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Being a Long-Term Care Nursing Assistant


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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 Related to 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.



About 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 professional organization 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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