Fundamental Nursing Skills PDF

Fundamental Nursing Skills PDF

Fundamental Nursing Skills PDF has arisen primarily in response to the increasing concern expressed about the perceived lack of ability in both students and newly qualified staff nurses to perform clinical skills.

Category: Medical

Author: Edited by Penelope Ann Hilton SEN, SRN, RMN, DIPN (LOND), FETC, BSC (HONS), MMEDSCI, RNT Lecturer in Nursing, University of Sheffield

Language: English

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Introduction

This book has arisen primarily in response to the increasing concern expressed about the perceived lack of ability in both students and newly qualified staff nurses to perform clinical skills. This deficit has been largely attributed to the advent of Project 2000 and the subsequent move of nurse education into Higher Education. Innovations in nursing such as the Nursing Process, Nursing Models and new methods of organizing care delivery, each with their emphasis on providing individualized nursing care, may also have exacerbated this problem. These initiatives have largely resulted in the demise of procedure manuals as a source of reference in many clinical areas. Consequently nurses and the increasing number of health care workers in new roles such as cadet nurses, health care assistants and generic ward practitioners no longer have an easily accessible source of reference in the clinical arena. This is particularly problematic when they are faced with undertaking a procedure for the first time.

The intention of this book is to redress this deficit by:
1 outlining the elements of essential nursing procedures in a readily accessible format
2 providing the rationale for the recommended actions
3 promoting evidence-based practice.

This book is unique in that it encourages the reader to keep a record of achievement in relation to clinical skill competence. It also differs from existing publications in that it is presented in a more readily accessible and user-friendly format for the busy clinician. Further, this text may be of benefit to lay persons undertaking the main carer role in the home setting.

The selection of skills for inclusion is based on extensive consultation with experienced clinicians, students, clients and their significant others as well as teachers of nursing. Each procedure has been carefully researched to provide a contemporary foundation for practice. The book is the first of a series which aims to promote professional and personal development from novice through to expert in sequential stages. References and further reading are offered at the conclusion of each chapter. The inherent danger in producing books of this nature is that they may be perceived to be encouraging a task-orientated approach to patient care.

In acknowledging this potential the chapters have been structured around the Activities of Living (Roper et al 2000) to encourage the reader to view each of the skills as an intricate part of holistic individualized care. The book also contains a rapid reference section of common terminology, conversion tables, laboratory results and other, equally useful, information.

Whilst every attempt has been made throughout the text to reflect contemporary practices, the reader is reminded that practice will continue to develop in the light of new evidence and changing policy. A commitment to lifelong learning is therefore essential.

Penelope Ann Hilton
December
2003

Table of Contents- Fundamental Nursing Skills PDF

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

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

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

Monitoring urinary output

Monitoring bowel actions

Monitoring vomitus

References and further reading

Chapter 9 Maintaining body temperature
Sheila Lees and Penelope Ann Hilton 225

Introduction

Common terminology

Normal body temperature

Methods of temperature measurement

Assessing an individual’s ability to maintain body temperature

Monitoring temperature

Recording and documenting body temperature

Strategies to raise or lower body temperature

References and further reading

Chapter 10 Expressing sexuality
Penelope Ann Hilton 239

Introduction

Common terminology

Assessing an individual’s ability to express sexuality

Maintaining privacy and dignity

Assisting individuals to express sexuality

References and further reading

Chapter 11 Working and playing
Samantha Athorn and Penelope Ann Hilton 253

Introduction

Common terminology

Assessing an individual’s ability to work and play

Assisting individuals to select appropriate work activities

Assisting individuals to select appropriate recreational activities

References and further reading

Chapter 12 Sleeping
Penelope Ann Hilton 267

Introduction

Common terminology

Assessing an individual’s needs in relation to sleep and rest

Monitoring an individual’s sleep and rest patterns

Assisting individuals to achieve a balance between activity and rest

References and further reading

Appendix I Rapid reference aids
Penelope Ann Hilton 277

Introduction

NMC Code of Professional Conduct

Guide to interpreting common medical and surgical terminology

Glossary of medical and surgical terms

Common medical and nursing abbreviations

Common prescribing abbreviations

Conversion tables

Child development chart

Body mass index

Laboratory values

Calculating infusion (drip) rates

Calculating medications

Appendix II Record of achievement
Penelope Ann Hilton 306

Guidelines on the use of this record of achievement

Skills related to the activity of breathing

Skills related to the activity of mobility

Skills related to the activity of personal cleansing and dressing

Skills related to the activity of maintaining a safe environment

Skills related to the activity of eating and drinking

Skills related to the activity of communicating

Skills related to the activity of dying

Skills related to the activity of eliminating

Skills related to the activity of maintaining body temperature

Skills related to the activity of expressing sexuality

Skills related to the activity of working and playing

Skills related to the activity of sleep and rest

Additional skills

Index 315

Reviews

About the author

Author: Edited by Penelope Ann Hilton SEN, SRN, RMN, DIPN (LOND), FETC, BSC (HONS), MMEDSCI, RNT Lecturer in Nursing, University of Sheffield

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