Chapter 7- Basics
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This document provides guidelines for various basic nursing skills including: admitting a new resident such as doing introductions and paperwork; taking vital signs like temperature, pulse, and blood pressure; assisting with packing and discharging a resident; collecting urine and stool samples; caring for catheters and oxygen; and making a bed with proper positioning of sheets and blankets. It emphasizes the importance of documentation and notifying nurses of any issues or changes in a resident's condition.
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The document provides information on a continuing medical education session for paramedics, including objectives, demonstrations of new equipment, and case reviews. It discusses new intravenous catheters and solution sets being used, and provides instructions on preparing and accessing them. Two medical cases are then reviewed involving a woman found unresponsive at home and a man who fell from a third floor window. For each case, the document outlines the assessment approach, initial findings, further history, detailed exam, treatment, and questions from participants.
Vital Signs.ppt
The document discusses vital signs including body temperature, pulse, respiration, and blood pressure. It provides information on normal ranges, factors that affect vital signs, appropriate techniques for measuring each vital sign, and nursing responsibilities related to vital sign monitoring. Key points include the importance of accurately measuring and documenting vital signs to assess a patient's condition, understanding what factors can cause changes in vital signs, and knowing when to retake measurements if anything is abnormal.
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This document discusses the relationship between the gastrointestinal (GI) system and other body systems. It outlines how the neurological, endocrine, respiratory, cardiovascular, muscular, integumentary, digestive, urinary, lymphatic, and reproductive systems interact with and can affect the GI system. It also provides details on assessing the GI system through health history, physical examination, diagnostic tests, and various radiologic and endoscopic procedures.
STANDING ORDER.pptx
This document provides standing orders and treatment guidelines for common minor ailments like fever, heat stroke, diarrhea, burns, drowning, bites, scorpion bites, and fainting that a community health nurse may encounter. The orders outline steps to examine patients, determine symptoms and severity, provide initial first aid like rest, fluids and medication, monitor vital signs, and refer more severe cases to a hospital or doctor as needed.
Basic nursing care in child ward
This document outlines the responsibilities and best practices for pediatric nurses. It discusses that children require specialized care due to anatomical, physiological, immunological, psychosocial and cognitive differences compared to adults. A pediatric nurse must maintain cleanliness, know proper sizes of equipment, check and record vital signs, know medical procedures, keep accurate records, communicate well with patients, families and colleagues, and counsel parents upon discharge. The overall message is that pediatric nursing requires attention to the unique needs of children in order to provide high quality and safe care.
History taking and examination in ano rectal diseases
Piles, Fistula in ano, Fissure in ano, Abscess in ano-rectal region are the common diseases that occur in ano rectal area. This slide show is specially useful for Doctors who want to learn ano-rectal diseases, their diagnosis and their treatment
Module two
Here are some ways culture can impact care needs:
- Dietary needs and preferences may be influenced by cultural customs. For example, some cultures emphasize certain foods in their diets.
- Religious and spiritual practices, such as attending services or praying at certain times, may be important to observe based on one's culture.
- Communication styles and language preferences may differ across cultures. Using an interpreter or speaking more slowly/clearly may help some residents.
- Cultural norms around personal space, touch, eye contact, and decision making (individual vs family/community oriented) influence comfort levels and expectations.
- Cultural traditions and holidays hold meaning. Incorporating familiar activities can boost well-being.
MINOR AILMENTS
THIS PPT DEALS WITH COMMON MINOR AILMENTS AND CAN BE USED FOR TEACHING FIRST YEAR NURSING DIPLOMA STUDENTS
GI Linton Ch38 Powerpoint 2
The document provides guidance on assessing the digestive tract through a nursing assessment. It outlines questions to ask about the patient's chief complaint, medical history including medications, family history, and review of systems. The objective assessment includes inspection, auscultation, percussion and light palpation of the abdomen. Various diagnostic tests are also discussed such as radiographic imaging, endoscopy, and ERCP to further evaluate abnormalities.
Treatment of minor ailments
The document discusses the treatment of minor ailments by community health nurses. It outlines principles like ensuring patient safety, treating injuries promptly, and providing health education. It describes how to classify and manage common minor issues like fever, diarrhea, burns, and cough. Standing orders are provided to guide treatment for these and other minor conditions in the absence of a doctor. The role of the community health nurse is to assess patients, provide nursing care under standing orders, monitor for complications, and make referrals when needed.
Chapter 22: Special Care Skills
This document provides information about post-operative care in a skilled nursing unit. It describes the types of patients served, including those recovering from surgeries, with injuries, chronic illnesses, or needing wound care or infusion therapy. It outlines the pre-operative preparation patients may need and the post-operative care assistants provide, such as vital sign monitoring, oxygen monitoring, tracheostomy or chest tube care if needed, and ambulation assistance. Any changes in condition should be reported promptly to nurses.
Assessment of the abdomen
This document provides guidance on assessing the abdomen through inspection, auscultation, percussion, and palpation. It describes the key steps in examining the abdomen, including inspecting the skin, contour, visible organs, and peristalsis. Auscultation involves listening for bowel sounds in all four quadrants. Percussion helps assess gas distribution and identify masses or organ enlargement. Palpation should start with light palpation to identify superficial organs before deeper palpation to check for tenderness.
Vital Signs - 2017
Vital signs are one of the most important assessments nurses perform, as they provide insight into a patient's condition. A nurse is responsible for measuring, interpreting, and monitoring vital signs based on factors like a patient's history, condition, and medical orders. Common vital signs include temperature, pulse, respiration, and blood pressure. Nurses must know normal ranges and be able to identify any significant changes in a patient's vital signs.
Chapter 7. Emergency Care and Disaster Preparation
This document outlines how to respond to various medical emergencies that may occur with residents. It describes how to assess the situation and victim, call for help, provide first aid such as CPR, and document the incident. Key steps include controlling bleeding, not moving potential spine injuries, cooling minor burns with water, giving food for low blood sugar, and immediately alerting nurses about strokes, seizures, or impending medical issues. The overall message is to remain calm, seek help, and safely assist the resident until emergency responders arrive.
paediatric resuscitation..pptx
Dr. Chipiro's presentation covers the key aspects of paediatric resuscitation including identification of at-risk children, the general resuscitation approach of Anticipation, Assessment, Airway, Breathing, Circulation, and Drugs (AAA CBD), and demonstration of critical skills. The objectives are to familiarize participants with resuscitation protocols, demonstrate skills like bag-mask ventilation and chest compressions, and emphasize the importance of teamwork and communication. Requirements for an effective resuscitation include policies and guidelines, a furnished space with necessary equipment, skilled personnel, and an emergency trolley containing devices, medications, and supplies. [END SUMMARY]
Minor Ailements
This document provides information on managing minor ailments through standing orders in the community. It discusses principles of managing minor ailments, classifications of minor ailments including general and systemic types, assessment and management of minor ailments, types of standing orders including institutional, specific and general, and provides examples of standing orders for treating common minor ailments like fever, diarrhea, burns, dog bites, fainting, injuries and more. The goal is to enable community health nurses to safely treat minor conditions based on standing orders in the absence of a doctor.
Specimen collection
This document provides information and guidelines for nurses on collecting various specimen types including urine, stool, sputum, blood, and wound drainage. It describes the proper procedures for collecting midstream urine samples, stool samples, and sputum samples. It emphasizes the importance of using standard precautions, proper labeling of specimens, and timely delivery of specimens to the laboratory. It also provides information on testing of urine, stool, and sputum samples in the laboratory.
Pcc cna-2011 unit 12, cna
This document provides information on measuring and recording various vital signs including temperature, pulse, respiration, blood pressure, height and weight. It describes normal ranges for each vital sign and situations that could cause variations. Proper techniques are outlined for measuring each vital sign safely and accurately. All abnormal readings or difficulties taking measurements should be reported to the nurse.
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This document provides guidance on finding a job, preparing for an interview, understanding job descriptions and requirements, continuing education, and managing stress. It recommends asking others for job leads, using the internet and newspapers to search, and bringing important documents to interviews. Employers expect professional dress and grooming at interviews and for the job. A job description outlines expectations and protects both employee and employer. Continuing education is required to remain on the state registry. Developing healthy habits can help relieve the stress of starting a new position.
Chapter 9 - Basics
Rehabilitation aims to restore functioning after surgery or injury through physical, occupational, and speech therapy. Restorative care then focuses on maintaining independence through preventing issues like blood clots, muscle atrophy, and pressure ulcers. Adaptive equipment and assistive devices can aid mobility and daily activities, while range of motion exercises and bowel/bladder retraining help retain physical function.
Chapter 5 - Basics
This document discusses confusion, dementia, and Alzheimer's disease. It defines key terms like cognition, cognitive impairment, and dementia. Alzheimer's disease is described as a major cause of dementia characterized by tangled nerve fibers and plaques in the brain. The document provides strategies for communicating with and caring for those with cognitive impairments, including keeping messages simple, repetition, redirection, and maintaining routines. It also outlines common behaviors seen in those with dementia like agitation, sundowning, and elopement and recommends interventions.
Chapter 4 - Basics
This document summarizes several body systems and common age-related changes and health conditions that can affect each system. The major systems covered include the integumentary, musculoskeletal, nervous, circulatory, respiratory, urinary, gastrointestinal, endocrine, and immune systems. For each system, normal aging changes are outlined as well as common problems to observe and potentially report like pain, swelling, difficulty moving, coughing, or changes in mental status. Common conditions that can affect elderly patients for each system are also detailed.
Chapter 3- Basics
This document discusses several topics related to understanding residents' basic human needs and development, including Maslow's hierarchy of needs, guidelines for providing holistic care, the importance of cultural diversity and family support, human development across the lifespan, developmental disabilities, mental illness and end-of-life care. Key points covered are respecting residents' sexual and cultural needs, promoting independence, the roles of activities and family, approaches to care for those with disabilities or mental illness, the stages of death and dying and a resident's rights at end of life.
Chapter 2-Basics
This document provides guidelines for proper communication and care when working with residents. It discusses the importance of both verbal and non-verbal communication, collecting objective information, and addressing barriers like mental illness or sensory impairments. Safety guidelines are outlined around accident prevention, emergency response, infection control, and handling of equipment or hazardous materials. Effective communication, safety, and infection control are essential foundations of care.
Chapter 1-Basics
This document discusses the roles and responsibilities of nursing assistants in various care settings. It covers the types of facilities such as assisted living where residents are more independent, nursing homes which provide 24-hour care for those with chronic conditions, and acute care facilities like hospitals that care for patients during medical emergencies or surgery. The document also outlines the healthcare team members, importance of care plans, policies, procedures, documentation standards, and legal issues related to providing care.
Chapter 23: Death and Dying
This chapter discusses the five stages of grief that people experience when facing death: denial, anger, bargaining, depression, and acceptance. It also provides guidance for caring for residents who are nearing the end of life, including ensuring freedom from pain, respecting privacy and rights, keeping the resident clean and comfortable, and providing emotional and spiritual support to both the resident and their family. Signs that death may be imminent are described.
Chapter 21: Rehabilitation and Restorative Care
Rehabilitation aims to help residents return to their prior health status through a team effort including physical therapy, occupational therapy, nurses, and nursing assistants. Restorative care follows rehabilitation and aims to maintain the functional abilities achieved. When providing restorative care, staff should be patient, focus on small tasks one at a time, and encourage residents' independence in daily living activities while monitoring for any changes in abilities, mood, skin, appetite, or energy level.
Chapter 20: Mental Health and Mental Illness
This document discusses characteristics of mental health and causes of mental illness. People who are mentally healthy can get along with others, adapt to situations, care for themselves and others, give and accept love, use healthy coping mechanisms, take responsibility for their actions and decisions, and behave appropriately with impulse control. The four main causes of mental illness are physical problems, emotional trauma or a poor family environment, heredity, and stress. The document also discusses communicating respectfully with mentally ill patients, common defense mechanisms, specific mental illnesses like anxiety and depression, and treatments for mental illness.
Chapter 19: Confusion, Dementia, and Alzheimer’s Disease
Normal aging can include some cognitive decline such as slower thinking and minor memory loss, but confusion, delirium, dementia, and Alzheimer's disease are not normal parts of aging. Confusion can be caused by medical issues like infection or lack of sleep, while delirium involves a sudden onset of severe confusion that may be drug-related. Dementia involves a progressive loss of mental abilities and Alzheimer's disease is the most common cause of dementia in the elderly. Alzheimer's has no known cure and progresses through stages of increasing memory loss and dependence. When caring for those with cognitive issues, it is important to communicate calmly, provide a routine, and not take behaviors personally as the disease impacts their thoughts and actions.
Chapter 17: Bowel Elimination
This document discusses bowel elimination and the nursing role in assisting patients with bowel movements. It defines terms like defecation and peristalsis and outlines how aging can impact the gastrointestinal system. The nursing role includes assisting patients to the bathroom, providing peri care if needed, encouraging activity and a high-fiber diet, ensuring adequate fluids, and responding promptly to call lights. Conditions that can affect the GI tract like GERD, colostomies, impaction, and constipation are mentioned. Nurses may need to collect stool specimens following certain procedures.
Chapter 16. Urinary Elimination
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Chapter 12 The Resident’s Unit
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Chapter 11 Admitting, Transferring, & Discharge
This document outlines the role of a nursing assistant in admitting, transferring, and discharging residents from long-term care. When residents are admitted, nursing assistants can help them feel comfortable by providing emotional support, listening, and being compassionate as residents may feel angry, scared, or depressed about leaving home. The admission process involves completing paperwork, giving a facility handbook and rights information. Nursing assistants should prepare the resident's room, introduce themselves properly, and explain the facility routine. They are also responsible for monitoring residents and reporting any signs of distress. Nursing assistants help during transfers by packing and unpacking belongings and ensuring residents are settled. They also play a role in discharge by carefully packing up items and providing encouragement as the resident
Chapter 9.the healthy human body
This document provides an overview of the major body systems, including their structures, functions, and common age-related changes. It discusses the skin, skeletal, muscular, nervous, circulatory, respiratory, urinary, digestive, endocrine, and immune systems. For each system, it lists key components, functions, normal aging changes to watch for, and nursing considerations for care.
Chapter 8. human needs and development
Maslow's hierarchy of needs outlines 5 levels of human motivation: physiological needs, safety, love/belonging, esteem, and self-actualization. Holistic care involves caring for residents' physical, mental, emotional, social, and spiritual well-being. Caregivers should encourage independence, respect residents' privacy and beliefs, and provide engaging activities to prevent issues like loss of self-esteem or health complications from inactivity. Developmental disabilities are present from birth or childhood and require special care tailored to each individual's abilities and needs.
Lecture: Chapter 6 - Safety and Body Mechanics
Elderly residents are at greatest risk for accidents due to factors like confusion, dementia, and changes in body systems from aging. Falls are a major safety concern in long-term care facilities and can be caused by hazards, medications, vision issues, and more. Hip fractures from falls can lead to serious complications like blood clots, pain, and even death. Proper prevention includes keeping areas clutter-free, ensuring call lights are accessible, and more. Residents also face risks like burns, choking, and poisoning that staff must be aware of and take precautions for. Oxygen safety, restraint use, body mechanics, and fire safety are also important concepts for staff to understand to keep residents safe.
Lecture: Chapter 5 - Preventing Infection.
This document discusses infection control and prevention. It defines key terms like microorganisms, infections, and nosocomial infections. It explains the chain of infection and who is most at risk. Standard precautions to prevent the spread of infections are outlined, including handwashing, personal protective equipment (PPE), and the proper order for putting on and taking off PPE. Different types of transmission-based precautions are described for containing certain contagions like MRSA, C. difficile, and bloodborne pathogens.
Chapter 4 Communication & Cultural Diversity
This document discusses communication in healthcare settings. It defines verbal and non-verbal communication and notes that non-verbal communication can be powerful. It also discusses cultural diversity in communication and barriers to communication like hearing, language differences, and medical conditions. The document provides tips for helping communicate effectively with residents, including being a good listener, showing interest, and being aware of cultural and individual differences. It distinguishes between facts and opinions and stresses the importance of documentation. Special communication needs for those with disabilities are also addressed.
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Chapter 7- Basics
- 2. Guidelines for Admission ◦ Prepare the room Admit kit ◦ Introduce self ◦ Explain mealtimes, schedules of activities ◦ Help put items away, ask resident where… Make introductions, fill out paperwork (belongings checklist) Handle possessions with care, it’s a resident right.
- 3. Vital signs Height and weight Mood Any abnormal breathing, skin color c/o pain…where, what kind Pressure ulcers…very important to document upon admit.
- 4. Pack belongings Resident may want to help Bring to new area Help put some things away, if needed Give call light to resident Inform new CNA that resident is in room
- 5. Pack belongings Make sure resident is leaving with everything they came with. Reassure resident that doctor feels he/she is ready to go home. Accompany resident to car, make sure safely in. Report to nurse time of discharge.
- 6. BP Temp – different thermometers ◦ Oral, tympanic, rectal, axillary, temporal Respirations – inspiration/expiration = 1 breath Pulse/Heart rate Pain level – rating scale
- 7. Definition – physical or chemical way to restrict movement or behavior Bed rails considered restraint in NH Restraints used as last resort, need an MD order. Restraint alternatives used instead: ◦ 1 to 1 CNAs ◦ Alarms – chair, bed If restrained, needs frequent checking
- 8. Needs to be measured ◦ Intake – food/fluids during meals ◦ Output – urine, emesis, wound drainage, may not be required for measurement Conversions – 30 ml = 1 ounce ◦ 240 ml – 8 oz, usual glass of fluid, cup of coffee
- 9. Urine – clean catch, midstream Voiding – urinating Process for specimen collection – pg 187/188 Stool specimen – pg 189/190 ◦ Reasons for collecting
- 10. Urinary Retention catheters Condom Catheter Indwelling Straight Catheter Care – one of our skills Emptying drainage bag
- 11. Used to treat breathing problems ◦ Cannula ◦ Concentrator ◦ Tank ◦ In hospital, on wall ◦ CNAs may adjust cannula, BUT, not within scope of practice to stop or adjust dose. ◦ Very flammable…should know how to turn off!
- 12. Report redness, swelling, c/o pain Report alarms Report problems with IV tubing, kinks, bag almost empty. Do not take blood pressure on arm with IV.
- 13. Similar to school set-up ◦ Electric or manual bed ◦ Overbed table ◦ Bedside table ◦ Privacy curtain Closed bed – Blankets in place, neat Open bed – Blankets down
- 14. Sterile vs non-sterile Nurses change dressings on wounds that are draining. CNAs can change dressings if wound is closed, dry