Publisher's Synopsis
The Long-Term Care Nursing Assistant's Guide to Advanced Restorative Skills
Barbara Acello, MS, RN
Practical and functional strategies for nursing assistants to advance their restorative skills
Ensure that your nursing assistants provide top-notch restorative care
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
Take a look at the Table of Contents:
Chapter 1
Introduction to Restorative Nursing
History of restorative nursing care
Independence
Long-Term Care Facility Resident Profile in the 21st Century
Interdisciplinary Team
Introduction to Restorative Nursing Care
Complications of immobility
Declines
Motivation
Principles of Restoration
Task analysis
Purpose of Restorative Goals
Residents with Cognitive Impairment
Early and Late Loss Activities of Daily Living
Steps to Success
Applying Evidence-Based Practice and Critical Thinking in Restorative Care
Evidence-Based Practices
Potential for Worker Injury
Sensory Problems
Risk for Worker Injury
Ergonomics
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
Paralysis
Contractures
Splinting
Other Treatments
Therapeutic Exercises
Range of Motion Exercises
Active ROM Exercises
Guidelines for ROM Exercises
Passive Range of Motion Exercises
Isometric Exercises
Stretching
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
Traction
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
Wheelchairs
Wheelchair Evaluation
Measuring wheelchairs to fit residents
Optional accessories
Wheelchair to Car Transfers
Wheelchair Free Facilities Chapter 7
Ambulation
Ambulation and Gait
Balance
Progressive Ambulation
Orthoses
Amputations
Weight-Bearing
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
Residual
Other strategies
Importance of fluids in bowel and bladder management
Bowel management
Evaluation
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
Oxygen
Breathing Treatments
Suctioning Chapter 14
Restorative Nursing Care of Residents with Sensory Problems
Sensory Problems
Communication
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
