Medical Awareness: Understanding, Observing, and Recording the Aging Process. 1998, Senior Living University. All rights reserved.

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1 Medical Awareness: Understanding, Observing, and Recording the Aging Process, Senior Living University. All rights reserved. Reproduction or translation of any part of this work, by whatever means, beyond that permitted by Section 107 or 108 of the United States Copyright Act without permission of the copyright owners is unlawful. Inquiries regarding permission for use of material contained in this publication should be addressed to: Senior Living University, 830 Cherry Drive, Hershey, PA 17033

2 DISCLAIMER This product is sold as-is, without warranty of any kind, either express or implied, respecting the contents of the product, including but not limited to implied warranties for the product s quality, performance, merchantability, or fitness for any particular purpose. Senior Living University shall not be liable to the purchaser or any other person or entity with respect to any liability, loss or damage caused or alleged to have been caused directly or indirectly by this product.

3 Table of Contents Introduction: About This Book 1 Why Should I Read This Book? 1 How to Use This Book 1 Chapter One: Your Role as an Assisted Living Caregiver 5 Learning Objectives 6 Lesson One: The Philosophy of Assisted Living and Three Key Principles 7 Lesson Two: Your Role as an Assisted Living Caregiver 13 Lesson Three: Resident s Rights: Caregiving in the Resident s Home 18 Lesson Four: Special Care When a Resident Moves In 23 Self-Check Questions 26 Chapter Two: Your Role in Infection Control 29 Learning Objectives 30 Lesson One: How Infections Happen 31 Lesson Two: What Is Infection Control? 34 Lesson Three: Proper Handwashing for Assisted Living 38 Lesson Four: Using Personal Protective Equipment 41 Self-Check Questions 43 Medical Awareness: Understanding, Observing, and Recording the Aging Process v 1.0 iii

4 Chapter Three: The ACT of Emergencies and Other Medical Situations 45 Learning Objectives 46 Lesson One: How to ACT During Medical Situations 47 Lesson Two: ACT in Emergencies 50 Lesson Three: ACT in Choking 62 Lesson Four: ACT in Falls 66 Lesson Five: ACT in Fainting 69 Lesson Six: ACT in a Seizure 71 Lesson Seven: ACT in Bleeding 73 Lesson Eight: ACT in Nosebleeds 76 Lesson Nine: ACT With Burns 78 Lesson Ten: ACT in Heat-Related Illnesses 80 Lesson Eleven: ACT in Diabetic Emergencies 83 Self-Check Questions 88 Chapter Four: Measuring Vital Signs 91 Learning Objectives 92 Lesson One: The Five W s of Vital Signs 93 Lesson Two: Taking a Temperature 97 Lesson Three: Taking a Pulse 110 Lesson Four: Counting Respirations 117 Lesson Five: Taking Blood Pressure 121 Lesson Six: Measuring Weight 127 Self-Check Questions 131 Medical Awareness: Understanding, Observing, and Recording the Aging Process v 1.0 v

5 Chapter Five: Observing Residents: Reporting and Recording Your Resident Care 133 Learning Objectives 134 Lesson One: How to Observe the Resident 135 Lesson Two: Oral Reports 139 Lesson Three: Written Reports 142 Lesson Four: Common Medical Terms and Abbreviations 144 Self-Check Questions 147 Chapter Six: What Caregivers Need to Know About Medication Management 149 Learning Objectives 150 Lesson One: Overview of Medications in Assisted Living 151 Lesson Two: The Caregiver s Role in Medication Management 154 Lesson Three: Medications and the Assisted Living Resident 159 Self-Check Questions 165 Chapter Seven: Your Role In Restorative and Rehabilitative Care 167 Learning Objectives 168 Lesson One: What Is Restorative and Rehabilitative Care? 169 Lesson Two: Assistive Devices in Restorative and Rehabilitative Care 172 Lesson Three: Bowel and Bladder Care and the Three Key Principles 175 Lesson Four: The Importance of Motion 179 Self-Check Questions 183 vi

6 Chapter Eight: What Happens as We Age? 185 Learning Objectives 186 Lesson One: Overview of the Aging Process 187 Lesson Two: Integumentary System 189 Lesson Three: Sensory System 192 Lesson Four: Cardiovascular System 196 Lesson Five: Respiratory System 200 Lesson Six: Musculoskeletal System 206 Lesson Seven: Gastrointestinal System 211 Lesson Eight: Endocrine System 217 Lesson Nine: Nervous System 221 Lesson Ten: Genitourinary System 226 Self-Check Questions 232 Chapter Nine: Emotional and Social Changes With Aging 235 Learning Objectives 236 Lesson One: A Resident s Emotional and Social Needs 237 Lesson Two: Changes With Aging 240 Lesson Three: Common Psychological Problems Related to Aging 243 Self-Check Questions 246 Chapter Ten: Caring for the Resident at the End of Life 247 Learning Objectives 248 Lesson One: Caregivers Attitudes Toward Death and Dying 249 Lesson Two: Residents Attitudes Toward Death and Dying 251 Lesson Three: Caregiver Support When Death Is Approaching 254 Lesson Four: Signs of Approaching Death 258 Lesson Five: Legal Considerations of Death and Dying 260 Self-Check Questions 262 Medical Awareness: Understanding, Observing, and Recording the Aging Process v 1.0 vii

7 Appendix A: Pre-admission Needs Assessment and Individualized Service Plan (ISP) 265 Appendix B: Answers to Self-Check Questions 271 viii

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