Long-Term Care Nursing Assistant's Guide to Advanced Restorative Skills / Edition 1

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This book is written specifically for RNAs or nursing assistants to help them provide quality restorative care. Author Barbara Acello, MS, RN, offers detailed nursing procedures that do not fall under therapy treatment and must be provided by your nursing staff. Whether your facility has a staff dedicated to restorative care or not this resource will serve as a much-needed source of critical information that is not taught during regular CNA inservices or educational training. At more than 250 pages, this book includes:
• Step by step procedures and guidelines to help nursing assistants provide and document advanced restorative care
• Specific methods to prove nursing assistants are trained and qualified to provide restorative care
• Examples of holistic restorative nursing care that promotes resident independence and helps residents attain and maintain the highest level of health and well-being possible
• The most common survey citations and declines related to restorative care and how to prevent them
• A companion CD-ROM with dozens of tools such as Restorative Nursing Record, Restorative Nursing Flow Sheet, and an ADL Flow Sheet

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Product Details

  • ISBN-13: 9781601467270
  • Publisher: HCPro, Inc
  • Publication date: 4/1/2010
  • Format: Spiral Bound
  • Edition number: 1
  • Pages: 295
  • Sales rank: 1,306,216
  • Product dimensions: 9.20 (w) x 10.80 (h) x 1.70 (d)

Meet the Author

Barbara Acello, MS, RN, is an independent nurse consultant and educator. She has worked in long-term care for more than thirty-three years. In addition to owning and operating a school for nursing assistants, she helped to write and develop mandatory state curricula for nurse aides and EMTs.
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Table of Contents

Chapter 1

Introduction to Restorative Nursing

History of restorative nursing care


Long–Term Care Facility Resident Profile in the 21st Century

Interdisciplinary Team

Introduction to Restorative Nursing Care

Complications of immobility



Principles of Restoration

Task analysis

Purpose of Restorative Goals

Residents with Cognitive Impairment

Early and Late Loss Activities of Daily Living

Steps to Success

Chapter 2

Applying Evidence–Based Practice and Critical Thinking in Restorative Care

Evidence–Based Practices

Potential for Worker Injury

Sensory Problems

Risk for Worker Injury


Techniques of Body Mechanics

What we know about sacred cows

The Minimum Data Set

Chapter 3

Musculoskeletal and Nervous Systems, Part 1 General Conditioning

Procedural Guidelines

Progressive Mobility




Other Treatments

Therapeutic Exercises

Range of Motion Exercises

Active ROM Exercises

Guidelines for ROM Exercises

Passive Range of Motion Exercises

Isometric Exercises


Muscle Strengthening

Active individual or group exercise

Exercising for Fun

The Importance of Distractions

Gross Motor Exercises

Fine Motor Exercises

Chapter 4

Musculoskeletal System, Part 2 Bed Mobility

Progressive Mobility

Moving and Positioning Bedfast Residents

Bed Mobility

Equipment and Devices Associated with Bed Mobility

The Bedfast Resident

Foot Care

Restorative Care for Residents after Hip Surgery


The Next Step

Chapter 5

Musculoskeletal System, Part 3 Transfers

Resident Transfers

Levels of Lift/Transfer/Repositioning Tasks

Legal Concerns

Manual Resident Handling

Importance of Positioning the Wheels

The 90–90–90 position

Pressure Ulcers in Chairfast Residents

Transfer Belt/Gait Belt

Assistive Devices

Transfer Procedures

Lifting Residents

Chapter 6

Wheelchair Mobility


Wheelchair Evaluation

Measuring wheelchairs to fit residents

Optional accessories

Wheelchair to Car Transfers

Wheelchair Free Facilities

Chapter 7


Ambulation and Gait


Progressive Ambulation




Ambulation Assistive Devices

Chapter 8

Introduction to Pain Management in the Long–Term Care Facility

Introduction to Pain

Definitions Associated with Pain in Long–Term Care Residents

Identifying and Managing Pain in Elderly Persons

Effects and Results of Pain

Other Barriers to Pain Identification and Management

Pain Management Plan

Using a pain assessment scale

Nursing Comfort Measures and Other Potential Care Plan Interventions

Chapter 9

Restorative Fluid Balance and Bowel and Bladder Management

Bladder Management

Beginning a Continence Management Program

Incontinence assessment

Management options

The Management Plan

Residents with Catheters


Other strategies

Importance of fluids in bowel and bladder management

Bowel management


Intestinal Ostomies

Chapter 10

Pressure Ulcers and Other Skin Conditions

Pressure Ulcers

Staging pressure ulcers

Skin Tears

Caring for Wounds

Lice and Scabies

Chapter 11

Restorative Care in Bathing, Personal Hygiene, Dressing, and Grooming

Activities of Daily Living

The Resident’s Shoes

Restorative Bathing

Restorative Grooming Programs

Restorative Dressing Programs

Lack of progress

Chapter 12

Restorative Meal Service and Dining

Meal Service

Ambulation and Restorative Dining

Restorative meal service

The restorative dining program

Adaptive devices

Neuromuscular Diseases

Restorative Feeding Retraining

Residents with Dysphagia

Special restorative mealtime assistance

Chapter 13

Restorative Nursing Care of Residents with Respiratory Conditions

Basic Human Needs

Caring for Residents with Common Cardiopulmonary Disorders

Monitoring the Resident


Breathing Treatments


Chapter 14

Restorative Nursing Care of Residents with Sensory Problems

Sensory Problems


Residents with Visual Problems

Caring for a Resident with an Artificial Eye

Assisting Residents with Hearing Loss

Communicating with Residents who Have Problems Speaking

Residents with Cerebrovascular Accident (CVA)

Sensory Stimulation

Sensory processing disorder

Heat and Cold Treatments

Chapter 15

Restorative Documentation

Documentation standards

Minimum documentation requirements

Documentation Policies and Procedures

Restorative and Nursing Assistant Care Plan Documentation Format

Additional Documentation Concerns

Documentation standards to support services

Payment for restorative nursing care

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