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presented by Wanda Goldschmidt, RN, BSN, MA
Financial— Wanda Goldschmidt receives compensation from MedBridge for the production of this course. There are no other relevant financial relationships. Nonfinancial— No relevant nonfinancial relationship exists.
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.
Wanda Goldschmidt, RN, BSN, MA
Wanda Murray-Goldschmidt, a life-long resident of Baltimore, Maryland, found her passion for working with older adults while working as a nursing assistant in a nursing home shortly after completing high school. That passion sparked her pursuit of nursing as a career. She first completed a hospital-based program of study to become a licensed practical nurse…
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1. Introduction: Why Is Skin Care so Important?
This chapter provides an overview of what the nursing assistant will learn in this course about skin care in the long-term care environment. It provides information to motivate the nursing assistant’s concern for skin care and identifies what the nursing assistant will be able to do upon completion of specific learning objectives. A case scenario that presents a resident at high risk for skin injury is provided. This case scenario will be used as a point of reference throughout the course to aid the nursing assistant in applying skin care knowledge to typical resident experiences in daily clinical care.
2. Protecting the Skin: A Nursing Assistant Priority
This chapter lays the foundation for why skin care should be a priority for the nursing assistant working in long-term care. There is a quick review of the functions of the skin, with emphasis on protection. The consequences of skin injury are identified, followed by a discussion of why the long-term care population is at risk. The case scenario is used to help guide the nursing assistant to relate knowledge of skin risks to resident care. Due to the nature of the work and the types of interactions with residents, the nursing assistant is identified as being the first line of defense in the protection of skin. General skin care guidelines for the nursing assistant’s role in promoting healthy skin are provided.
3. Common Skin Injuries, Risks, and Prevention
This chapter highlights bruises and skin tears as the most common types of skin injuries that occur in long-term care, often because of accidents and incidents. The nursing assistant will learn about risk factors related to bruises and skin tears, and how to take preventive action by targeting specific care interventions to reduce identified resident risks. The case scenario from Chapter 1 is revisited to explain how interventions are matched to risks to promote prevention of injury.
4. Observing and Reporting
Of all the members of the health care team, the nursing assistant has the most opportunity to observe a resident’s skin, noting problems and changes. This chapter covers how to inspect the skin, what findings are important to note, and how and when to report skin conditions that have been observed. This is an essential role of the nursing assistant as any delay or failure in reporting skin problems can have serious consequences, not only for the resident, but for the entire facility. A demonstration of how a nursing assistant should interview a resident about an observed injury is featured, and examples of reports will be reviewed to examine completeness and clarity.
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