Being a Long-Term Care Nursing Assistant with Health Survival Guide Package / Edition 5

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This package contains the following components:

-013089432X: Being a Long-Term Care Nursing Assistant

-0130920673: Prentice Hall Health's Survival Guide for Long-Term Care Nursing Assistants

Covers subacute care & emergency care/care of residents w/limited life expectancy/restorative nursing/etc.

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Editorial Reviews

Doody's Review Service
Reviewer: Donna Marie Minner, BSN, RN (University of Missouri-Columbia)
Description: This fifth edition of a book for certification of nursing assistants is well organized with a wealth of pictures to illustrate techniques and procedures.
Purpose: The purpose is to provide a book that enhances the learning ability of nurse aides who are studying for certification and wish to practice in long term care. The authors state an intent to provide only need-to-know information about topics and procedures that are relevant to their jobs, presented using principles of adult learning. The authors' intent is on target, but while well organized with wonderful pictures and easy to understand instruction, some of the book is very detailed with more physiology than necessary.
Audience: According to the authors, this book/workbook combination was written for certification instruction of nurse aides. This is accomplished well in most procedural instruction, but there is more background than may be necessary. Both authors have worked for many years in long term care and certainly know their way around a nursing home. However, I saw no indication of sources used for current standards of care implied in the book. The chapter covering dementia care is one example of need for a reference. There is current literature on standards of practice indicating that reality orientation should not be used in the care of demented individuals. The authors, while acknowledging this on a minor level, gave use of reality orientation equal billing with validation therapy as a means of communicating with the elderly demented! The title of one paragraph in the dementia section, "Controlling Difficult Behaviors," ignores the current standards of practice that look at behavior as a form of communication to be understood in order to improve care of the individual. The section that includes restraints indicated that certified nursing assistants (CNAs) should put side rails up on all residents unless otherwise instructed by their charge nurse. The literature indicates the opposite to be true with much evidence that side rails are very unsafe. There is also no warning in the section on prevention of pressure ulcers about the dangers of massaging bony prominences. This is stated by such authorities as the National Pressure Ulcer Advisory Panel and the recently reviewed Agency for Health Care Quality Research (AHQR) guidelines on pressure ulcer prevention.
Features: This book covers the body systems with anatomy, physiology, and procedures related to each. There are step-by-step instructions for each procedure, with wonderful illustrations and photographs. The book is well organized, thorough and easy to follow. The book's biggest shortcomings are the lack of references for stated standards of practice and the presentation of outdated practices in the areas of dementia care and restraints.
Assessment: This book has the potential to be an excellent book for instruction of CNAs. With its format, organization, illustrations, and photos it could be a solid addition to the search for good CNA instruction materials. It needs work in the area of current practice standards and references. A new edition with more attention to these details would make this book a valuable teaching tool.
From The Critics
Written by nurses currently working in the long-term care field, this textbook covers the working environment, the needs of the elderly and chronically ill, basic nursing care, anatomy and physiology, biological systems, developmental disabilities, restorative nursing care, subacute and emergency care, and end-of-life care. The book reflects federal curriculum requirements and provides guidance on preparing for the certification exam. In addition, a pocket survival guide is included which serves as a reference for medical terminology and includes useful information for both emergency and day-to-day procedures. Annotation c. Book News, Inc., Portland, OR

3 Stars from Doody
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Product Details

  • ISBN-13: 9780130973313
  • Publisher: Prentice Hall
  • Publication date: 8/28/2001
  • Edition description: FIFTH/SURVIVAL GUIDE PACKAGE
  • Edition number: 5
  • Pages: 534
  • Product dimensions: 8.30 (w) x 10.80 (h) x 0.80 (d)

Meet the Author

Connie A. Will-Black, RN, BSN, PHN, is a graduate of California State University at Long Beach and has been active in long-term care as a nursing consultant, educator, and owner for the past 25 years. Mrs. Black's teaching experience includes nursing education in both acute and long-term care settings as well as in community colleges. As CEO of Community Hospice Care, Mrs. Black created a large Medicare Certified Hospice program in Southern California. This program served thousands of terminally ill patients, both those who lived in their own homes, and those in retirement facilities and in long-term care facilities. Her commitment to education created a large group of professional staff with expertise in end-of-life care who continues to serve dying patients throughout Southern California. Although Connie did not participate in this 5th edition, her knowledge and philosophy of care are reflected throughout the book.

Judith B. Eighrny, RN, BSN, CHPN, is a graduate of Texas Woman's University and has completed course work for her master's degree in nursing from California State University at Los Angeles. She is certified in hospice and palliative care nursing. Ms. Eighmy has been a nursing consultant and educator in long-term care and hospice for more than 25 years. In addition to teaching numerous continuing education courses for health care professionals in long-term care and hospice, she has taught in the acute care setting and in the university as well as in a school of nursing. She has developed quality assessment and improvement programs for long-term care facilities and hospice programs. Ms. Eighmy is active in her professionalorganization and widely recognized for her expertise in training and in care of the elderly and end-of-life care. She serves as an advisory board member and consultant to Medcom, Inc., of Cypress, California, in the development of education programs for long-term care. She is currently president of her consulting firm, Pacific Healthcare Consultants, Inc., where she and her partner Elayne Nahman, LCSW, serve hospice programs in California.

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Table of Contents

1. Introduction to Long-Term Care.
The Long-Term Care Facility. The Nursing Assistant as an Employee. Legal and Ethical Responsibilities. Personal Qualities. The Health Care Team.

2. Your Working Environment.
Emergencies and Accident Prevention. Fire Safety and Disaster Preparedness. Infection Control. The Resident in Isolation. The Resident's Unit: Admission and Discharge.

3. Special Needs of the Elderly and Chronically Ill.
Philosophy of Care and Rehabilitation. Psychological Aspects of Aging. Role Changes. Developing Interpersonal Skills. Spiritual Needs.

4. Basic Nursing Care.
The Health Care Plan. Organize Your Time. Observation and Charting. Weight and Vital Signs.

5. Anatomy, Physiology, Cancer, and the Senses.
Introduction to Anatomy and Physiology. Cancer. Care of the Resident with Cancer. The Senses. Problems Related to the Sensory System.

6. The Integumentary System.
Anatomy and Physiology. Pressure Ulcers. Care of the Skin. Personal Care and Grooming. Application of Warm and Cold.

7. The Skeletal System.
Anatomy and Physiology. The Resident with a Fracture. Lifting and Moving. Transfer Techniques.

8. The Muscular System.
Anatomy and Physiology. Nursing Care Relatedto the Muscular System.

9. The Digestive System.
Anatomy and Physiology. Basic Nutrition. Therapeutic Diets. Preparing for Mealtime, Serving, and Assisting with Eating. Elimination.

10. The Urinary System.
Anatomy and Physiology. Fluid Balance—Intake and Output. Nursing Measures Related to the Urinary System. Care of the Incontinent Resident.

11. The Nervous System.
Anatomy and Physiology. The Resident with a Nervous System Abnormality. The Resident with Alzheimer's Disease and Dementias of the Alzheimer's Type.

12. The Respiratory System.
Anatomy and Physiology. The Resident with Respiratory Disease.

13. The Cardiovascular System.
Anatomy and Physiology. The Resident with Heart Disease.

14. The Endocrine System.
Anatomy and Physiology. Care of the Resident with Diabetes Mellitus.

15. The Reproductive System and Human Sexuality.
Anatomy and Physiology. Human Sexuality. Sexually Transmitted Diseases.

16. Developmental Disabilities.
Introduction to Developmental Disabilities. Behavior Management Principles and Techniques.

17. The Restorative Nursing Assistant.
Role and Responsibilities of the Restorative Nursing Assistant. Restorative nursing Procedures.

18. Subacute and Emergency Care.
The Subacute Unit. Care of the Subacute Patient. Basic Emergency Care.

19. End-of-Life Care.
End of Life. Culture and End-of-Life Care. Food and Fluids at the End of Life. The Dying Resident.

20. The Certified Nursing Assistant.
Becoming Certified. Obtaining a Job as a Certified Nursing Assistant.

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Being a Long-Terns Care Nursing Assistant, 5th edition, is filled with new features to enhance the learning of students preparing to become certified nursing assistants (CNAs). Written by two nurses involved in the day-to-day realities of long-term care, the text clearly demonstrates the many skills demanded of a competent CNA and explains other important aspects of care such as interpersonal relationships, communication and compassion.

These proven authors recognize not only the value of the caregivers but also the unique learning needs of today's adult learner. Learning objectives are realistic, understandable, measurable, and achievable, helping students and instructors zero in on what matters. Information is presented in short, manageable sections using a consistent format. The full-color, richly illustrated presentation and accessible reading level ensures that students of all ages and backgrounds can concentrate on information instead of struggling with the language.


This text focuses exclusively on "need-to-know" information about topics and procedures directly relevant to the job of the CNA in long-term care. Activities outside the scope of CNA practice have not been included. This is a text designed specifically for long-term care, not adapted from an acute care text.


The text is organized in a consistent body systems approach for easier learning. Each systems chapter introduces the normal anatomy and physiology of that system, followed by age-related changes and common symptoms, diseases, and conditions. Related guidelines for care and step-by-step proceduresare integrated throughout, helping students recognize the direct relationship between the care provided and the rationale. Feedback from students and teachers alike has favored this approach.


The authors have threaded key themes and concepts throughout the text, reinforcing their importance in quality care. Such themes and concepts include residents' rights, age-related changes, infection control, safety, cultural awareness, standard precautions, psychosocial needs, rehabilitation, documentation, age-specific competencies, and kind, compassionate care. Emphasis on the unique needs of the elderly and disabled contributes to improved job performance and client health and satisfaction.


This 5th edition has been updated and expanded with new content throughout, including:

  • New emphasis on pain management in the elderly. New content helps students understand the importance of recognizing and treating pain in the elderly, whose pain tends to be undertreated nationwide.
  • The latest CDC guidelines for infection control. Current Standard Precautions and Transmission-Based Precautions are included to keep students and clients healthy.
  • A new chapter on end-of-life care. Research indicates that 20 percent of deaths each year occur in a long-term care facility. Chapter 19 discusses such topics as pain management, communication with dying patients and families, end-stage disease, and grief and bereavement, helping prepare students to offer compassionate care to these patients. ,
  • A new chapter on preparing for the certification examination. Chapter 20 will help the student succeed on the competency examination and in finding employment.


This edition includes many learning aids:

  • Caring tips. Quotations from nurses across America open each chapter and highlight practical ways the nursing assistant can deliver safe, effective care.
  • Marginal glossary. Key terms highlighted in the text are listed and defined in the margin, avoiding the need to flip to the end-of-book glossary.
  • Cultural awareness. A special cultural awareness icon alerts students to cultural issues related to each chapter, enhancing their sensitivity to clients' customs and beliefs related to their care.
  • Procedures. Step-by-step procedures are highlighted in color for added emphasis.
  • OBRA highlights. A special icon highlights OBRA regulations derived from the OBRA 1987 legislation as appropriate to the content of each chapter.
  • Chapter summary. A new two-part summary concludes each chapter. Part 1 summarizes key points in the chapter. Part 2 helps students focus on key OBRA regulations to help them succeed on the exam and in the workplace.
  • Self-study multiple choice questions. Students can test their understanding and retention of the chapter content to see if they need further study. These questions provide practice at test taking and preparation for the competency examination.
  • Case study. Each chapter concludes with a case study or situation followed by related multiple-choice questions. This sharpens students' critical thinking skills and helps them apply the information learned from the chapter.
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