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1. ADMISSION, TRANSFER, DISCHARGE: PREPARING CHANGE -OF-SHIFT REPORT. Ch.9 - medical diagnosis, demographic information, special equipment needs, - most recent vital signs and medications, - advance directives, family involvement in care and health care - SBAR 2. CLIENT EDUCATION: DISCHARGE PLANNING FOR THE CLIENT WHO HAS DIABETES MELLITUS. Ch.17 - explain information in their own words, - observe return demonstrations, use written tools, - ask clients to evaluate own progress, - nonverbal communication, - reevaluate learning 3. MEDICAL AND SURGICAL ASEPSIS: PLANNING CARE FOR A CLIENT WHO HAS A LATEX ALLERGY. Ch. 10 - Prior to the admission of a latex allergic and latex alert patient to the operating theatres, staff should implement immediate latex prevention/management precautions. - It is preferable for latex allergic patients to be scheduled first on the operating list. - Children with a strong or confirmed allergy to bananas should be considered to be allergic to latex. - If unable to obtain IV tubing without latex ports, cover latex ports with tape. 4. ERGONOMIC PRINCIPLES: TEACHING PROPER BODY MECHANIC. Ch. 14 - When the human body is in the upright position, the center of gravity is the pelvis. - When lifting an object from the floor, flex your hips, knees, and back. Bring the object to thigh level, bending your knees and keeping your back straight. Stand up while holding the object as close as possible to your body, bringing the load to the center of gravity to increase stability and decrease back strain. - Distribute your weight between the large muscles of the arms and legs to decrease the strain on any one muscle group and to avoid strain on smaller muscles. - 5. HOME SAFETY: EVALUATING CLIENT'S UNDERSTANDING. Ch. 13 - number and placement of fire extinguishers and smoke alarms, family exit plan, - stop drop and roll method, oxygen safety measures, no smoking sign, electrical equipment is in good repair, - replace bedding that can generate static electricity, keep flammable materials away from the client, 6. INFECTION CONTROL: ISOLATION PRECAUTIONS WHILE CARING FOR CLIENT WHO HAS INFLUENZA. Ch.11 - administration of influenza vaccine - implementation of respiratory hygiene and cough etiquette - appropriate management of ill HCP - adherence to infection control precautions for all patient-care activities and-aerosol-generating procedures 7. THORAX,HEART, AND ABDOMEN: BREAST SELF-EXAMINATION. Ch.29 - Using the pads of your fingers, not the tips, inspect your breasts while lying down and again in the shower. The water and soap in the shower will allow your fingers to glide easily over your skin. - Using varying pressure and taking your time, massage your fingers over your breasts in a spiral pattern starting at the nipple. Make your way up to the top of your breast near the collarbone, to the center by your breastbone, and to the sides near your armpits. Do this by putting one arm over your head while massaging your breast with the other hand. - Lastly, gently squeeze your nipples to check for discharge. 8. COPING: IDENTIFYING MALADAPTIVE COPING. Ch.33 - Appraisal-Focused (adaptive cognitive): directed towards challenging personal assumptions. - Problem-Focused (adaptive behavioral): reducing or eliminating stressors. - Emotion-Focused: changing personal emotional reactions. - Occupation-Focused: directed towards lasting occupation(s), which generates positive feedback 9. COMPLEMENTARY AND ALTERNATIVE THERAPIES: DISCUSSING ALTERNATIVE TREATMENTS WITH A CLIENT. Ch. 42 How can we talk to patients about CAM? - The first and the most important point is asking patients if they are using herbs or natural health products or visiting an alternative practitioner. - Make time to explain to patients that much of what we do in medicine is based on science and explain what a randomly assigned double-blind controlled trial is all about. - Be respectful and nonjudgmental - Collaborate - Compromise and negotiate 10. BOWEL ELIMINATION: IDENTIFYING A FECAL IMPACTION. Ch.43 - A digital rectal exam will be done by nurses to check for a fecal impaction. Nurse will put a gloved finger inside the anus to feel for the bowel movement. - Blood tests will be done to check for anemia, infection, and high levels of iron in blood. - An x-ray may show a blockage in bowel or rectum. - A barium enema is an x-ray of the colon. A tube is put into your anus, and a liquid called barium is put through the tube. - A sigmoidoscopy is a scope used to check for any changes in your bowels that may be causing your condition.