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Textbook of Nursing Foundation
I Clement
CHAPTER 1:
Introduction
TERMINOLOGY
INTRODUCTION
CONCEPT OF HEALTH
DIMENSIONS OF HEALTH
MULTIPLE FACTS OF HEALTH—WHO (WORLD HEALTH ORGANIZATION)
CONCEPTIONS OF HEALTH MODELS
FACTORS INFLUENCING HEALTH
Human Biology
Environment
Health and Health Allied Resources
CONCEPT OF DISEASE
CULTURAL FACTORS IN HEALTH AND DISEASE (FIG. 1.3)
CAUSES AND RISK FACTORS FOR DEVELOPING ILLNESS
Internal Variables
External Variables
Factors Affecting a Patient's Health Status
BODY DEFENCE: IMMUNITY AND IMMUNIZATION
Innate Immunity
Meaning of Innate Immunity
Organs involved in Innate Immunity
Mechanisms
Acquired Immunity
Mechanisms of Acquired Immunity
ACTIVE IMMUNITY
Types of Active Immunity
VACCINES
PASSIVE IMMUNITY
Types of Passive Immunity
Uses of Passive Immunization
Miscellaneous
CONCEPTS OF HEALTH, ILLNESS AND SICK BEHAVIORS
ILLNESS BEHAVIOR
Stages of Illness Behavior (Fig. 1.5)
Symptom Experience
Assumption of the Sick Role
Medical Care Contact
Dependent Client Role
Recovery Stage
Impact of Illness on Family
Behavioral and Emotional Changes
Impact of Family Roles
Impact on Body Changes
Impact of Self-concepts
Impact of Family Dynamics
HEALTH–ILLNESS CONTINUUM
MODELS OF HEALTH AND ILLNESS
Health–wellness Model
Agent-host-environmental Model
Health Belief Model (Fig. 1.7)
Health Promotion Model
BIOPSYCHOSOCIAL ASPECTS OF HEALTH AND ILLNESS (FIG. 1.8)
Developmental Needs
Cultural Influences
Religious Aspects
HEALTH CARE DELIVERY SYSTEM IN INDIA (FIG. 1.9)
Health Problems
Resources
Health Care Services
Health Care System
Public Sector
Private Sector
Indigenous Systems of Medicine
Voluntary Health Agencies
Health Programs in India
HEALTH FOR ALL
Health for All Goals
Strategies for Health for All
HEALTH CARE SERVICES
HEALTH CARE TEAM
HEALTH CARE AGENCIES
Health Care Organizations
HOSPITAL: TYPES, ORGANIZATION AND FUNCTIONS
Definition
Objectives of the Hospital
Scope of Hospital
Functions of the Hospital
CLASSIFICATION OF HOSPITALS
LEVELS OF DISEASE PREVENTION
PRIMARY HEALTH CARE (FIG. 1.10)
Highlights of this Definition
Attributes of Primary Health Care
Elements of Primary Health Care
Principles of Primary Health Care
Role of Nurse in Primary Health Care
Role of Nurse in PHC
Major Role of CHN in PHC
CONCLUSION
CHAPTER 2:
Nursing as a Profession
TERMINOLOGY
INTRODUCTION
DEFINITIONS OF NURSING
THE NIGHTINGALE'S PLEDGE
THE LIBERAL MEANING OF THE WORD NURSE
HISTORICAL DEVELOPMENT OF NURSING IN INDIA
FLORENCE NIGHTINGALE
QUALITIES OF PROFESSIONAL NURSE
BASIC NURSING PRINCIPLES
NURSING SCIENCE
Steps of Scientific Method
NURSING AS A PROFESSION
CHARACTERISTICS OF A PROFESSIONAL NURSE
ROLE AND FUNCTIONS OF A NURSE
SCOPE OF NURSING
PERSON-CENTERED NURSING CARE (NURSING PROCEDURES)
Five Essential Steps in Every Procedure
NURSE AS A MEMBER OF HEALTH CARE TEAM
VALUES OF PROFESSIONAL NURSE
CARING AND ADVOCACY
Advocacy Skills
ETHICAL ISSUES IN NURSING
Nursing Ethics
CODE OF ETHICS
Nurses and People
Nurses and Practice
Nurses and Society
Nurses and Co-worker
Nurses and the Profession
ETHICAL PRINCIPLES
Rights
ETHICAL DILEMMAS
ETHICAL DECISION MAKING
STATEMENTS OF ETHICAL RESPONSIBILITY
PROFESSIONAL ETIQUETTES FOR NURSES
LEGAL ISSUES IN NURSING
Types of Laws
Common Legal Issues
Law and Nurse
INTEGRATING NURSING SERVICE AND NURSING EDUCATION
CONCLUSION
CHAPTER 3:
Hospital Admission and Discharge
INTRODUCTION
ADMISSION PROCEDURE
Purpose
Principals Involved
General Instructions
Types of Admission
General Instructions
Equipment
Procedure
MEDICOLEGAL ISSUES
Role of Nurse in Medicolegal Cases
PATIENT'S BILL OF RIGHTS
TRANSFER PROCEDURE
Purpose
Types of Transfer of the Patient
Preliminary Assessment
Equipment
Investigation Reports
Procedure
DISCHARGE PROCEDURE
Purpose
Reasons for Discharge
General Instruction
Preliminary Assessment
Check
Departments to be Informed
Procedure
After Discharge
Discharge Teaching Goals
CARE OF UNIT AFTER DISCHARGE
Reasons for Terminal Cleaning of the Patient Care Unit
Guidelines for Terminal Cleaning
CONCLUSION
CHAPTER 4:
Communication and Nurse-Patient Relationship
INTRODUCTION
COMMUNICATION: LEVELS, ELEMENTS, TYPES, MODELS, PROCESS AND FACTORS AFFECTING COMMUNICATION
Definition
Nature of Communication
Kinds of Communication
Purpose of Communication
Importance of Communication
Principles of Communication
Communication Process (Figs 4.1 and 4.2)
Mode or Forms of Communication
BASIC COMMUNICATION SKILLS
FACTORS AFFECTING COMMUNICATION PROCESS
Ability of the Communicator
Perceptions
Attitude
Knowledge
Time
Personal Space
Environment
Territory
Emotions
Self-esteem
Roles and Relationships
Sociocultural Background
Values
NON-VERBAL COMMUNICATION
THE BEST MODEL
BARRIERS IN COMMUNICATION
INTERPERSONAL RELATIONSHIP
Skills of Interpersonal Relationship (IPR)
Principles of IPR
Role of Nurse in Interpersonal Relationship
THERAPEUTIC NURSE-PATIENT RELATIONSHIP
Definition
Goals of a Therapeutic Relationship
Nurses Role and Therapeutic Communication
Conditions used in Therapeutic Relationship
Types of Relationship
COMMUNICATION IN NURSING
Communication Skills Help the Nurse in Many Ways
Purpose of Communication in Nursing System
Communication Functions in Nursing
COMMUNICATION IN THE HOSPITAL
Communication System Used in Hospitals
Ten Commandments of Good Communication
NURSE-CLIENT HELPING RELATIONSHIP
COMMUNICATION WITHIN NURSING PROCESS
MAINTAINING EFFECTIVE HUMAN RELATION WITH VULNERABLE GROUP
Communicating with Individuals Who are Blind or Visually Impaired
Communicating with Individuals Who are Deaf or Hard of Hearing
Communicating with Individuals with Mobility Impairments
Communicating with Individuals with Speech Impairments
Communicating with Individuals with Cognitive Disabilities
PATIENT TEACHING: IMPORTANCE, PURPOSE, PROCESS AND ROLE OF NURSE
Purposes of Patient Teaching
Importance of Health Teaching
Role of Nurse in Patient Teaching
Guidelines for Effective Patient Teaching
CONCLUSION
CHAPTER 5:
Nursing Process
INTRODUCTION
CRITICAL THINKING AND NURSING JUDGMENT
Definition of Critical Thinking
Meaning of Critical Thinking
COMPONENTS OF CRITICAL THINKING
IMPORTANCE OF CRITICAL THINKING
CRITICAL THINKING IN NURSING
SPECIAL SKILLS REQUIRED FOR CRITICAL THINKING
CHARACTERISTICS OF GOOD CRITICAL THINKER
CRITICAL THINKING THROUGH NURSING PRACTICE
Critical Thinking Attitudes and Applications in Nursing Practice
Critical Thinking in Clinical Application
LEVELS OF CRITICAL THINKING IN NURSING
NURSING PROCESS OVERVIEW: APPLICATION IN PRACTICE
Definition
Meaning of Nursing Process
Purpose of Nursing Process
Characteristics of Nursing Process
Advantages of Nursing Process
STEPS IN THE NURSING PROCESS
BENEFITS OF NURSING PROCESS
Benefits for the Client
Benefits for the Nurse
A Framework for Accountability
NURSING ASSESSMENT
Purposes of Nursing Assessment
Prerequisites to Assessment
DATA COLLECTION
Sources of Data
Methods of Data Collection
Guideline for Data Collection
NURSING DIAGNOSIS
Definition
Purposes of Nursing Diagnosis
Characteristics of a Diagnostic Statement
Nursing Diagnosis Classifications
Diagnostic Reasoning
Errors in Diagnosis
Using a Nursing Diagnosis
Writing a Nursing Diagnosis
Ten Rules for Writing a Nursing Diagnosis
Collaborative Problems
NURSING PLANNING
Definitions of Planning
Purpose of Planning
Types of Planning
Phases of Planning
Setting Priorities
Establishing Goals for Nursing Action
Team Planning
Formulating the Nursing Care Plan
NURSING IMPLEMENTATION
Definition
Purpose of Implementation
Skills Required for Nurse in Implementation
Nursing Interventions have Following Seven Characteristics
NURSING EVALUATION (FIG. 5.4)
Evaluation will Answer the Following Questions
Purpose of Evaluation
Need of Evaluation in Nursing Process
Activity in Evaluation Phase
Evaluation Skills Required for Nurse
Formal Evaluation Models
CONCLUSION
CHAPTER 6:
Documentation in Nursing
TERMINOLOGY
INTRODUCTION
MEANING OF RECORDS AND REPORTS
Meaning of Records and Reports
DEFINITIONS OF RECORDS AND REPORTS
Records
Reports
Importance of Report and Records
Reports
PURPOSE RECORDING AND REPORTING
Purpose of Recording and Reporting
Recording
Reporting (Written Reports)
PRINCIPLES OF RECORDING AND REPORTING
Recording
Care of the Records
Principles of Reporting
TYPES OF RECORDS, REPORTS AND REGISTERS IN NURSING
Types of Records
Types of Reports
Types of Registers
COMMON RECORD-KEEPING FORMS AND COMPUTERIZED DOCUMENTATION
Common Forms on the Chart
COMPUTERIZED DOCUMENTATION
LEGAL IMPLICATIONS OF RECORDS AND REPORTS
Legal Records
Legal Implication in Record Maintenance
Legal Approaches in the Community
ROLE OF A NURSE IN RECORDING AND REPORTING
Securing Record Information
MINIMIZING THE LEGAL LIABILITY THROUGH EFFECTIVE RECORD KEEPING
How to Keep Good Nursing Records
Writing Tips
CHANGE-OF-SHIFT REPORT
INCIDENT REPORT
Purpose of an Incident Report
Function/Purpose
When to Report
Tips for Reporting Incidents
TRANSFER REPORT
CONCLUSION
CHAPTER 7:
Vital Signs
INTRODUCTION
GUIDELINES FOR ASSESSING VITAL SIGNS
VITAL SIGNS MEASUREMENT
Purpose
Timings of Taking Vital Signs
Principles of Vital Signs
Methods of Measurement
Vital Signs and Normal Values
Guidelines for Taking Vital Signs
BODY TEMPERATURE: PHYSIOLOGY, REGULATION AND FACTORS AFFECTING BODY TEMPERATURE
Physiology
Heat Production
Regulation of the Body Temperature
Factors Influences Heat Production
Factors Influences Heat Loss
Body Heat is Lost Through
Preparation of the Equipment
ASSESSMENT OF BODY TEMPERATURE: SITES, EQUIPMENT, TECHNIQUES AND SPECIAL CONSIDERATIONS
Purpose
Normal Body Temperature for Adults
Factors Influences Heat Production
Factors Influences Heat Loss
Body Heat is Lost Through
Preparation of the Equipment
Equipment
Common Sites for Taking Body Temperature
TYPES OF THERMOMETER (FIG. 7.1)
Scales of Thermometer
Parts of Thermometer
Reason for Mercury Used in the Thermometer
CARE OF THERMOMETER
ORAL TEMPERATURE
Purpose
General Instructions
Preliminary Assessment
Equipment
Procedure
After Care
Contraindications
AUXILIARY TEMPERATURE
Purpose
General Instructions
Preliminary Assessment
Equipment
Procedure
After Care
RECTAL TEMPERATURE
Purpose
Indication
General Instructions
Preliminary Assessment
Equipment
Procedure
After Care
Contraindication
FEVER (PYREXIA)
Types of Fever
CARE OF FEVER
Care in Rigor
PULSE
Purpose
Normal Rate
Sites of Taking Pulse
Factors Affect the Pulse
Characteristics of Pulse
Abnormal Pulse
General Instruction for Taking Pulse
Equipment
Procedure
After Care
RESPIRATION
Purpose
Times of Respiration
Normal Rates
Factors Influences Respiration
Characteristics of Respiration
Abnormal Respirations
General Instruction
Preliminary Assessment
Equipment
Procedure
After Care
ALTERATIONS IN RESPIRATION
BLOOD PRESSURE
Purpose
Indication
Normal Breath Sounds Types
Adventitious Breath Sounds
Types of Pressure
Scientific Principles
Factors Influencing Blood Pressure
Blood Pressure Systolic Diastolic
Preliminary Assessment
Preparation of the Article
Preparation of the Patient
Procedure
After Care
ALTERATION IN BLOOD PRESSURE
Hypertension
Causes of Hypertension
Treatment
Hypotension
Causes of Hypotension
Signs and Symptoms of Hypotension
Monitoring Blood Pressure
Purposes
General Instructions
Equipment
Guidelines
CONCLUSION
CHAPTER 8:
Health Assessment
TERMINOLOGY
INTRODUCTION
ADMISSION ASSESSMENT
Patient History
General Appearance
Neonate and Infant
Young Child
Adolescent
Vital Signs
Additional Measurements
Physical Assessment
SHIFT ASSESSMENT
FOCUSED ASSESSMENT
Neurological System
Neurological Observations
Growth and Development
Fine and Gross Motor Skills
Sensory Functions
Seizures
Respiratory System
History
Inspection/Observation
Auscultation
Cardiovascular
Inspection
Palpation
Auscultation
Gastrointestinal
History
Inspection
Palpation
Auscultation
Renal
Musculoskeletal
Inspection
Palpation
Skin
Inspection/Observation
Palpation
Eyes
Inspection/observation
Ear/Nose/Throat (ENT)
Inspection
Palpation
Evaluation of Assessment
HEALTH HISTORY
MENTAL HEALTH ASSESSMENT
PHYSICAL EXAMINATION
Purpose
Measurements
How to Measure Height
Measuring Weight
Measuring Body Mass Index
Measuring Head and Chest Circumference
METHODS OF PHYSICAL EXAMINATION
Inspection
Palpation
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
Maintenance of Privacy
Lighting
Comfortable Bed or Examination Table
Preparation of the Equipment
Preparation of the Patient
Physical Preparation
Mental Preparation
Assistance in the Examination
To Take Height and Weight
To 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
CONCLUSION
CHAPTER 9:
Machinery, Equipment and Linen
INTRODUCTION
PATIENT CARE EQUIPMENT
MONITORING EQUIPMENT USED
TUBES AND CATHETERS USED IN HOSPITAL
LIFE SUPPORT AND EMERGENCY EQUIPMENT
General Principles for Cleaning Shared Patient Care Equipment
CARE OF LINEN
CARE OF RUBBER GOODS
Purpose
Different Rubber Goods used in the Hospital
General Principles of Care of Rubber Articles
Care of Rubber Articles After Use
Mackintoshes
Rubber Tube and Catheters
Hot Water Bottle; Ice Cap; Air Cushion
Gloves
Ambu Bag and Face Mask
CARE OF ENAMEL WARE
General Principles of Care
Care of Bedpans
Care of Urinals
Care of Sputum Cups
CARE OF STAINLESS STEEL INSTRUMENTS
List of Stainless Steel Instruments
General Principles of Stainless Steel Instruments Care
CARE OF SURGICAL SHARP INSTRUMENTS
Steps of Cleaning Sharp Instruments
Care of Needles
Care of other Instruments
CARE OF FIBER OPTICS WITH CAMERA ITEM
Purposes
General Principles
Care of Laryngoscope
Care of Protoscope and Bronchoscope
CARE OF SUCTION MACHINE
CARE OF REFRIGERATOR
CARE OF GLASS INSTRUMENTS
Purpose
Care of Thermometer
CARE OF KITCHEN
DISINFECTING WARD EQUIPMENT
CARE OF THE SANITARY ANNEXE
HOSPITAL FURNITURES
STERILIZATION TECHNIQUES
Purpose
Scientific Principles
Methods of Sterilization
PHYSICAL METHODS OF STERILIZATION
Boiling (Moist Heating)
General Instructions
Precautions
Advantages
Disadvantages
Autoclaving (Fig. 9.1)
Mechanism of Autoclave
Instruments used for Sterilization
General Instructions
Hot Air Oven
Mechanism of Hot Air Oven
Advantages
Disadvantage
General Instructions
Radiation Method of Sterilization
Gas Sterilization
Radiation or Ultraviolet Light Sterilization
Chemical Disinfections
Mechanism of Chemical Disinfectants
Commonly used Disinfectants
Advantages
Disadvantages
General Instruction
CONCLUSION
CHAPTER 10:
Meeting Patients Needs
TERMINOLOGY
INTRODUCTION
HOSPITAL CLEANING
Daily
Weekly
Monthly
Third Monthly (Quarterly)
Personal Cleaning Tip
PATIENT SAFETY IN THE HOSPITAL
REDUCTION OF PHYSICAL HAZARDS: FIRE AND ACCIDENTS
Preventive Measures for the Occurrence of Fire
Prevention of Accidents in Hospital
Prevent Central Line-associated Blood Stream Infections
Re-engineer Hospital Discharges
Prevent Venous Thromboembolism
Educate Patients About Using Blood Thinners Safely
Limit Shift Durations for Medical Residents and Other Hospital Staff if Possible
Consider Working with a Patient Safety Organization
Use Good Hospital Design Principles
Measure Hospital's Patient Safety Culture
Build Better Teams and Rapid Response Systems
FIVE STEPS TO IMPROVE SAFETY
ROLE OF NURSE IN SAFE AND CLEAN ENVIRONMENT
CARE OF PATIENTS UNIT
General Cleaning of Ward and Equipments
Furniture
Vermin and Insects
OPTIMUM ENVIRONMENT FOR THE PATIENT
INFLUENCE OF EXTERNAL ENVIRONMENT
FURNISHING PATIENT'S UNIT
Definition
Purpose of the Unit Care
Principles of Good Housekeeping
Type of Wards in Patient Unit
Optimum Environment for the Patient
Carliolization
Principles of Cleanliness
Types of Cleaning
Equipment
DISINFECTION OF THE UNIT
Common Disinfectants Used
Responsibilities of Nursing Personnel
Environment Setting
SAFETY DEVICES: RESTRAINTS
Purposes
Principles of Restraints
Objectives for Restraints
General Instructions
Types of Restraints
Hazards of Restrains
SIDE RAILS
Objectives
Uses of Side Rails
Potential Benefits of Bed Rails Include
Potential Risks of Bed Rails May Include
TRAPEZE
BED MAKING
Definition
Principals Involved in Bed Making
Purpose of Bed Making
General Instructions
Preliminary Assessment
Equipment
Articles Needed for the Complete Change
Extra-articles
Procedure
Stripping and Remaking an Open Bed
After Care of the Patient, with and Equipment
Rules to be Observed when Making Beds
Unoccupied Bed or Closed Bed
Purpose
General Instructions
Equipment
Procedure
After Care
Open Bed
Purpose
General Instructions
Procedure
Types of Toe Pleat
Equipment
After Care
Occupied Bed
Purpose
Preliminary Assessment
Equipment
Procedure
Operation Bed
Purpose
Equipment
Procedure
Cardiac Bed
Purpose
Additional Articles Needed
Procedure
Fracture Bed
Purpose
Equipment
Procedure
Amputation Bed
Purpose
Equipment
Procedure
CONCLUSION
BIBLIOGRAPHY
TERMINOLOGY
INTRODUCTION
DEFINITION
TYPES OF HYGIENE
FACTORS INFLUENCING HYGIENE PRACTICES
PERSONAL HYGIENE
Definition
Purposes of Personal Hygiene and Protect from Disease
Principles of Personal Hygiene
Factors Influences on Personal Hygiene
Importance of Personal Hygiene
Nurses Role in Personal Hygiene
HEAD TO TOE CARE
Objectives
Complication of Neglected Oral Hygiene
Care of Hair
Objectives
Scientific Principles
Types of Hair Care
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
Purpose
The Patient who May Require Frequent Mouth Care
Scientific Principles
Solutions Commonly used for Mouth Wash
Dentifrices Used
Emollient Used Commonly
Preliminary Assessment of the Patient and Environment
Equipment
A tray containing of
A Small Container Containing of
Procedure
Complication of Neglected Mouth Care
Local Complications
Complication Neighboring Structure
Systemic Complication
Recording and Reporting
CARE OF DENTURES
Equipment Needed
Procedure
Precautions
BED BATH
Purpose
Types of Patients Needing Bed Bath
Types of Cleansing Bath
Bed Bath
Therapeutic Bath
Partial Bath
Self-administered Bath
Tub Bath or Bathroom Bath
Scientific Principles
Factors Affecting the Skin
General Instructions
Preliminary Assessment
Preparation of the Patient and Environment
Equipment
Procedure
Face
Arms
Chest
Abdomen
Back
Legs
Pubic Region
After Care
CARE OF EYES, NOSE AND EARS
Purpose
Factors Affecting
Common Problems
Eye
Ear
Nose
General Instructions
Eye
Ear
Nose
Preliminary Assessment
Check
Preparation of the Patient and Environment
Procedure
After Care
CARE OF HANDS, FEET AND NAILS
Purpose
Factors Affecting the Care
Examination Includes
Common Problems
Special Foot Care
Equipment
Procedure
After Care
BACK CARE/BACK MASSAGE/BACK RUB
Purpose
General Instructions
Equipment
Procedure
After Care
CARE OF PRESSURE POINTS/BED SORE
Purpose
Cause of Pressure Sores
Predisposing Factors
Common Sites Liable to get Bed Sore
Clinical Manifestation of Pressure Sore
Preventive Measure of Bed sore
Stages/Degree of Pressure Sore Based on
Clinical Manifestations
Curative Measures Based on Degrees of Pressure Sore
First Degree
Second Degree
Third Degree
After Care
CARE OF HAIR
Purpose
Three Aspects of Hair Care
Factors Influence on Hair
Factors Affecting Hair
Common Hair Scalp Problems
HAIR COMBING
General Instructions
Preliminary Assessment
Preparation of the Patient and Environment
Equipment
Procedure
After Care
HAIR WASH/BED SHAMPOO
Purpose
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipment
Procedure
After Care
PEDICULOSIS TREATMENT
Purpose
Dangers of Pediculosis
Prevention of Pediculosis
Medications Used for Pediculosis Treatment
Types of Pediculi
General Instructions
Preliminary Assessment
Check
Equipment
Preparation of the Patient and the Unit
Procedure
After Care
CARE OF THE PERINEUM
Purpose
Perineum Care for Special Group of Patients
Preliminary Assessment
Check
Preparation of the Patient and the Environment
Equipment
Procedure
After Care
CLOTHING
CONCLUSION
BIBLIOGRAPHY
INTRODUCTION
COMFORT MEASURES
Definition
Purpose
Principles Relevant to Comfort
Factors Influencing Comfort
Causes of Discomfort
Factors Promoting Physical Comfort
Immediate Needs
COMFORT DEVICES
Mechanical Devices
Pillow
Back Rest
Rolls
Footrests
Sand Bags
Air And Water Mattresses
Rings
Bed Cradles
Bed Blocks
Air Cushion
POSITIONS
Definitions
Purpose of Positioning
Principles of Positioning
Factors Involved in Positioning
Types of Positions Used
Types of Patients Need Special Care
General Instructions
Preliminary Assessment
Equipment
Procedure
SUPINE/DORSAL POSITION
Indications
Procedure
Contraindications
DORSAL RECUMBENT POSITION
Indications
Procedure
LITHOTOMY POSITION
Indications
Procedure
PRONE POSITION
Indications
Procedure
Contraindications
LATERAL POSITION
Indications
Procedure
SIMS' POSITION
Indications
Procedure
Contraindications
KNEE-CHEST/GENUPECTORAL POSITION
Indications
Procedure
Contraindications
TRENDELENBURG'S POSITION
Indications
Procedure
FOWLER'S POSITION
Indications
Procedure
HOT APPLICATIONS
Definition
Purpose
Classifications (Fig. 10.28)
Local Heat Applications
General Application
Physiological Effects of Hot Applications
Secondary Effect
Contraindication to Hot Application
Principles of Hot Application
Complications of Hot Applications
General Instructions
HOT WATER BAG
Purpose
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipment
Procedure
After Care
General Instructions
Contraindications
INFRARED THERAPY
Purpose
General Instructions
Preliminary Assessment
Preparation of the Patient and Environment
Equipment
Procedure
After Care
HOT FOMENTATION
Definition
Purpose
Classification
Area of Application
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipment
A Tray Containing
Procedure
After Care
SOAK OR LOCAL BATH
Purpose of Soaks
General Instructions
Preliminary Assessment
Check
Preparation of Tile Patient and Environment
Equipment
Procedure
After Care
SITZ BATH
Purpose
General Instructions
Solutions Used for Sitz Bath
Sitz Bath is Contraindicated During
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipment
Procedure
After Care
COLD APPLICATIONS
Definition
Purpose
Classification (Fig. 10.29)
Local Cold Application
General Cold Application
Physiological Effects of Cold Applications
Primary Effects
Secondary Effects
Contraindications of Cold Applications
Principals Involved in Cold Application
Complications of Cold Applications
General Instructions
Cold Compress
Purpose
General Instructions
Preliminary Assessment Check
Preparation of Tile Patient and Environment
Equipment
Procedure
After Care
Ice Cap/Ice Collar
Purpose
General Instructions
Preliminary Assessment Check
Preparation of the Patient and Environment
Equipment
Procedure
After Care
Tepid Sponge/Cold Sponge
Purpose
General Instructions
Preliminary Assessment Check
Preparation of the Patient and Environment
Procedure
Equipment
After Care
Cold Pack
Purpose
General Instructions
Contraindication
Preliminary Assessment Check
Preparation of the Patient and Environment
Equipment
Procedure
After Care
ACTIVITY AND EXERCISES
Definition
Importance of Physical Exercise
Types of Exercise
Activities of Daily Living
Benefits of Exercise
Types of Exercise
Purpose of Exercise for the immobile Patient
HABITS
Definition of Habit
Type of Healthy Habits
Common Problems of Bad Habits
SLEEP AND HEALTH
Definition
Need of Sleep
Physiology of Sleep
Factors Affecting Sleep
Defining Characteristics
Stages of Sleep
Stage 1
Stage 2
Stage 3
Stage 4
Rapid Eye Movement Sleep
SLEEP DISORDERS
Dyssomnias
Intrinsic Sleep Disorders
Extrinsic Sleep Disorders
Arousal Disorders
Sleep-wake Transition Disorders
Parasomnias Usually Associated with REM Sleep
Other Parasomnias
Nursing Measures to Induce Sleep
Nursing Intervention in Altered Sleep
BIBLIOGRAPHY
TERMINOLOGY
INTRODUCTION
NUTRITION AND HEALTH
Definition
Functions of Food
Physiological Functions
Social Function
Psychological Function
Relationship of Food to main Functions
Physiological Functions of Food
Basic Food Groups
Purpose
Essential Nutrients
Factors Affecting Appetite
NUTRITIONAL ASSESSMENT
Weight
Anthropometric Indices
Linear Measurements
Height
Head Circumference
Chest Circumference
Mid Upper Arm Circumference
CLINICAL SIGNS OF NUTRITIONAL DEFICIENCY AND DISORDERS
Condition and Clinical Signs
Biophysical Methods
Biochemical Test
DIET IN SICKNESS
Purpose
General Rules of Treatment
Problems During Sickness
Modifications of Nutrients in Therapeutic Diet
THERAPEUTIC DIET
Objective
Principals Involved in Diet Therapy
REGULAR HOSPITAL DIET
Liquid Diet
Low Calorie Diet
Low Protein Diet
Low Fat Diet
Salt Free Diet
High Protein Diet
Diabetic Diet
Diet in Anemia
FEEDING THE HELPLESS PATIENT
Purpose
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and the Environment
Equipment
Procedure
After Care
NASOGASTRIC TUBE INSERTION
Indications
Purpose
Equipment
Preliminary Assessment
Check
Preparation of the Patient and Unit
Procedure
Methods to Confirm NG Tube in the Stomach
After Care
Contraindications
Complications
GASTRIC GAVAGE
Purpose
Indication for Tube Feeding
General Instructions
Advantages of Tube Feeding
Principals involved in Gastric Gavages
Preliminary Assessment
Preparation of the Patient and Environment
Equipment
Procedure
Syringe Method
Syphon Method
After Care
GASTROJEJUNOSTOMY FEEDING
Indications
General Instructions
Methods of Administration
Preliminary Assessment
Check
Operation of the Patient and Environment
Equipment
Procedure
After Care
Skin Care
BREASTFEEDING
Advantages
Contraindication for Breastfeeding
Mother
Baby
General Instructions
ARTIFICIAL FEEDING
Difference between Human's Milk and Cow's Milk
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
Equipment
Procedure
After Care
TOTAL PARENTERAL NUTRITION
Definition
Roles of Professionals in TPN
Initial Preparation
Fluid Calculations
Side Effects of TPN
GASTRIC ANALYSIS
Basal Gastric Analysis (tube)
Stimulation Gastric Analysis (tube)
Tubeless Gastric Analysis
Normal Findings
Purposes
Clinical Problems
Decreased Level
Elevated Level
Client Preparation
Procedure
Stimulation Test
Tubeless Gastric Analysis
Factors Affecting Diagnostic Results
CONCLUSION
BIBLIOGRAPHY
URINARY ELIMINATION
DEFINITION
PHYSIOLOGY OF URINE ELIMINATION
FACTORS AFFECTING URINARY ELIMINATION
CHARACTERISTICS OF URINE
DIAGNOSTIC EXAMINATION
Conditions which Alter Urinary Elimination
Prerenal Conditions
Renal Conditions
Postrenal Conditions
ROLE OF NURSE IN URINARY ELIMINATION
COMMON URINARY PROBLEMS
FACTORS INFLUENCING URINARY ELIMINATION
COMMON ALTERATIONS IN URINARY ELIMINATION
Renal Condition Causing Alteration in Urine Elimination
MONITORING URINAY OUTPUT
USE OF URINAL
Purposes
Factors Influences
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipment
Procedure
After Care
CATHETERIZATION OF THE URINARY BLADDER
Purpose
Principals Involved
General Instruction
Preliminary Assessment
Check
Preparation of Patient and Environment
Equipment
Procedure (Figs 10.40A to D)
Cleaning the Perineum in Female Patients
Cleaning the Perineum for Male Patients
After Care
Types of Catheterization
BLADDER IRRIGATION
Purpose
Solution Used
General Instructions
Methods of Administration
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipment
Procedure (Fig. 10.42)
After Care
CATHETER CARE
Articles used
Procedure
After Care
COLLECTING URINE SPECIMEN
Definition
Purpose
Principles
General Instructions
Procedure
Nursing Alert
COLLECTING A SINGLE VOIDED SPECIMEN
Equipments Required
Procedure
24 HOURS URINE COLLECTION
Purpose
Normal Characteristics of Urine
Preliminary Assessment Check
Preparation of the Patient and Environment
Equipment
Procedure
After Care
General Instructions
URINE CULTURE
Purpose
General Instructions
Preliminary Assessment Check
Preparation of the Patient and Environment
Equipment
Procedure
After Care
URINE TESTING
Purpose
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
Equipment
Procedure
Sugar Test
Observations
Albumin Test
Hot test
Observation
Cold Test
Urine pH
Urine Specific Gravity
Rothera's Test (Acetone)
Observations
Hays Test (Bile Salts)
Smiths Test (Bile Pigments)
After Care
BOWEL ELIMINATION
Defecation Reflex
FACTORS AFFECTING BOWEL ELIMINATION
COMMON PROBLEMS IN BOWEL ELIMINATION
CONSTIPATION
Signs and Symptoms of Constipation
Management for Constipation
Medications to Treat Constipation Include the Following
DIARRHEA
Causes of Diarrhea
Signs and Symptoms of Diarrhea
Dehydration
Treatment and Medications
FLATULENCE
Signs and Symptoms
INSERTION OF A FLATUS TUBE
Purpose
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipment
Procedure
After Care
USE OF BEDPAN
Purpose
Indications
Types of Bedpan
Regular Bedpan
Fracture Pan
Offering Bedpan
Preliminary Assessment
Check
Preparation of Patient and Environment
Equipment
Procedure
After Care
ENEMA
Purpose
Contraindications
Classification of Enema (Fig. 10.46)
Soap Water Enema
Oil Enema
Carminative Enema
Antihelmentic Enema
Cold Enema
Glycerin Enema
Astringent Enema
Sedative Enema
Stimulant Enema
Emollient Enema
Nutrient Enema
Methods of Giving Enemas (Fig. 10.47)
General Instruction
Preliminary Assessment
Preparation of the Patient and Environment
Equipment
Procedure
After Care
BOWEL WASH
Purpose
Contraindications
General Instructions
Methods used for Bowel Irrigation
Solution used
Temperature of the Solution
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipment
Procedure
After Care
STOOL-ROUTINE AND CULTURE
Purpose
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
Equipment
Procedure
After Care
COLOSTOMY IRRIGATION
Purpose
Types of Colostomy
Solutions Used for Colostomy Irrigation
Preliminary Assessment
Preparation of the Patient and the Environment
Preparation of the Article
Procedure
Postprocedure Care
BARIUM ENEMA
Purpose
Types
Principles
Preliminary Assessment
Preparation of the Patient
Equipment
Procedure
After Care
Complication
NURSES ROLE IN EFFECTIVE BOWEL MANAGEMENT
BIBLIOGRAPHY
TERMINOLOGY
INTRODUCTION
MOBILITY
Structure and Functions
Factors Affecting Mobility
Patients at High Risk of Immobility
Nurses Responsibility in Assessing Mobility
Physical Complications of Immobility
Effects of Exercise
EFFECTS OF MOBILITY
Cardiovascular System
Respiratory System
Musculoskeletal System
Nervous System
Gastrointestinal System
Integumentary System
Urinary System
Metabolism
Psychosocial Functioning
BODY MECHANICS
Meaning of Body Mechanics
Purpose
Elements of Body Mechanics
Rules of Good Mechanics
Assessment of Body Alignment
Body Mechanics for Health Care Workers
Principles of Body Mechanics
Techniques of Body Mechanics
Lifting
Reaching
Pivoting
Avoid Stooping
NURSING PROCESS IN BODY MECHANICS
RANGE OF MOTION EXERCISE
Purpose
Types of Range of Motions
Preliminary Assessment Check
Preparation of the Patient and Environment
Procedure
After Care
Guideline for Range of Motion Exercise
Documentation
Contraindications of ROM Exercise
LIFTING AND TRANSFERING
Purpose
Lifting Criteria
General Principles of Lifters and Moving
General Instructions
Nurses Responsibility in Lifting and Moving
Preliminary Assessment Check
Preparation of the Patient and Environment
Procedure
After Care
LOGROLLING
Technique
TRANSFERING PATIENT FROM BED TO WHEEL CHAIR
Purposes
Procedure
TRANSFER FROM WHEEL CHAIR TO BED
Procedure
TRANSFER FROM BED TO STRETCHER AND STRETCHER TO BED
Indications
Procedure
TERMINOLOGY
INTRODUCTION
NEED OF OXYGEN THERAPY
ACUTE DISEASES AFFECT BLOOD OXYGEN LEVEL
ALTERATIONS IN OXYGENATION: HYPOXIA
Susceptibility to Hypoxia
Factors
The Following Factors also can Affect the Body's Response to Changes In Altitude
Stages of Hypoxia
Monitoring Oxygen Levels
CARE OF OXYGEN CYLINDERS
Precautions
Dangers of Oxygen Therapy
OXYGEN ADMINISTRATION
Purpose
Classification
NASAL CANNULA
Equipment
Procedure
NASAL CATHETER
OXYGEN MASK
Simple Face Masks
Partial Rebreather Mask
Nonrebreather Mask
Venturi Mask
OXYGEN TENT
General Instructions
Preparation of Patient and Environment
Equipments
Procedure
After Care of the Patient
Patient Education
Complications
HOME OXYGEN THERAPY
Purpose
Preparation
Classification
Equipment
Procedure
Patient Education
Complications
AIRWAY MANAGEMENT
OROPHARYNGEAL AIRWAY
Procedure
Problems Associated with Orotracheal Tubes
NASOPHARYNGEAL AIRWAY
Size
Indications and Contraindications
Advantages of Nasotracheal Tubes
Problems Associated with Nasotracheal Tubes
ENDOTRACHEAL TUBES
TRACHEOSTOMY TUBES
ARTIFICIAL AIRWAY MANAGEMENT
Indications
Route of Insertion
Tube Types
General Instructions
Physical Management
Psychological Care of the Patient
Equipment
Preparation of the Patient and the Environment
Procedure
After Care
Complications
Mechanical
Laryngeal and Tracheal
NURSING PROCESS IN AIRWAY MANAGEMENT
Related Factors
Defining Characteristics
Expected Outcome
Airway Assessment
Nursing Intervention for Airway Management
COUGHING TECHNIQUES
SUCTIONING PROCEDURE
Equipment
Procedure
Preparation Phase
Performance Phase
TRACHEOSTOMY SUCTIONING
Purpose
Equipment
Preliminary Assessment
Procedure
STEAM INHALATION
Purpose
Types of Inhalations
Indication of Tincture Benzoin Inhalation
General Instructions
Preliminary Assessment
Check
Preparation of the Patient and Environment
Equipment
Procedure
After Care
POSTURAL DRAINAGE
Purpose
Equipment
General Instructions
Procedure
Percussion Technique
PULSE OXYMETRY
Types of Oxygen Transducers
Nursing Consideration
WATER SEAL CHEST DRAINAGE
Indications
Objectives
Mechanism
Factors Affecting the Chest Drainage
Types of Chest Drainage
Implementation
Setting Up a Commercially Prepared Disposable System
Managing Closed Chest Underwater Seal Drainage
Assessment of Proper Functioning
Precautions to be Taken While Replacing Me 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
Patient Shows Signs of Rapid Shallow Breathing, Cyanosis, Pressure in the Chest, Subcutaneous Emphysema or Hemorrhage
Incision Pain
Accidental Disconnection of the Drainage Tubing from the lntrapleural Drain
lntrapleural Brain Falls Out
CARDIOPULMONARY RESUSCITATION
Equipment
General Instructions
Procedure
Ratio of Cardiac Compression to Ventilation
Check for Circulation
CPR in Progress
Complications
TERMINOLOGY
FLUID INTAKE
SOURCES OF WATER INTAKE
PHYSIOLOGY OF BODY FLUIDS
FACTORS AFFECTING FLUID MOVEMENT
MECHANISMS CONTROLLING FLUID AND ELECTROLYTE MOVEMENT
REGULATION OF FLUIDS AND ELECTROLYTES OR HOMEOSTATIC MECHANISM
FLUID IMBALANCES
Fluid Volume Deficit
Nursing Intervention for FVD
Fluid Volume Excess
Nursing Intervention for FVE
ELECTROLYTES
IMPORTANCE OF ELECTROLYTES
Sodium
Sources and Losses of Sodium
Regulation of Sodium
Potassium
Sources and Losses of Potassium
Regulation of K
Calcium
Sources and Losses of Calcium
Regulation of Calcium
Magnesium
Sources and Losses of Magnesium
Regulation of Magnesium
Chloride
Bicarbonate
Phosphate
ELECTROLYTE IMBALANCES
Hyponatremia
Main Characteristics
Treatment
Nursing Intervention
Hypernatremia
Main Characteristics
Treatment
Nursing Intervention
Monitor Serum Sodium Level
Hypokalemia
Main Characteristics
Treatment
Nursing Intervention
Hyperkalemia
Main Characteristics
Treatment
Nursing Intervention
Hypocalcemia
Main Characteristics
Treatment
Nursing Interventions
Hypercalcemia
Main Characteristics
Treatment
Nursing Intervention
Hypomagnesemia
Main Characteristics
Neuromuscular Irritability
Nursing Intervention
Hypermagnesemia
Main Characteristics
Treatment
Nursing Intervention
Hypophosphatemia
Main Characteristics
Treatments
Nursing Intervention
Hyperphosphatemia
Main Characteristics
Treatment
Nursing Intervention
ACID-BASE BALANCES
ACID-BASE IMBALANCE
INTRAVENOUS CATHETER INSERTION
Purpose
Common Sites of IV Injection
General Instructions
Types of IV Administration
Selection of Syringe and Needle
Preliminary Assessment Check
Equipment
A Tray Containing
Preparation of Tile Patient and Environment
Procedure
Method of Administering IV Infection
After Care
Complications
MAINTENANCE OF IV SYSTEM
Definition
Purpose
Equipments Required
Procedure
Maintenance of IV System: Changing of IV System
ADMINISTERING MEDICATIONS BY HEPARIN LOCK
Purpose
Equipments Required
Nursing Alert
Maintenance of IV System: Changing of IV System
INTRAVENOUS CUTDOWN
Purpose
Principles
Preliminary Assessment
Preparation of the Patient
Equipment
IV Solutions
Procedure
After Care
Complication
BLOOD TRANSFUSION
Purpose
General Instructions
Preparation
Procedure
After Care of Patient
Complications
FLUID RESTRICTION
CONCLUSION
BIBLIOGRAPHY
INTRODUCTION
PSYCHOSOCIAL CARE
PSYCHOSOCIAL ASSESSMENT
CULTURAL DIVERSITY
Impact of Cultural Diversity
Cultural Diversity in Nursing Practice
Nurse's Role in Cultural Diversity
Transcultural Nursing
STRESS AND ADAPTATION
Sources of Stress
Symptoms of Stress
Physical Symptoms
Cognitive Symptoms
Emotional Symptoms
GENERAL ADAPTATION SYNDROME HANS SELYE, 1945
Alarm Reaction
Resistance Reaction
Exhaustion Stage
STRATEGIES OF STRESS MANAGEMENT
ROLE OF NURSE IN STRESS MANAGEMENT
Nursing Intervention for Stress Management
ADAPTATION
Levels of Adaptation
Environment and Adaptation
CONCEPT OF CRISIS AND RESOLUTION
Definition
Crisis Response
Types of Crisis
Phases of Crisis
Signs and Symptoms of Crisis
Resolution of Crisis
CRISIS INTERVENTION
Common Problems
Characteristics
Phases in Crisis Development
Type of Crisis
Techniques
Crisis Intervention
Initial Assessment
Intensive Care
Crisis Counseling
Problem-Solving Therapy
Role of the Nurse
Pharmacological Management
Aims of Crisis Intervention Technique
Steps to Provide a Correct Cognitive Perception
Defining the Event
Steps to Assist the Victim in Managing the Intense Feelings
NURSING PROCESS APPLICATION IN CRISIS INTERVENTION
Nursing Assessment
Nursing Diagnoses
Planning
Implementation
Environmental Manipulation
General Support
Generic Approach
Individual Approach
Techniques of Crisis Intervention
Evaluation
Modalities of Crisis Intervention
Mobile Crisis Programs
Telephone Contacts
Group Work
Disaster Response
Victim Outreach Programs
Crisis Intervention Centers
Health Education
GRIEF AND RESOLUTION OF GRIEF
Stages of Grief
Resolution of Grief
MALADAPTIVE GRIEF RESPONSES
Prolonged Response
Delayed or Inhibited Response
Distorted Response
Treatment
Nursing Intervention
SPIRITUALITY AND NURSING
Meaning and Definition
Spirituality and Religion
Lifespan Consideration in Spiritual Health
Characteristics of Spirituality
Factors Affecting Spiritual Health
Biological Basis of Spirituality
Spiritual Dimensions of Nursing
Age-specific Spiritual Interventions
Community-based Nursing
SEXUALITY AND HEALTH
Definition
Components of Sexuality
Characteristics of Sexual Health
Importance of Sexual Health
Sexual Response Cycle
Physiological Sexual Response in Woman
Sexual Response and Physiological Response in Women
Excitement Phase
Plateau Phase
Orgasm Phase
Resolution Phase
Physiological Changes and Sexual Response in Men
Excitement Phase
Plateau Phase
Orgasm Phase
Resolution Phase
Nurse's Responsibility in Collecting the Sexual History
Nurse's Responsibility
THERAPEUTIC ENVIRONMENT
Environment as Therapeutic Resources
PHYSICAL ENVIRONMENT
GOALS OF HEALING ENVIRONMENT
ADOPTING PHYSICAL ENVIRONMENT
RECREATION AND DIVERSIONAL THERAPIES
Indoor Recreational Options
Outdoor Recreational Options
CHAPTER 11:
Infection Control in Clinical Setting
INTRODUCTION
INFECTION CONTROL: NATURE OF INFECTION, CHAIN OF INFECTION AND TRANSMISSION
Goals
Objectives
Infection and Infection Process
Types of Infection
Modes of Disease Transmission
Chain of Infection
Course of Infection
DEFENCES AGAINST INFECTION: NATURAL AND ACQUIRED
HOSPITAL-ACQUIRED INFECTION/NOSOCOMAL INFECTION
Definition
Causes of Nosocomial Infection
Sources of Infection
Types of Nosocomial Infection
Modes of Transmission
Diagnosis and Control
Types of Hospital Associated Infections
Transmission of Nosocomial Infection
Prevention
BARRIER NURSING
Definition
Effective Barrier Nursing
Protective Clothing
Isolation Ward
UNIVERSAL PRECAUTIONS: STANDARDS AND SAFETY PRECAUTIONS
Conditions Indicating Additional Precautions
Body Substance Isolation
Standard Universal Precautions
ASEPSIS
Essential Components of Maintaining Asepsis in a Hospital Include
Types of Asepsis
SURGICAL ASEPSIS
Principles of Surgical Asepsis
Surgical Hand Washing/Scrub (Fig. 11.3)
Surgical Aseptic Procedures
Gloving (Fig. 11.4)
TRANSMISSION-BASED PRECAUTIONS
ROLE OF THE NURSE IN INFECTION CONTROL
Gowning for Isolation
Donning Gloves
Donning a Mask
Double Bagging
Isolation Technique
Medical Hand Washing
TRANSPORTATION OF INFECTIOUS PATIENTS
DECONTAMINATION OF EQUIPMENT AND UNIT
PERSONAL PROTECTING EQUIPMENT
Gloves
Facial Protection
Gowns
BIOMEDICAL WASTE MANAGEMENT
Concept of Waste
Types of Waste
Classification of Hospital Waste
Biomedical Waste
ILL EFFECTS OF BIOMEDICAL WASTE
Health Hazards
In Summary, the Following Areas Need Attention
Objectives of Biomedical Waste Management
ELEMENTS OF BIOMEDICAL WASTE MANAGEMENT
SAFETY AND HEALTH ISSUES IN A NUTSHELL
Personal Protective Clothing
Personal Protective Equipment
General
NURSES' ROLE AND RESPONSIBILITY IN BMW
CONCLUSION
CHAPTER 12:
Administration of Medications
INTRODUCTION TO MEDICATION ADMINISTRATION
Definition
Terminology
Sources of Drugs
DRUG INFORMATION SOURCES
DRUG ADMINISTRATION
Purpose of Drug Administration
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
Purpose
Nurses Responsibility in Administration of Oral Medication
Equipment
Preparation of the Patient
Procedure
After Care of the Patient and Articles
Contraindications
Advantages
Disadvantages
SYRINGES AND NEEDLES
Glass Syringes
Advantages
Disadvantages
Plastic Syringes
Advantages
Disadvantages
Special Syringes
Disposable Syringes and Needles
Advantages
Disadvantage
Needles
INJECTIONS
Purpose
Types of Injections (Fig. 12.1)
Factors that Favors Absorption
Complications of Injections
Types of Drug and Fluids Administered Drugs
Fluids
Selection of Site for Injection
Technical Skill Needed
Criteria for Selection of Syringes and Needles
Golden Rules of Giving Injections
Commonly used IV Drugs
Side Effects
Drug Interactions
Erythromycin Injection
Vancomycin
Aminophylline
Dopamine/Dobutamine
INTRAMUSCULAR INJECTION
Purpose
Principles
General Instructions
Site of Intramuscular Injections (Fig. 12.3)
Methods of IM Injection Administration
Nurses Responsibility Check
Equipment
Preparation of the Patient and Environment
Procedure
After Care
SUBCUTANEOUS INJECTION
Purpose
General Instructions
Equipment
Criteria for Selection of Site (Fig. 12.4)
Common Sites Subcutaneous Injection
Procedure
After Care
INTRADERMAL INJECTIONS
Purpose
Selection of Syringe and Needle
Equipment
Preparation of the Patient and Equipment
Procedure
Method of Administration
After Care
General Instructions
Observation of the Site After Intradermal Injection
Tuberculin Test
Penicillin Test
INTRAVENOUS INJECTION
Purpose
Common Sites of IV Injection
General Instructions
Types of IV Administration
Selection of Syringe and Needle
Preliminary Assessment Check
Equipment
A tray Containing
Preparation of tile Patient and Environment
Procedure
Method of Administering IV Infection
After Care
Complications
INTRAVENOUS INFUSIONS
Purpose
Indication
Solution Used
Factors Affecting Fluid Movement
Factors that Favors Absorption
Venipuncture Site
Complications of IV Infusion
Fluid Rate Calculation
General Instructions
Observation Needed Throughout the Procedure
Preliminary Assessment Check
Equipment
A Tray Containing
Preparation of the Patient and Environment
Procedure
After Care
Patient Education
TRANSDERMAL ROUTE
Advantages
TRANSMUCOSAL ROUTE
Advantages
Disadvantage
Rectal Route
Advantages
Disadvantages
Evacuant Enema
Retention Enema
TOPICAL ROUTE
SPECIAL DRUG DELIVERY SYSTEMS
Ocusert
Progestasert
Transdermal Adhesive Units
Computerized Miniature Pumps
Monoclonal Antibodies
Liposomes
Nurses Responsibility
INSTILLATION OF EAR DROPS
Purpose
General Instructions
Equipment
Procedure
After Care
INSTILLING NASAL DROPS
Purpose
General Instructions
Equipment
Procedure
After Care
CONCLUSION
CHAPTER 13:
Meeting Needs of Perioperative Patients
TERMINOLOGY
INTRODUCTION
DEFINITION AND CONCEPT OF PERIOPERATIVE NURSING
Phases of Perioperative Nursing
Classifications of Surgical Procedures
PREOPERATIVE NURSING
Purpose
Preparation of the Patient on the Evening before Operation
Preparation of the Patient on the Day of Surgery
Psychological Preparation
Meet the spiritual needs of the
Preparation of Skin
Preliminary Assessment
Articles
Articles for Cleaning the Area and Dressing the Skin Area
Purpose
Preparation of the Patient and the Environment
Procedure
After Care of the Patient and the Articles
Obtain Informed Consent
Sending the Patient to Operating Room
INTRAOPERATIVE PHASE: THEATER SET-UP, EQUIPMENT AND ROLE OF NURSE
Intraoperative Nursing Interventions
POSTOPERATIVE NURSING
Immediate Postoperative Phase
Preparation of Postanesthetics Bed and Reception of Tile Patient
Care of Patient who is Under the Effects of Anesthesia
Observation of the Patient in the Postoperative Period
Postoperative Care (In General)
I. Preparation of Postanesthetic Bed and Reception of the Patient
Care of the Patient who is Under the Effects of Anesthesia
Observation of the Patient in the Postoperative Period
Diet of the Patient
POSTOPERATIVE COMPLICATIONS
PERIOPERATIVE NURSING PROCESS
WOUNDS: TYPES, CLASSIFICATION, WOUND HEALING PROCESS, FACTORS AFFECTING WOUND HEALING, COMPLICATIONS OF WOUND, SURGICAL ASEPSIS, CARE OF WOUND TYPES, EQUIPMENT AND PROCEDURE AND SPECIAL CONSIDERATIONS
Classification of Wounds
Mechanism of Injury
Degree of Contamination
Wound Healing Process
Phases of Wound Healing
Factors Affecting Wound Healing
Forms of Wound Healing
DRESSING: SUTURE CARE
Purpose of Dressing
Types of Dressing
General Instructions
Preliminary Assessment
Procedure
After Care
SUTURING THE WOUND
SURGICAL DRESSING
Purposes of Dressings
Advantages of Dressings
Purposes of an Effective Dressing
General Instructions
Equipment
Sterile
Unsterile
Procedure
Pre-preparation
Cleaning the Surgical Wound
Dressing the Wound
After Care (Follow-up Care)
SUTURE REMOVAL
Purpose
Principle
Usual Timing
Factors Affecting the Suture Removal
Types
General Instructions
Preliminary Assessment
Preparation
Equipment
Procedure
Post-procedure Care
CARE OF DRAINS
Types of Drain
Wound Drainage
Types of Surgical Drain
Open
Closed
Management of Drain
APPLICATIONS OF BANDAGES, BINDERS, SPLINTS AND SLINGS
Definition
Purpose of Bandaging
Functions of Bandages and Binders
General Principles
Types of Bandages
Special Bandages
Bandaging Materials
ROLLER BANDAGE
Patterns Used in Bandaging
CONCLUSION
CHAPTER 14:
Meeting Special Needs of the Patient
TEMPERATURE (HYPER- AND HYPOTHERMIA): TYPES, ASSESSMENT AND MANAGEMENT
Temperature
Normal Temperature
Factors Affecting Body Temperature
Hypothermia
Hypothermia Symptoms for Adults Include
Management
Hyperthermia
Causes of Fever
Types of Fever
Stages in the Course of Fever
Management of Patient with Fever
Management of Sever Fever
Goal and Outcome Criteria
Nursing Management of Hyperthermia
Temperature Regulation
Vital Sign Monitoring
Treating Fever
Objectives
Nursing Interventions
Rigor
Stages of Rigor
SENSORIUM (UNCONSCIOUSNESS): ASSESSMENT AND MANAGEMENT
Definition
Altered Sensorium
Care of Unconscious Patient
Causes
Types
Investigation
Assessment of Unconscious Patient
Glasgow Coma Scale
Treatment
Nursing Management
Nursing Assessment of LOC
Nursing Diagnosis
Management
URINARY ELIMINATION (RETENTION AND INCONTINENCE): ASSESSMENT AND MANAGEMENT
Factors Influencing Urinary Elimination
Alterations in Urinary Elimination
Urinary Retention
Causes
Symptoms
Diagnosis
Treatment
Surgical Management
Nursing Management
Urinary Incontience
Types of Insentience
Causes
Treatment
Lifestyle Changes
Pelvic Floor Exercises (Kegel's exercises)
Bladder Training
Medications
Percutaneous Tibial Nerve Stimulation
Botox Treatment
Assessment
Nursing Diagnosis
FUNCTIONING OF SENSORY ORGANS: VISUAL AND HEARING IMPAIRMENT
Visual Impairment
Facts About Visual Impairment
Causes of Visual Impairment
WHO Response
Vision Impairment and Nursing Diagnoses
Nursing Care for Visual Impairment
Hearing Impairment
Causes
Three Types of Hearing Loss
Assessment of Hearing
Investigations
Treatments of Conductive Hearing Loss
Treatment of Sensorineural Hearing Loss
Treatments for Mixed Hearing Loss
Management
MOBILITY (PHYSICALLY CHALLENGED, CAST): ASSESSMENT OF SELF-CARE ABILITY
Factors Affecting Mobility
Patients at High Risk of Immobility
Plaster Casts
Purposes of a Cast
Types of Casts
Casting Material (Plaster of Paris)
Cast Application
Trimming the Cast
Drying a Cast
Constriction of Circulation
Pressure on Tissues or Bony Parts
Skin and Hygienic Care
MENTAL STATE (MENTALLY CHALLENGED): ASSESSMENT OF SELF-CARE ABILITY
Etiology
Classifications
Degrees of Mentaly Challenged
Clinical Features
Pathophysiology
Investigations
Management
Parental Counseling
Prevention
Nursing Care Plan for Mental Retardation (MR)
Assessment
Nursing Diagnosis
Intervention
Education on Parents
Expected Results
RESPIRATION (DISTRESS): TYPES, ASSESSMENT, MANAGEMENT
Types of Respiration
Normal Rates
Factors Influences Respiration
Characteristics of Respiration
Abnormalities in Respiration
Care of Patient with Dyspnea
Causes
Types
Clinical Manifestations
Pathophysiology
Dyspnea Management
Nursing Care of Dyspnea
Nursing Outcomes
Nursing Intervention
COMFORT (PAIN): NATURE, TYPES, FACTORS INFLUENCING PAIN, ASSESSMENT AND MANAGEMENT
List the Three Components of Pain
Definition
Types of Pain
Acute Pain
Chronic Pain
Referred Pain
Psychogenic Pain
Clinical Manifestation of Pain
Factors that Influence Responses to Pain
Guidelines for Assessment of the Patient with Pain
Nursing Diagnosis for Patient with Pain
Planning
Implementation
General Strategies for Pain Management
TREATMENT RELATED TO GASTROINTESTINAL SYSTEM: NASOGASTRIC SUCTION, GASTRIC IRRIGATION, GASTRIC ANALYSIS
Gastric Lavage/Irrigation
Purpose
Solutions Used
Articles Required: A Large Tray Containing
Guidelines
Procedure
Recording and Reporting
Gastric Analysis/Fractional Test Analysis
Definition
Indications
Procedure
Result
Nursing Considerations for all Gastric Analysis Tests
CHAPTER 15:
Care of Terminally Ill Patients
INTRODUCTION
LOSS
Five Categories of Loss
Other Classifications of Loss
Factors Influencing Loss, Grief, and Coping Ability
GRIEF
Definition
Stages of Grief
Grief Process (Reactions to Grief and Death)
Nursing Intervention
GRIEF PROCESS
Stages of Grief Process
Nursing Interventions: Facilitate Mourning
CARE OF DYING
Nursing Care of Dying Patient
Meeting Physical Needs
Meeting Nutritional Needs
Meeting Special Needs
Meeting Emotional Needs
Signs of Death
Physiological Changes after Death
Rigor mortis
Algor mortis
Livor mortis
Decomposition
DEATH
Five Aspects of Human Functioning
Signs of Approaching Death
Signs of Clinical Death
Care of Dying Person
The Psychological Needs
Symptomatic Management
CARE OF THE BODY AFTER DEATH
MEDICOLEGAL ISSUES
ADVANCE DIRECTIVES: EUTHANASIA, WILL, DYING, DECLARATION, ORGAN DONATION, ETC.
Living Will
Euthansia
Types
Organ Donation
AUTOPSY
Definition
Classification
POSTMORTEM CARE
Nursing Interventions
Organ Donation
Autopsy Considerations
Cultural/Religious Beliefs
Documentation and Completion
Care of Nurses who are Grieving
EMBALMING
Concept of Embalming
Steps of Embalming Process
CHAPTER 16:
Professional Nursing Concepts and Practices
INTRODUCTION
DEFINITION
PURPOSES OF THEORIES AND CONCEPTUAL MODEL
GOALS OF THEORETICAL NURSING MODELS
BASIC CHARACTERISTICS OF A THEORY
THEORETICAL MODELS OF NURSING PRACTICE
KINDS OF THEORIES
TYPES OF THEORY
HOLISTIC HEALTH MODEL
HEALTH BELIEF MODEL
Health Care Organizations
Definition and Rational for Health Belief Model
Health Promotion Model
HEALTH PROMOTION MODEL
Past Behaviors and Traditions
Confidence and Encouragement
INTRODUCTION TO NURSING THEORIES
DEVELOPMENT OF NURSING THEORIES
PEPLAUS THEORY (1952)
Nurse-patient Relationship
HENDERSON'S THEORY (1955)
OREM'S THEORY
NEUMAN'S THEORY (1972)
ROGERS THEORY (1970)
ROY'S THEORY (1979)
LINKING THEORIES WITH NURSING PROCESS
CONCLUSION
CHAPTER 17:
Disease and Disorders
INFECTION
Definition
Types of Infection
Other Types
PROCESS OF INFECTION
Factors Predisposing to Microbial Pathogenicity
Virulence Determinants
TYPES OF INFECTIOUS DISEASES
Epidemiologic Types of Infection
INFECTION CONTROL GUIDELINES
Hand Washing
Methods of Handling Masks
INFLAMMATION
Causes
Cardinal Signs of Inflammation
Local Manifestations
Systemic Manifestation
Types
Features
Management
CONGENITAL DISORDERS
Definitions
Incidence
Risk Factors
Etiology of Congenital Anomalies
Genetic Factors
Chromosomal Abnormalities
Single Gene Disorders
POLYGENIC OR MULTIFACTORIAL INHERITANCE
ENVIRONMENTAL FACTORS
Prenatal Diagnosis
Postnatal Diagnosis
Prevention of Congenital Anomalies
GENETIC COUNSELING
Reasons for Seeking Genetic Counseling
Nursing Responsibilities Toward Congenital Anomalies
CANCER (NEOPLASAM)
Definition
Etiology
TNM: CLASSIFICATION OF CANCER
Tumor
Nodes
Metastasis
Stages
Warning Signs of Cancer
Factors Influencing Metastasis
Prevention
Diagnostic Evaluation
Management of Cancer
TYPES OF RADIATION THERAPY
Goals of Radiation
Procedure
Precautions to Nursing
COMPLICATIONS OF RADIATION THERAPY
Nursing Management
To Prevent Skin Irritation during Radiation
RADIATION DOSAGE
Classification of Chemotherapeutic Agents
Safety in Handling Chemotherapeutic Drugs
CHAPTER 18:
Specimen Collection
SPECIMEN COLLECTION
Purpose
Principles
General Instructions
Equipment
Procedure
URINE COLLECTIONS FROM CATHETER
After Care
24-HOURS-URINE COLLECTION
Purpose
Normal Characteristics of Urine
Preliminary Assessment Check
Preparation of the Patient and Environment
Equipment
Procedure
After Care
General Instructions
URINE CULTURE
Purpose
General Instructions
Preliminary Assessment Check
Preparation of the Patient and Environment
Equipment
Procedure
After Care
STOOL-ROUTINE AND CULTURE
Purpose
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
Equipment
Procedure
After Care
SPUTUM CULTURE
Purpose
Characteristics of Sputum
General Instructions
Preliminary Assessment Check
Preparation of the Patient and Environment
Equipment
Procedure
After Care
BLOOD SMEAR
Purpose
General Instructions
Preliminary Assessment Check
Preparation of the Patient
Equipment
Procedure
After Care
BLOOD CULTURE
Purpose
General Instructions
Preliminary Assessment Check
Preparation of the Patient and Environment
Equipment
Procedure
After Care
THROAT SWAB
Purpose
Indications
General Instructions
Preliminary Assessment Check
Preparation of the Patient and Environment
Equipment
Procedure
After Care
VAGINAL SWAB/SMEAR
Purpose
Indications
General Instructions
Preliminary Assessment Check
Preparation of the Patient and Environment
Equipment
Procedure
After Care
URINE TESTING
Purpose
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
Equipment
Procedure
Sugar Test
Observations
Albumin Test
Rothera's Test (Acetone)
Hays Test (Bile Salts)
Smith's Test (Bile Pigments)
After Care
CONCLUSION
CHAPTER 19:
First Aid
INTRODUCTION TO FIRST AID
Aims of First Aid
Qualities of Good First-aider
General Rules for First Aid
Transport of Injured or Sick Person
Diagnosis
Treatment
Disposal
MANAGEMENT OF THE CASE
First Aider Must Always
GOLDEN RULES OF FIRST AID
Action at an Emergency
Approach
General Rules
Assisting the Situation
Safety
FIRST AID KIT
WOUNDS
Abrasions
Signs
Treatment
Follow-up
Types of Wound
Incised Wound
Lacerated Wound
Punctured Wound
Contused Wound
Gunshot Wound
Eye Wounds
Wound to the Palm of the Hand
Bruises
Infected Wounds
Penetrating Chest Wounds
Abdominal Wounds
BURNS AND SCALDS
Causes of Burns
Rule of Nine
Area Percentage
Signs and Symptoms
Types of Burns
Classification of Burns
Area
Depth of Burns
Superficial Burns
Deep Burns
Intermediate Burns
Blisters
First aid Measures
In Chemical Burns, Take the Following Steps
First Aid Treatment for Electrical Burns and Shock
BITES AND STINGS
Snake Bite
Signs and Symptoms
Systemic Effects
First Aid
Scorpion Bite
Signs and Symptoms
First Aid
Dog Bite
Scorpion String
Treatment
Bee, Wasp and Hornet Stings
Signs
First aid Treatment
Jelly Fish Sting
First Aid Measures
Sea Urchin Sting
Cone-shaped Shells
FRACTURE
Causes of Fractures
Direct Force
Indirect Force
Types of Fracture
Transfer to the Hospital
Fracture of Skull
First aid Measures
Fracture of Face
Spinal Fracture
Fracture Humerus
Colles' Fracture
Fracture of Pelvis
Fracture of Femur
Fracture of Patella
Fracture of Tibia and Fibula
Fracture of Ankle
Sprains and Dislocations of Joints
Sprains
Causes
Signs and Symptoms
Dislocation
Signs and Symptoms
Crush Injuries
Sign and Symptoms
Aim
Treatment
INJURIES TO THE JOINT AND MUSCLES
Injuries to Joints and Muscles due to Strain and Sprain
First Aid
Signs and Symptoms
Treatment
Dislocation
Signs and Symptoms
Treatment
TRANSPORTING CASUALTIES
Transport of Injured Persons
Method or Methods Adopted will Depend upon the Following Factors
Support by a Single Helper
Support by Two Helper
Stretcher Exercise
Loading Stretcher
Loading Stretcher when No Blanket is Available
Standing to Stretcher
Carrying a Loaded Stretcher
Methods of Carrying
If Only One Bearer is Available
Human Crutch
If Two or more Bearers are Available
Fore and AFT Method
Stick Method
Stretchers
LIFTING CASUALTIES
Lifting Technique
Carries for one First Aider
Cradle Method
Drag Method
Human Crutch
Carries for Two First Aiders
Four Handed Seat
Two Handed Seat
Fore and AFT Carry
Chair Method
Lifting a Casualty in a Wheelchair
Stretchers
FIRST AID IN CONVULSIONS
Epileptic Fit
First Aid Treatment
Treatment
FIRST AID FOR FOREIGN BODIES
Foreign Body in the Eye
Treatment
Foreign Body in the Ear
Treatment
Hygiene of the Eye
FAINTING
Signs and Symptoms
Aim
Prevention
Treatment
HEMORRHAGE
Types of Hemorrhage
Effects of Hemorrhage
How to Recognize External Bleeding
Internal Bleeding
Management
How to Control Bleeding
Direct Pressure
Elevation
Pressure Points
Applying a Tourniquet
Management
EPISTAXIS
SHOCK
Types of Shock
Causes of Shock
Clinical Symptoms
First Aid
ELECTRIC SHOCK
Electric Injuries may Occur
Treatment
FIRST AID FOR FOREIGN BODIES IN THE EYE, EAR, NOSE AND THROAT
Splinters
Symptoms and Signs
Aim
Treatment
Treatment
Chemical Burns of the Eye Cause Intense Pain Immediate First Aid Treatment may Save the Eyesight
Foreign Body in the Ear
Treatment
Foreign Body in the Nose
Foreign Body in the Throat
Foreign Body in the Stomach
Abdominal Hernia or Rupture
Treatment
ASPHYXIA
External Obstruction: Suffocation
General Symptoms and Signs
Aim
Treatment
HANGING, STRANGLING AND THROTTLING
Symptoms and Signs
Aim
Treatment
POISONING
General Rules for the Treatment of Poisoning
More Common Poisons and Antidotes
Agricultural Poisons
Treatment
Common Poisons in India
Arsenic Poisoning
Datura Poisoning
Indian Hemp Poisoning
Aconite Poisoning
Protective Measures
CONCLUSION
CHAPTER 20:
Bandages and Binders
BANDAGES
Purpose of Bandaging
General Principles
TYPES OF BANDAGES (FIG. 20.1)
Materials used for Bandage
Assessing before Applying Bandage
Equipment
Procedure
SPECIAL BANDAGES
SLINGS
Large Arm Sling
Collar and Cuff Sling
Triangular Sling
Improvised Slings
Bandage for the Scalp
BINDER
Definition
Purpose of Binder
Types of Binder
Equipment
Procedure
Abdominal Binder
T-binder
Breast Binder
CONCLUSION
CHAPTER 21:
Medical and Surgical Procedures
TERMINOLOGY
ABDOMINAL PARACENTESIS
Purpose
Indications
Contraindications
General Instructions
Routine Investigations
Preliminary Assessment Check
Preparation of the Patient and Environment
Site and Position
Position
Equipment
A Sterile Tray Containing
Procedure
Postprocedure Care
Complications
THORACENTESIS
Purpose
General Instructions
Preliminary Assessment Check
Preparation of the Patient and Environment
Equipment
A Sterile Tray Containing
Unsterile/Clean Tray Containing
Procedure
After Care
Complications
LUMBAR PUNCTURE
Purpose
Indications
Contraindications
General Instructions
CSF Analysis Done to Detect
Preliminary Assessment
Preparation of the Patient and Environment
Equipment
An Unsterile Tray Containing
A Sterile Tray Containing
Procedure
Postprocedure Care
Complications
BONE MARROW BIOPSY AND ASPIRATION
Purpose
Indications
Diagnostic
Prognostic
Therapeutic
Site and Position of the Patient
Sternal Puncture
Iliac Puncture
Spinous Process Aspiration
Tibial Puncture in Children
General Instructions
Preliminary Assessment Check
Preparation of the Patient and Environment
Equipment
A Sterile Tray Containing
An Unsterile Tray Containing
Procedure
Postprocedure Care
Complications
According to the Site
Other Complications
RENAL BIOPSY
Indications
Types of Renal Biopsy
Site and Position
Site
Position
Investigations to be Done
General Instructions
Preliminary Assessment Check
Preparation of the Patient and Environment
Equipment
A Sterile Tray Containing
An Unsterile Tray Containing
Procedures
Postprocedure Care
Complications
Types of Cervical Biopsy
Punch Biopsy
Cervical Conization
General Instructions
Preliminary Assessment
Preparation of the Patient and Environment
Equipment
A Sterile Tray Containing
An Unsterile Tray Containing
Procedure
Postprocedure Care
SUTURE REMOVAL
Purpose
Principle
The Usual Timing
Factors Affecting the Suture Removal
Types
General Instructions
Preliminary Assessment
Preparation of Patient and Environment
Equipment
Procedure
Postprocedure Care
BLOOD TRANSFUSION
Purpose
General Instructions
Preparation
Procedure
After Care of Patient
Complications
Incompatibility
Pyrogenic Reactions
Allergic Reactions
Circulatory Overload
Transmission of Infectious Diseases
INTRAVENOUS CUT DOWN
Purpose
Principles
Preliminary Assessment
Preparation of the Patient
Equipment
Intravenous Solutions
Procedure
After Care
Complications
SURGICAL SOAK
Purpose
Preliminary Assessment
Preparation of the Patient
Equipment
Solutions Used
Procedure
PREOPERATIVE NURSING CARE
Purpose
The Preparation of the Patient before Surgery
Psychological Preparation
Eradicate Fear of Operation from the Patient
Meet the Spiritual Needs of the Patient
Obtain Informed Consent
Build up the General Health of the Patient and Correction of the Disease Process for Speedy Recovery
Preoperative Teaching
Surgical Preparation of the Skin
Preparation of the Patient on the Evening before Operation
Preparation of the Patient on the Day of Surgery
Sending the Patient to Operating Room
POSTOPERATIVE CARE
Types of Surgery
Postoperative Care (General)
Preparation of Postanesthetics and Reception of the Patient
Care of Patient who is under the Effects of Anesthesia
Observation of the Patient in the Postoperative Period
Diet of the Patient
Postoperative Health Teaching
SURGICAL DRESSING
Purpose
Types of Dressing
General Instructions
Equipment
Sterile
Unsterile
Procedure
Pre-preparation
Cleaning the Surgical Wound
Dressing the Wound
After Care (Follow-up Care)
SURGICAL FOMENTATION
Purpose
Preliminary Assessment
Equipment
Preparation of the Patient
Procedure
After Care
CHOLECYSTOGRAPHY
Purpose
Preparation of the Patient
Procedure
After Care
Complications
NASOGASTRIC INSERTION
Purpose
Indications
Therapeutic
Diagnostic
Types of Tubes Used
Description of Rules Tube
General Instructions
Preliminary Assessment
Preparation of Patient and Environment
Equipment
Procedure
Postprocedure Care
ENTERAL/NASOGASTRIC FEEDING
Purpose
Advantages of Enteral Tube Feeding
Methods of Tube Feeding
General Instructions
Preliminary Assessment
Preparation of the Patient and Environment
Equipment
A Clean Tray Containing
Procedure
Postprocedure Care
Complications of Tube Feeding
COLOSTOMY IRRIGATION
Purpose
Types of Colostomy
Solutions Used for Colostomy Irrigation (Fig. 21.12)
Preliminary Assessment
Preparation of the Patient and the Environment
Preparation of the Article
Procedure
Postprocedure Care
RECTAL EXAMINATION
Purpose
Indications
Methods and Position
Preliminary Assessment
Preparation of the Patient and Environment
Equipments
Procedure
Complications
BARIUM ENEMA
Purpose
Types
Principles
Preliminary Assessment
Preparation of the Patient
Equipment
Procedure
After Care
Complication
INSERTION OF SENGSTAKEN-BLACKMORE (SB) TUBE BALLOON TAMPONADE
Equipment
Procedure
Postprocedural Care
LIVER BIOPSY
Definition
Purpose
Indication
Contraindication
Position (Fig. 21.13)
General Instruction
Preliminary Assessment
Preparation of Patient and Environment
Articles Needed
An Unsterile Tray
Sterile Tray
Procedure
After Care
Complication
BARIUM MEAL
Purpose
Principles
General Instruction
Types
Preliminary Assessment
Preparation of the Articles
A Tray Containing
Preparation of the Patient
Procedure
After Care
Complication
SIGMOIDOSCOPY
Purpose
Principles (Fig. 21.14)
General Instruction
Preliminary Assessment
Preparation of the Article
Preparation of the Patient
Procedure
After Care
COLONOSCOPY
Purpose
Diagnostic Purposes
Therapeutic Purpose
Indication
Principles (Fig. 21.15)
General Instruction
Preliminary Assessment
Preparation of the Article
Preparation of the Patient
Procedure
After Care
Complication
GASTRIC ANALYSIS
Basal Gastric Analysis (Tube)
Stimulation Gastric Analysis (Tube)
Tubeless Gastric Analysis
Normal Findings
Purposes
Clinical Problems
Decreased Level
Elevated Level
Client Preparation
Procedure
Tubeless Gastric Analysis
Factors Affecting Diagnostic Results
CHOLANGIOGRAPHY (INTRAVENOUS, PERCUTANEOUS, T-TUBE)
Description
Clinical Problems
Client Preparation
Procedure
Intravenous Cholangiography
Percutaneous Cholangiography
T-tube Cholangiography
ESOPHAGOGASTRODUODENOSCOPY/ESOPHAGOGASTROSCOPY
Purposes
Clinical Problems
Client Preparation
Procedure
Postprocedural Care
Complications
Factor Affecting Diagnostic Results
ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY
Purposes
Indications
Client Preparation
Procedure
Postprocedural Care
Factor Affecting Diagnostic Results
Client Teaching
WOUND CARE
Purpose of Dressing
Types of Dressing
General Instructions
Preliminary Assessment
Equipment
A Sterile Tray Containing
A Trolley Containing
Procedure
After Care
CONCLUSION
CHAPTER 22:
Rehabilitative Nursing
INTRODUCTION
DEFINITION
REHABILITATION TEAM
Role of Rehabilitation Professional
Characteristics
Objectives
REHABILITATION AND NURSING PROCESS
Nursing Assessment
Nursing Diagnosis
Common Nursing Diagnosis
Planning of Nursing Care
Nursing Implementation
Concern of Nurse in Implementation
Evaluation
REHABILITATIVE NURSING
Objectives of Rehabilitation Nursing
Principles of Rehabilitation
Philosophy of Rehabilitative Nursing
Important Areas in Nurse Role
Health Teaching on ADL
REHABILITATION APPROACHES
Major Approaches to Rehabilitation
Institution-based Rehabilitation
Community-based Rehabilitation
Outreach Services
Special Nursing Approach
REHABILITATION AND DISABILITY
Definition
Types of Disability
Causes of Disabilities
Disability and Rehabilitation
Aims of Rehabilitation
Principles of Rehabilitation
International Day of Disabled Person
CONCLUSION
CHAPTER 23:
Nursing Informatics
INTRODUCTION
DEFINITIONS
FRAMEWORK OF NURSING INFORMATICS
Nursing Administration (Healthcare Information Systems)
Nursing Education
Nursing Research
Creation of a Lifetime Clinical Record Facilitated by Information Systems
Role of the Nursing Informatics Specialist (NIS)
Need and Importance of Informatics
CONCLUSION
CHAPTER 24:
Complementary/Alternative Therapies of Health
INTRODUCTION
USES OF COMPLEMENTARY THERAPY
NURSES ROLE IN COMPLEMENTARY THERAPIES
INTEGRATIVE APPROACH IN HEALTHCARE
BIOFEEDBACK
Types of Biofeedback
Mechanism of Action
Non-pharmacolical Therapies
NURSES ROLE
CONCLUSION
APPENDIX 1:
Abbreviations and Symbols
APPENDIX 2:
Temperature Conversion Table
TEMPERATURE
APPENDIX 3:
Child Development Chart
APPENDIX 4:
Laboratory Values
NORMAL VALUES
Glossary
INDEX
TOC
Index
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