The Nursing Assistant: Acute, Subacute and Long-Term Care / Edition 3

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The Nursing Assistant, 3e

Concise, practical, and affordable, The Nursing Assistant, 3e contains the essential information nursing assistants need to know in a format that's easily readable. Appropriate within any nursing program, the Third Edition reflects the most recent practice requirements while providing new features to facilitate learning.

New Features include:
  • Case Studies at the end of each chapter which provide real-life application of material.
  • Exercises that highlight the development of skills in cultural awareness, teamwork and resource conservation.
  • An Organ / Tissue Donation section added to the chapter on Death and Dying.
  • Discussion of the changes in emergency care curriculum specifically the use of Automatic External Defibrillator.
  • A Free Companion Website - - that provides additional test questions for self-quizzing and related resources.
  • A CD-ROM packaged free that includes key terms, definitions, and self-quizzes.
Other Features to Facilitate Learning Include:
  • Beginning and Ending Icons for all procedures that present quick and easy reminders of essential steps.
  • The latest Center for Disease Control guidelines, OSHA mandates regarding infection control, as well as OBRA training requirements and updates.
  • A detailed, quick reference guide to age-specific care.
  • Multiple-choice, exam-style review questions.

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Product Details

  • ISBN-13: 9780130939500
  • Publisher: Prentice Hall
  • Publication date: 9/28/2001
  • Edition description: Third Edition, Book & CD-ROM
  • Edition number: 3
  • Pages: 390
  • Product dimensions: 8.20 (w) x 10.70 (h) x 0.90 (d)

Meet the Author

Included in her more than 25 years experience in health care, JoLynn Pulliam has held positions in clinical practice and in hospital and nursing management; taught nursing in the Baccalaureate Nursing Program at Madonna University, Livonia, Michigan; published in the Journal of Nursing Administration; traveled nationally as a health care consultant; contributed to the publication of texts and workbooks for nursing assistants; functioned as a Nursing Education Specialist for registered nurses and nursing assistants at St. Joseph Mercy Hospital, Ann Arbor, Michigan; and worked as a home health care nurse. Currently, JoLynn is at St. Marl Mercy Hospital, a member of Trinity Health, in Livonia, Michigan. Her role includes hospital shift administration, nurse recruitment, Joint Commission on the Accreditation of Health Care Organizations (JCAHO) survey preparation, and activities that support the education of registered nurses and nursing assistants.

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Table of Contents

About the Author
Photo Credits
Pt. 1 The Role of the Nursing Assistant 1
1 Introduction to Health Care 1
2 The Nursing Assistant 11
3 Communication and Interpersonal Skills 23
4 Relating to Your Patients 35
Pt. 2 Safety for the Patient and the Nursing Assistant 49
5 Infection Control 49
6 Environmental Safety, Accident Prevention, and Disaster Plans 71
7 Emergency Situations 85
Pt. 3 Basic Nursing Skills 97
8 Body Systems and Common Diseases 97
9 Vital Signs 147
10 Positioning, Moving, and Ambulation 165
11 Admission, Transfer, and Discharge 185
Pt. 4 Providing Personal Care and Comfort to the Patient 195
12 The Patient's Environment 195
13 Hygiene and Grooming 207
14 Special Skin Care 227
15 Nutrition 235
16 Elimination Needs 249
17 Specimen Collection and Testing 263
18 AM and PM Care 273
19 Restorative Care and Rehabilitation 281
Pt. 5 Specialized Care Procedures 297
20 Additional Patient Care Procedures 297
21 Preoperative and Postoperative Care 313
22 Subacute Care 327
23 Special Skills in Long-Term Care 337
24 Death and Dying 357
Glossary 371
Index 381
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This third edition of The Nursing Assistant again fulfills the need for a brief, practical, and affordable textbook. The high-quality, easy-to-use format highlights the essence of what it takes to be a nursing assistant in today's competitive health care environment. This is the tool that can form the basis of any nursing assistant training program, and is equally useful for preparing students for careers in acute, subacute, and long-term care.

Highlights of The Nursing Assistant include:

  • Frequent reminders throughout the text to apply Cultural Awareness, the ability to identify and include the patient's cultural needs in the plan of care. Areas of current survey interest by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) are noted in each chapter. Use of the automatic external defibrillator (AED) by the nursing assistant in emergency situations.
  • The introduction of the importance of organ and tissue donation is covered as part of the chapter on end-of-life care.
  • All new end-of-chapter case studies and multiple-choice questions have been added to forge chapter content to real-life practice.
  • An added feature, Smart Care Central, is a unique approach to the everyday work experience of the nursing assistant, framing it within the context of improved communication techniques, a teamwork focus for patient care, and resource management of time and materials. Employers look for these skills in nursing assistants.
  • Audiovisual enhancements such as the suggested videos, included compact disc, and the Web site address, will give each student an alternative, interactivelearning experience.

Please look for our unique coverage of the following hallmark features:

  • A focus on meeting the training requirements mandated by the Omnibus Budget Reconciliation Act COBRA) of 1987, including updates, as well as state curriculum requirements.
  • Completely up-to-date text and procedures, reflecting the latest guidelines from the Centers for Disease Control and Prevention (CDC) and mandates from the Occupational Safety and Health Administration (OSHA) regarding infection control, as well as other federal laws that apply to nursing assistants.
  • Seventy-four step-by-step procedures that have been selected on the basis of those most commonly performed by nursing assistants.
  • A chapter covering subacute care.
  • Explanation of hard-to-learn concepts in easy-to-understand language.
  • Age-specific care considerations to meet JCAHO requirements.
  • A practical emphasis for beginning nursing assistants, focusing on what they need to know to give effective care from their first day on the job. The text presents specific ideas, actions, and solutions to problems, rather than general concepts.
  • Key terms in boldface type in the text and repeated in the margin with definitions, plus a complete anatomical atlas and glossary are included.
  • "Customer service": As choices and alternatives in health care continue to expand, providers are well aware of the importance of good interpersonal skills and a positive attitude when selecting new nursing assistants. This theme is present throughout the text.
  • The role of the nursing assistant in dealing with the patient's or resident's needs, with special attention to such factors as promoting dignity, independence, wellness, and mobility, and avoiding restraints. Problems such as skin breakdown are prevented through adequate attention to the patient's or resident's needs.
  • Self-care of the nursing assistant.
  • Mental health and psychosocial needs across the age spectrum.
  • Handling behavior problems.

Text Organization

The framework of The Nursing Assistant is structured to address the needs of the whole patient or resident, while promoting independence and self-care. The organization of the text follows the models of the Nursing Process, state curricula, and OB17A mandates. The text is divided into five parts containing 24 chapters (see page vii).

Parts 1 and 2 include the knowledge and skills—communication, infection control, safety, the Heimlich maneuver, among others-that OBRA requires be taught in the first 16 hours of a nursing assistant training program, before any direct contact with patients or residents. The important concepts introduced in the first two parts—patient and resident rights, cultural awareness, scope of practice, communication, physical and psychosocial needs, promotion of independence, infection control, body mechanics, and accident prevention—are reinforced throughout the text.

Part 1 describes the role of the nursing assistant in health care. Introduced are the health care system, JCAHO requirements, the concept of nursing care, and the duties and responsibilities (ethical, legal, and professional) of being a nursing assistant. Communication skills, documentation, and medical terminology are explained, followed by a separate chapter on relating to patients' or residents' needs.

Part 2 covers the essential principles of safety for the patient or resident and the nursing assistant, including infection control, environmental safety, and emergency and disaster situations. This includes the use of the automatic external defibrillator (AED). The emphasis in Part 2 is on Standard Precautions and the prevention of accidents.

Part 3 covers the knowledge and skills of basic nursing care. Basic anatomy and physiology are explored, with an anatomical atlas provided for enhanced student understanding. The disease process, body systems, and common disorders related to body system, as well as AIDS and cancer is part of the presentation. Part 3 also covers measuring vital signs, positioning and transfers, and the admission and discharge process. The focus throughout this section remains on the role of the nursing assistant and the psychosocial aspects of care.

Part 4 rises from the foundation provided by the first three parts to bring forth the main duties and procedures related to the nursing assistant's job: providing personal care and comfort to the patient or resident. This includes the activities of daily living (ADL) and restorative care and rehabilitation.

Part 5 explores more specialized job skills and abilities. Chapter 20 includes certain procedures (heat/cold treatments and enemas) that some nursing assistants may be required to learn, but which are not universally within the scope of practice of nursing assistants. Chapter 21 on pre- arid postsurgical care presents skills oriented to acute care. Chapter 22 discusses the characteristics of subacute care and the skills needed to work in a subacute care unit or facility. Chapter 23 presents in depth the special considerations of working with the elderly in long-term care. It also includes a substantial section on dealing with cognitively impaired residents. The last chapter focuses on death and dying and postmortem care, with particular emphasis on how the nursing assistant cares for the whole needs of the dying patient or resident. The concept of organ/tissue donation is introduced as a new topic in this edition.

The textbook ends with a glossary and index. Also included is a CD for pronunciation of terms and other information.

Chapter Format

The chapter content is divided into short, manageable sections. Lists and tables are used to make learning easier and facilitate review and reference. Numerous illustrations—including photos, drawings, and reproduced forms—demonstrate key ideas and clarify the techniques described in the procedures.

Each chapter begins with Multimedia Study Buddies, which include a compact disc to practice key terms and definitions; a companion Web site,, for self-quizzing prior to reading the chapter; an introduction to the pronunciation of key terms and for study tips to help focus learning; and a video reference section for demonstration of practice. Also included is a list of objectives, which summarizes the knowledge, skills, and abilities the student will gain from completing the chapter. Each objective corresponds to a main section or procedure in the text. A complete list of key terms is also provided at the start of each chapter. These words are defined in the margin as they appear in the text to facilitate understanding. All new chapter endings include a summary, case study, multiple-choice questions, and practical suggestions for communication, teamwork, and resource management of time and supplies.

Student Workbook

A Student Workbook is available with this text. It offers learning activities that enable students to check their understanding of the chapter content. It also offers quizzes for each chapter that will help students prepare for the written part of the competency exam. In addition, the workbook provides guidelines on preparing for the competency exam along with a checklist of the procedures in the text.

Your Instructor Is the Expert

In the health care field, new discoveries and new technologies are constantly changing the way care is given. Laws, government standards, and accepted practices also evolve to keep up with developments. In fact, major changes to the entire health care system in America may be on the horizon. Although this textbook was up to date when it was written, techniques may change before a new edition can be prepared.

Your instructor stays informed of the changes that affect your training and how you provide care. If the approach to a situation or procedure in this book or other source differs from the approach taken by your instructor, follow your instructor.

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