Copy of Day # 4, Module 8 Patient Care Skills (7 hours)
E) Prosthetic devices
F) Skin care including prevention of decubitus ulcers
G) Elimination needs
H) Bowel and bladder retraining
I) Weighing and measuring the patient
Statement of Purpose: The purpose of this unit is to teach the students skills needed to support and/or assist the patient/resident in the areas of personal hygiene, an area of activities of daily living, and elimination. Personal hygiene or personal care is generally performed independently. The Nurse Assistant should assist with or perform personal care only when patients/residents are unable to perform a skill for themselves. Other activities included in this module are the use of prosthetic devices, bowel and bladder retraining, and weighing and measuring the height of the patient/resident.
Lecture PowerPoint Presentation
Terminology:
Performance Standards (Objectives): Upon completion of fourteen (14) hours of class plus homework assignments and forty (40) hours of clinical experience, the learner will be able to:
1. Define key terminology
2. Identify and assist patients/residents with daily routine care, promoting independence and dignity
BATHING and FOOT CARE
3. Identify the benefits of bathing and list five areas of the body that require bathing daily
4. Describe the procedure for bathing patients/residents and safety guidelines
ORAL HYGIENE
5. List purposes and schedule for oral hygiene
6. Describe the procedure of oral hygiene and denture care for a patient/resident needing assistance, and for the unconscious individual
NAIL CARE, HAIR CARE, SHAVING
7. Identify the Nurse Assistant’s role and responsibility for patient/resident nail care
8. Identify the Nurse Assistant’s role and responsibility for caring for the hair of patients/residents
9. Describe the procedure for shaving a patient/resident
SKIN CARE
10. List ways to maintain healthy skin and identify at-risk patients.
11. Describe causes, signs, and symptoms, and staging of pressure sores.
12. Describe general nursing measures to prevent and treat pressure sores
DRESSING THE PATIENT/RESIDENT
13. Describe general guidelines for selecting and caring for patient’s/resident’s clothing
14. Discuss the rationale for use of street clothes and guidelines for dressing or undressing a patient/resident
URINARY AND BOWEL ELIMINATION
15. Describe the usual frequency pattern for urination
16. List the observations to be made about urine
17. Describe urinary incontinence and the need for immediate care
18. Describe the purpose and general rules of care for urinary catheters
19. Describe the goals and methods for bowel and bladder training
20. Describe the normal pattern of bowel movements and reportable observations
21. Explain the purpose of an ostomy and the care of patients/residents with an ostomy
MEASURING HEIGHT AND WEIGHT
22. Describe the procedures for weighing and measuring the height of the patient/resident
PROSTHETIC DEVICES
23. Describe common prosthetic devices and their care (artificial limbs, contact lenses, dentures, eyeglasses, and hearing aids)
24. Describe the application, removal, and care for “behind the ear” hearing aids
Reading Assignment
A) Bathing and medicinal baths Ch 6, pp 129-133
B) Dressing Ch 6, pp 143-144
C) Oral hygiene Ch 6, pp 147-151
D) Haircare, hair shampoo, medicinal shampoo, nail care, and shaving Ch 6, pp 134-136, 138-143
E) Prosthetic devices Ch 2, p 26-28; Ch 6, pp 128-129, 151-152, Ch 9, pp 233-234
F) Skincare including prevention of decubitus ulcers Ch 6, pp 125-128
G) Elimination needs Ch 4, pp 96-99; Ch 9, pp 239-240
H) Bowel and bladder retraining Ch 6, pp 152-157; Ch 9, pp 239-240
I) Weighing and measuring the patient Ch 7, pp 186-188
Go over all the skills listed in the PowerPoint used in the lecture: 06 PPT _Hartman’s Nursing Assistant Care_The Basics 5e Slides
Watch the skills videos on the Hartman link and practice them