vii Chapter 1 The Holistic Nursing Assistant . . . . . . . . . . 2 Section 1.1 Role and Responsibilities . . . . . . . . . . . . 3 Section 1.2 Professionalism and Boundaries . . . . . . 11 Qualities of a Nursing Assistant . . . . . . 12 Employee of the Year . . . . . . . . . . . . . 13 Understanding Culture . . . . . . . . . . . . 14 Chapter 2 Understanding Healthcare . . . . . . . . . . . . . 19 Section 2.1 Healthcare Facilities and Teams. . . . . . . 20 The Impact of Medicaid . . . . . . . . . . . 24 Contributing to a Positive Culture. . . . . 28 Section 2.2 Working in Healthcare . . . . . . . . . . . . . 31 Practicing Mindfulness . . . . . . . . . . . . 33 Using Critical Thinking. . . . . . . . . . . . . 34 Diversity in the Healthcare Team . . . . . 36 Chapter 3 Legal and Ethical Practice . . . . . . . . . . . . . 40 Section 3.1 Healthcare Laws, Regulations, and Scope of Practice. . . . . . . . . . . . . . 41 Culture and Care . . . . . . . . . . . . . . . . 45 Section 3.2 Ethics, Problem Solving, and Decision Making . . . . . . . . . . . . . . 49 A Nursing Assistant’s Code of Ethics. . . 51 An Ethical Dilemma . . . . . . . . . . . . . . 52 Chapter 4 Maintaining a Safe Environment and Practice . . . . . . . . . . . . . . . . . . . . . . . . . . . 56 Section 4.1 A Culture and Environment of Safety . . . 57 Section 4.2 Fall Prevention . . . . . . . . . . . . . . . . . . . 65 Precautions for Preventing Falls. . . . . . 67 Section 4.3 Restraint-Free Care. . . . . . . . . . . . . . . . 69 Caring for Residents with Restraints. . . 74 Section 4.4 Fire, Chemical, Electrical, and Oxygen Safety . . . . . . . . . . . . . . . . 76 Oxygen Safety . . . . . . . . . . . . . . . . . . 81 Chapter 5 Emergencies and Disasters . . . . . . . . . . . . 85 Section 5.1 Medical Emergencies . . . . . . . . . . . . . . 86 Risk Factors for Heart Disease and Stroke. . . . . . . . . . . . . . . . . . . . . 93 Degrees of Burns . . . . . . . . . . . . . . . . 95 Responding to Medical Emergencies . . 96 Procedure Responding to Choking Using the Heimlich Maneuver . . . . . . . . . . . . . 98 Procedure Responding to Fainting . . . . . . . . . . . . . 99 Procedure Responding to a Seizure . . . . . . . . . . . 101 Procedure Responding to and Controlling Bleeding . . . . . . . . . . . . . . . . . . . . . . 103 Section 5.2 Disasters, Terrorism, and Bioterrorism . . 105 Chapter 6 Providing Holistic Nursing Care . . . . . . . 110 Section 6.1 Levels and Types of Nursing Care. . . . . 111 Culture in Resident-Centered Care . . . 113 Section 6.2 The Nursing Process, Policies, and Procedures . . . . . . . . . . . . . . . . . 115 Section 6.3 Admission, Transfer, and Discharge . . . 118 Procedure Admission to a Healthcare Facility . . . . 119 Admission and Anxiety . . . . . . . . . . . 121 Admission Concerns . . . . . . . . . . . . . 121 Procedure Discharge from a Healthcare Facility . . 123 Chapter 7 Human Behavior and Development . . . . 127 Section 7.1 Human Needs, Growth and Development, and Behavior. . . . . . 128 Practicing Cultural Awareness . . . . . . 131 Section 7.2 Body, Mind, and Spirit . . . . . . . . . . . . . 133 Assessing Your Own Body, Mind, and Spirit. . . . . . . . . . . . . . . . . . . . . 135 Chapter 8 Health and Wellness . . . . . . . . . . . . . . . . . . 139 Section 8.1 Wellness and Illness . . . . . . . . . . . . . . 140 Section 8.2 Work-Life Balance and Stress Management . . . . . . . . . . . . . . . . . . . 143 Reactions to Stress. . . . . . . . . . . . . . 145 Differing Views of Stress . . . . . . . . . . 148 Contents Identifi ed features include: Becoming a Holistic Nursing Assistant Culture Cues Healthcare Scenario