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Basic Concepts of Nursing Procedures
I Clement
SECTION I: INTRODUCTION TO NURSING
CHAPTER 1:
INTRODUCTION TO NURSING
NIGHTINGALE'S PLEDGE
LIBERAL MEANING OF THE WORD NURSE
ESSENTIAL QUALITIES OF A NURSE
Devotion
Honesty
Loyalty
Discipline and Obedience
Courtesy
Dignity
Personal Appearance
Tact, Sympathy, Sense of Humor and Patience
Optimistic Outlook
Observation and Adaptability
Gentleness and Quietness
Economy
Sense of Responsibility
Adaptability
DEFINITIONS OF NURSING
International Council of Nursing, 1973
Florence Nightingale
Canadian Nurses Association, 1987
American Nurses Association
BASIC NURSING PRINCIPLES
Safety
Therapeutic Effectiveness
Comfort
Use of Resources
Good Workmanship
Individuality
NURSING SCIENCE
Steps of Scientific Method
Description
Exploration
Explanation
Prediction and Control
NURSING AS A PROFESSION
Criteria of Profession
Body of Knowledge
Service Orientation
Ongoing Research
Code of Ethics
Autonomy
Characteristics of a Professional Nurse
Professional Equities
ROLE AND FUNCTIONS OF A NURSE
Caregiver
Communicator
Teacher
Client Advocate
Counselor
Change Agent
Leader
Manager
Case Manager
Research Consumer
Expanded Career Roles
PERSON-CENTERED NURSING CARE (NURSING PROCEDURES)
Patient
Environment
Equipment
The Five Essential Steps in Every Procedure
NURSE AS A MEMBER OF THE HEALTH CARE TEAM
ETHICAL ISSUES IN NURSING
Nursing Ethics
Code of Ethics
Nurses and People
Nurses and Practice
Nurses and Society
Nurses and Coworker
Nurses and the Profession
Ethical Principles
Ethical Dilemmas
Ethical Decision Making
Ethical Decision Making Model
Statements of Ethical Responsibility
LEGAL ISSUES IN NURSING
Types of Laws
Civil Law
Criminal Law
Common Legal Issues
Law and Nurse
Responsibility of Appointing and Assigning
Responsibility of Quality Control
Responsibility for Equipment
Responsibility for Observation and Reporting
Responsibility to Protect Public
Responsibility for Record Keeping and Reporting
Responsibility for Death and Dying
CHAPTER 2:
NURSING PROCESS
DEFINITION
STEPS IN NURSING PROCESS
Assessment
Diagnosis
Planning
Implementation
Evaluation
BENEFITS OF NURSING PROCESS
Benefits for the Client
Quality Client's Care
Continuity of Care
Participation by the Client in their Health Care
Benefits for the Nurse
Consistent and Systematic Nursing Education
Job Satisfaction
For Professional Growth
Meet Professional Standards
Framework for Accountability
NURSING ASSESSMENT
Prerequisites to Assessment
Beliefs
Knowledge
Skill
Data Collection
Sources of Data
Methods of Data Collection
Guideline for Data Collection
NURSING DIAGNOSIS
Diagnostic Reasoning
Classification
Validation
Errors in Diagnosis
Incomplete Data
Inaccurate Interpretation
Lack of Knowledge or Experience
Using a Nursing Diagnosis
Writing a Nursing Diagnosis
Human Response
Related Factors
Defining Characteristics
Ten Rules for Writing a Nursing Diagnosis
Collaborative Problems
NURSING PLANNING
Phases of Planning
Setting Priorities
Establishing Goals for Nursing Action
Team Planning
Formulating the Nursing Care Plan
NURSING IMPLEMENTATION
Providing Self-care
Nursing Roles
Rationale
NURSING EVALUATION
Evaluation will Answer the Following Questions
Formal Evaluation Models
Structural Dimension
Process Dimension
Outcome Criteria
CHAPTER 3:
PHYSICAL EXAMINATION
DEFINITION
PURPOSES
METHODS OF EXAMINATION
Inspection
Palpation
Percussion
Methods of Percussion
Auscultation
Manipulations
Testing of Reflexes
HEAD TO TOE EXAMINATION
General Appearance
Mental Status
Posture
Height and Weight
Skin Conditions
Head and Face
Eye
Ears
Nose
Mouth and Pharynx
Neck
Chest
Abdomen
Extremities
Back
Genital and Rectum
Neurological Tests
PREPARATION OF THE ENVIRONMENT
PREPARATION OF THE EQUIPMENTS
Articles Appropriate for Specific Examination
PREPARATION OF THE PATIENT
Physical Preparation
Mental Preparation
ASSISTANCE IN THE EXAMINATION
Measure the Skull Circumference
Examination of the Eyes
Examination of the Ears
Examination of the Nose, Throat and Mouth
Examination of the Neck
Examination of the Chest
Examination of the Abdomen
CARE AFTER EXAMINATION
NURSE'S RESPONSIBILITIES DURING PHYSICAL EXAMINATION
SECTION II: NURSING FOUNDATION PROCEDURES
CHAPTER 4:
CARE OF PATIENTS UNIT
DEFINITION
OPTIMUM ENVIRONMENT FOR THE PATIENT
INFLUENCE OF EXTERNAL ENVIRONMENT
Atmospheric Temperature
Humidity
Air Movement
Lighting
Noise
Purity of Air
Elimination of Unpleasant Odors
Water Supply and Sewage Disposal
Aesthetic Factor
Optimum Environment for the Patient
Carliolization
Vermin and Insects
FURNISHING PATIENTS UNIT
PURPOSE OF THE UNIT CARE
PRINCIPLES OF GOOD HOUSEKEEPING
TYPE OF WARDS IN PATIENT UNIT
CLEANING OF THE UNIT
Principles of Cleanliness
Types of Cleaning
Equipments
Cleaning Activities
Cleaning of Furniture
Bedsteads
Lavatories
Washbasins
Cabinet for Sanitary Wares
DISINFECTION OF THE UNIT
Common Disinfectants Used
Dilution Formula
Responsibilities of Nursing Personnel
Environment Setting
CHAPTER 5:
BED MAKING
DEFINITION
PURPOSES
PRINCIPLES INVOLVED
Types of Beds
GENERAL INSTRUCTIONS
PRELIMINARY ASSESSMENT
Check
EQUIPMENT
Usual Articles in the Patients Unit
Articles Needed for the Complete Change
Extra Articles
PROCEDURES
STRIPPING AND REMAKING AN OPEN BED
AFTERCARE OF THE PATIENT, WITH AN EQUIPMENT
UNOCCUPIED BED OR CLOSED BED
Purposes
General Instructions
Equipments
Procedures
Aftercare
OPEN BED
Purposes
General Instructions
Types of Toe Pleat
Vertical Pleat
Horizontal Pleat
Equipments
Aftercare
Procedures
OCCUPIED BED
Purposes
Preliminary Assessment
Equipments
Procedures
OPERATION BED
Purposes
Equipments
Procedures
CARDIAC BED
Purposes
Additional Articles
Procedures
FRACTURE BED
Purposes
Equipments
Procedures
AMPUTATION BED
Purposes
Equipments
Procedures
CHAPTER 6:
PROCEDURE OF ADMISSION, TRANSFER AND DISCHARGE
ADMISSION PROCEDURE
Purposes
Principles Involved
General Instructions
Types of Admission
Emergency Admission
Routine Admission
Instructions for Nurses
Equipments
Procedures
TRANSFER PROCEDURE
Purposes
Types of Transfer
Preliminary Assessment
Equipments
Investigation Reports
Procedures
Transfer to another Hospital/Department
DISCHARGE PROCEDURE
Discharge of Patient
Purposes
Reasons for Discharge
General Instruction
Principles of Discharge
Preliminary Assessment
Check
Departments to be Informed
Procedures
After Discharge
Discharge Teaching Goals
CHAPTER 7:
VITAL SIGNS
PRINCIPLES
METHODS OF MEASUREMENT
NORMAL VALUES
GUIDELINES FOR TAKING VITAL SIGNS
TEMPERATURE
Purposes
Indications
Normal Body Temperature for Adults
Factors Influencing Heat Production
Factors Influenceing Heat Loss
Body Heat is Lost through
Preparation
Equipments
Common Sites for Taking Body Temperature
Contraindications
Oral Method
Rectal Method
Axillary Method
Oral Temperature
Purposes
General Instructions
Preliminary Assessment
Equipments
Procedures
Aftercare
Contraindications
Axillary Temperature
Purposes
General Instructions
Preliminary Assessments
Equipments
Procedures
Aftercare
Rectal Temperature
Purposes
Indications
General Instructions
Preliminary Assessments
Equipments
Procedures
Aftercare
Contraindications
Types of Thermometer
Clinical Thermometer
Electronic Thermometer
Disposable Thermometer
Tympanic Membrane Thermometer
Scales of Thermometer
Parts of Thermometer
Reason for Mercury used in the Thermometer
Care of Thermometer
PULSE
Purposes
Normal Rates
Sites of Taking Pulse
Factors Affecting the Pulse
Characteristics of Pulse
Abnormal Pulse
General Instruction for Taking Pulse
Equipments
Procedures
Aftercare
RESPIRATION
Purposes
Types of Respiration
External Respiration
Internal Respiration
Regulation of Respiration
Normal Rates
Factors Influencing Respiration
Characteristics of Respiration
Abnormal Respiration
General Instructions
Preliminary Assessments
Equipments
Procedures
Aftercare
BLOOD PRESSURE
Purposes
Indications
Normal Breath Sounds Types
Vesicular Sound
Bronchial Sound
Bronchovesicular Sound
Adventitious Breath Sounds
Rales Sound
Rhonchi Sound
Wheeze Sound
Friction
Types of Pressure
Systolic Pressure
Diastolic Pressure
Pulse Pressure
Normal Venous Pressure
Scientific Principles
Factors Influencing Blood Pressure
Preliminary Assessment
Preparation of the Article
Preparation of the Patient
Procedures
Aftercare
CHAPTER 8:
POSITIONS
POSITIONING
Purposes
Principles
Factors Involved
Types of Patients—Need Special Care
General Instructions
Preliminary Assessment
Equipments
Procedures
TYPES OF POSITIONS
Supine/Dorsal Position
Indications
Procedure
Contraindications
Dorsal Recumbent Position
Indications
Procedures
Lithotomy Position
Indications
Procedure
Contraindications
Prone Position
Indications
Procedure
Contraindications
LATERAL POSITION
SIM’S POSITION
Knee Chest/Genupectoral Position
Indications
Procedures
Contraindications
Trendelenburg's Position
Indications
Procedures
Fowler's Position
Indications
Procedures
CHAPTER 9:
COMFORTABLE MEASURES
DEFINITION
PURPOSES
PRINCIPLES RELEVANT TO COMFORT
CAUSES OF DISCOMFORT
FACTORS PROMOTING PHYSICAL COMFORT
Immediate Needs
Mechanical Devices
Pillow
Back Rest
Rolls
Foot Rests
Sand Bags
Air and Water Mattresses
Rings
Bed Cradles
Bed Blocks
Air Cushion
CHAPTER 10:
ISOLATION TECHNIQUE/BARRIER NURSING
DEFINITION
PURPOSES
GENERAL INSTRUCTIONS
CROSS-INFECTION
Methods of Transmission
Direct Contact
Indirect Contact
Prevention
Chain of Infection
ASEPSIS
Medical Aseptic Techniques Used to Break the Chain of Infection
METHODS /TYPES OF ISOLATION
Strict Isolation
Respiratory Isolation
Enteric Isolation
Wound and Skin Isolation
Blood Isolation
Following Precautions to be Taken While Caring for Infectious Patients
Types of Asepsis
Surgical Asepsis
Medical Asepsis
Types of Aseptic Practices
Difference Between Medical and Surgical Asepsis
Medical Asepsis
Surgical Asepsis
HANDWASHING
Purposes
Equipments
Precautions Taken During Handwashing
Procedures
SURGICAL HANDWASHING
Surgical Asepsis
Surgical Scrub
General Instructions
Surgical Gowning
Procedures
GLOVING TECHNIQUE
Purposes
While Wearing Gloves
After Use
General Instructions
Medical Gloving
Surgical Gloving
Procedures
DISINFECTION OF ARTICLES
Disinfectant
Concurrent Disinfection
TERMINAL DISINFECTION
Fumigation with Sulfur
Fumigation with Formalin
CHAPTER 11:
STERILIZATION
DEFINITION
PURPOSES
SCIENTIFIC PRINCIPLES
METHODS OF STERILIZATION
PHYSICAL METHODS OF STERILIZATION
Boiling (Moist Heating)
General Instructions
Precautions
Advantages
Disadvantages
Autoclaving
Mechanism of Autoclave
Instruments Used for Sterilization
General Instructions
Hot Air Oven
Mechanism
Advantages
Disadvantage
General Instructions
RADIATION METHOD OF STERILIZATION
Articles to be Sterilized
Advantages
Disadvantages
Types
Advantages
Disadvantages
CHEMICAL DISINFECTANTS
Mechanism of Chemical Disinfectants
Commonly Used Disinfectants
Choice of Disinfectant Based on
Advantages
Disadvantages
General Instructions
CHAPTER 12:
HYGEINE (PERSONAL HYGIENE)
DEFINITIONS
Hygiene
Types
Social Hygiene
Industrial Hygiene
School Hygiene
Preventive Medicine
Personal Hygiene
Factors Influencing Hygiene Practices
Personal Preferences
Social Practices
Socioeconomic Status
Health Belief and Motivation
Cultural Beliefs
Physical Condition
PERSONAL HYGIENE
Definition
Purposes of Personal Hygiene and Protect from Disease
Principles
Factors Influences on Personal Hygiene
Social Practices
Personal Preferences
Body Language
Socioeconomic Status
Health Beliefs and Motivation
Cultural Variables
Physical Condition
Importance of Personal Hygiene
Nurses Role in Personal Hygiene
CARE OF HAIR
Objectives
Scientific Principles
Types of Hair Care
Daily Care
Hair Shampoo
Treatment of Hair
Problems of Neglected Hair Care
CARE OF THE EYES, NOSE AND EARS
Essential Steps in Eye, Ear and Nose
Common Problems of Neglected Care
ORAL HYGIENE
Purposes
Patient Who May Require Frequent Mouth Care
Scientific Principles
Solutions Commonly Used for Mouthwash
Dentifrices Used
Emollient Used Commonly
Preliminary Assessment of the Patient and Environment
Equipments
Procedures
Complication of Neglected Mouth Care
Complication of the Neighboring Structure
General Complications
Systemic Complications
Recording and Reporting
Care of Dentures
Equipments
Procedures
Precautions
BED BATH
Purposes
Types of Patients Needing Bed Bath
Types of Cleansing Bath
Scientific Principles
Factors Affecting the Skin
General Instructions
Preliminary Assessment
Preparation of the Patient and Environment
Equipments
Procedures
Face
Arms
Chest
Abdomen
Back
Legs
Pubic Region
Aftercare
CARE OF EYES, NOSE AND EARS
Purposes
Factors Affecting
Common Problems
Eye
Ear
Nose
General Instructions
Eye
Ear
Nose
Preliminary Assessment
Check
Preparation of the Patient and Environment
Procedures
Aftercare
CARE OF HANDS, FEET AND NAILS
Purposes
Factors Affecting the Care
Examination Includes
Common Problems
Special Foot Care
Equipments
Procedures
Aftercare
BACK CARE/ BACK MASSAGE / BACKRUB
Purposes
General Instructions
Equipments
Procedures
Aftercare
CARE OF PRESSURE POINTS/BEDSORE
Purposes
Cause of Pressure Sores
Direct or Immediate Cause
Friction
Moisture
Pressure of Pathogenic Organisms
Predisposing Factors
Common Sites Liable to Get Bedsore
Clinical Manifestation of Pressure Sore
Preventive Measure of Bedsore
Stages/Degree of Pressure Sore
Clinical Manifestations
Curative Measures
Aftercare
CARE OF HAIR
Purposes
Three Aspects of Hair care
Factors Influence on Hair
Factors Affecting Hair
Common Hair Scalp Problems
HAIR COMBING
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
Procedures
Aftercare
HAIR WASH/BED SHAMPOO
Purposes
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
Procedures
Aftercare
PEDICULOSIS TREATMENT
Purposes
Dangers
Prevention
Medications Used for Pediculosis Treatment
Types of Pediculi
General Instructions
Preliminary Assessment
Check
Equipments
Preparation of the Patient and the Unit
Procedures
Aftercare
CARE OF THE PERINEUM
Purposes
Perineum Care for Special Group of Patients
Preliminary Assessment
Check
Preparation of the Patient and the Environment
Equipments
Procedures
Aftercare
CLOTHING
EXERCISE
Importance of Physical Exercise
Types
General Instructions
HABITS
Definition
Types of Healthy Habits
Common Problems of Bad Habits
SEXUAL HEALTH
Definition
Components of Sexuality
Characteristics
Importance
MENTAL HEALTH
Definition
Mental Exercise
Principles Contributing to Mental Health
Purposes of Mental Hygiene
Approaches of Mental Hygiene
Characteristics of Mentally Healthy Person
CHAPTER 13:
NUTRITION
IMPORTANCE OF NUTRITION
Terminology
Functions of the Food
Basic Food Groups
Purposes
Essential Nutrients
APPETITE
Factors Affecting Appetite
Factors Increasing Appetite
Factors Decreasing Appetite
DIET IN SICKNESS
Purposes
General Rules of Treatment
Problems During Sickness
Therapeutic Diet
Modifications of Nutrients in Therapeutic Diet
Objectives
Principles Involved in Diet Therapy
TYPES OF DIET
Regular Diet
Liquid Diets
Low-Calorie Diet
Low-Protein Diet
Low-Fat Diet
Salt-Free Diet
High-Protein Diet
Diabetic Diet
Diet in Anemia
FEEDING THE HELPLESS PATIENT
Purposes
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and the Environment
Equipments
A Tray Containing
Procedures
Aftercare
NASOGASTRIC TUBE INSERTION
Purposes
Equipments
A Tray Containing
Preliminary Assessment
Check
Preparation of the Patient and Unit
Procedures
Methods to Confirm NG Tube in the Stomach
Aftercare
GASTRIC GAVAGE
Purposes
Indication for Tube Feeding
General Instructions
Advantages of Tube Feeding
Principles Involved
Preliminary Assessment
Preparation of the Patient and Environment
Equipments
A Tray Containing
Procedure
Syringe Method
Syphon Method
Aftercare
GASTROJEJUNOSTOMY FEEDING
Indications
General Instructions
Methods of Administration
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
A Clean Tray Containing
Procedures
Aftercare
BREASTFEEDING
Advantages
Contraindication for Breastfeeding
Mother
Baby
General Instructions
ARTIFICIAL FEEDING
Preparation of Formula
Preparation of Milk Formula for a Day
Different Ways of Feeding an Infant
General Instructions
Preliminary Assessment
Check
Preparation of the Infant and the Environment
Equipments
A Tray Containing
Procedures
Aftercare
CHAPTER 14:
URINARY ELIMINATION
DEFINITION
PHYSIOLOGY
Factors Influencing
DIAGNOSTIC EXAMINATION
Conditions which Alter Urinary Elimination
Prerenal Conditions
Renal Conditions
Postrenal Conditions
ROLE OF NURSE
COMMON URINARY PROBLEMS
Anuria
Dysuria
Frequency Increased Incidence of Voiding
Hematuria
Incontinence
Nocturia
Oligurea
Orthostatic Albuminuria
Pneumaturia
Pyuria
USE OF URINALS
Purposes
Factors Influencing
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
Procedures
Aftercare
INSERTION OF A FLATUS TUBE
Purposes
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
Procedures
Aftercare
CATHETERIZATION OF THE URINARY BLADDER
Purposes
Principles
General Instructions
Preliminary Assessment
Check
Preparation of Patient and Environment
Equipments
Procedures
Cleaning the Perineum in Female Patients
Cleaning the Perineum for Male Patients
Aftercare
Types of Catheterization
BLADDER IRRIGATION
Purposes
Solutions
General Instructions
Methods of Administration
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
Procedures
Aftercare
CHAPTER 15:
BOWEL ELIMINATION
FACTORS AFFECTING BOWEL ELIMINATION
Age and Development
Daily Patterns
Life Styles
Fluids
Activity and Muscle Tone
Psychological Factors
Pathological Conditions
Medications
Diagnostic Procedure
Surgery and Anesthesia
Irritants
Pain
COMMON PROBLEMS IN BOWEL ELIMINATION
Constipation
Fecal Impaction
Diarrhea
Fecal Incontinence
Flatulence
USE OF BEDPAN
Purposes
Indications
Types of Bedpans
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
Procedure
Aftercare
ENEMA
Purpose
Contraindications
Classification of Enema
Soap Water Enema
Oil Enema
Carminative Enema
Anthelmintic Enema
Cold Enema
Glycerin Enema
Astringent Enema
Sedative Enema
Stimulant Enema
Emollient Enema
Nutrient Enema
Methods of Giving Enema
General Instruction
Preliminary Assessments
Preparation of the Patient and Environment
Equipments
Procedures
Aftercare
BOWEL WASH
Purposes
Contraindications
General Instructions
Methods Used for Bowel Irrigation
Solution Used
Temperature of the Solution
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
Procedure
Aftercare
CHAPTER 16:
HOT APPLICATION
DEFINITION
Purposes
CLASSIFICATIONS
Local Heat Applications
Dry Heat
Moist Heat
General Application
Dry Heat
Moist Heat
Physiological Effects
Primary Effect
Secondary Effect
Contraindications
Principles
COMPLICATIONS
GENERAL INSTRUCTIONS
HOT WATER BAG
Purposes
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
Procedures
Aftercare
General Instructions
Contraindications
INFRARED THERAPY
Purposes
General Instructions
Preliminary Assessment
Preparation of the Patient and Environment
Equipments
Procedure
Aftercare
HOT FOMENTATION
Purposes
Classification
Simple Fomentation
Medicated Fomentation
Surgical Fomentation
Area of Application
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
A Tray Containing
Procedures
Aftercare
STEAM INHALATION
Purposes
Types of Inhalation
Indication of Tincture of (Tr) Benzoin Inhalation
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipment
Procedure
Aftercare
SOAK OR LOCAL BATH
Purposes
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
Procedure
Aftercare
SITZ BATH
Purpose
General Instructions
Solutions Used for Sitz Bath
Sitz Bath is Contraindicated during
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
Procedures
Aftercare
COUNTER-IRRITANTS
Purposes
Classification of Counter-Irritants
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
Procedure
Aftercare
CHAPTER 17:
COLD APPLICATION
DEFINITION
Purposes
CLASSIFICATION
Local Cold Application
General Cold Application
PHYSIOLOGICAL EFFECTS
Primary Effects
Secondary Effects
CONTRAINDICATIONS
PRINCIPLES INVOLVED
COMPLICATIONS
GENERAL INSTRUCTIONS
COLD COMPRESS
Purposes
General Instructions
Preliminary Assessment Check
Preparation of the Patient and Environment
Equipments
Procedures
Aftercare
ICE CAP/ICE COLLAR
Purposes
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
Procedures
Aftercare
TEPID SPONGE/COLD SPONGE
Purposes
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Procedures
Equipments
Aftercare
COLD PACK
Purposes
General Instructions
Contraindication
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
Procedures
Aftercare
CHAPTER 18:
BANDAGING
DEFINITION
PURPOSES
GENERAL PRINCIPLES
TYPES
Circular Bandage
Spiral Bandage
Figure-of-Eight
Recurrent-Stumps Bandage
T-Bandage
MATERIALS
Assessing before Applying Bandage
EQUIPMENTS
PROCEDURES
SPECIAL BANDAGES
Eye Bandage (Monocular)
Bioccular Bandage
Ear-Mastoid Bandage
Jaw Barton Bandage
Capeline Bandage (Head Bandage)
Shoulder Spica
CHAPTER 19:
BINDERS
PURPOSE
Types
T-Binders
Sling
Straight Binders
Breast Binder
EQUIPMENTS
PROCEDURES
CHAPTER 20:
WOUND CARE
DEFINITION
Purpose of Dressing
TYPES OF DRESSING
Dry Dressing
Wet Dressing
Pressure Dressing
General Instructions
PRELIMINARY ASSESSMENT
EQUIPMENTS
PROCEDURES
CHAPTER 21:
ADMINISTRATION OF MEDICINES
TERMINOLOGY
DEFINITIONS
SOURCES OF DRUGS
DRUG INFORMATION SOURCES
Official Compendia
Pharmacopoeia
Each Country may Follow its Own Pharmacopoeia
The First Pharmacopoeia of India was Published in 1868
Drug Formulary
Non-Official Compendia
Journals
Local
National
SYRINGES AND NEEDLES
Glass Syringes
Advantages
Disadvantages
Plastic Syringes
Advantages
Disadvantages
Special Syringes
Disposable Syringes and Needles
Needles
Advantages
Disadvantages
DRUG ADMINISTRATION
Definition
Purpose of Medicine
Forms of Medications
Types of Medication Action
Factors Influence the Medication Dosage
Route of Administration
Five Rights of Giving Medication
Care of Medicine and Medicine Cupboard
Rules for Administration of Medicines
Rules Regarding Labels
Rules Regarding Measuring Medicine
Rules Regarding Administration
Rules Regarding Recording of Drugs
Precautions to be Taken
Nurses Responsibility in Drug Administration
Legal Aspects of Drug Administration
Scientific Principles
ORAL MEDICATION
Purposes
Nurses Responsibility in Administration of Oral Medication
Equipments
Preparation of the Patient
Procedure
Aftercare of the Patient and Articles
Contraindications
Advantages
Disadvantages
INJECTIONS
Purposes
Types
Factors that Favors Absorption
Complications
Types of Drug and Fluid Administered Drugs
Fluids
Selection of Site for Injection
Technical Skills Needed
Criteria for Selection of Syringes and Needles
Golden Rules of Giving Injections
Administer the Right Drug
Administer the Drug to the Right Patient
Administer the Right Dose
Administer the Drug by the Right Route
Administer the Drug at the Right Time
Educate Patient about the Drug he/she is Receiving
Take Patient's Complete Drug History
Find Out if the Patient has Any Drug Allergies
Be Aware of Potential Drug
Document Each Drug you Administered
Commonly Used Intravenous Drugs
Antibiotics (Ampicillin, Crystalline Penicillin)
Flucloxacillin
Cephalosporins
Rochin (Ceftriaxone)
Fortum (Ceftazadine)
Amikacin-Gentamycin
Erythromycin Injection
Vancomycin
Vitamin K
Aminophylline
Dopamine/Dobutamine
Intrathecal Injections
Epidural Analgesia Administration
Intra-articular Injections
Intracardiac Injections: Intracardiac Injections are Used for Cardiac Arrests
INTRAMUSCULAR INJECTION
Purposes
Principles
General Instructions
Site of Intramuscular Injections
Dorsal Gluteal Site
Vastus Lateralis Site
Ventrogluteal Site
Mid-Deltoid Site
Methods of Intramuscular Injection Administration
Air Lock Method
Z-Track Method
Nurses Responsibility
Check
Equipments
Preparation of the Patient and Environment
Procedures
Aftercare
SUBCUTANEOUS INJECTION
Purposes
General Instructions
Equipments
Criteria for Selection of Sites
Common Sites
Procedure
Aftercare
INTRADERMAL INJECTIONS
Purposes
Selection of Syringe and Needle
Equipments
A Tray Containing
Preparation of the Patient and Environment
Identify the Patient Correctly
Procedures
Method of Administration
Aftercare
General Instructions
Tuberculin Test
Penicillin Test
INTRAVENOUS INJECTION
Purposes
Common Sites
General Instructions
Types of Intravenous Administration
Selection of Syringe and Needle
Preliminary Assessment
Check
Equipments
A Tray Containing
Preparation of the Patient and Environment
Procedures
Method of Administering Intravenous Infection
Aftercare
Complications
INTRAVENOUS INFUSIONS
Purposes
Indications
Solutions Used
Factors Affecting Fluid Movement
Factors that Favors Absorption
Venipuncture Site
Commonly Used Veins
Complications of Intravenous Infusion
Fluid Rate Calculation
General Instructions
Observation Needed Throughout the Procedure
Preliminary Assessment
Check
Equipments
A Tray Containing
Preparation of the Patient and Environment
Procedures
Aftercare
Patient Education
Complication
TRANSDERMAL ROUTE
Advantages
TRANSMUCOSAL
Sublingual
Advantages
Disadvantage
Rectal Routes
Advantages
Disadvantages
Drugs May also be Given by Rectal Route as Enema
TOPICAL
SPECIAL DRUG DELIVERY SYSTEMS
Ocusert
Progestasert
Prodrug
Osmotic Pumps
Computerized Miniature Pumps
Nurses Responsibility
INSTILLATION OF EAR DROPS
Purposes
General Instructions
Equipments
A Small Tray Containing
Procedures
Aftercare
INSTILLING NASAL DROPS
Purposes
Instructions
Equipments
A Small Tray Containing
Procedures
Aftercare
CHAPTER 22:
SPECIMEN COLLECTION
DEFINITION
PURPOSES
PRINCIPLES
GENERAL INSTRUCTIONS
EQUIPMENTS
PROCEDURE FOR URINE COLLECTION
Urine Collection from Catheter
Aftercare
Twenty-Four Hours Urine Collection
Purposes
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
Procedures
Aftercare
General Instructions
URINE CULTURE
Purposes
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
Procedures
Aftercare
STOOL ROUTINE TEST AND CULTURE
Purposes
Normal Characteristics of Feces
Abnormal Characteristics of Feces
Color
Odor
Frequency
Consistency and Form
Appearance
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
Procedures
Aftercare
SPUTUM CULTURE
Purposes
Characteristics of Sputum
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
Procedures
Aftercare
BLOOD SMEAR
Purposes
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
A Clean Tray Containing
Procedures
Aftercare
BLOOD CULTURE
Purposes
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
Procedures
Aftercare
THROAT SWAB
Purposes
Indications
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
Procedures
Aftercare
VAGINAL SWAB/SMEAR
Purposes
Indications
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
Procedures
Aftercare
URINE TESTING
Purposes
Characteristics of Normal Urine
Characteristics of Abnormal Urine
Volume
Color
Appearance
Odor
Reaction
Types of Examination of the Urine
Preliminary Assessment
Preparation of the Patient and Environment
Equipments
Procedures
Sugar Test
Observations
Albumin Test
Observation
Cold Test
Urine pH
Urine Specific Gravity
Rothera's Test (Acetone)
Observations
Hay's Test (Bile Salts)
Smith's Test (Bile Pigments)
Aftercare
CHAPTER 23:
MOBILITY AND EXERCISE
MOBILITY
Structure and Function
Joint Mobility
Range of Motion
Degrees of Immobility
Factors Affecting Mobility
Patient at High-Risk of Immobility
Nurses Responsibility in Assessing Mobility
Range of Motion
Gait
Exercise and Activity Tolerance
Physical Complications of Immobility
EXERCISE
Effects of Exercise
ACTIVITIES OF DAILY LIVING
BODY MECHANICS
Purposes
Elements of Body Mechanics
Body Alignment
Balance
Coordination
Regulation of Movement
Rules of Good Body Mechanics
Assessment of Body Alignment
Standing Position
Sitting Position
Postural Abnormalities
Body Mechanics for Health Care Workers
Principles of Body Mechanics
RANGE OF MOTIONS
Purposes
Types of Range of Motions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Procedure
Aftercare
LIFTING AND TRANSFERRING
Purposes
Lifting Criteria
General Principles of Lifting and Moving a Patient
General Instructions
Nurses Responsibility in Lifting and Moving
Preliminary Assessment
Check
Preparation of the Patient and Environment
Procedures
Moving the Patient in Bed (to Side)
Assisting the Patient to Sit on the Side of Bed
Shifting the Patient from Bed to Stretcher
Assisting the Patient from Bed to Chair or Wheelchair
Aftercare
CHAPTER 24:
OXYGEN ADMINISTRATION
PURPOSES
CLASSIFICATIONS
Nasal Cannula
Equipments
Procedures
Nasal Catheter
Oxygen Mask
Oxygen Tent
General Instructions
Preparation of the Patient and Environment
Equipments
Procedure
Aftercare of the Patient
Patient Education
Complications
HOME OXYGEN THERAPY
Preparations
Classifications
Equipments
Procedures
Patient Education
Complications
CHAPTER 25:
CARE OF PATIENT WITH DISABILITIES
CARE OF PATIENT WITH FEVER (HYPERPYREXIA)
Etiology
Types and Phases of Fever
Clinical Manifestation
Nursing Care of Fever
Nutritional Management
Care of Sleep and Rest
Care of Personal Hygiene
Care of Safety Factors
Observational Care
CARE OF PATIENT WITH PARALYSIS
Paralytic Disease
Causes
Clinical Manifestations
Weakness
Diagnosis
Management
Complications
CARE OF PATIENT WITH DYSPNEA
Causes
Types
Clinical Manifestations
Factors
Management
CARE OF PATIENT WITH TRACTION
Counter Traction Force
Purposes
Indications
Principles
Methods of Applying Traction
Classification
Skin Traction
Skeletal Traction
Skin and Skeletal Traction
General Nursing Care of the Patient with Traction
Special Nursing Care of Patient with Villerent Types of Traction
Fixed Traction
Balanced Traction
Skin Traction
Skeletal Traction
Complications
CARE OF PATIENT IN A CASTS
Purposes
Types
Casting Material
Equipments
For Plaster Cast
Preparation of the Patient and Environment
Procedures
Patient Education and Home Healthcare
Cast Removal
Evaluation
Complications
CARE OF PATIENT WITH UNCONSCIOUSNESS
Etiology
Types
Classification of Coma
Clinical Manifestation
Early Symptoms of Supratentorial Coma
Manifestations of Infratentorial Coma
Manifestations of Metabolic Coma
Diagnosis
Management
Pharmacological Management
Nursing Management
Observation and Charting
Hygiene
Care of Pressure and Prevention of Foot Drops
Nutrition
Eliminations
CARE OF DYING PATIENT AND AFTER DEATH
Signals of Approaching Death
Signs of Clinical Death
Care of Dying Person
Symptomatic Management
Care of the Body After Death
CHAPTER 26:
CARDIOPULMONARY RESUSCITATION (CPR-BASIC)
DEFINITION
PURPOSE
EQUIPMENTS
GENERAL INSTRUCTIONS
PROCEDURE
METHOD
RATIO OF CARDIAC COMPRESSION TO VENTILATION
Cardiopulmonary Resuscitation—One Rescuer
Open the Airway
Check for Breathing
Breathe
Check for Circulation
Circulate
Two-Rescuer
First Rescuer
Second Rescuer
Both Rescuers Change Simultaneously
Cardiopulmonary Resuscitation in Progress
SECTION III: MEDICAL SURGICAL PROCEDURES (GENERAL)
CHAPTER 27:
MEDICAL SURGICAL PROCEDURES (GENERAL)
ABDOMINAL PARACENTESIS
Purposes
Indications
Diagnostic
Therapeutic
Contraindications
Primary
Secondary
General Instructions
Routine Investigations
Preliminary Assessments
Check
Preparation of the Patient and Environment
Site and Position
Equipments
An Unsterile Tray
A Sterile Tray
Procedure
Preprocedure Care
Postprocedure Care
Complications
THORACENTESIS
Purposes
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
A Sterile Tray
An Unsterile/Clean Tray
Procedures
Aftercare
Complications
LUMBAR PUNCTURE
Purposes
Indications
Contraindications
General Instructions
Cerebrospinal Fluid Analysis
Preliminary Assessments
Preparation of the Patient and Environment
Equipments
An Unsterile Tray
A Sterile Tray
Procedures
Aftercare
Complications
BONE MARROW BIOPSY AND ASPIRATION
Purposes
Indications
Diagnostic
Prognostic
Therapeutic
Site and Position of the Patient
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
A Sterile Tray
An Unsterile Tray
Procedures
Aftercare
Complications
Other Complications
RENAL BIOPSY
Indications
Types
Site and Position
Contraindications
Investigations
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
A Sterile Tray
An Unsterile Tray
Procedures
Aftercare
Complications
CERVICAL BIOPSY
Types of Cervical Biopsy
General Instructions
Preliminary Assessments
Preparation of the Patient and Environment
Equipments
A Sterile Tray
An Unsterile Tray
Procedures
Aftercare
SUTURE REMOVAL
Purpose
Principles
Usual Timings
Factors Affecting
Types of Suture
General Instructions
Preliminary Assessments
Preparation of the Patient and Environment
Equipments
Procedures
Aftercare
BLOOD TRANSFUSION
Purposes
General Instructions
Preparations
Procedures
Aftercare
Complications
INTRAVENOUS CUTDOWN
Purposes
Principles
Preliminary Assessments
Preparation of the Patient
Equipments
Procedures
Aftercare
Complications
SURGICAL SOAK
Purposes
Preliminary Assessment
Preparation of the Patient
Equipments
Solutions
Procedures
PREOPERATIVE NURSING CARE
Purposes
Preparation of the Patient before Surgery
Psychological Preparation
Surgical Preparation of the Skin
Preparation of the Patient on the Evening before
Preparation of the Patient on the Day of Surgery
Sending the Patient to Operating Room
POSTOPERATIVE CARE
Type of Surgery
Preparation of Postanesthetics and Reception of the Patient
Care of Patient who is under the Effects of Anesthesia
Observation of the Patient in the Post-operative Period
The Main Points that Should be Observed are
Diet of the Patient
Postoperative Health Teaching
SURGICAL DRESSING
Purposes
Types of Dressing
Dry-to-Dry Dressing
Wet-to-Dry Dressing
Wet-to-Wet Dressings
General Instructions
Equipments
Sterile
Unsterile
Procedure
Pre-preparation
Cleaning the Surgical Wound
Dressing the Wound
Aftercare (Follow-up Care)
SURGICAL FOMENTATION
Purposes
Preliminary Assessments
Equipments
Preparation of the Patient
Procedures
Aftercare
CHOLECYSTOGRAPHY
Purposes
Preparation of the Patient
Procedure
Aftercare
Complications
NASOGASTRIC INTUBATION
Purposes
Indications
Therapeutic
Diagnostic
Types of Tubes Used
Ryle's Tube (Nasogastic Tube)
Ewald Tube
Levacutor Tube
Edlich Tube
Description of Rules Tube
General Instructions
Tube
Nose
Patients
Sterilization
Preliminary Assessments
Preparation of Patient and Environment
Equipments
Procedures
Aftercare
ENTERAL/NASOGASTRIC FEEDING
Purposes
Advantages of Enteral Tube Feeding
Methods of Tube Feeding
Continous Tube Feeding Method
Intermittent Feeding Method
Bolus Feeding Method
General Instructions
Preliminary Assessment
Preparation of the Patient and Environment
Equipments
A Clean Tray
Procedures
Postprocedure Care
Complications of Tube Feeding
Mechanical
Gastrointestinal
Metabolic
COLOSTOMY IRRIGATION
Purposes
Types of Colostomy
Solutions Used for Colostomy Irrigation
Preliminary Assessment
Preparation of the Patient and the Environment
Preparation of the Article
Procedures
Postprocedure Care
RECTAL EXAMINATION
Purposes
Methods and Position
Preliminary Assessment
Preparation of the Patient and Environment
Equipments
Procedures
Complications
BARIUM ENEMA
Purposes
Types
Principles
Preliminary Assessment
Preparation of the Patient
Equipments
Procedures
Aftercare
Complications
INSERTION OF SENGSTAKEN-BLAKEMORE TUBE BALLOON TAMPONADE
Definition
Purpose
Equipments
Procedure
Aftercare
LIVER BIOPSY
Definition
Purposes
Indications
Contraindications
Position
General Instructions
Preliminary Assessments
Preparation of the Patient and Environment
Articles Needed
An Unsterile Tray
Sterile Tray
Procedures
Aftercare
Complications
BARIUM MEAL
Description
Purposes
Principles
General Instructions
Types
Preliminary Assessment
Preparation of the Articles
A Tray Containing
Preparation of the Patient and Environment
Procedure
Aftercare
Complications
SIGMOIDOSCOPY
Definition
Purposes
Principles
General Instruction
Preliminary Assessment
Preparation of the Article
Preparation of the Patient and Environment
Procedure
Aftercare
COLONOSCOPY
Definition
Purposes
Diagnostic Purposes
Therapeutic Purposes
Indications
Principles
General Instructions
Preliminary Assessment
Preparation of the Article
Preparation of the Patient and Environment
Procedure
Aftercare
Complications
GASTRIC ANALYSIS
Introduction
Basal Gastric Analysis (Tube)
Stimulation Gastric Analysis (Tube)
Tubeless Gastric Analysis
Normal Findings
Purposes
Clinical Problems
Decreased Level
Elevated Level
Preparation of the Patient and Environment
Procedures
Stimulation Test
Tubeless Gastric Analysis
Factors Affecting Diagnostic Results
CHOLANGIOGRAPHY (INTRAVENOUS, PERCUTANEOUS, T-TUBE)
Description
Intravenous Choangiography
Percutanoeus Cholangiography
T-tube Cholangiography
Normal Finding
Clinical Problems
Preparation of the Patient and Environment
Procedures
Intravenous Cholangiography
Percutaneous cholangiography
T- TUBE Cholangiography
ESOPHAGOGASTRODUODENOSCOPY/ESOPHAGOGASTROSCOPY
Introduction
Purposes
Clinical Problems
Preparation of the Patient and Environment
Procedures
Aftercare
Complications
ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY
Introduction
Purposes
Indications
Preparation of the Patient and Environment
Procedure
Aftercare
Factor Affecting Diagnostic Results
Client Teaching
SECTION IV: MEDICAL SURGICAL PROCEDURES (SPECIALTY)
CHAPTER 28:
MEDICAL SURGICAL PROCEDURES (SPECIALTY)
NEBULIZATION THERAPY
Purposes
Types
Jet Medication Nebulizer
Ultrasonic Nebulizer
POSTURAL DRAINAGE
Definition
Purposes
Equipments
General Instructions
Procedures
ARTIFICIAL AIRWAY MANAGEMENT
Definition
Indications
Endotracheal Route of Insertion
Orotracheal
Nasotracheal
Tube Types
General Instructions
Physical Management
Psychological Management
Equipments
Preparation of the Patient and the Environment
Procedures
Aftercare
Complications
Mechanical
Laryngeal and Tracheal
ENDOTRACHEAL INTUBATION
Definition
Purposes
Objective
Precautions
Client/Family Teaching
Procedure
Assessment Phase
Planning Phase
Implementation Phase
SUCTIONING TECHNIQUES
Types
Oropharyngeal and Nasopharyngeal
Orotrachial and Nasotrachial
Tracheal
Equipments
Procedure
Preparation Phase
Performance Phase
ENDOTRACHEAL EXTUBATION
Objective
Client/Family Teaching
Precautions
Procedure
Assessment Phase
Planning Phase
Implementation Phase
Related Nursing Care
TRACHEOSTOMY CARE
Definition
Tracheostomy
Parts of the Tracheostomy Tube
Use of Tracheostomies
Indications for Tracheostomy
Complications of Tracheotomy
Care of the Tracheostomy Patient
Suctioning Procedure
Cleansing the Inner Cannula
TRACHEOSTOMY SUCTIONING
Definition
Purposes
Equipments
Preliminary Assessments
Procedures
WATER SEAL CHEST DRAINAGE
Indications
Objectives
Mechanism
Factors Affecting the Chest Drainage
Types of Chest Drainage
Single Bottle Water Seal System
Two Bottle System
Three Bottle System
Commercially Prepared Disposal Drainage Systems
Equipment
Preparation of the Equipment
Implementation
Setting Up a Commercially Prepared Disposable System
Managing Closed Chest Underwater Seal Drainage
Assessment of Proper Functioning
Precautions to be Taken While Replacing the Chest Drainage Bottles
Chest Catheter Removal
Discharge Teaching
Common Problems and Suggested Actions
Lack of Drainage
No Fluctuation of Fluid in Tubing from the Underwater Seal
Constant Bubbling of Fluid in the Drainage
Signs Shown by Patients
Incision Pain
Disconnection
Patient Needs to be Moved to Another Area
lntrapleural Drain Fall Out
CHEST X-RAY
Introduction
Purposes
Indications
Normal Findings
Standard Positions Used
Lateral View
Lateral Decubitus Position
Oblique Position
Lordotic Position
Portable Chest X-ray
Nursing Considerations
SPUTUM CULTURE
Introduction
Purposes
General Instructions
Client Preparation
Equipments
Procedures
Documentation
PULMONARY FUNCTION TEST
Introduction
Abnormal Findings
Description
Calculation of Total Lung Capacity
Calculation of Vital Capacity
Client Preparation
Procedure
Spirometry and Airflow Rates
Gas Exchange/Diffusing Capacity of the Lung
Inhalation Tests (Bronchial Provocation Studies)
Postprocedural Care
Contraindications
ULTRASONOGRAPHY
Introduction
Purposes
Preoperative Care
Procedures
COMPUTERIZED TOMOGRAPHY
Introduction
Reference Values
Purposes
Indications
General Instructions
Nursing Considerations
Nursing Care
Procedures
Nursing Care after the Procedure
Interfering Factors
Contraindications
MAGNETIC RESONANCE IMAGING
Introduction
Indications
Advantages
Nursing Consideration
Contraindications
Interfering Factors
Client Preparation
Procedures
Postprocedural Care
BRONCHOGRAPHY
Description
Normal Finds
Purpose
Indications
Client Preparation
Procedure
Preprocedural Care
Postprocedural Care
Contraindications
Factors Affecting Diagnostic Results
ARTERIAL BLOOD GAS ANALYSIS
Definition
Purposes
Normal Values
Indications
Interfering Factors
General Instructions
Client and Environment Preparation
Equipments Needed
Procedures
Postprocedural Care
Complications
BRONCHOSCOPY
Definition
Purpose
Diagnostic Purpose
Therapeutic Purposes
Principle
General Instruction
Preliminary Assessment
Preparation of the Patient Unit
Articles Needed
A Sterile Tray
An Unsterile Tray
Procedures
Aftercare
Findings
Complications
THORACENTESIS
Purposes
General Instructions
Preliminary Assessment
Preparation of the Patient and Environment
Equipments
A Sterile Tray
An Unsterile/Clean Tray
Procedures
Aftercare
Complications
LUNG BIOPSY
Introduction
Purposes
Indications
Client Preparation
Procedures
Transbronchial Lung Biopsy
Transbronchial Needle Aspiration
Transbronchial Brushing
Percutaneous Needle Biopsy
Open Lung Biopsy
Transcopic Lung Biopsy
Aftercare
Contraindications
Possible Complications
PLEURAL BIOPSY
Introduction
Preliminary Assessment
Procedure
Postprocedure Care
Complications
PULMONARY ANGIOGRAPHY
Indications
Client Preparation
Procedures
Postprocedural Care
Contraindications
Potential Complications
LUNG SCAN/PULMONARY SCINTIPHOTOGRAPHY
Introduction
Abnormal Finding
Client Preparation
Procedure
Perfusions Scan
Ventilation Scans
Postprocedural Care
Contraindication
Interfering Factors
PULSE OXIMETRY
Introduction
Types of Oxygen Transducers
Nursing Consideration
VENOUS OXYGEN SATURATION MONITORING
Introduction
Client Preparation
Procedures
Interfering Factors
Complications
Steps to Prevent Complication
ELECTROENCEPHALOGRAM
Purposes
Mechanism
Wave Patterns
Figure Measures in Seizure
Preliminary Assessment
Check
Preparation of the Patient and the Environment
Equipments
Procedures
Interpretation
Nursing Implications
SKULL AND SPINAL X-RAY
Introduction
Definition
Purposes
Skull X-ray
Spine X-ray
General Instructions
Client Preparation
Procedures
Aftercare
COMPUTERIZED TOMOGRAPHY (BRAIN)
Introduction
Definition
Purposes
Indications
Preparation of the Client
Procedures
Aftercare
Complications
Contraindications
Side-effects
Advantages
MAGNETIC RESONANCE IMAGING
Introduction
Definition
Purposes
Principles
General Instructions
Preparation of the Client
Equipments
Procedures
Aftercare
Advantages
Disadvantages
Contraindications
POSITRON EMISSION TOMOGRAPHY
Introduction
Definition
Purposes
Principles
General Instructions
Preparation of the Client
Procedures
Aftercare
Advantages
Disadvantages
DOPPLER IMAGING
Introduction
Definition
Indications
Purposes
Advantages
Types
Extracranial Doppler Studies
Transcranial Doppler Studies
Client Preparation
Equipments
Special Consideration
Procedures
Aftercare
EVOKED POTENTIALS
Introduction
Definition
Purposes
Indications
Types
Visual Evoked Responses
Brainstem Auditory Evoked Responses
Somatosensory Evoked Potentials (SSEPs)
Advantages
Client Preparation
Procedures
Aftercare
ECHOENCEPHALOGRAPHY
Introduction
Reference Values
Interfering Factors
Indications
Client Preparations
Procedures
Nursing Care after the Procedure
LUMBAR PUNCTURE
Introduction
Definition
Purposes
Indications
General Instructions
Special Considerations
Preparation of the Client
Equipments Needed
Procedures
Queckenstedt's Test (Lumbar Manometric Test)
Aftercare
Contraindications
Complications
MYELOGRAPHY
Introduction
Definition
Purposes
Indications
General Instructions
Client Preparation
Procedures
Aftercare
ELECTROMYOGRAPHY
Introduction
Definition
Purposes
Client Preparation
Procedures
Aftercare
CEREBRAL ANGIOGRAPHY
Introduction
Definition
Purposes
General Instructions
Client Preparation
Procedures
Aftercare
Complications
DIGITAL SUBTRACTION ANGIOGRAPHY
Introduction
Definition
Purposes
Indications
Factors Interference
Special Instructions
Client Preparations
Procedures
Aftercare
Disadvantages
CISTERNAL PUNCTURE
Introduction
Definition
Purposes
Client Preparation
Procedures
Aftercare
CALORIC TESTING
Introduction
Definition
Interpretation
TENSILON TEST (EDROPHONIUM BROMIDE)
Definition
Purposes
Equipments
Client Preparation
Preparation
Aftercare
INTRACRANIAL PRESSURE MONIORING
Definition
Indications
Classification
Intraventicular Catheter Monitoring
Subarchnoid Bolt Monitoring
Epidural or Subdural Sensor Monitoring
Intraparenchymal Monitoring
General Instructions
Client and Environment Preparation
Equipments
Procedures
Interpreting ICP Waveforms
Aftercare
CEREBRAL BLOOD FLOW MONITORING
Definition
Indications
Client and Environment Preparation
Special Considerations
Equipments
Procedure
Setting Up the Sensor Monitor
Recording the Cerebral Blood Flow
Care of the Insertion Site
Removing the Sensor
Aftercare
CEREBROSPINAL FLUID FLOW MONITORING
Introduction
Reference Values
Indications
Contraindication
Procedure
Nursing Care before the Procedure
Nursing Care during the Procedure
Nursing Care after the Procedure
GLASGOW COMA SCALE
Description of the Glasgow Coma Scale
Purposes
Equipments
Procedures
Eye Open Response
Best Motor Response
Verbal Response
Interpretation
CENTRAL VENOUS PRESSURE
Objectives
Indications
Normal CVP: 2–12 cm H2O
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipments
Procedure
Mean CVP Measurement
Interpretation of Central Venous Pressure
False CVP
Postprocedure Care
Complications
CARDIAC CATHETERIZATION
Definition
Purposes
Equipments
Procedures
Right Heart Catheterization
Left Heart Catheterization
Precatheterization Care
During Procedure
Postcatheterization Care
TEMPORARY PACEMAKER THERAPY
Definition
Purpose
Equipment
Pretemporary
During Procedure
Post-temporary Pacemaker Care
PERMANENT PACEMAKER IMPLANTATION
Definition
Purposes
Equipments
Pre-permanent Pacemaker Implantation Care
Post-Permanent Pacemaker Care
Patient Education
TRANSESOPHAGEAL ECHOCARDIOGRAPHY
Definition
Purposes
Equipment
Pretransesophageal Echocardiogram Care
During Procedure
Post-transesophageal Echocardiogram Care
CARDIAC DEFIBRILLATION
Definition
Purpose
Equipments
General Instructions
Procedures
Postdefibrillation Care
ELECTROCARDIOGRAM
Invented by Enthovan in 1901
Normal Conduction System of the Heart
Purposes
Components of ECG
Electrocardiogram Graph Sheet
Heart Rate
Rhythm
Blocks
Axis
Negative
Electrolyte Disturbance in ECG
Myocardial Infarction
12 Lead ECG
Lead Placement
Indications for 12 Lead ECG
Cause of Abnormal ECG Pattern
Preparation of the Patient
Preprocedural Care
Procedures
Aftercare
Nurses Responsibility
HOLTER MONITORING
Introduction
Normal Findings
Definition
Purposes
Findings
Client Preparation
Components
Procedures
Aftercare
PHONOCARDIOGRAM
Introduction
Purpose
Findings
Interfering Factors
Client Preparations
Procedure
Aftercare
ROENTGENOGRAM
Introduction
Purposes
Indications
Findings
Interfering Factors
Client Preparations
Procedures
Aftercare
STRESS TESTING
Introduction
Purposes
Indications
Class-I (Clear Indications for Stress Testing)
Class-II (Stress Testing may be Indicated)
Class-III (Stress Testing is Probably Necessary)
Interfering Factors
Client Preparations
Procedures
Findings
Aftercare
Contraindications
VECTORCARDIOGRAM
Introduction
Purpose
Client Preparation
Procedures
Aftercare
Findings
MAGNETIC RESONANCE IMAGING
Introduction
Purposes
Indications
Client Preparation
POSITRON EMISSION TOMOGRAPHY
Introduction
Indications
Client Preparation
During Test
TELEMETRY MONITORING
Introduction
Definition
Components
Advantages
Disadvantages
Client Preparation
Procedures
CARDIAC ENZYME TEST
Introduction
Definition
Purposes
Client Preparation
Procedures
Aftercare
Enzyme Study Interpretation
CARDIAC CATHETERIZATION
Introduction
Definition
Purposes
Types/Classification
Client Preparations
Equipments
Procedures
Aftercare
Contraindications
PULMONARY ARTERY WEDGE PRESSURE MONITORING
Introduction
Definitions
Purposes
Principles
Client and Equipment Preparations
Equipments
Procedures
Checking a Pulmonary Artery Wedge Pressure Reading
Removing the Catheter
Special Consideration
Complication
INTRA-ARTERIAL PRESSURE MONITORING
Introduction
Definition
Formula
Purposes
Indications
Components
Special Considerations
Client and Equipment Preparation
Equipments Needed
For Blood Sample Collection
Procedures
Aftercare
Complications
SELECTIVE CARDIOGRAPHY
Definitions
Purposes
Client Preparations
Special Equipments Needed
Procedures
Aftercare
ENDOMYOCARDIAL BIOPSY
Introduction
Purposes
Findings
Interfering Factors
Client Preparations
Procedures
Aftercare
Complications
ERGONOVINE PROVOCATION TEST
Introduction
Purpose
Finding
Interfering Factors
Client Preparations
Procedures
Aftercare
Complications
PERICARDIOCENTESIS
Introduction
Definition
Purpose
Findings
Indications
Client Preparations
Procedures
Specific Precautions
Aftercare
Complications
Abnormal Findings
Contraindications
THALLIUM TESTING
Introduction
Purposes
Thallium-201
Findings
Client Preparations
Procedures
Aftercare
Complications
TRANSESOPHAGEAL ECHOCARDIOGRAPY
Introduction
Definition
Purposes
Interfering Factors
Client Preparations
Procedures
Aftercare
Advantages
Complication
PERITONEAL DIALYSIS
Definition
Purposes
Indications
Advantages
Principles
Diffusion
Osmosis
Types
Advantages
Continuous Cycle Peritoneal Dialysis
Advantage
Intermittent Peritoneal Dialysis
Contraindications
Preparation of the Patient and Environment
Equipments
Catheter Placement and Dialysis
For Dressing Changes
Procedures
Complications
INTRAVENOUS PYELOGRAPHY
Purposes
Contraindications
Preparations of the Patient
Commonly Used Substances
Two Commonly Used Substances
Position of the Patient
Procedures
Aftercare
Recording and Reporting
Complications
HEMODIALYSIS
Definition
Indications
Equipment
Preparation of Hemodialysis Machine
Preparation of Double Lumen Catheter for Dialysis
Preparation for Arteriovenous Fistula for Dialysis
Preparation for Arteriovenous Shunts for Dialysis
Equipment Needed after the Procedure
For Arteriovenous Fistula
For Arteriovenous Shunt
Preparations of Equipment
Sites for Hemodialysis
Mechanism of Hemodialysis
Types of Dialyzers
Systems Used in Delivering Dialysate
Nursing Care
Role of Nurse in Care of Patient on Hemodialysis with Double Lumen Catheter
Postprocedure Care
Role of Nurse in Care of Patient on Hemodialysis with an Arteriovenous Fistula
Postprocedure care for Arteriovenous Fistula
Role of Nurse in Care of Patient on Hemodialysis with Arteriovenous Shunt
Postprocedure Care for Arteriovenous Shunt
Nursing Alert
Complications
CONTINUOUS AMBULATORY PERITONEAL DIALYSIS
Advantages
Disadvantages
Equipments
Preparations of the Equipment
Major Steps of Continuous Peritoneal Dialysis
Role of Nurse in Infusing the Dialysate for CAPD
Steps to Clean the Peritoneal Catheter in Case of Patient with CAPD before Dialysis
Postprocedure Care for CAPD (Temporarily)
Complications
CARE OF PATIENT WITH VENTILATOR
Definition
Purposes
Equipments
General Instructions
Procedure
Care of ETT/Tracheostomy
Maintaining Ventilation
Signs of Adequate Ventilation
Signs of Inadequate Ventilation
Suctioning
Weaning
Routine Nursing Care
Psychological Aspects of Patient's Care
ARTHROGRAPHY
Introduction
Contraindications
Purposes
Abnormal Findings
Client Preparations
Procedures
Postprocedural Care
ARTHROSCOPY
Introduction
Purposes
Abnormal Findings
Client Preparations
Factor Affecting the Diagnostic Result
Procedures
Postprocedural Care
Contraindications
SECTION V: INTENSIVE CARE UNIT PROCEDURES
CHAPTER 29:
INTENSIVE CARE UNIT PROCEDURES
ADVANCED CARDIAC LIFE SUPPORT
Airway and Ventilatory Support
Oxygenation
Airway Adjuncts
Masks
Ventilation Circuits
Endotracheal Intubation
Support of Circulation
Electrocardiographic Monitoring
Correction of Acidosis and Fluid Replacement
Termination of Cardiopulmonary Resuscitation
Postresuscitation Support
CARDIOVERSION AND DEFIBRILLATION
Defibrillators
Recent Advances in Defibrillation
Current-Based Defibrillation
Cardioversion
Automatic Implantable Cardioverter Defibrillator
PACEMAKERS
Components
Pulse Generator
Mode of Pacing
Indications for Artificial Pacemakers
Temporary Introduction Sites
Types
Temporary Pacemakers
Guidelines for Care of Patient with Temporary Pacemakers
Permanent Pacemakers
Guidelines for Client Education for a Patient with Permanent Pacemaker
Patient Teaching
Trouble Shooting
Electrical
Clinical
Complications
External Transcutaneous Pacemakers
Indications
ARTERIAL BLOOD GAS ANALYSIS
Components of Arterial Blood Gas
Normal Values of Arterial Blood Gas
Obtaining Sample for ABG Analysis
Obtaining Sample by Direct Puncture
Interpretation of Arterial Blood Gas
Clinical Symptoms
Metabolic Acidosis
Metabolic Alkalosis
Respiratory Acidosis
Respiratory Alkalosis
MECHANICAL VENTILATION
Introduction
Ventilators are not Respirators
Definition
Indications for Ventilatory Support
Clinical Parameters Indicating Ventilatory Support
Positive Pressure Ventilation
Types of Positive Pressure Ventilators
Volume Cycled Ventilators
Pressure Cycled Ventilators
Modes of Mechanical Ventilation
Control Mode
Assist Mode
Assist/Control Mode
Intermittent Mandatory Ventilation (IMV)
Advantages
Disadvantages
Synchronized Intermittent Mandatory Ventilation
Special Positive Pressure Ventilation Technique
Advantages
Disadvantages
Continuous Positive Airway Pressure
Newer Modes of Mechanical Ventilation
Pressure Control Ventilation
Inverse Ratio Ventilation
Indications
Contraindications
Pressure Support Ventilation
Indications
High Frequency Ventilation
High Frequency Positive Pressure Ventilation
Indications
High Frequency Jet Ventilation
Summary
VENTILATOR SETTING UP
Introduction
Check for Ventilator
Complications of Mechanical Ventilation
Fluid Retention and Hemodynamic Alteration
Ventilator Trouble Shooting
Weaning from Ventilator
Respiratory Parameters as Criteria for Weaning (Huba Control)
Ability to Oxygenate
Spontaneous Resting Ventilatory Needs
Respiratory Mechanical Capability to Sustain Spontaneous Respiration
Signs of Fatigue
Psychological Readiness
Methods of Weaning
The Conventional Method
Intermittent Mandatory Ventilation
Causes of Failure to Wean
Patient Factors
Ventilatory System Factors
Airway Factors
Patient who is Fighting the Ventilator
PERCUTANEOUS SUPRAPUBIC PUNCTURE
Indications
Contraindication
Method
Complications
FINE-NEEDLE ASPIRATION BIOPSY/CYTOLOGY
Technique
Equipments Needed
Procedures
Variation in Technique
Indications
Advantages
SECTION VI: COMMUNITY HEALTH NURSING PROCEDURES
CHAPTER 30:
COMMUNITY HEALTH NURSING PROCEDURES
HOME VISIT
Concepts of Home Visiting
Purposes of Home Visiting
Principles of Home Visiting
Steps in Home Visiting
Initial Phase
Action Phase
Termination Phase
Advantages
BAG TECHNIQUES
Importance of Community Bag
Principles of Bag Technique
Articles Used in Community Bag
Steps of Procedure with Community Bag
HOME HEALTH NURSING PROCEDURES
Principles to be Observed
HANDWASHING
Purposes
Articles
Procedures
TEMPERATURE TECHNIQUES
Principles
Equipments
Procedures
MEASUREMENT OF HEIGHT AND WEIGHT
Principles
Equipments
Procedures
UNDER FIVE ASSESSMENTS
Purposes
Symbol of Under Five Clinics
Equipments
Procedures
IMMUNIZATION
Agents of Immunization
Vaccines
Steps of Vaccine Administration
Administering of DPT, DT and Tetanus Toxoid (TT)
Administering Oral Polio Vaccine
Administration of Measles Vaccine
Administration of Bacille Calmette-Guérin Vaccination
INJECTION TECHNIQUE
Purposes of Injection
Factors Favoring Absorption
Types of Injections
Principles Involved in Injection Techniques
General Instructions
Equipments
Procedures
Complications of Injections
WOUND DRESSING AT HOME
Purposes
Principles
Advantages of Dressing
Types of Dressing
Equipments
Procedures
BABY BATH
Purposes
Types of Bath
General Instructions
Equipments
Articles Near the Bedside
Procedures
Aftercare
CORD CARE
Purposes
General Instructions
Equipments
Procedures
Aftercare
ORAL REHYDRATION THERAPY
Purposes
Formula for Oral Rehydration Solution
Equipments
Procedures
Action of Oral Rehydration Therapy
General Instructions
PREPARING BLOOD SMEAR
Purposes
Equipments
Procedures
Blood Smear Preparation to Rule Out Malaria
URINE TESTING
Purposes
Principles Involved
General Instructions
Equipments Needed for Sugar and Albumin Test
Procedures
TEACHING IN THE HOME SETTING
Objectives of Health Education
Topics for Teaching at Home Setting
Antenatal Mother
Postnatal Mother
Neo Natal Care
Infant
Preschool Children
Principles of Health Education
Conducting Delivery at Home
Preparation of the Mother for Home Delivery
Equipments
Maternity Kit
Other Articles
Articles Needed for Baby
Stages of Labor
First Stage of Labor (in the Home)
Second Stage
Third Stage
Immediate Care of the Newborn
Instruction for the Family
TEACHING DAIS AT HOME
Importance of Dais Training
Considerations in Dais Training
Objectives of Dais Training Program
Selection of Dais
Training of Dais
Procedure to Teach Care
Stipend
Certification
Hygiene Practices of Dais during Nursing Care
SUPERVISION OF HEALTH CARE WORKERS
Principal Duties of a Supervisor (According to H Nissan)
Role of Supervisors
Home Visiting with the Staff
Field Visiting
Nursing Personnel at the Clinics
Nursing Personnel Working in PHC
School Health Activity
Types of Supervision
Direct Supervision
Indirect Method
Objectives of Supervision
Principles of Supervision
PREPARATION OF SPUTUM SMEAR
Sputum
Purpose of Sputum Examination
General Instructions
Procedures
EYE IRRIGATION
Purposes
Common Solutions
General Instructions
Equipments
Procedures
TREATMENT OF SCABIES
Causes of Scabies
Clinical Manifestations
Community Standing Order/Management
SECTION VII: MENTAL HEALTH NURSING PROCEDURES
CHAPTER 31:
MENTAL HEALTH NURSING PROCEDURES
PERFORMING MENTAL STATUS EXAMINATION
Definition
Purposes
General Instructions
Format for Mental Status Examination
Instructions
Identification Data
General Appearance
Speech
Motor Activity
Mood of Affect
Perception
Thought
Orientation
Memory
Judgment
Attention and Concentration: Good/Distracted/Pre-occupied/Any other
Intelligence
Insight: Present/Absent
Psychological Factors
Physiological Factors
Summary
CONDUCTING PROCESS RECORDING
Definition
Purposes
General Guidelines
Format for Process Recording
Details of Conversation
ASSISTING WITH ELECTROCONVULSIVE THERAPY
History
Definition
Articles
Procedure
Indications
Contraindications
Types
Risks Associated with Electroconvulsive Therapy
ADMISSION AND DISCHARGE PROCEDURES
Types of Admission
Admission on Voluntary Basis
Admission Under Special Circumstances
Admission Under a Reception Order
Discharge
Discharge of Voluntary Patient
PSYCHIATRIC INVESTIGATION
Routine Tests
Diagnostic Procedures Used to Detect Altered Brain Function
Electroencephalography
Computed Tomography
Magnetic Resonance Imaging
Brain Electrical Activity Mapping
Positron Emission Tomography
Single Photon Emission Computed Tomography
PSYCHOPHARMACOTHERAPY
Principles of Psychopharmacological Therapy
Purposes of Psychopharmacotherapy
Reasons for Non-Compliance to Psychotropic Regimen
Services that Encourage Adherence to Medication Regimen
Effects on Special Populations
Children
Elderly
Pregnancy
Basic Pharmacologic Principles
Key Points/Knowledge Required Prior to Medication Administration
Contraindication/Precautions
Safe Medication Administration: The Seven Rights
Right Client
Right Drug
Right Dose
Right Time
Right Route
Right Documentation
Right to Refuse
PSYCHOSOCIAL THERAPIES
Behavior Therapy
Types of Behavior Therapy
Modeling and Observational Learning
Cognitive Therapy
Family Therapy
Characteristics of Dysfunctional Families
Family-Centered Approach
Technology for Family Therapy
Communication Techniques
Individual Psychotherapy
Levels of Individual Therapy
Group Therapy
Types of Group
Physical Conditions that Influence Group Dynamics
Curative/Therapeutic Factors of Group Therapy (According to Yalom)
Relaxation Therapy
Deep Breathing Exercises
Progressive Relaxation
Modified (or Passive) Progressive Relaxation
Meditation
Mental Imagery
Biofeedback
Physical Exercise
RELAXATION TECHNIQUES
Introduction
Relaxation with Guided Imagery
Steps of Relaxation Technique
NURSING MANAGEMENT OF STRESS
Some of these Reactions may be Coping Behaviors
Nursing Interventions in Stress Management
Coping Enhancement
Activities of Coping Enhancement
SECTION VIII: MATERNAL AND CHILD HEALTH NURSING PROCEDURES
CHAPTER 32:
MATERNAL AND CHILD HEALTH NURSING PROCEDURES
CERVICOGRAPHY (CERVIGRAM)
Purpose
Normal Findings
Abnormal Findings
Client Preparation
Procedures
Factors Affecting Diagnostic Results
Client Teaching
CHORIONIC VILLUS BIOPSY
Purpose
Indications
Client Preparations
Procedures
Factors Affecting Diagnostic Results
Client Teaching
HYSTEROSALPINGOGRAPHY (HYSTEROSALPINGOGARM)
Purposes
Abnormal Findings
Client Preparation
Procedures
Factor Affecting Diagnostic Results
Health Teaching
HYSTEROSCOPY
Normal Finding
Purposes
Client Preparations
Procedure
Preprocedural Care
Postprocedural Care
Abnormal Findings
Contraindications
Client Teaching
AMNIOTIC FLUID ANALYSIS
Purposes
Indications
General Instructions
Procedures
Factors Affecting Diagnostic Results
Nursing Implications
Client Teaching
Rare Complications
COLPOSCOPY
Purpose
Indications
Client Preparations
Procedure
Preprocedural Care
Postprocedural Care
Factors Affecting Diagnostic Results
Client Teaching
HEMOGLOBIN ESTIMATION
How to Measure Hemoglobin
Hemoglobin Color Scale
Follow these Instructions while Using the Scale
How to ‘Clean’ the Gloves
CONTROLLED CORD TRACTION
UTERINE MASSAGE
EXAMINATION OF THE PLACENTA, MEMBRANES AND THE UMBILICAL CORD
Maternal Surface of the Placenta
Fetal Surface
Membranes
Umbilical Cord
ULTRASOUND IN OBSTETRICS
Introduction
How Does Ultrasound Work?
Use of Ultrasound in Obstetrics
Transvaginal Ultrasonography (TVS)
Doppler Ultrasound (Audible Signal)
Midwife's Responsibility Regarding Prenatal Screening
BLOOD PRESSURE MONITORING
Palpatory Method
Auscultatory Method
MEASUREMENT OF FUNDAL HEIGHT
Fundal Height Measurement
I. Fundal Palpation/Fundal Grip
II. Lateral Palpation/Lateral Grip
III. First Pelvic Grip/Superficial Pelvic Grip
IV. Second Pelvic Grip/Deep Pelvic Grip
ANTENATAL CARE
Objectives
Examination
Assessment
Care and Attention
Role of Community Health Nurse at Antenatal
INTRANATAL CARE
Aims of Good Intranatal Care
Objectives
Examination
Assessment
Care and Attention
Education and Counseling
Role of the Nurse
POSTNATAL CARE
Objectives
Examination
Assessment
Care and Attention
Complications of Postnatal Period
Role of Nurse in Postnatal Care
SECTION IX: CHILD HEALTH NURSING PROCEDURES
CHAPTER 33:
CHILD HEALTH NURSING PROCEDURES
NEONATAL CARE
Objectives of Early Neonatal Care
Immediate Care
Clearing the Airway
Appearance, Pulse, Grimace, Activity, Respiration Score
Care of the Cord
Care of the Eyes
Care of the Skin
Maintenance of Body Temperature
Breastfeeding
Neonatal Examination
INFANT CARE
Physiological Developments
Height and Weight
Head Growth
Motor Development
Health Screening
Role of Nurse in Infant Care
The Community Health Nurse
Feeding of Infants
Weaning
CARE OF UNDER FIVES
Rights of the Child
Under Five Clinics
Aims
Objectives
Role of Nurse in Under Five Clinics
Physical Facilities for a Children's Clinic
GROWTH CHART
Uses of Growth Chart
Alternative Methods of Growth Monitoring
Child Health Problems
Low Birth Weight
Malnutrition
Infectious and Parasitic Disease
Accidents and Poisoning
Other Factors Affecting Child Health
BABY-FRIENDLY HOSPITAL INITIATIVE
Introduction
Steps in Global Baby Friendly Hospital Initiative (BFHI)
Objectives of Baby-Friendly Hospital Initiative
Guidelines for Successful Lactation
International Act
RESTRAINTS
Purposes
Types of Restraints
Mummy Device
Elbow Restraints
Jacket Restraint
Clove-Hitch Restraint
Crib-Net Restraint
Restraint with Hand
PHYSICAL EXAMINATION
Purposes
Techniques
Guidelines for Physical Examination
Equipments
Measuring Vital Signs in Children
Temperature
Pulse
INTEGRATED CHILD DEVELOPMENT SERVICES
Introduction
Integrated Child Development Package Services
Objectives
Administrative Setup
Integrated Child Development Services Function
Supplementary Nutrition
Immunizations
Non-Formal Education
Treatment and Referral
Growth Monitoring
Impact of Integrated Child Development Services Program
Child Survival and Safe Motherhood Program
Introduction
Objectives
Activities
Goals
Components
Strategies
INDEX
TOC
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