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Patient Care Skills, 6th Edition

By Scott Duesterhaus Minor, Mary Alice Duesterhaus Minor

Published by Prentice Hall

Published Date: Jul 16, 2009

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

Purchase Info

ISBN-10: 0-13-208234-9

ISBN-13: 978-0-13-208234-1

Format: Book

This item has been upgraded to Patient Care Skills, 7th Edition.

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