTEM CARE, 812(3)
Review Question Answers, 815(6)
Appendix A, 821(1)
Appendix B, 822(11)
Appendix C, 833(19)
Glossary, 852