The Long-Term Care Nursing Assistant's Guide to Advanced Restorative SkillsBarbara Acello, MS, RNPractical and functional strategies for nursing assistants to advance their restorative skillsEnsure that your nursing assistants provide top-notch restorative care This book is written specifically for RNAs or nursing assistants to help them provide quality restorative care. Author Barbara Acello, MS, RN, offers detailed nursing procedures that do not fall under therapy treatment and must be provided by your nursing staff. Whether your facility has a staff dedicated to restorative care or not this resource will serve as a much-needed source of critical information that is not taught during regular CNA inservices or educational training.At more than 250 pages, this book includes: Step by step procedures and guidelines to help nursing assistants provide and document advanced restorative careSpecific methods to prove nursing assistants are trained and qualified to provide restorative careExamples of holistic restorative nursing care that promotes resident independence and helps residents attain and maintain the highest level of health and well-being possibleThe most common survey citations and declines related to restorative care and how to prevent themA companion CD-ROM with dozens of tools such as Restorative Nursing Record, Restorative Nursing Flow Sheet, and an ADL Flow SheetTake a look at the Table of Contents: Chapter 1 Introduction to Restorative Nursing History of restorative nursing care Independence Long-Term Care Facility Resident Profile in the 21st Century Interdisciplinary Team Introduction to Restorative Nursing Care Complications of immobility Declines Motivation Principles of Restoration Task analysis Purpose of Restorative Goals Residents with Cognitive Impairment Early and Late Loss Activities of Daily Living Steps to SuccessChapter 2 Applying Evidence-Based Practice and Critical Thinking in Restorative Care Evidence-Based Practices Potential for Worker Injury Sensory Problems Risk for Worker Injury Ergonomics Techniques of Body Mechanics What we know about sacred cows The Minimum Data SetChapter 3 Musculoskeletal and Nervous Systems, Part 1 General Conditioning Procedural Guidelines Progressive Mobility Paralysis Contractures Splinting Other Treatments Therapeutic Exercises Range of Motion Exercises Active ROM Exercises Guidelines for ROM Exercises Passive Range of Motion Exercises Isometric Exercises Stretching Muscle Strengthening Active individual or group exercise Exercising for Fun The Importance of Distractions Gross Motor Exercises Fine Motor ExercisesChapter 4 Musculoskeletal System, Part 2 Bed Mobility Progressive Mobility Moving and Positioning Bedfast Residents Bed Mobility Equipment and Devices Associated with Bed Mobility The Bedfast Resident Foot Care Restorative Care for Residents after Hip Surgery Traction The Next StepChapter 5 Musculoskeletal System, Part 3 Transfers Resident Transfers Levels of Lift/Transfer/Repositioning Tasks Legal Concerns Manual Resident Handling Importance of Positioning the Wheels The 90-90-90 position Pressure Ulcers in Chairfast Residents Transfer Belt/Gait Belt Assistive Devices Transfer Procedures Lifting ResidentsChapter 6 Wheelchair Mobility Wheelchairs Wheelchair Evaluation Measuring wheelchairs to fit residents Optional accessories Wheelchair to Car Transfers Wheelchair Free FacilitiesChapter 7 Ambulation Ambulation and Gait Balance Progressive Ambulation Orthoses Amputations Weight-Bearing Ambulation Assistive DevicesChapter 8 Introduction to Pain Management in the Long-Term Care Facility Introduction to Pain Definitions Associated with Pain in Long-Term Care Residents Identifying and Managing Pain in Elderly Persons Effects and Results of Pain Other Barriers to Pain Identification and Management Pain Management Plan Using a pain assessment scale Nursing Comfort Measures and Other Potential Care Plan InterventionsChapter 9 Restorative Fluid Balance and Bowel and Bladder Management Bladder Management Beginning a Continence Management Program Incontinence assessment Management options The Management Plan Residents with Catheters Residual Other strategies Importance of fluids in bowel and bladder management Bowel management Evaluation Intestinal OstomiesChapter 10 Pressure Ulcers and Other Skin Conditions Pressure Ulcers Staging pressure ulcers Skin Tears Caring for Wounds Lice and ScabiesChapter 11 Restorative Care in Bathing, Personal Hygiene, Dressing, and Grooming Activities of Daily Living The Resident's Shoes Restorative Bathing Restorative Grooming Programs Restorative Dressing Programs Lack of progressChapter 12 Restorative Meal Service and Dining Meal Service Ambulation and Restorative Dining Restorative meal service The restorative dining program Adaptive devices Neuromuscular Diseases Restorative Feeding Retraining Residents wit


Barbara Acello, MS, RN, is an independent nurse consultant and educator. She has worked in long-term care for more than thirty-three years. In addition to owning and operating a school for nursing assistants, she helped to write and develop mandatory state curricula for nurse aides and EMTs.