1

THE NURSING ASSISTANT IN LONG-TERM CARE

1

Compare long-term care to other healthcare settings

1

2

Describe a typical long-term care facility

2

3

Explain Medicare and Medicaid

3

4

Describe the role of the nursing assistant

3

5

Describe trie care team and the chain of command

5

6

Define policies, procedures, and professionalism

8

7

List examples of legal and ethical behavior and explain Residents' Rights

10

8

Explain legal aspects of the resident's medical record

17

9

Explain the Minimum Data Set (MDS)

18

10

Discuss incident reports

19

2

FOUNDATIONS OF RESIDENT CARE

1

Understand the importance of verbal and written communications

20

2

Describe barriers to communication

23

3

List guidelines for communicating with residents with special needs

25

4

Identify ways to promote safety and handle non-medical emergencies

29

5

Demonstrate how to recognize and respond to medical emergencies

35

6

Describe and demonstrate infection prevention practices

43

3

UNDERSTANDING YOUR RESIDENTS

1

Identify basic human needs

56

2

Define "holistic care"

58

3

Explain why promoting independence and self-care is important

58

4

Identify ways to accommodate cultural differences

59

5

Describe the need for activity

61

6

Discuss family roles and their significance in health care

61

7

Describe the stages of human development

62

8

Discuss the needs of people with developmental disabilities

65

9

Describe mental illness, depression and related care

66

10

Explain how to care for dying residents

67

11

Define the goals of a hospice program

72

4

BODY SYSTEMS AND RELATED CONDITIONS

1

Describe the integumentary system

73

2

Describe the musculoskeletal system and related conditions

75

3

Describe the nervous system and related conditions

78

4

Describe the circulatory system and related conditions

84

5

Describe the respiratory system and related conditions

87

6

Describe the urinary system and related conditions

89

7

Describe the gastrointestinal system and related conditions

91

8

Describe the endocrine system and related conditions

94

9

Describe the reproductive system and related conditions

97

10

Describe the immune and lymphatic systems and related conditions

99

5

CONFUSION, DEMENTIA, AND ALZHEIMER'S DISEASE

1

Discuss confusion and delirium

104

2

Describe dementia and discuss Alzheimer's disease

105

3

List strategies for better communication with residents with Alzheimer's disease

106

4

List and describe interventions for problems with common activities of daily living (ADLs)

108

5

List and describe interventions for common difficult behaviors related to Alzheimer's disease

111

6

Describe creative therapies for residents with Alzheimer's disease

115

6

PERSONAL CARE SKILLS

1

Explain personal care of residents

117

2

Identify guidelines for providing skin care and preventing pressure sores

118

3

Describe guidelines for assisting with bathing

121

4

Describe guidelines for assisting with grooming

130

5

List guidelines for assisting with dressing

135

6

Identify guidelines for proper oral hygiene

138

7

Explain guidelines for assisting with toileting

143

8

Explain the guidelines for safely positioning and moving residents

147

7

BASIC NURSING SKILLS

1

Explain admission, transfer, and discharge of a resident

160

2

Explain the importance of monitoring vital signs

164

3

Explain how to measure weight and height

177

4

Explain restraints and how to promote a restraint-free environment

179

5

Define fluid balance and explain intake and output (I&O)

182

6

Explain care guidelines for different types of tubing

186

7

Discuss a resident's unit and related care

190

8

Explain the importance of sleep and perform proper bedmaking

191

9

Discuss dressings and bandages

195

8

NUTRITION AND HYDRATION

1

Identify the six basic nutrients and explain My Pyramid

197

2

Describe factors that influence food preferences

200

3

Explain special diets

201

4

Describe how to assist residents in maintaining fluid balance

203

5

List ways to identify and prevent unintended weight loss

205

6

Identify ways to promote appetites at mealtime

206

7

Demonstrate how to assist with eating

207

8

Identify signs and symptoms of swallowing problems

210

9

Describe how to assist residents with special needs

212

9

REHABILITATION AND RESTORATIVE CARE

1

Discuss rehabilitation and restorative care

214

2

Describe the importance of promoting independence and list ways exercise improves health

215

3

Discuss ambulation and describe assistive devices and equipment

215

4

Explain guidelines for maintaining proper body alignment

219

5

Describe care guidelines for prosthetic devices

220

6

Describe how to assist with range of motion exercises

221

7

List guidelines for assisting with bowel and bladder retraining

225

10

CARING FOR YOURSELF

1

Describe how to find a job

227

2

Describe a standard job description

229

3

Discuss how to manage and resolve conflict

229

4

Describe employee evaluations and discuss appropriate responses to criticism

230

5

Discuss certification and explain the state's registry

231

6

Describe continuing education

232

7

Explain ways to manage stress

232

Abbreviations

235

Glossary

236

Index

247