The Home Health Aide Handbook

The Home Health Aide Handbook

Jetta Fuzy, RN, MS William Leahy, MD

fourth edition

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Acknowledgments

Managing Editor Susan Alvare Hedman

Designer Kirsten Browne

Production Thad Castillo

Photography Matt Pence, Pat Berrett, Art Clifton, and Dick Ruddy

Proofreaders Kristin Calderon, Kristin Cartwright, and Joanna Owusu

Sales/Marketing Deborah Rinker, Kendra Robertson, Erika Walker, and Belinda Midyette

Customer Service Fran Desmond, Thomas Noble, Angela Storey, Eliza Martin, and Jeff Brown

Warehouse Coordinator Chris Midyette

Copyright Information

? 2015 by Hartman Publishing, Inc. 1313 Iron Ave SW Albuquerque, New Mexico 87102 (505) 291-1274 web: email: orders@ Twitter: @HartmanPub

All rights reserved. No part of this book may be reproduced, in any form or by any means, without permission in writing from the publisher.

ISBN 978-1-60425-056-5

PRINTED IN THE USA

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Notice to Readers

Though the guidelines and procedures contained in this text are based on consultations with healthcare professionals, they should not be considered absolute recommendations. The instructor and readers should follow employer, local, state, and federal guidelines concerning healthcare practices. These guidelines change, and it is the reader's responsibility to be aware of these changes and of the policies and procedures of his or her healthcare agency. The publisher, author, editors, and reviewers cannot accept any responsibility for errors or omissions or for any consequences from application of the information in this book and make no warranty, express or implied, with respect to the contents of the book. The publisher does not warrant or guarantee any of the products described herein or perform any analysis in connection with any of the product information contained herein.

Special Thanks

A very warm thank you goes to our insightful reviewers:

Candace S. Barth RN, BSN Junction City, WI

Susan Meier, RN, BSN Gloucester Township, NJ

Nelson Wood, RN, BSN, CRRN New Hartford, NY

Gender Usage

This textbook utilizes the pronouns he, his, she, and hers interchangeably to denote care team members and clients.

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Contents

Page Topic

Page

I. Defining Home Health Services

Home Health Care

1

Payers

1

Purpose of Home Care

1

Agency Structure

2

HHA's Role

3

The Care Team

4

The Care Plan

5

Chain of Command

6

Policies and Procedures

7

Professionalism

8

Legal and Ethical Aspects

10

II. Foundation of Client Care

Communication

16

Barriers to Communication

17

Oral Reports

17

Documentation

19

Telephone Communication

21

Infection Prevention

22

Home Care Bag

22

Spread of Infection

22

Standard Precautions

23

Personal Protective Equipment

(PPE)

27

Special Precautions

30

Transmission-Based Precautions 31

Safety and Body Mechanics

34

Principles of Body Mechanics 34

Accident Prevention

36

Travel Safety

40

Emergencies

42

Medical Emergencies

42

Disaster Guidelines

49

III. Understanding Clients

Culture and Family

53

Basic Human Needs

53

Cultural Differences

54

Families

55

Body Systems

56

Common Disorders/Observing

and Reporting

57

Human Development

66

Stages/Common Disorders

66

Aging

69

Death

70

Hospice Care

73

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Topic

Page Topic

Page

IV. Client Care

Maintaining Mobility, Skin, and

Comfort

75

Positioning

75

Transfers and Ambulation

78

Range of Motion Exercises

86

Skin Care

92

Comfort Measures

94

Personal Care Procedures

97

Bathing

98

Grooming

105

Oral Care

113

Toileting

118

Vital Signs

123

Temperature

124

Pulse

130

Respirations

132

Blood Pressure

132

Pain

134

Height and Weight

135

Special Procedures

137

Intake and Output (I&O)

137

Catheter Care

140

Ostomy Care

143

Collecting Specimens

144

Non-Sterile Dressings

149

Warm and Cold Applications 149

Medications

154

Oxygen

159

IVs

160

V. Special Clients, Special Needs

Disabilities and Mental Illnesses 162

Disabilities

162

Mental Illnesses

163

Special Conditions

167

Arthritis

168

Cancer

169

Diabetes

172

CVA or Stroke

175

Multiple Sclerosis (MS)

178

Circulatory Disorders

179

HIV and AIDS

183

Dementia

186

Alzheimer's Disease (AD)

187

Chronic Obstructive Pulmonary

Disease (COPD)

192

Tuberculosis (TB)

193

Hip or Knee Replacement

194

VI. Home Management and Nutrition

The Client's Environment

197

Housekeeping

197

Laundry

205

Bedmaking

208

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Topic

Page

Proper Nutrition

211

Nutrition

211

Special Diets

219

Planning and Shopping

224

Preparing and Storing

225

Managing Time and Money 231

Managing Time

231

Work Plan

232

Client's Money

233

VII. Caring for Yourself

Continuing Education

234

Stress Management

235

Your Career

237

VIII. Appendix

Abbreviations

240

Glossary

242

Index

249

Important Names/Numbers 256

Community Resources

257

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