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Fundamental Nursing Skills

355 Pages · 2006 · 1.23 MB · English

  • Fundamental Nursing Skills

    fundamental


    nursing skills


    Edited by Penelope Ann Hilton SEN, SRN, RMN,


    DIPN (LOND), FETC, BSC (HONS), MMEDSCI, RNT


    Lecturer in Nursing, University of Sheffield


    W


    W H U R R P U B L I S H E R S


    LONDON AND PHILADELPHIA Fundamental Nursing Skills This book is dedicated to my late mother Noreen,


    my inspiration, motivation, confidante and best friend.


    A very brave and compassionate lady to the end. fundamental


    nursing skills


    Edited by Penelope Ann Hilton SEN, SRN, RMN,


    DIPN (LOND), FETC, BSC (HONS), MMEDSCI, RNT


    Lecturer in Nursing, University of Sheffield


    W


    W H U R R P U B L I S H E R S


    LONDON AND PHILADELPHIA © 2004 Whurr Publishers Ltd


    First published 2004


    by Whurr Publishers Ltd


    19b Compton Terrace


    London N1 2UN England and


    325 Chestnut Street, Philadelphia PA 19106 USA


    Reprinted 2004 and 2005


    All rights reserved. No part of this publication may be


    reproduced, stored in a retrieval system, or transmitted in any form


    or by any means, electronic, mechanical, photocopying, recording or


    otherwise, without the prior permission of Whurr Publishers Limited.


    This publication is sold subject to the conditions that it shall not, by


    way of trade or otherwise, be lent, resold, hired out, or otherwise


    circulated without the publisher’s prior consent in any form of


    binding or cover other than that in which it is published and


    without a similar condition including this condition being imposed


    upon any subsequent purchaser.


    British Library Cataloguing in Publication Data


    A catalogue record for this book


    is available from the British Library.


    ISBN 1 86156 416 3


    Typeset by Adrian McLaughlin, [email protected]


    Printed and bound in the UK by Athenæum Press Limited, Gateshead, Tyne & Wear Contents


    Acknowledgements xi


    Preface xiii


    Contributors xv


    Introduction xvii


    Chapter 1 Breathing


    Penelope Ann Hilton 1


    Introduction


    Common terminology


    Assessing an individual’s ability to breathe


    Monitoring respiratory rate


    Monitoring peak flow


    Maintenance of an airway


    Monitoring expectorant


    Disposal of sputum/oral secretions


    Obtaining a sputum specimen


    Administration of oxygen


    Artificial respiration (rescue breathing)


    References and further reading


    Chapter 2 Mobilizing


    Samantha Athorn and Penelope Ann Hilton 20


    Introduction


    Common terminology


    Assessing an individual’s ability to mobilize


    Moving and handling


    Care of an individual who is falling


    Care of an individual who has fallen


    References and further reading


    v vi Fundamental Nursing Skills


    Chapter 3 Personal cleansing and dressing


    Alyson Hoyles, Penelope Ann Hilton


    and Neal Seymour 43


    Introduction


    Common terminology


    The skin


    Assessing an individual’s ability to cleanse and dress


    Making a bed or cot


    Changing linen on an occupied bed or cot


    Disposal of linen


    Assisting individuals with bathing


    Assisting individuals with oral hygiene


    Assisting individuals with eye care


    Facial shaving


    Hair care


    Assisting individuals to dress


    References and further reading


    Chapter 4 Maintaining a safe environment


    Julie Foster and Penelope Ann Hilton 75


    Introduction


    Common terminology


    Personal safety


    Principles of health and safety at work


    Universal precautions


    Principles of asepsis


    Monitoring a client’s pulse


    Monitoring blood pressure


    Responding in the event of a cardiopulmonary arrest


    Administration of medicines


    Responding in the event of a fire


    Assessing an individual’s ability to maintain


    a safe environment


    References and further reading


    Chapter 5 Eating and drinking


    Catherine Waskett 128


    Introduction


    Common terminology


    Assessing an individual’s nutritional status vii Contents


    Assessing an individual’s hydration status


    Assisting clients in selecting appropriate meals/fluids


    Monitoring nutritional status


    Monitoring fluid intake


    Assisting with eating and drinking


    Feeding dependent clients and clients with


    potential swallowing difficulties


    Providing first aid to a client who is choking


    References and further reading


    Chapter 6 Communicating


    Penelope Ann Hilton and Helen Taylor 159


    Introduction


    Common terminology


    Assessing the communication needs of clients


    Responding to telephone calls


    Communicating with clients


    Managing violence and aggression


    Record keeping


    References and further reading


    Chapter 7 Dying


    Penelope Ann Hilton 178


    Introduction


    Common terminology


    Assessing the dying client


    Communicating with dying clients and their relatives


    Signs of approaching death


    Confirming death


    Accounting for valuables


    Last Offices


    References and further reading


    Chapter 8 Eliminating


    Carol Pollard and Beverly Levy 199


    Introduction


    Common terminology


    Assessing the individual’s ability to eliminate


    Assisting clients to use toileting facilities


    Applying/changing a nappy


    Care of an indwelling urinary catheter


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