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Patient Care Skills Scott Duesterhaus Minor

Patient Care Skills By Scott Duesterhaus Minor

Patient Care Skills by Scott Duesterhaus Minor


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Patient Care Skills Summary

Patient Care Skills: United States Edition by Scott Duesterhaus Minor

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

Additional information

CIN0132082349G
9780132082341
0132082349
Patient Care Skills: United States Edition by Scott Duesterhaus Minor
Used - Good
Hardback
Pearson Education (US)
2009-09-02
480
N/A
Book picture is for illustrative purposes only, actual binding, cover or edition may vary.
This is a used book - there is no escaping the fact it has been read by someone else and it will show signs of wear and previous use. Overall we expect it to be in good condition, but if you are not entirely satisfied please get in touch with us

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