1  Introduction  How  exciting  to  think  about  becoming  a  nursing  assistant  and  starting  a  career  in  nursing.  Maybe  you  have  been  thinking  about  this  career  choice  for  as  long  as  you  can  remember  because  you  have  always  wanted  to  help  others.  Maybe  you  know  someone  who  is  a  nurse  and  would  like  to  be  like  him  or  her.  Or,  maybe  you  had  a  nurse  take  care  of  you  when  you  were  ill,  and  you  knew  that  was  the  kind  of  work  you  wanted  to  do  someday.  Whatever  your  reason  for  taking  this  career  path,  this  textbook  will  provide  you  with  the  knowledge  and  skills  you  need  to  be  successful.  In  this  textbook,  you  will  learn  fundamental  and  important  content  and  procedures  to  help  you  deliver  safe,  quality  care.  You  will  also  learn  about  the  importance  of  holistic  care  or  how  understanding  the  interactions  between  the  body,  mind,  and  spirit  can  have  an  effect  on  the  way  people  maintain  wellness  and  respond  to  illness.  These  interactions  between  the  body,  mind,  and  spirit  create  a  connection  and  harmony  that  can  help  people  live  their  lives  fully  and  independently.  As  a  holistic  nursing  assistant,  you  will  make  a  difference  in  the  lives  of  others  by  •  being  sensitive  to  and  respectful  of  yourself  and  fully  understanding  your  own  body,  mind,  and  spirit  so  you  can  do  the  same  for  others  •  being  strong,  gentle,  and  caring  •  focusing  on  the  unique  needs  and  desires  of  others  to  help  them  be  as  independent  as  possible  •  being  positive  and  using  supportive  communication  •  paying  close  attention  to  the  way  you  walk  into  a  room,  the  tone  of  your  voice,  and  the  way  you  communicate  with  others  •  being  aware  of  when  others  are  stressed  and  helping  them  understand  the  importance  of  maintaining  their  health  and  wellness  and  •  creating  trust,  paying  attention  and  being  focused,  and  showing  appropriate  concern  and  respect.  The  goal  of  this  textbook  is  to  assist  you  in  becoming  an  effective  and  successful  nursing  assistant.  As  you  study  the  information  and  detailed  procedures  in  this  text,  you  will  learn  how  to  provide  holistic  care  that  is  appreciated  and  valued  by  residents  and  their  families.  Be  aware  that  the  procedures  in  this  book  describe  the  best  general  practices.  The  exact  guidelines  for  procedures  in  your  state  may  vary,  and  new  knowledge  is  always  shaping  the  field  of  nursing,  so  always  check  your  state’s  or  facility’s  regulations  and  policies.  Remember:  When  you  touch  a  body,  you  touch  the  whole  person,  the  intellect,  the  spirit,  and  the  emotions.  Jane  Harrington,  American  author  I  wish  you  the  best  as  you  begin  this  life-changing  journey.  Sue  Roe