| Preface | vi |
| To the Student: Tips for Success | ix |
| Chapter 1 | Orientation to the Home Care Industry | 1 |
| Section 1 | The Home Health Agency | 2 |
| Section 2 | Your Job as a Homemaker/Home Health Aide | 8 |
| Chapter 2 | Communication Skills | 18 |
| Section 1 | How We Communicate | 19 |
| Section 2 | Client Observation, Recording, and Reporting | 26 |
| Section 3 | Teaching Your Clients | 31 |
| Chapter 3 | Working with People | 36 |
| Section 1 | Basic Human Needs | 37 |
| Section 2 | Family | 40 |
| Section 3 | Working with Clients Who Are Ill or Have a Disability | 44 |
| Section 4 | Mental Health and Mental Disability | 48 |
| Section 5 | Substance Abuse | 51 |
| Chapter 4 | Caring for a Geriatric Client | 56 |
| Section 1 | Aging | 57 |
| Section 2 | Special Considerations in Caring for the Elderly | 64 |
| Chapter 5 | Working with Children | 73 |
| Section 1 | Basic Needs of Children | 74 |
| Section 2 | Child Abuse | 78 |
| Section 3 | Developmental Disabilities | 81 |
| Section 4 | Newborn and Infant Care | 82 |
| Chapter 6 | Care of the Dying in the Home | 97 |
| Section 1 | Dying | 98 |
| Section 2 | Physical Care of the Dying | 102 |
| Section 3 | Postmortem Care | 104 |
| Chapter 7 | Anatomy and Physiology | 107 |
| Section 1 | An Introduction to Anatomy and Physiology | 108 |
| Chapter 8 | Infection Control in the Home | 128 |
| Section 1 | Medical Asepsis in the Home | 129 |
| Section 2 | Handwashing | 132 |
| Section 3 | Disinfection and Sterilization | 134 |
| Section 4 | Special Infection Control and Isolation Precautions for Transmittable Diseases | 136 |
| Section 5 | Regulated Medical Waste | 144 |
| Chapter 9 | Care of the Client's Environment | 147 |
| Section 1 | Homemaking | 148 |
| Section 2 | Bed Making | 155 |
| Section 3 | Safety and Fire Protection | 164 |
| Section 4 | Restraints | 170 |
| Section 5 | Making Your Own Equipment | 172 |
| Chapter 10 | Planning, Purchasing, and Serving Food | 178 |
| Section 1 | Basic Nutrition | 179 |
| Section 2 | Planning, Shopping, and Serving a Meal | 182 |
| Section 3 | Therapeutic Diets | 188 |
| Section 4 | Feeding a Client | 192 |
| Chapter 11 | Basic Body Movement and Positions | 196 |
| Section 1 | Body Mechanics | 197 |
| Section 2 | Client's Daily Level of Ability | 200 |
| Section 3 | Positioning a Client in Bed | 201 |
| Chapter 12 | Skin Care | 212 |
| Section 1 | Basic Skin Care | 213 |
| Section 2 | Decubitus Ulcers (Bedsores) | 217 |
| Section 3 | Basic Foot Care | 219 |
| Section 4 | Radiation and Chemotherapy: Effects on the Skin | 221 |
| Chapter 13 | Personal Care | 225 |
| Section 1 | Oral Hygiene | 226 |
| Section 2 | Assisting a Client to Dress | 229 |
| Section 3 | Bathing a Client | 230 |
| Section 4 | Giving a Back Rub | 237 |
| Section 5 | Hair Care | 238 |
| Section 6 | Shaving a Client | 242 |
| Section 7 | Assisting a Client with Toileting | 243 |
| Section 8 | Perineal Care | 247 |
| Section 9 | Postpartum Care | 248 |
| Chapter 14 | Rehabilitation of the Client | 254 |
| Section 1 | Introduction to Rehabilitation | 255 |
| Section 2 | Working with a Physical Therapist | 256 |
| Section 3 | Speech and Language Therapy | 272 |
| Section 4 | Dealing with a Hearing Loss | 276 |
| Section 5 | Working with an Occupational Therapist | 279 |
| Chapter 15 | Measuring and Recording Client Vital Signs | 293 |
| Section 1 | Vital Signs | 294 |
| Section 2 | Measuring Temperature | 296 |
| Section 3 | Measuring a Pulse | 308 |
| Section 4 | Measuring Respirations | 312 |
| Section 5 | Measuring Blood Pressure | 314 |
| Section 6 | Pain Management | 317 |
| Chapter 16 | Intake and Output | 321 |
| Section 1 | Fluid Balance | 322 |
| Section 2 | Fluid Intake | 325 |
| Section 3 | Fluid Output | 327 |
| Section 4 | Forcing and Restricting Fluids | 330 |
| Section 5 | Straining Urine | 331 |
| Chapter 17 | Specimen Collection | 334 |
| Section 1 | Specimen Collection | 335 |
| Section 2 | Collecting Urine for a Specimen | 336 |
| Section 3 | Collection of a Stool Specimen | 342 |
| Section 4 | Collection of Sputum | 343 |
| Chapter 18 | Special Procedures | 347 |
| Section 1 | Assisting with Medications | 348 |
| Section 2 | Nonsterile Dressings | 354 |
| Section 3 | Care of the Indwelling Catheter | 356 |
| Section 4 | Care of External Urinary Drainage | 360 |
| Section 5 | Intravenous Therapy: Peripheral or Central | 361 |
| Section 6 | Cast Care | 363 |
| Section 7 | Assisting with Ostomy Care | 365 |
| Section 8 | Assisting a Client Having a Seizure | 370 |
| Section 9 | Testing for Glucose (Sugar) and Acetone | 371 |
| Section 10 | Deep-Breathing Exercises | 373 |
| Section 11 | Making Normal Saline | 374 |
| Section 12 | Sitz Bath | 375 |
| Section 13 | Hyperalimentation | 377 |
| Chapter 19 | Common Diseases you Will See | 381 |
| Section 1 | Hypertension | 382 |
| Section 2 | Heart Attack/Myocardial Infarction | 383 |
| Section 3 | Angina | 386 |
| Section 4 | Diabetes | 387 |
| Section 5 | Cerebrovascular Accident | 390 |
| Section 6 | Arthritis | 392 |
| Section 7 | Cancer | 393 |
| Section 8 | Alzheimer's Disease | 395 |
| Section 9 | Chronic Obstructive Pulmonary Disease | 397 |
| Section 10 | Neurological Disorders | 399 |
| Section 11 | Tuberculosis | 400 |
| Section 12 | AIDS (Acquired Immune Deficiency Syndrome) | 402 |
| Chapter 20 | Emergency Procedures | 406 |
| Section 1 | Emergency Essentials | 407 |
| Section 2 | Restoring Breathing | 409 |
| Section 3 | Stopping External Heavy Bleeding | 414 |
| Section 4 | Poisoning | 415 |
| Section 5 | Shock | 416 |
| Section 6 | Burns | 418 |
| Section 7 | Heart Attack | 419 |
| Section 8 | Stroke/Cerebrovascular Accident | 420 |
| Section 9 | Bioterrorism, Terrorism, Natural Disasters | 420 |
| Abbreviations | 425 |
| Appendix A | Answer Key for Certification Review Questions | 426 |
| Appendix B | Additional Recipes | 428 |
| Glossary | 433 |
| Index | 441 |