Resident Assessment and Monitoring for Long-term Care: Essential Tools and Guidelines for Clinicians |
Contents
General assessment and monitoring concerns | 21 |
Admission nursing assessment | 43 |
Neurological assessment | 49 |
Pain assessment | 65 |
Depression and mental status assessments | 83 |
Pressure ulcers | 95 |
Falls | 133 |
Urinary incontinence | 141 |
Substance abuse signs and symptoms | 169 |
Edema | 178 |
Assessing and managing chest pain | 187 |
Nursing assessment of pulse strength | 202 |
Herpes zoster | 213 |
Criteria for infections chart | 225 |
References | 234 |
Additional assessments | 159 |
Common terms and phrases
abnormal acute aging changes analgesics appropriate Ask resident Ask the resident Avoid azotemia bacteriuria bladder blood pressure CARING GUIDELINES cause chronic cognitive impairment cont decreases dehydration delirium depression develop diagnosis disease document dressing drugs edema effective elderly ensure Evaluate the resident's facility policies fluid intake follow your facility functional status Glasgow coma scale goals healing Herpes zoster high risk identify incontinence increased risk injury intake and output laboratory legs lesions long-term care facilities loss measures mental mite monitoring needs neurological normal nursing assistants NURSING NOTES nursing process pain assessment pain management pain scales personnel physician orders pressure ulcer prevent problems Provide pulse pulse oximeter pupil RAPS reagent strip resi resident's condition risk factors scabies signs and symptoms skin tears staff subdural hematoma tissue toileting treatment urinary incontinence Urinary tract infection urine wheelchair wound