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Appendix K Curriculum Outline If your state requires that you obtain approval in advance of using the How To Be a Nurse Assistant training series, this curriculum outline may provide all the required information. It is provided here for you to download and adapt to address the specific requirements of your state and/or facility. Chapter 1 Where You Work: The Long Term Care Facility Curriculum Outline Content Behavioral Objective Suggested Activities What is long term care? Describe the different types of long term care facilities Lecture; discussion Medical care Nursing and rehabilitative care Personal care Residential care Why are people admitted to long term care? List 4 services provided in long term care List the types of care offered in long term care Give 2 reasons why people are admitted to long term care Lecture; discussion Who provides care in a long term care facility? Define the roles of the interdisciplinary health care team Lecture; discussion How is care paid for? Explain how care is paid for Lecture; discussion Describe the agency that oversees long term care Lecture; discussion The long term care population Medicare Medicaid Personal resources Managed care plans Long term care insurance Who oversees long term care? Chapter 2 Starting Your Job: What to Expect Curriculum Outline Content Behavioral Objective Suggested Activities Explain what is meant by mindful caregiving Lecture; discussion; group activities Providing care Providing the best care possible Mindful caregiving Understanding residents’ routines Values and culture Ethics Developing trust The interdisciplinary team Developing a relationship with the charge nurse Developing relationships with co-workers Daily assignments List 5 questions to ask when learning about a resident’s routine Define ethical decisions Lecture; discussion; group activities Describe the nursing team Lecture; discussion Explain the importance of developing a trusting relationship with the charge nurse and co-workers Lecture; discussion List 4 questions to ask when receiving an assignment Lecture; discussion Describe the approach to care used in your facility Lecture; discussion List at least 3 factors that influence care Lecture; discussion Describe 5 essential job functions common in nurse assistant job descriptions Lecture; discussion Describe 2 ways to take care of yourself Lecture; group discussion Approaches to care Factors that influence care Job functions Taking care of yourself Coping with stress Coping with your emotions Chapter 3 Understanding Each Resident Curriculum Outline Content Behavioral Objective Suggested Activities Define how you get to know a resident Lecture; discussion List Erickson’s 8 stages of psychosocial development Lecture; flip chart; discussion; group activity Define Maslow’s hierarchy of needs Lecture; flip chart; discussion; group activity List ways to meet resident’s needs Lecture; flip chart; group discussion Psychosocial wellbeing Discovering the resident Gaining an understanding of residents Erickson’s 8 stages of psychosocial development Maslow’s hierarchy of needs Physical needs Safety and security needs Social needs Self-fulfillment needs Other needs of residents Sexual needs Spiritual needs Cultural and values differences Meeting different needs Understanding a resident’s history Describe how resident’s basic needs are similar to your own Describe at least 2 changes that occur with aging Lecture; flip chart; group discussion Chapter 4 Understanding Resident’s Rights Curriculum Outline Content Behavioral Objective Suggested Activities Legal rights Define rights Lecture; group discussion Right to exercise one’s rights How to assist residents to exercise their rights List the rights in the Residents’ Bill of Rights Lecture; group discussion & activity Define terms used for abuse List what is required in an abuse program Lecture; group discussion & activity Rights to privacy and confidentiality How to protect resident’s rights to privacy Rights to information Your responsibilities for providing information Rights to choose How to help residents exercise their right to choose Rights to notification of change When to notify residents of change Protection of resident’s personal funds Your responsibility regarding resident’s funds Grievance rights Your responsibility regarding resident grievances Transfer and discharge rights Your role in transfers and discharges Right to be free from restraint and abuse What you can do to be free from abuse Ombudsman program Define the role of the ombudsman Chapter 5 The Nurse Assistant’s Role in Quality of Life Curriculum Outline Content Behavioral Objective Suggested Activities What is dignity? How perception influences dignity Changing a resident’s self-perception Describe why treating a resident with dignity is important Lecture; discussion Considering the resident as a customer How to add customer service into your caregiving Activities Describe what a customer service focus means for a nurse assistant Lecture; discussion; role play A different way to provide care Describe the principles of the Eden Alternative Honoring a resident’s life Who is Anna Mae Halgrim Seaver? What difference does promoting dignity make? Explain the importance of activities for residents Lecture; discussion Chapter 6 The Role of the Family Curriculum Outline Content Behavioral Objective Suggested Activities What is family? The family as customer Define family Lecture, discussion Why is family important? State why family is important Lecture, discussion What happens to families when residents get admitted? The adjustment process Guilt Anger Uncertainty Sadness Loss of control Relief Define the family’s adjustment process Lecture, group activity Your relationship with the family Involving the family in care Communicating effectively with family members Family visits Managing family members’ expectations When families express distress You as a family member Lecture, role play Describe how to make the resident’s family feel part of the health care team Group discussion Explain how to develop a relationship with the family Lecture, group discussion Chapter 7 Communication Curriculum Outline Content How we communicate Verbal communication Nonverbal communication/body language Touch Listening Validating communication Promoting effective communication Behavioral Objective Suggested Activities Lecture, discussion List ways to make verbal communication effective Explain the importance of nonverbal communication, touch, and listening List general guidelines for good communication and active listening Ending a conversation Lecture, discussion Role playing Problems of ineffective communication Special communication needs Communicating with demanding residents Communicating with residents who need encouragement Communicating with residents with visual impairment Communicating with residents with hearing impairment Communicating with residents who are depressed Communicating with residents with cognitive impairment Communicating with residents with speech impairment Explain ways to communicate with residents with special communication needs Communication and inappropriate behavior Responding to sexual advances Responding to sexual abuse Conflict resolution Understanding yourself Reactions to conflict Nondefensive communication Effective communication when conflict occurs Lecture, discussion, role plays, & simulations Discussion Describe ways to handle residents’ inappropriate behavior or aggression Lecture, discussion Describe how to resolve conflicts Lecture, role plays Steps for conflict resolution Communicating about yourself Explain when it is OK to talk about yourself with residents Lecture, discussion Chapter 8 Documentation Principles and Procedures Curriculum Outline Content Behavioral Objective Suggested Activities Gathering information about residents and their care activities Residents The resident’s chart Other communication devices Other people Facility policies and procedures Name all the locations where resident information can be found Lecture, discussion, flip charts The difference between objective and subjective information Explain the difference between objective and subjective information Lecture, group activity Resident assessment Quality indicators Resident care plan Your role in the care plan meeting How to report information Routine reporting Immediate reporting “By a certain time” reporting Lecture Explain your role in the care planning process Lecture, group activity Explain when and how to report and document information Lecture, group activity Incident reports Your role in documentation Guidelines for documentation Correcting a mistake in documentation Common medical terms and abbreviations Lecture, individual activity Identify medical terminology and abbreviations Lecture Chapter 9 Prevention and Control of Infection Curriculum Outline Content Behavioral Objectives Training Methodologies & Tools How microorganisms cause infections State how microorganisms are transmitted Lecture, flip charts Describe how the body responds to infection Lecture, flipcharts Define your role in identifying the signs, symptoms, and clues of infection Lecture, flipcharts Demonstrate the skill of handwashing Lecture, video, demonstration, practice, skills check-off Demonstrate the proper way to put on and remove gowns, aprons, gloves, masks, and eye protection Lecture, demonstration, return demonstration How microorganisms are transmitted; the chain of infection The microorganism The reservoir Portal of exit from the reservoir Modes of transmission from the reservoir Direct transmission Indirect transmission Airborne transmission Portal of entry into susceptible host Susceptible host Strategies for breaking the chain of infection Handwashing and other strategies Breaking the chain at the mode of transmission link Breaking the chain at the susceptible host link Handwashing Using barriers Gloves Gowns and plastic aprons Gowns Disposable plastic aprons Eye protection Protecting yourself from bloodborne infections Explain standard precautions Lecture; discussion Define the OSHA Bloodborne Pathogens standard Lecture, discussion Standard precautions Handwashing Gloves Mask, eye protection, face shield Gown Resident care equipment Environmental control Linen Occupational health and bloodborne pathogens Resident placement OSHA Bloodborne Pathogens Standard Preventing needlesticks Exposure control plan Engineering and work practice controls Personal protective equipment Housekeeping Hepatitis B vaccination and postexposure evaluation and follow-up Information and training requirements Information about bloodborne pathogens HIV and AIDs Hepatitis B and Hepatitis C Nurse assistant tasks involving exposure to blood Special equipment and supplies for infection prevention and control Wastes requiring special handling Isolation precautions Explain your facility’s policies and procedures related to isolation precautions Lecture, discussion State your role in cleaning objects and disposing of items in the resident’s environment Lecture, discussion Transmission-based precautions Airborne precautions Droplet precautions Contact precautions Applying isolation precautions Psychosocial needs of residents on isolation precautions Cleaning, disinfection, and sterilization Cleaning Disinfection Sterilization Designated clean and dirty areas of the facility Chapter 10 Injury Prevention Curriculum Outline Content Behavioral Objective Suggested Activities Ergonomics Define ergonomics Lecture Mindful decision making: injury prevention Common sense rules Residents Nurse assistant Environment List at least 10 common sense rules for preventing injury Lecture, discussion Body mechanics Principles of body mechanics Step 1: things to consider Step 2: prepare yourself Step 3: determine how to move Demonstrate good body mechanics Demonstration, return demonstration Preventing resident falls Why residents fall Preventing falls Devices and equipment used to prevent falls Describe how to prevent resident falls Lecture, demonstration Discuss your role in preventing injuries in the long term care environment Lecture, discussion Describe your role in disaster preparedness Lecture, discussion Environmental awareness Wet floor Electrical safety Chemical safety Material Safety Data Sheets (MSDS) Container labeling Emergency first aid for chemical exposures The “Right to Know” law Safety around oxygen Disaster preparedness Weather Fire If you are first to notice a fire If a fire alarm sounds on another wing or unit If an evacuation is ordered Incident reporting Lecture Chapter 11 The Aging Process and Disease Management Curriculum Outline Content Behavioral Objective Suggested Activities Learn how residents feel about aging Identify 4 general characteristics of aging Lecture, large group activity Avoid labeling Explain why no one should be labeled by disease or condition Acute versus chronic problems Define the terms acute, chronic, observation, signs, and symptoms Explain the importance of early detection of cancer Cancer Infection Localized responses Whole body responses Silent responses Describe how the body responds to infection Identifying signs and symptoms of common infections Clues to infection in older adults Putting together clues to infection Integumentary system (skin) Structures Functions Aging changes Abnormal signs and symptoms Observations to report Common chronic illnesses, diseases, and problems of the integumentary system Dry skin Signs and symptoms of dry skin Nurse assistant’s role in observation and intervention Goals of care Interventions or skills for care Contact dermatitis Signs and symptoms of contact Lecture, discussion Identify the structure, function, and aging-related changes of the integumentary system Give an example of the system’s aging changes Give 5 examples of information that should be reported to the charge nurse Complete a patient chart with a description of an illness, disease, or problem; signs and symptoms; your role in observation and intervention; the goals of care; and interventions or skills for care Lecture, simulations, small group activities dermatitis Nurse assistant’s role in observation and intervention Goals of care Interventions or skills for care Musculoskeletal system Structures Functions Aging changes Abnormal signs and symptoms Observations to report Common chronic illnesses, diseases, and problems of the musculoskeletal system Arthritis Signs and symptoms of arthritis Nurse assistant’s role in observation and intervention Goals of care Interventions or skills for care Osteoporosis Signs and symptoms of osteoporosis Nurse assistant’s role in observation and intervention Goals of care Interventions or skills for care Identify the structure, function, and aging-related changes of the 10 body systems Give an example of each body system’s aging changes Give 5 examples of information that should be reported to the charge nurse Complete a patient chart with a description of an illness, disease, or problem; signs and symptoms; your role in observation and intervention; the goals of care; and interventions or skills for care Respiratory System Structures Functions Aging changes Abnormal signs and symptoms Observations to report Common chronic illnesses, diseases, and problems of the respiratory system Cold and flu Signs and symptoms Nurse assistant’s role in observation and intervention Goals of care Identify the structure, function, and aging-related changes of the respiratory system Give an example of the system’s aging changes Give 5 examples of information that should be reported to the charge nurse Complete a patient chart with a description of an illness, disease, or problem; signs and symptoms; your role in observation and intervention; the goals of care; and interventions or skills for care Lecture, simulations, small group activities Lecture, simulations, small group activities Interventions or skills for care Sputum specimens Pneumonia Signs and symptoms of pneumonia Nurse assistant’s role in observation and intervention Goals of care Interventions or skills for care Chronic obstructive pulmonary disease (COPD) Signs and symptoms of COPD Nurse assistant’s role in observation and intervention Goals of care Interventions or skills for care Circulatory system Structures Functions Aging changes Abnormal signs and symptoms Observations to report Common chronic illnesses, diseases, and problems of the circulatory system Congestive heart failure (CHF) Signs and symptoms of CHF Nurse assistant’s role in observation and intervention Goals of care Interventions or skills for care Peripheral vascular disease Signs and symptoms of peripheral vascular disease Nurse assistant’s role in observation and intervention Goals of care Interventions or skills for care Coronary artery disease Signs and symptoms of coronary artery disease Nurse assistant’s role in observation Identify the structure, function, and aging-related changes of the circulatory system Give an example of the system’s aging changes Give 5 examples of information that should be reported to the charge nurse Complete a patient chart with a description of an illness, disease, or problem; signs and symptoms; your role in observation and intervention; the goals of care; and interventions or skills for care Lecture, simulations, small group activities and intervention Goals of care Interventions or skills for care Cerebral vascular accident (CVA) Signs and symptoms of CVA Nurse assistant’s role in observation and intervention Goals of care Interventions or skills for care Digestive system Structures Functions Aging changes Abnormal signs and symptoms Observations to report Common chronic illnesses, diseases, and problems of the digestive system Constipation Signs and symptoms of constipation Nurse assistant’s role in observation and intervention Goals of care Interventions or skills for care Diarrhea Signs and symptoms of diarrhea Nurse assistant’s role in observation and intervention Goals of care Interventions or skills for care Urinary system Structures Functions Aging changes Abnormal signs and symptoms Observations to report Common chronic illnesses, diseases, and problems of the urinary system Urinary tract infections Identify the structure, function, and aging-related changes of the digestive system Give an example of the system’s aging changes Give 5 examples of information that should be reported to the charge nurse Complete a patient chart with a description of an illness, disease, or problem; signs and symptoms; your role in observation and intervention; the goals of care; and interventions or skills for care Identify the structure, function, and aging-related changes of the urinary system Give an example of the system’s aging changes Give 5 examples of information that should be reported to the charge nurse Complete a patient chart with a description of an illness, disease, or problem; signs and symptoms; your role in observation and intervention; the goals of care; and interventions or skills for care Lecture, simulations, small group activities Lecture, simulations, small group activities Signs and symptoms of urinary tract infections Nurse assistant’s role in observation and intervention Goals of care Interventions or skills for care Urinary incontinence Signs and symptoms of urinary incontinence Nurse assistant’s role in observation and intervention Goals of care Interventions or skills for care Bladder training program Prompted training program General guidelines for resident care during bladder training and thereafter Applying a disposable brief or panty liner Urinary catheter care Nervous system Structures Functions Aging changes Abnormal signs and symptoms Observations to report Common chronic illnesses, diseases, and problems of the nervous system Multiple sclerosis Signs and symptoms of multiple sclerosis Nurse assistant’s role in observation and intervention Goals of care Interventions or skills for care Parkinson’s disease Signs and symptoms of Parkinson’s disease Nurse assistant’s role in observation Identify the structure, function, and aging-related changes of the nervous system Give an example of the system’s aging changes Give 5 examples of information that should be reported to the charge nurse Complete a patient chart with a description of an illness, disease, or problem; signs and symptoms; your role in observation and intervention; the goals of care; and interventions or skills for care Lecture, simulations, small group activities and intervention Goals of care Interventions or skills for care Endocrine system Structures Functions Aging changes Abnormal signs and symptoms Observations to report Common chronic illnesses, diseases, and problems of the endocrine system Diabetes Signs and symptoms of diabetes Nurse assistant’s role in observation and intervention Goals of care Interventions or skills for care Identify the structure, function, and aging-related changes of the endocrine system Give an example of the system’s aging changes Give 5 examples of information that should be reported to the charge nurse Complete a patient chart with a description of an illness, disease, or problem; signs and symptoms; your role in observation and intervention; the goals of care; and interventions or skills for care Sensory system The eye Structure Function Aging changes Abnormal signs and symptoms Observations to report Common chronic illnesses, diseases, and problems of the eye Cataracts Signs and symptoms of cataracts Nurse assistant’s role in observation and intervention Goals of care Interventions or skills for care Blindness Signs and symptoms of blindness Nurse assistant’s role in observation and intervention Goals of care Interventions or skills for care Identify the structure, function, and aging-related changes of the sensory system Give an example of the system’s aging changes Give 5 examples of information that should be reported to the charge nurse Complete a patient chart with a description of an illness, disease, or problem; signs and symptoms; your role in observation and intervention; the goals of care; and interventions or skills for care Lecture, simulations, small group activities Lecture, simulations, small group activities The ear Structure Function Aging changes Abnormal signs and symptoms Observations to report Common chronic illnesses, diseases, and problems of the ear Hearing loss Signs and symptoms of hearing loss Nurse assistant’s role in observation and intervention Goals of care Interventions or skills for care The other senses Aging changes Abnormal signs and symptoms Observations to report Male reproductive system Structures Functions Aging changes Female reproductive system Structure Functions Aging changes Abnormal signs and symptoms Observations to report Common chronic illnesses, diseases, and problems of the female reproductive system Vaginal infections Signs and symptoms of vaginal infections Nurse assistant’s role in observation and intervention Goals of care Interventions or skills for care Identify the structure, function, and aging-related changes of the reproductive system Give an example of the system’s aging changes Give 5 examples of information that should be reported to the charge nurse Complete a patient chart with a description of an illness, disease, or problem; signs and symptoms; your role in observation and intervention; the goals of care; and interventions or skills for care Lecture, simulations, small group activities Chapter 12 Emergency Care Curriculum Outline Content Behavioral Objective Suggested Activities Your role and responsibilities in an emergency Define emergency first aid Explain your role and responsibilities in an emergency Lecture, discussion Heart attack and cardiac arrest Heart attack Cardiac arrest Airway Breathing Circulation State general guidelines to follow in an emergency Identify 5 signs and symptoms of a heart attack and the care to give a resident having a heart attack Explain how to give cardiopulmonary resuscitation Lecture, demonstration Identify the signs of choking and explain the Heimlich maneuver Lecture, demonstration Identify the signs of a seizure and how to care for a resident with seizures Explain what care to give to a resident who has a burn Explain what care to give to a resident who is bleeding Identify the signs and symptoms of shock and the care of a resident who is in shock Lecture Choking The Heimlich maneuver Seizure Burns Hemorrhaging Shock Managing your own feelings in an emergency Lecture, discussion Chapter 13 Themes of Care Curriculum Outline Content Behavioral Objective Suggested Activities Themes of care Communication Autonomy Respect Maximizing potential Safety Infection control Observation Time management Define the themes of care Lecture, brainstorming activity, small group activity How to use themes in your work List general questions you should consider when beginning a skill Lecture, discussion Common preparation steps List the commonly used preparation and completion steps Lecture, discussion Common completion steps The format of skill procedures Chapter 14 Creating a Home for the Resident Curriculum Outline Content Behavioral Objective Suggested Activities Admission of residents The interdisciplinary approach to admission What can you do to prepare for the new resident? Greeting residents Describe your role in admitting a resident Lecture Demonstrate the skills of taking an oral temperature, counting pulse and respiration rates, and taking a blood pressure Lecture, demonstration, return demonstration Vital signs Temperature How to clean a glass thermometer How to shake down a glass thermometer How to read a thermometer Oral temperature Rectal temperature Axillary temperature Pulse rate Respiratory rate Blood pressure Accurate reporting and recording of vital signs Creating a home in a long term care facility List 3 ways to make a resident’s room home-like Responsibilities in caring for resident’s personal belongings Care of a resident’s clothes Care of residents’ other belongings Lecture, discussion Describe your role in caring for a resident’s belongings Lecture, discussion Respecting resident’s privacy Explain ways to ensure a resident’s privacy Lecture, discussion Demonstrate how to make an occupied and unoccupied bed Lecture, demonstration, return demonstration Demonstrate the use of a call system Lecture, demonstration, return demonstration Bed making Finishing touches Call system Transfer of a resident Interdisciplinary approach for transferring a resident How you can prepare for the transfer of a resident Transferring residents Describe your role in transferring and discharging a resident Lecture, discussion Lecture, discussion Discharge of a resident Interdisciplinary approach for discharging a resident Helping residents adjust in the discharge Day of discharge Chapter 15 Moving and Positioning Curriculum Outline Content Behavioral Objective Suggested Activities How movement affects body systems State the importance of moving and positioning residents correctly Lecture List at least 5 questions to consider when preparing to move or position a resident Lecture, discussion Demonstrate how to move a resident: Up in bed To the side of the bed Onto the resident’s side or back for personal care Into a sitting position From bed to chair, wheelchair, commode, or toilet Lecture, equipment demonstration, return demonstration Why moving and positioning is important Preparing to move or position a resident When to get help Communicating with residents Moving Moving a resident from one place to another (transfer) Using a guard belt Putting a guard belt on a resident Considerations for transfers Two-person assistive device transfer Demonstrate how to help a resident move from bed to chair and back with the help of a coworker (with or without a mechanical lift), and how to move a resident up in a chair Positioning Fowler’s position Side-lying position Positioning a resident in a chair Demonstrate how to help a resident into the supine, Fowler’s side-lying, and sitting positions Lecture, demonstration, return demonstration Stopping a fall If a resident falls and seems injured Explain what to do if a resident falls Lecture, demonstration, return demonstration Chapter 16 Personal Care Curriculum Outline Content Behavioral Objective Suggested Activities Making routine activities mindful Daily routines based on personal preferences Determination of assistance needs and observation during personal care Define personal care. Lecture & discussion; flip chart Give examples of ways to make routine activities mindful and to consider the resident’s preferences in personal care. Lecture & discussion; flip chart State why observation is important during personal care. Lecture & discussion; flip chart Use of gloves in personal care Demonstrate how to help with the following skills: Personal care routines Complete bed bath Perineal care Back rub Tub bath Shower Whirlpool bath Shampoo and conditioning Brushing and flossing Caring for dentures Mouth care for a comatose resident Shaving Bathing Using a resident’s personal care products Waterless products Whirlpool bath Partial bath Shampooing and conditioning Oral hygiene Brushing and flossing Dentures Mouth care for comatose residents Grooming Shaving Facial hair Hair care Care of fingernails Care of toenails Trimming facial hair Hair care Care of fingernails Care of toenails Assisting with dressing and undressing Assisting the resident with dressing and undressing Lecture, demonstration, practice & return demonstration; nursing arts lab Lecture, demonstration, practice & return demonstration; nursing arts lab Preparing for an event Lecture Chapter 17 Assisting with Nutrition Curriculum Outline Content Behavioral Objective Suggested Activities The role of the food service department Assessing residents’ nutrition Explain the role of the food service department and how you work with that department Lecture, discussion Helping residents achieve high nutritional status List ways to provide and encourage good nutrition Lecture Making the dining experience pleasant Environmental factors Service factors Social factors Give examples of ways to make dining a pleasant experience Lecture, discussion Working together to provide the best for the resident Assisting residents with meals Preparing residents for meals Tray preparation Serving residents Assisting with feeding residents Assisting residents with dysphagia Important observations while eating Identifying residents at risk Special devices for eating Lecture, discussion Dietary supplements Residents with feeding tubes Dehydration Preventing dehydration Food and fluid intake Evaluating food intake Evaluating fluid intake Demonstrate how to properly record residents’ intake and output Guest lecture, discussion Demonstrate the skills for measuring height and weight Lecture, demonstration Height and weight Weight Height Chapter 18 Assisting with Elimination Curriculum Outline Content Behavioral Objective Suggested Activities Determining elimination patterns The resident The resident’s family The resident’s chart Tips for promoting regular elimination patterns Describe how to determine residents’ elimination patterns Lecture Maintaining resident’s dignity when helping them with elimination List ways to help residents maintain their dignity when you help them with elimination Lecture, equipment demonstration Assisting with elimination Equipment for elimination Identify equipment used to help with elimination Demonstrate correct ways to help a resident use a bedpan, urinal, and portable commode Lecture, equipment demonstration Problems with elimination State how to identify changes in residents’ elimination patterns Lecture Demonstrate specimen collection techniques Lecture, demonstration Describe your role in ostomy care Lecture, demonstration Collecting specimens Urine specimens Urinalysis Clean-catch urinalysis Collecting a 24-hour urine specimen Using reagent sticks (dipsticks) for testing urine Glucose and ketone testing Stool specimens Helping a resident with an ostomy Types of ostomies Ostomy care Emptying an ostomy bag Chapter 19 Restorative Activities Curriculum Outline Content Behavioral Objective Suggested Activities What are restorative activities? Describe your role in promoting independence Lecture Assistive devices Types of assistive devices Prosthetic and orthotic devices Positioning and seating devices Aids for activities of daily living Improper use of equipment Faulty equipment List different kinds of equipment that promote independence Lecture, equipment demonstration, return demonstration Exercise Demonstrate range-of-motion exercises and assisted walking Lecture, demonstration, return demonstration Helping residents in the restorative process Short- and long-term goals Cuing, prompting, and encouraging Range-of-motion exercises Active exercise Active assisted exercise Passive exercise Guidelines for ROM exercises Which joints to exercise How joints move Starting a ROM program Walking with a resident Chapter 20 Maintaining Skin Integrity Curriculum Outline Content Behavioral Objective Suggested Activities The challenge of skin care Describe factors that influence skin health Lecture Maintaining skin integrity Describe why maintaining skin integrity can be a problem for residents in long term care Lecture Observation and reporting List at least 5 strategies for keeping residents’ skin healthy Lecture, discussion, group activity Pressure ulcers Early signs and symptoms of pressure ulcers Stages of pressure ulcers Treatment of pressure ulcers Describe what can happen when a resident’s skin integrity is not maintained Lecture, discussion Chapter 21 Pain Management, Sleep, and Comfort Curriculum Outline Content Behavioral Objective Suggested Activities Describe your responsibility for reporting pain Lecture, discussion Describe what you might see when a resident is in pain Lecture, demonstration List 5 side effects of pain medications Lecture, small group exercises Describe 5 complementary or alternative measures to help manage pain Lecture, discussion Hot and cold applications Hot applications Cold applications Identify when and why hot and cold applications may be used to decrease pain Lecture, discussion Promoting comfort and sleep List ways to promote comfort and sleep Lecture, discussion Pain Screening for pain Understanding pain Reporting pain accurately Pain left untreated Pain treatment Chapter 22 Care of Residents with Alzheimer’s Disease and Related Disorders Curriculum Outline Content Behavioral Objective Suggested Activities Stages of Alzheimer’s disease List the diseases that can cause dementia Name 5 symptoms of each stage of dementia Describe 6 principles guiding your care of residents with Alzheimer’s disease Lecture List general techniques for responding to behavioral symptoms Lecture, discussion Your role in caring for residents with Alzheimer’s disease and related disorders Provide guidance and direction Discover and use resident’s abilities Promote each resident’s dignity Comfort and reassure each resident Anticipate basic needs Enjoy residents and help them enjoy life General techniques for responding to behavioral symptoms Enter a resident’s reality Know your resident Know your resources Communicate with the resident Body language Facial expressions Tone of voice Communication techniques Motivate the resident Stop when a resident resists your care Specific behavioral symptoms Agitation Anxiety Delusion Depression Wandering Insomnia Hallucinations Specific techniques for activities of daily living Toileting Discuss ways to change your care when helping residents Lecture, discussion Hydration Eating Dressing Bathing Grooming with Alzheimer’s with the activities of daily living Chapter 23 Other Resident Populations Curriculum Outline Content Behavioral Objective Suggested Activities Assisted living facilities Describe the services that are provided in an assisted living facility Lecture, discussion Subacute care units Describe the types of patients admitted to subacute care units Lecture, discussion Define developmental disability Lecture, discussion Describe mental retardation, Down syndrome, autism, cerebral palsy, and epilepsy Lecture, discussion Different long term care environments Facilities for residents with developmental disabilities Mental retardation Down syndrome Autism Cerebral palsy Epilepsy Care of residents with developmental disabilities Care of residents with HIV or AIDS Define the habilitation model used for the care of residents with developmental disabilities Lecture, discussion Describe the care of residents with HIV or AIDS Lecture, discussion Chapter 24 End of Life Curriculum Outline Content Behavioral Objective Suggested Activities Feelings about dying Describe different feelings about death Guided discussion Living wills Describe a living will Lecture Stages of dying List the stages of dying Lecture, discussion End of life care Hospice Describe end of life care Lecture, discussion Your role through the dying process Comfort measures for the dying resident Helping the family during the process of dying Religious and cultural practices Helping other residents cope with their loss Managing your own feelings List specific things you can do to help residents and family members during the dying process Lecture, discussion, group activities Signs of death approaching Physical care of the body Lecture, discussion Describe the care of the body after death Lecture, discussion Chapter 25 Pulling It All Together Curriculum Outline Content Behavioral Objective Suggested Activities The nurse assistant’s contribution to care State how nurse assistants contribute to quality care Lecture, discussion Time management Describe the theme of time management Lecture, discussion Give examples of things that influence how tasks are organized Lecture, group activity A day in a facility Day shift Evening shift Night shift All shifts Managing your time: the balance of art and science Resident’s preferences and routines Shift responsibilities Assignment Organizing care Case studies; group activity Chapter 26 Promoting Your Own Health Curriculum Outline Content Behavioral Objective Suggested Activities Good health List factors that influence health Guided discussion Developing a positive attitude State why having a positive attitude is important Guided discussion Good nutrition USDA guidelines State general guidelines for good nutrition Lecture, group activity Exercise and health State the benefits of exercise Guided discussion Tips for getting started Chapter 27 How to Be a Successful Employee Curriculum Outline Content Behavioral Objective Suggested Activities Preparing for the state competency evaluation Describe what you can do to ensure you pass the state competency evaluation Lecture, Q & A Getting a job as a nurse assistant Describe how to find a job Lecture, discussion Getting a successful start at your job Give yourself time to grow Describe what you can do to be successful when you start your new job Group discussion List what you can do to stay motivated on the job Describe how you can resolve problems on the job Lecture, discussion Policy review Lecture, discussion Describe the importance of ongoing education Lecture Lecture Ongoing success Managing yourself and staying motivated Effective communication and problem resolution Assertiveness: how to accomplish what you think is important Evaluating your work: learning to grow Improving care through inservice education
