Patient care skills

Bibliographic Information

Patient care skills

Mary Alice Duesterhaus Minor, Scott Duesterhaus Minor ; photography, Sarah Ruth Minor

Pearson, c2010

6th ed

Available at  / 2 libraries

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Note

Includes bibliographical references and index

Description and Table of Contents

Description

Enriched with new photographs, Patient Care Skills continues its tradition of excellence with a refreshed approach to covering all aspects of basic care skills. This book helps readers learn both the specifics of the procedures as well as general rules of good body mechanics, patient handling, and safety for patients and physical therapists/assistants. Comprehensive coverage provides all the information health care professionals need to perform skills related to patient positioning and transfer, vital signs, aseptic technique, and more. For each procedure presented, step-by-step illustrations are accompanied by brief written explanations. Following the sequence of illustrations for a specific procedure decreases the need for extensive text explanations and provides readers with a visual reference to determine if the sequence of steps they are performing matches the sequence of steps presented.

Table of Contents

Contents Preface Acknowledgements Chapter 1 Americans with Disabilities Act Learning Objectives Key Terms Introduction Resources General Considerations for Accessibility Specific Requirements Accessible Route Assembly and Auditorium Areas for Wheelchair Seating Check-Out Counters Clear-Space Areas Control Mechanisms Curb Cuts Doors and Doorways Drinking Fountains Elevators Grab Bars Ground and Floor Surfaces Handrails Hotels (Transient Lodging) Medical Facilities Parking Spaces Platform Lifts Ramps Reach Ranges Restrooms and Bathrooms Stairs Transportation Facilities Review Questions Suggested Activities Case Study References Chapter 2 Patient/Client Management Process Learning Objectives Key Terms Introduction Health Insurance Portability and Accountability Act (HIPPA) Models for Describing the Continuum of Health to Disability Guide to Physical Therapist Practice Examination Chart Review Interview Systems Review Tests and Measures Evaluation Diagnosis Prognosis Plan of Care Goals Intervention Documentation Formats of Medical Records Formats of Notes Requirements for Adequate Documentation Medicare Guidelines Audit of Patient Care Review Questions Suggested Activities Case Study References Appendices Chapter 3 Preparation for Patient Care Learning Objectives Key Terms Introduction Management of the Environment Procedure 3-1 Body Mechanics Instructions and Verbal Commands Patient Preparation Transporting Procedure 3-2 Transporting via Gurney Procedure 3-3 Transporting via Wheelchair Descending Curb - Backward Method Descending Curb - Forward Method Ascending Curb - Backward Method Ascending Curb - Forward Method Doorways Wheelchair Wheelies Elevators Review Questions Suggested Activities Case Study Chapter 4 Aseptic Techniques Learning Objectives Key Terms Introduction Definitions Guidelines for Isolation Precautions in Health Care Settings Rationale Modes of Transmission Precautions Administrative Controls Standard Precautions New Elements of Standard Precautions Respiratory Hygiene/Cough Etiquette Standard Precaution Guidelines Contact Precautions Contact Precaution Guidelines Droplet Precautions Droplet Precaution Guidelines Airborne Precautions Airborne Precautions Guidelines Transmission-Based Precautions Apparel Sterile Field Requirement 1 Requirement 2 Requirement 3 Requirement 4 Requirement 5 Requirement 6 Requirement 7 Requirement 8 Scrubbing vs. Handwashing Procedure 4-1 Gowning Procedure 4-2 Gloving Removal of Contaminated Gloves Wounds and Wound Dressings Purpose Evaluation Types of Dressings Materials Preparation Procedure 4-3 Application of Dressings and Wraps Packing a Wound Applying a Gauze Wrap Applying a Compression Wrap Review Questions Suggested Activities Case Study References Chapter 5 Vital Signs Learning Objectives Key Terms Introduction Heart Rate Purpose Methods Procedure 5-1 Measuring Heart Rate Sites Norms Blood Pressure Purpose Method Site Procedure 5-2 Measuring Blood Pressure Norms Respiration Purpose Methods Procedure 5-3 Measuring Respiratory Rate Norms Temperature Purpose Methods Sites Norms Pain Purpose Method Site Norms Anthropometrics Purpose Methods Norms Review Questions Suggested Activities Case Study References Chapter 6 Wheelchairs Learning Objectives Key Terms Introduction Wheelchair Components Wheel Locks Pelvic Positioners Caster Wheels Drive (Push) Wheels Armrests Front Rigging Wheelchair Types Folding Wheelchair Standard Wheelchair Fixed-Frame Wheelchair Reclining-Back Wheelchair Tilt-in-Space Wheelchair One-Arm Drive Wheelchair Amputee Wheelchair Companion Wheelchair Motorized Wheelchairs and Scooters Power-Assist Chair Procedure 6-1 Measuring to Determine Wheelchair Size Measuring for Seat Depth Measuring for Seat Width Measuring for Back Height Measuring for Armrest Height Measuring for Seat-to-Footplate Length Measuring for Footplate Size Standard Wheelchair Sizes Review Questions Suggested Activities Case Studies Chapter 7 Transfers Learning Objectives Key Terms Introduction Levels of Transfers Levels of Assistance Amount of Assistance Type of Assistance General Rules Body Mechanics Gait or Transfer Belts Preparing the Environment Instructions and Verbal Cues Completing the Transfer Procedure 7-1 Sliding Transfer: Cart to Treatment Table Procedure 7-2 Three-Person Carry Hydraulic Lift Procedure 7-3 Using a Hydraulic Lift Procedure 7-4 Two-Person Lift Wheelchair to Floor Floor to Wheelchair Procedure 7-5 Dependent Standing Pivot Procedure 7-6 Dependent Sitting Pivot Procedure 7-7 Sliding Board Procedure 7-8 Push-Up Procedure 7-9 Assist to Front of Wheelchair Seat Side-to-Side Weight Shifting Pelvic Slide Sitting Push-Up Procedure 7-10 Assist for Moving From Edge of Treatment Table Procedure 7-11 Assisted Standing Pivot Guarding the Right Lower Extremity While Transferring to Right Guarding the Left Lower Extremity While Transferring to Right Wheelchair to Treatment Table: Using a Step Stool Procedure 7-12 Squat Pivot Transfer Procedure 7-13 Transfers Between Floor and Wheelchair Dependent One-Person Transfer: Floor to Wheelchair Procedure 7-14 Independent Transfer From Wheelchair to Floor and Return Preparing the Wheelchair Forward Lowering: Wheelchair to Floor Backward Lift: Floor to Wheelchair Backward Lift Using a Step Stool: Floor to Wheelchair Turn Around: Wheelchair to Floor Turn Around: Floor to Wheelchair Forward to Hands-Knees Via Kneeling: Wheelchair to Floor Forward to Hands-Knees: Wheelchair to Floor Review Questions Suggested Activities Case Studies References Chapter 8 Turning and Positioning Learning Objectives Key Terms Introduction Goals Time in Positions Procedure 8-1 General Procedures Supine Position Procedure 8-2 Turning From Supine to Prone Prone Position Procedure 8-3 Turning From Prone to Supine Procedure 8-4 Turning on a Floor Mat Sidelying Procedure 8-5 Turning From Supine or Prone to Sidelying Procedure 8-6 Moving From Supine to Sitting Supine to Long Sitting Sidelying to Sitting on Side of Table Supine to Sitting on Side of Table Review Questions Suggested Activities Case Studies Chapter 9 Range of Motion Exercise Learning Objectives Key Terms Introduction Methods Anatomical Planes of Movement Diagonal Patterns of Movement Directions Procedure 9-1 Lower Extremity ROM Exercises: Anatomical Planes Procedure 9-2 Lower Extremity ROM Exercises: Diagonal Patterns Procedure 9-3 Upper Extremity ROM Exercises: Anatomical Planes Procedure 9-4 Upper Extremity ROM Exercises: Diagonal Patterns Procedure 9-5 Head, Neck, and Trunk ROM Exercises: Anatomical Planes Review Questions Suggested Activities Case Studies References Chapter 10 Ambulation With Ambulatory Assistive Devices Learning Objectives Key Terms Introduction Teaching Tips Training Environment Parallel Bars Fatigue Patient Concentration Weight Bearing Methods of Instruction Content of Instruction Choosing an Assistive Device Walkers Axillary Crutches Forearm (Lofstrand) Crutches Canes Choosing a Gait Pattern Weight Bearing Status Two-Point Gait Pattern Four-Point Gait Pattern Three-Point Gait Pattern Swing-To Gait Pattern Swing-Through Gait Pattern Procedure 10-1 Guarding In and Out of a Wheelchair Level Surfaces Falling Ascending/Descending Stairs Procedure 10-2 Assumption of Standing and Sitting Preparing a Wheelchair Positioning a Patient Assumption of Standing Assumption of Sitting Procedure 10-3 Ascending and Descending Stairs Ascending Stairs Descending Stairs Curbs Moving Through Doorways Tilt Table Walkers Fitting Procedure 10-4 In and Out of a Wheelchair With a Walker Assuming Standing Using a Walker Assuming Sitting Using a Walker Assuming Standing Using Both Armrests Assuming Sitting Using Both Armrests Procedure 10-5 Ambulating With a Walker Three-Point Gait Pattern Swing-To Gait Pattern Procedure 10-6 Ambulating on Stairs With a Walker Stair-Climbing Walker Standard Walker Procedure 10-7 Ambulating Through Doorways With a Walker Door Opens Toward Patient Door Opens Away From Patient Axillary Crutches Fitting Procedure 10-8 In and Out of a Wheelchair With Axillary Crutches Assuming Standing: Physical Therapist/Assistant on Involved Side Assuming Sitting: Physical Therapist/Assistant on Involved Side Assuming Standing: Physical Therapist/Assistant on Uninvolved Side Assuming Sitting: Physical Therapist/Assistant on Uninvolved Side Procedure 10-9 Ambulating on Level Surfaces With Axillary Crutches Three-Point Gait Pattern Four-Point Gait Pattern Two-Point Gait Pattern Falling Procedure 10-10 Ambulating on Stairs With Axillary Crutches Holding the Crutches Ascending Using a Handrail Descending Using a Handrail Ascending and Descending Stairs Without Using a Handrail Procedure 10-11 Ambulating Through Doorways With Axillary Crutches Doorways with Automatic Door Closer Doorways without Automatic Door Closer Forearm (Lofstrand) Crutches Fitting Procedure 10-12 In and Out of a Wheelchair With Forearm Crutches Assuming Standing Using the Turn-Around Method Assuming Sitting Using the Turn-Around Method Assuming Standing Using the Power Method Assuming Sitting Using the Power Method Procedure 10-13 Ambulating on Level Ground With Forearm Crutches Swing-To Gait Pattern Swing-Through Gait Pattern Falling Assuming Standing from the Floor Doorways Procedure 10-14 Ambulating on Stairs With Forearm Crutches Ascending - Forward Method Descending - Forward Method Ascending - Backward Method Descending - Backward Method Canes Fitting Procedure 10-15 In and Out of a Wheelchair With One Cane Assuming Sitting - Quad Cane and Armrests Assuming Standing - Quad Cane Only Assuming Sitting - Quad Cane Only Assuming Standing - Standard Cane and Two Armrests Assuming Sitting - Standard Cane and Two Armrests Assuming Standing - Standard Cane and One Armrest Assuming Sitting - Standard Cane and One Armrest Procedure 10-16 Ambulating On Level Surfaces With One Cane Procedure 10-17 Ambulating On Stairs With One Cane Holding the Cane Ascending Using a Cane and Handrail Descending Using a Cane and Handrail Ascending Using One Cane Descending Using One Cane Procedure 10-18 Ambulating Through Doorways With One Cane Doorways with Automatic Door Closers Procedure 10-19 In and Out of a Wheelchair With Two Canes Ambulating on Level Surfaces With Two Canes Three-Point Gait Pattern Four-Point Gait Pattern Two-Point Gait Pattern Procedure 10-20 Ambulating on Stairs With Two Canes Holding the Canes Three-Point Gait Pattern Four-Point Gait Pattern Two-Point Gait Pattern Procedure 10-21 Ambulating Through Doorways With Two Canes Door With Automatic Door Closers Door Without Automatic Closers Review Questions Suggested Activities Case Studies

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