x Chapter 21 Hydration and Elimination . . . . . . . . . . . . . 480 Section 21.1 Maintaining Hydration. . . . . . . . . . . . . 481 Procedure Measuring and Documenting Fluid Intake and Urinary Output . . . . . . 485 Section 21.2 Assisting with Elimination . . . . . . . . . . 488 Procedure Assisting to a Toilet or Bedside Commode . . . . . . . . . . . . . . . . . . . . . 489 Procedure Assisting with a Standard or Fracture Bedpan. . . . . . . . . . . . . . . 491 Procedure Assisting with a Urinal. . . . . . . . . . . . . 493 Procedure Providing Catheter Care . . . . . . . . . . . 495 Procedure Changing a Urinary Drainage Bag. . . . . 498 Toileting Practices . . . . . . . . . . . . . . 503 Constipation Remedies. . . . . . . . . . . 505 Procedure Giving an Enema . . . . . . . . . . . . . . . . 506 Procedure Providing Ostomy Care . . . . . . . . . . . . 510 Assisting with Elimination Needs . . . . 512 Chapter 22 Disabilities, Cognitive Disorders, and Mental and Emotional Health . . . . . 517 Section 22.1 Disabilities and Cognitive Disorders . . . 518 Surgically Implantable Hearing Aids . . 521 Caring for a Resident in a Coma . . . . 527 Section 22.2 Emotional Health Concerns and Mental Health Conditions . . . . . . . 533 Differing Views of Mental Health Conditions . . . . . . . . . . . . . . . . . . . . 534 Chapter 23 End-of-Life Care . . . . . . . . . . . . . . . . . . . . . . . 542 Section 23.1 Dying, Death, and Grief . . . . . . . . . . . . 543 Expressions of Grief . . . . . . . . . . . . . 546 Section 23.2 Family Support and Postmortem Care. . . . . . . . . . . . . 553 Caring for the Family of the Deceased. . . . . . . . . . . . . . . . 554 Organ Donation . . . . . . . . . . . . . . . . 556 Procedure Providing Postmortem Care. . . . . . . . . 556 Chapter 24 Certifi cation, Employment, and Lifelong Learning . . . . . . . . . . . . . . . . . 561 Section 24.1 The Certifi cation Competency Examination. . . . . . . . . . . . . . . . . . . . 562 Section 24.2 Your Nursing Career . . . . . . . . . . . . . . 568 Career Development Opportunities. . . 575 Lifelong Learning . . . . . . . . . . . . . . . 576 A Culture of Lifelong Learning . . . . . . 576 Appendix A Word Parts . . . . . . . . . . . . . . . . . . . . 579 Appendix B Metric Conversions . . . . . . . . . . . . . . . 583 Appendix C Sexually Transmitted Infections (STIs). . 584 Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 587 Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 600