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What is Compliance? Compliance is defined as the act of conforming, acquiescing, or yielding. It is a state of being in accordance with established guidelines or specifications. Compliance ensures that organizations are abiding by both industry regulations and government legislation, including state and federal laws. Compliance programs efforts are designed to establish a…

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Fecal incontinence, also called bowel incontinence, is the unintentional loss of stool (feces) or gas (flatus) due to a failure of one or more of the components that allow the body to control the evacuation of feces. It is the inability to control bowel movements, causing feces to leak unexpectedly from the rectum. Fecal…

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Failure to thrive for the elderly patients is not a failure to develop, but it is simply a progressive functional decline that is multifactorial and may be caused by chronic concurrent diseases and functional impairments. The Institute of Medicine defines FTT as, “Weight loss of more than 5%, decreased appetite,…

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There is no doubt that breastfeeding is fundamental for the health and development of children. According to the WHO estimates, over one million children die each year from diarrhea, respiratory and other childhood infections because they are not adequately breastfed. Many more children suffer from unnecessary illnesses that they would…

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Ebola virus disease, formerly known as Ebola haemorrhagic fever, is one of the most lethal viruses that infects humans and primates. It is a highly virulent communicable pathogens that cause life-threatening systemic illness and hemorrhagic fever.  Ebola is extremely infectious where a small amount of exposure to the virus can…

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Pneumonia is an ancient disease, whose’s clinical picture was described 2,500 years ago by Hippocrates with symptoms of fever, pleuritic chest pain, productive cough, rales, and dyspnea. These classic symptoms still hold true today. Pneumonia is an inflammation of the lungs commonly caused by bacteria, but can be caused by…

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  Hourly rounding is a systematic, proactive, evidence-based nursing practice of regularly checking on patients’ needs in an hourly basis using the 5 Ps with the promise to return in 1 hour. The process involves a staff member (either a nurse or nursing assistant), physically entering a patient’s room to…

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  Fever is an abnormally high body temperature. Neutropenic fever (also known as febrile neutropenia) remains one of the most commonly encountered oncologic emergencies, as the number of cancer patients continues to grow. The body’s white blood cells (WBC), function is to fight off infection with Neutrophils being the first…

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Influenza is a respiratory infection caused by influenza virus. Commonly known as the “flu”, influenza is an acute febrile respiratory illness that occurs in annual outbreaks of varying severity and commonly in unpredictable worldwide epidemics (pandemics), caused by infection with influenza type A or B virus. Influenza viruses are constantly changing,…

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The National Institute for Occupational Safety and Health (NIOSH) , defines workplace violence as “…any physical assault, threatening behavior, or verbal abuse occurring in the work setting” (NIOSH, 1996). Workplace violence is a serious occupational risk and very prevalent among nursing staff. Workplace violence in nursing is not a new phenomenon, matter of fact,…

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Nursing job requirements includes lifting, moving and carrying objects. Not surprisingly, nursing ranks among the worst occupations in relation to work-related injuries pushing nearly half of the profession into an early retirement. Nursing staff often experience musculoskeletal disorders at a rate exceeding that of workers in construction, mining, and manufacturing. These injuries…

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Human immunodeficiency virus (HIV) infection is caused by either HIV-1 or 2 HIV-2. These viruses target specific subsets of T cells and eventually cause immune dysfunction. In the advanced stages, the disease is characterized by the occurrence of a number of opportunistic infections not usually seen in persons with normal…

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Cultural competence in health care describes the ability of systems to provide care to patients with diverse values, beliefs and behaviors, including tailoring delivery to meet patients’ social, cultural, and linguistic needs. Cultural competence is a set of behaviors, attitudes, and skills that enables nurse assistants and other clinicians to…

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Introduction Dysphagia is the loss or the impaired ability to chew and/or swallow. It is a disorder of swallowing due to obstruction, impaired coordination or muscular weakness that affects the biomechanics of the swallow. This disorder may occur in any of the phases of swallow: oralpharyngeal, laryngeal and or esophageal.…

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An estimated half of hospitalized adults are 65 years of age or older and the proportion of hospitalized adults who are elderly is only expected to increase as the population ages.  Hospitalization is one of the greatest risk factor for immobility and functional decline. Immobility refers to any disease or…

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  These days it’s all about HIPPA in Health Care. The Federal Health Insurance Portability and Accountability Act of 1996, known as HIPAA, was passed to establish a national framework for security standards and protection of confidentiality with regard to health care data and information. Prior to HIPAA, no generally accepted…

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A subject of a number of studies, teamwork has been associated with a higher level of job staff satisfaction, a higher quality of care, an increase in patient safety, greater patient satisfaction with their care, more productivity, falls reductions and a decreased stress level which leads to low turnover and…

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Introduction Although humans spend about one-third of their lives asleep, most individuals know very little about sleep. The words “fatigue” and “sleepiness” are often used interchangeably, but their meaning is quite different. Sleepiness refers to a tendency to fall asleep, whereas fatigue refers to an overwhelming sense of tiredness, lack of…

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One of the biggest challenges for Nurse Assistants and other caregivers is working with clients who are cognitively impaired. Cognitively-impaired patients have difficulty with one or more of the basic functions of their brain, such as perception, memory, concentration and reasoning skills. Patients with moderate to severe dementia or another cognitive impairment…

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Introduction Stress is basically a feeling of emotional or physical tension. Stress describes a person’s physical or emotional response to demands or pressures that they may experience from time to time. When we sense danger, whether it’s real or imagined, our bodies’ defenses kick into high gear in a rapid,…

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Introduction Tuberculosis, commonly known as TB, is an airborne bacterial infection caused by Mycobacterium and can spread through the lymph nodes and bloodstream to any organ in your body. It is most often found in the lungs. Most people who are exposed to TB never develop symptoms because the bacteria…

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  Introduction Staphylococcus aureus is a common bacteria found on the skin or in the nose. It is often referred to as “Staph” for short. About one person out of every three has these bacteria on them. MRSA is a resistant strain of S. aureus. Staph bacteria is commonly carried on the…

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Introduction The purpose of this module is to inform Nurse Assistants of the regulations designed by Occupational Safety and Health Administration Standards (OSHA) and to educate and reinforce knowledge regarding bloodborne pathogens and sharps safety as well as other important OSHA standards relative to infection control for healthcare workers. Bloodborne…

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INTRODUCTION A pressure ulcer or bed sore is an injury to the skin caused by constant pressure over a bony area which reduces the blood supply to the area. Pressure sores, also called decubitus ulcers or bed sores, are a big problem in hospitals, nursing homes and patient homes.  Nursing home residents…

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A urinary tract infection (UTI) is an infection involving any part of the urinary system, including urethra, bladder, ureters, and kidney. UTIs are the most common type of healthcare-associated infection reported to the National Healthcare Safety Network (NHSN). Among UTIs acquired in the hospital, approximately 75% are associated with a urinary…

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  What is Clostridium difficile? Clostridium difficile is a spore-forming, Gram-positive anaerobic bacillus that produces two exotoxins: toxin A and toxin B. It is a common cause of antibiotic-associated diarrhea (AAD). It accounts for 15-25% of all episodes of AAD. People getting medical care can catch serious infections called health care-associated infections…

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Introduction Falls are among the most common causes of serious work related injuries and deaths among the elderly. Statistics show that approximately one in every three adult over 65 years old fall each year. Almost 30% of these falls results in serious injuries. Nurse Assistants will learn how to identify patients at…

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This unit contains information on Dementia. It contains presentation slides and additional readings and videos that you can access on the Internet.  The Modules presented will provide you information on behavioral symptoms of dementia.  These modules will help you to understand how dementia affects the brain, the behaviors that result…

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Pain is a common problem for older adults, especially the frail older adult Pain is prevalent. 70-80% of nursing home residents have significant pain Patients with dementia have especially high rates of untreated pain Pain has substantial impact on health and well-being.   INTRODUCTION The Pain Modules will provide you…

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