Concept-Based Clinical Nursing Skills: Fundamental to Advanced

Are you looking for a new way of learning skills? Do you want to learn how to problem solve and think conceptually? Stein and Hollen's Concept-Based Clinical Nursing Skills: Fundamental to Advanced covers over 250 nursing skills in an innovative concept-based format with excellent illustrations, concise rationales, and current evidence. Unlike any other text, Stein and Hollen incorporate an overarching framework of seven critical concepts - accuracy, client-centered care, infection control, safety, communication, evaluation, and health maintenance - to drive home the importance of these key themes in performing nursing skills. Each section balances need-to-know narrative with step-by-step skills, and every chapter includes a detailed case study with a concept map to help you apply knowledge and use clinical judgement in clinical situations involving nursing skills. INDICE: PREFACE TO CRITICAL CONCEPTS FOR CLINICAL SKILLS Section 1: Purpose of the book Section 2: Critical Concepts Accuracy Client-Centered Care Infection Control Safety Communication Evaluation Health Maintenance Section 3: Organization of the Text Section 4: Aligning with QSEN Section 5: Integration of the Nursing Process Section 6: Special Features of the Text UNIT I: FUNDAMENTAL NURSING SKILLS 1. FOUNDATIONS OF SAFE CLIENT CARE Section 1: Identifying the Client Skill 1-2 Identifying the Client Section 2: Preventing Infections Skill 1-2 Performing Hand Hygiene with an Alcohol-based Agent Skill 1-3 Performing Hand Hygiene with Soap and Water Skill 1-4 Applying and Removing Clean Gloves Skill 1-5 Applying and Removing Personal Protective Equipment . Gown . Mask . Respirator . Goggles or Face Shield . Gloves Section 3: Moving Clients Safely Advocacy, Positioning Clients Skill 1-6  Positioning Clients in Bed Skill 1-7 Moving Clients Up in Bed Skill 1-8  Transferring Clients Who Can Bear Weight from Bed to Chair Skill 1-9 Using a Sling Lift To Move Clients Skill 1-10 Using a Sit to Stand Lift Skill 1-11 Transferring Clients Laterally (from Bed to Stretcher) Skill 1-12  Moving Clients Who Have Special Precautions (Logrolling) Section 4: Using Restraints Safely Skill 1-13 Applying and Removing Restraints . Elbow Restraints . Limb Restraints . Vest Restraint . Belt Restraint . Mitt Restraint Skill 1-14 Applying a Mummy Restraint 2. PERSONAL CARE AND HYGIENE  Section 1: Bathing the Client Skill 2-1 Assisting an Ambulatory Client with Bathing  Skill 2-2 Changing the Gown for a Client with an IV Skill 2-3 Bathing an Adult in Bed Skill 2-4 Providing Perineal care Skill 2-5 Providing Foot Care Skill 2-6 Providing Nail Care Skill 2-7 Bathing an Infant Skill 2-8 Diapering an Infant Section 2: Assisting with Oral Hygiene Skill 2-9 Assisting with Brushing & Flossing Skill 2-10 Providing Oral Hygiene for an Unconscious Client Skill 2-11 Removing, Cleaning and Inserting Dentures Section 3: Providing Hair Care Skill 2-12 Shampooing the Client's Hair Skill 2-13 Shampooing a Client With a Dry Shampoo Cap Skill 2-14 Shaving a Client Skill 2-15 Caring for the Client with Lice Section 4: Providing Eye and Ear Care Skill 2-16 Providing Eye Care for the Unconscious Client Skill 2-17 Removing and Cleaning Contact Lens  Skill 2-18 Removing and Cleaning an Artificial Eye Section 5: Assisting with Elimination Skill 2-19 Assisting the Client Using the Urinal Skill 2-20 Assisting the Client Using the Bedpan Skill 2-21 Applying a Condom Catheter Section 6: Making Beds Skill 2-22 Changing an Unoccupied Bed  Skill 2-23 Making a Surgical Bed Skill 2-24 Changing an Occupied Bed 3. VITAL SIGNS & VITAL MEASURMENTS    Section 1: Assessing Temperature Skill 3-1 Measuring Temperature with an Electronic Thermometer Skill 3-2 Measuring Temperature with a Glass Thermometer Skill 3-3 Measuring Temperature with a Tympanic Membrane Thermometer Skill 3-4 Measuring Temperature with a Temporal Artery Thermometer Section 2: Regulating Temperature Skill 3-5 Using a Conductive Heating or Cooling Blanket Skill 3-6 Using an Infant Radiant Warmer Section 3: Assessing Pulses  Skill 3-7 Palpating a Radial Pulse Skill 3-8 Assessing Carotid Pulses Skill 3-9 Assessing Peripheral Pulses Skill 3-10 Using a Doppler Ultrasound to Hear Pulses  Skill 3-11 Obtaining an Apical Pulse  Skill 3-12 Obtaining an Apical/Radial Pulse Section 4: Assessing Respiration              Skill 3-13 Obtaining a Respiratory Rate Section 5: Assessing Blood Pressure Skill 3-14 Palpating a Systolic Arterial Blood Pressure Skill 3-15 Measuring a Systolic and Diastolic Blood Pressure by Auscultation Skill 3-16 Measuring Blood Pressure with an Oscillometric Automatic BP Cuff Skill 3-17 Using a Doppler Ultrasound to Hear Systolic Arterial Blood Pressure Section 6: Assessing Oxygenation Skill 4-18 Obtaining a Pulse Oximeter Measurement Section 7: Assessing Blood Glucose Skill 4-19 Obtaining Blood Glucose Measurements 4. HEALTH ASSESSMENT Subjective Data: Components of a Health History; Conducting an Interview Objective Data: Different Types of Objective Data, Techniques Used for Collecting Objective Data (Inspection, Auscultation, Percussion, Palpation Techniques) Section 1: Caring for the Client who Requires a Preliminary Health Assessment             Skill 4-1 Performing a Preliminary Health Survey Section 2: Performing a Systematic or Focused Physical Assessment             Skill 4-2 Performing a Rapid Head to Toe Bedside Assessment             Skill 4-3 Assessing the Skin/Integument System             Skill 4-4 Assessing the Head and Neck (HEENT)             Skill 4-5 Assessing the Neurological System             Skill 4-6 Assessing the Thorax (Heart and Lungs)             Skill 4-7 Assessing the Abdomen             Skill 4-8 Assessing the Musculoskeletal System             Skill 4-9 Assessing the Genitourinary System 5. NUTRITION AND GASTROINTESTINAL TUBE THERAPY Assimilation of Nutrients; Essential Nutrients, Micro and Macro Nutrients National Guidelines for Nutritional Care; United States Department of Agriculture (USDA) MyPlate.Gov; American Academy and Dietetics (ADA) Disorders that Cause Nutritional Problems Intake - Measurement of Volume, Food Intake, etc. Types of Diets, Modified Consistency Diets Level I, II, and III, Special Diets Section 1: Performing a Nutritional Assessment               Skill 5-1 Performing a Basic Nutritional Screening Section 2: Assisting Clients with Oral Nutrition Skill 5-2 Preparing the Client for Receiving a Meal Skill 5-3 Assisting Clients who Have a Physical or Cognitive Impairment Skill 5-4 Assisting Clients with Dysphagia or Aspiration Risk Section 3: Providing Gastric Tube Therapy Skill 5-5 Inserting a Large Bore Nasogastric (NG) Sump Tube  Skill 5-6 Providing Daily Care for a Client with a Large Bore NG Tube  Skill 5-7 Initiating and Managing Nasogastric (NG) Suction  Skill 5-8 Irrigating a Large Bore Nasogastric (NG) Sump Tube  Skill 5-9 Discontinuing a Nasogastric (NG) Sump Tube Section 4: Providing Enteral Nutrition  Skill 5-10 Placement and Care of a Nasally Inserted Small Bore Feeding Tube  Skill 5-11 Providing Care for the Client with a Gastrostomy, Jejunostomy, or PEG  Skill 5-12 Administering a Bolus or Intermittent Enteral Tube Feeding  Skill 5-13 Administering a Continuous Enteral Tube Feeding  Skill 5-14 Discontinuing Enteral Feeding 6.  COMFORT CARE  Section 1: Assessment of Pain and Discomfort                 Skill 6-1 Performing a Pain Assessment Section 1: Promoting Comfort and Relaxation Skill 6-2 Enhancing the Client's Environment Skill 6-3 Assisting the Client with Guided Imagery Skill 6-4 Assisting the Client with Controlled Breathing Skill 6-5 Providing a Back Massage Section 2: Using A TENS Unit To Promote Comfort Skill 6-6 Applying a TENS Unit Skill 6-7 Discontinuing TENS Section 3: Using Heat or Cold Therapy To Promote Comfort Skill 6-8 Using an Instant Disposable Cold Pack or Heat Pack Skill 6-9 Using a Non-Disposable Cold Gel Pack Skill 6-10 Using an Ice Bag Skill 6-11 Using a Portable Sitz Bath Skill 6-12 Using a Heat Lamp Skill 6-13 Using Localized Circulating (Aqua) Heat/Cold Therapy Section 4: Using Patient Controlled Analgesia (PCA) To Promote Comfort  Skill 6-14 Evaluating a Client for PCA Therapy  Skill 6-15 Initiating and Managing PCA Therapy  Skill 6-16 Teaching the Client and Family about PCA Therapy  Skill 6-17 Replacing or Changing a Vial During PCA Therapy  Skill 6-18 Discontinuing PCA Therapy Section 5: Using An Epidural Catheter To Promote Comfort  Skill 6-19 Caring for the Client with an Epidural Catheter  Skill 6-20 Assisting with Removal of Epidural Catheter 7. SUPPORTING MOBILITY & IMMOBILIZATION Section 1: Supporting Mobility Skill 7-1 Performing Range of Motion Exercises Skill 7-2 Assisting with Ambulation Using a Transfer Belt Skill 7-3 Teaching the Client to Use a Cane Skill 7-4 Teaching the Client to Use a Walker Skill 7-5 Teaching the Client to Use Crutches Section 2: Supporting Immobilization Skill 7-6 Applying a Sling Skill 7-7 Applying Bandages . Spiral Bandage Around a Cylindrical Extremity . Reverse Spiral Around an Extremity with Increasing Diameter . Figure 8 Bandage Over a Joint Skill 7-8 Providing Cast Care Skill 7-9 Managing Traction . Skin Traction . Skeletal Traction Skill 7-10 Providing Pin Site Care  Section 3: Supporting Cervical Immobilization Skill 7-11 Applying a Cervical Collar Skill 7-12 Managing Halo Traction Section 3: Caring for the Client with an Amputation Skill 7-13 Exercising and Positioning the Residual Limb Following Amputation Skill 7-14 Applying a Compression Bandage and Commercial Shrinker to an Amputation Stump 8. END OF LIFE CARE Section 1: Bereavement and Spiritual Care  Skill 8-1 Providing Care for the Client Who is Grieving Skill 8-2 Providing Spiritual Care for the Client at the End of Life Section 2: Assisting with Advance Care Planning Skill 8-3 Assisting with Advance Directives and DNR Orders Section 3: Physical Care at the End of Life Skill 8-4 Providing Physical Care for the Client at the End of Life Section 4: Care of the Client After Death Skill 8-5 Providing Care After Death: Post-Mortem Care UNIT II: INTERMEDIATE NURSING SKILLS 9. AIRWAY & BREATHING Section 1: Optimizing Gas Exchange Skill 9-1 Instructing the Client in Deep Breathing and Coughing Exercises Skill 9-2 Instructing the Client to Use Incentive Spirometry Skill 9-3 Performing Chest Physiotherapy . Percussion . Vibration . Postural Drainage Section 2: Administering Oxygen             Skill 9-4 Using a High Pressure Oxygen Cylinder   Skill 9-5 Using an Oxygen Flow Meter   Skill 9-6 Placing a Client on Oxygen by Nasal Cannula Skill 9-7 Placing a Client on Oxygen by Face Mask . Simple Face Mask . Venturi Mask . Non-Rebreather Masks . Face Tent . Tracheostomy Collar Mask Skill 9-8 Placing a Client on Continuous Positive Airway Pressure (CPAP) Section 3: Caring for the Client with an Artificial Airway  Skill 9-9 Inserting a Nasopharyngeal Airway Skill 9-10 Inserting an Oropharyngeal Airway Skill 9-11 Performing Oropharyngeal and Nasopharyngeal Suctioning Skill 9-12 Suctioning an Artificial Airway . Open Suctioning . Closed (In-line) Suctioning Skill 9-13 Obtaining a Sputum Sample when Suctioning an Artificial Airway Skill 9-14 Cleaning a Tracheostomy (Trach Care) Skill 9-15 Securing the Tracheostomy . Twill Ties . Velco Ties 10.  STERILE TECHNIQUE   Section 1: Preparing the Sterile Field Skill 10-1 Opening a Sterile Pack Skill 10-2 Applying and Removing Sterile Gloves Skill 10-3 Opening a Sterile Barrier and Setting up a Sterile Field Skill 10-4 Adding Sterile Items to a Sterile Field and Draping a Sterile Field Skill 10-5 Pouring a Sterile Liquid Section 2: Preparing to Enter a Sterile Surgical Suite Skill 10-6 Performing a Surgical Handrub Skill 10-7 Performing a Surgical Handscrub Skill 10-8 Performing Closed Surgical Gloving Skill 10-9 Performing Surgical Gowning 11. MEDICATION ADMINISTRATION Section 1: Administration of Oral Medications Skill 11-1 Administering Oral Medications (Tablets, Capsules, and Liquids) Section 2: Administration of Enteral Medications  Skill 11-2 Administering a Medication Through a Nasogastric (NG) Tube Skill 11-3 Administering Medication Through Gastrostomy, Jejunostomy or PEG Section 3: Administering Mucous Membrane Applications Skill 11-4 Instilling Nose Drops Skill 11-5 Administering Sublingual or Buccal Medications Skill 11-6 Administering Inhaled Medications . Using a Metered-dose Inhaler Without a Spacer . Using a Metered-dose Inhaler with a Spacer . Using a Dry-powder, Breath-activated Diskhaler Skill 11-7 Administering Nebulized Medications Skill 11-8 Administering Rectal Suppositories Skill 11-9 Administering Vaginal Medications Section 4: Administering Topical Medications Skill 11-10 Applying a Transdermal Patch Skill 11-11 Instilling Eye Drops Skill 11-12 Applying Eye Ointment Skill 11-13 Irrigating the Eyes Skill 11-14 Instilling Ear Drops Section 5: Administering Parenteral Medications Skill 11-15 Preparing a Medication from a Vial Skill 11-16 Preparing a Medication from an Ampule  Skill 11-17 Preparing a Medication that Requires Reconstitution Skill 11-18 Administering an Intradermal Injection Skill 11-19 Administering a Subcutaneous Injection Skill 11-20 Administering an Intramuscular Injection . Deltoid Site . Vastus Lateralis Site . Ventrogluteal Site . Z-track Method of Intramuscular Injection  Skill 11-21 Preparing and Administering an Insulin Injection Skill 11-22 Caring for the Client with a Subcutaneous Insulin Pump 12. VENOUS ACCESS: Fluids, Medications, and Blood Section 1: Collecting Venous Blood Specimens Skill 12-1 Selecting a Vein  Skill 12-2 Obtaining Venous Blood Specimens Section 2: Initiating, Dressing and Discontinuing a Peripheral Intravenous Catheter Skill 12-3 Inserting and Dressing a Peripheral Intravenous Catheter Skill 12-4 Changing a PIV Dressing Skill 12-5 Discontinuing a Peripheral Intravenous Catheter Section 3: Administering Intravenous Fluids Skill 12-6 Managing a Saline Lock  Skill 12-7 Preparing a Primary Intravenous Infusion Skill 12-8 Replacing an Intravenous Infusion Fluid Section 4: Administering Intravenous Medications Skill 12-9 Administering Intermittent Intravenous Medication via Secondary Line Skill 12-10 Administering Intravenous Medication via IV Push Section 5: Administering a Blood Transfusion?  ABO and Rh Compatibility, Rights of Blood Administration  Possible Complications and Reactions to Blood Transfusions Skill 12-11 Administering a Blood Transfusion (PRBCs) Skill 12-12 Administering Platelets 13. CENTRAL VENOUS ACCESS  Section 1: Caring for the Client with a CVAD Skill 13-1 Assisting with Insertion Skill 13-2 Flushing a CVAD Skill 13-3 Changing the Central Line Dressing/PICC Line Dressing Skill 13-4 Changing the Access Caps Skill 13-5 Collecting Blood/Blood Cultures Skill 13-6 Measuring CVP Skill 13-7 Discontinuing a Central Line Skill 13-8 Managing Subcutaneous Ports Section 2: Infusing Fluids in a CVAD  Skill 13-9 Infusing IV fluids Skill 13-10 Infusing TPN  Skill 13-11 Infusing Lipids 14. BOWEL ELIMINATION  Section 1: Developing Bowel Regimen  14-1 Performing Digital Stimulation & Evacuation  14-2 Inserting Rectal Tubes 14-3 Applying a Fecal Collection Pouch 14-4 Setting up a Fecal Management Systems Section 2: Administering Enemas Skill 14-5 Administering a Cleansing Enema . Large Volume . Small Volume . Soap Suds Enema . Return Flow Enema Skill 14-6 Administering a Commercially Prepared Enema Section 3: Collecting Specimens Skill 14-7 Collecting a Stool Specimen Skill 14-8 Obtaining a Stool Specimen for Occult Blood Section 4: Caring for the Client with a Bowel Diversion Skill 14-9 Pouching a Stoma  Skill 14-10 Irrigating a Stoma 15. URINARY ELIMINATION Section 1: Collecting Urine Measurements & Specimens Measurements Skill 15-1 Measuring and Recording Output Skill 15-2 Measuring Urine Volume with a Portable Bladder Scanner Specimens Skill 15-3 Obtaining a Urine Specimen from a Closed Urinary Drainage System Skill 15-4 Obtaining a Urine Specimen Using the Clean-Catch Method Skill 15-5 Obtaining a 24-hour Urine Specimen Skill 15-6 Obtaining a Bagged Urine Specimen from an Infant or Child Section 2: Caring for the Client with a Transurethral Catheter  Skill 15-7 Inserting and Removing a Straight Catheter in a Female Skill 15-8 Inserting and Removing a Straight Catheter in a Male Skill 15-9 Inserting an Indwelling Foley Catheter in a Female Skill 15-10 Inserting an Indwelling Foley Catheter in a Male Skill 15-11 Removing an Indwelling Foley Catheter Skill 15-12 Managing an Indwelling Foley Catheter Section 3: Performing Urinary Irrigation and Instillation of Medications  Skill 15-13 Performing Intermittent Closed Bladder Irrigation  Skill 15-14 Performing Continuous Closed Bladder Irrigation Section 4: Caring for the Client with a Urinary Diversion  Skill 15-15 Providing Suprapubic Catheter Care Skill 15-16 Changing an Ileal Conduit Pouch and Wafer Skill 15-17 Catheterizing a Urostomy 16. WOUND CARE  Section 1: Providing Wound Care Skill 16-1 Dressing Change for a Primary Intention Wound Skill 16-2 Collecting Wound Specimens Skill 16-3 Removing Sutures and Staples Skill 16-4 Dressing a Partial or Full Thickness Wound Section 2: Monitoring and Maintaining Wound Drainage Skill 16-5 Monitoring and Maintaining a Penrose Drain Skill 16-6 Emptying a Jackson Pratt or Hemovac Skill 16-7 Negative Pressure Wound Therapy Section 3: Caring for the Client with a Pressure, Venous or Diabetic Ulcer Skill 16-8 Applying Compression Dressings or Una Boot Skill 16-9 Performing a Foot Examination & Monofilament Testing (Semmes-Weinstein Test) Skill 16-10 Measuring ABI 17. PERIOPERATIVE CARE Section 1: Providing Preoperative Education & Care               Skill 17-1 Preparing the Client for the Surgical Experience               Skill 17-2 Instructing Client on Thrombosis Prevention Section 2: Providing Intraoperative Care Section 3: Providing Postoperative Care               Skill 17-3 Admitting a Post-operative Client                       Skill 17-4 Applying Pressure Dressings to Control Bleeding               Skill 17-5 Applying and Removing Antiembolism Stockings               Skill 17-6 Applying and Maintaining Sequential Compression Devices               Skill 17-7 Applying and Using Continuous Passive Motion UNIT III: ADVANCED NURSING SKILLS 18. GAS EXCHANGE AND ADVANCED RESPIRATORY CARE   Section 1: Caring for the Client with an Artificial Airway on Mechanical Ventilation  Skill 18-1 Caring for the Client on a Mechanical Ventilation Section 2: Caring for the Client who Requires Arterial Blood Sampling   Skill 18-2 Obtaining Blood Gases by Arterial Line Skill 18-3 Obtaining Direct Arterial Blood Gases Section 3: Caring for the Client with Chest Tubes Skill 18-4 Assisting with Chest Tube Insertion Skill 18-5 Maintaining a Chest Tube and Performing Occlusive Dressing Change Skill 18-6 Replacing a Chest Tube Drainage System Skill 18-7 Assisting with Removal of a Chest Tube 19. PERFUSION AND ADVANCED CARDIOVASCULAR CARE   Section 1. Caring for the Client Who Requires Cardiac (ECG) Monitoring Skill 19-1 Placing the Client on Continuous Electrocardiogram (ECG) Monitoring (Hardwire or Telemetry Units) Skill 19-2 Performing a Diagnostic 12-lead ECG    Section 2. Caring for the Client Who Has Altered Cardiac Conduction Skill 19-3 Assisting with Elective Synchronized Cardioversion Section 3. Caring For the Client Who Requires a Pacemaker Skill 19-4 Caring for the Client Who Has a Tranvenous Pacemaker Skill 19-5 Caring for the Client Who Has a Subcutaneous Pacemaker Section 4. Caring for the Client Who Has a Cardiac Emergency Skill 19-6 Caring for the Client with Ischemic Chest Pain Skill 19-7 Caring for the Client After a Cardiac Catheterization Skill 19-8 Performing Emergency Defibrillation (Asynchronous) Skill 19-9 Responding to a Client in Cardiac Arrest 20. ADVANCED NEUROLOGICAL CARE AND MAINTENANCE   Section 1: Caring for the Client who Requires Advanced Neurological Assessment Skill 20-3 Performing a Neurologic Assessment on a Critically Ill Client Skill 20-2 Using a Pupillometer Skill 20-3 Assisting with a Lumbar Puncture Section 2: Caring for the Client with Increased Intracranial Pressure Skill 20-4 Caring for the Client who Has an External Ventriculostomy Skill 20-5 Using an Intracranial Pressure Monitor Section 3: Caring for the Client Who Has an Acute Neurological Emergency Skill 20-6 Caring for the Client Who is Having a Seizure Skill 20-7 Caring for the Client Who is Having an Acute Stroke

• ISBN: 978-0-323-62557-9
• Editorial: Elsevier
• Encuadernacion: Rústica
• Páginas: 1024
• Fecha Publicación: 03/02/2020
• Nº Volúmenes: 1
• Idioma: Inglés