{"id":38,"date":"2025-08-18T21:54:53","date_gmt":"2025-08-18T21:54:53","guid":{"rendered":"https:\/\/vesl.us\/aesl740\/?page_id=38"},"modified":"2025-11-06T23:06:39","modified_gmt":"2025-11-06T23:06:39","slug":"module-8","status":"publish","type":"page","link":"https:\/\/vesl.us\/aesl740\/module-8\/","title":{"rendered":"Module 8"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>Module 8: Patient Care Skills<\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-audio\"><audio controls src=\"https:\/\/vesl.us\/aesl740\/wp-content\/uploads\/sites\/3\/2025\/11\/Module-8.mp3\"><\/audio><\/figure>\n\n\n\n<p><strong>Statement of Purpose: The purpose of this unit is to teach the students skills needed to support and\/or assist the patient\/resident in the areas of personal hygiene, an area of activities of daily living, and elimination. Personal hygiene or personal care is generally performed independently. The Nurse Assistant should assist with or perform personal care only when patients\/residents are unable to perform a skill for themselves. Other activities included in this module are use of prosthetic devices, bowel and bladder retraining, and weighing and measuring height of the patient\/resident.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Module 8 Vocabulary Study Tool:<\/strong> <a href=\"https:\/\/claude.ai\/public\/artifacts\/eb128907-146a-4eea-b317-59743e56a8ae\"><strong>https:\/\/claude.ai\/public\/artifacts\/eb128907-146a-4eea-b317-59743e56a8ae<\/strong><\/a><\/h2>\n\n\n\n<p>Performance Standards (Objectives): <strong>Define key terminology:<\/strong><\/p>\n\n\n\n<p>1. Abrasion<\/p>\n\n\n\n<p>2. Aspiration<\/p>\n\n\n\n<p>3. Axilla<\/p>\n\n\n\n<p>4. Catheter<\/p>\n\n\n\n<p>5. Colostomy<\/p>\n\n\n\n<p>6. Constipation<\/p>\n\n\n\n<p>7. Cyanosis<\/p>\n\n\n\n<p>8. Decubitus ulcer<\/p>\n\n\n\n<p>9. Defecation<\/p>\n\n\n\n<p>10. Dermis<\/p>\n\n\n\n<p>11. Diarrhea<\/p>\n\n\n\n<p>12. Elimination<\/p>\n\n\n\n<p>13. Epidermis<\/p>\n\n\n\n<p>14. Erythema<\/p>\n\n\n\n<p>15. Eschar<\/p>\n\n\n\n<p>16. Excoriation<\/p>\n\n\n\n<p>17. Fecal<\/p>\n\n\n\n<p>18. Feces<\/p>\n\n\n\n<p>19. Flatulence<\/p>\n\n\n\n<p>20. Hour of sleep (h.s.)<\/p>\n\n\n\n<p>21. Ileostomy<\/p>\n\n\n\n<p>22. Impaction<\/p>\n\n\n\n<p>23. Incontinence<\/p>\n\n\n\n<p>24. Jejunostomy<\/p>\n\n\n\n<p>25. Neuropathy<\/p>\n\n\n\n<p>26. Nits<\/p>\n\n\n\n<p>27. Oral hygiene<\/p>\n\n\n\n<p>28. Osteomyelitis<\/p>\n\n\n\n<p>29. Ostomy<\/p>\n\n\n\n<p>30. Perineum\/Perineal<\/p>\n\n\n\n<p>31. Pressure sore<\/p>\n\n\n\n<p>32. Prosthesis<\/p>\n\n\n\n<p>33. Stoma<\/p>\n\n\n\n<p>34. Stool<\/p>\n\n\n\n<p>35. Urinal<\/p>\n\n\n\n<p>36. Urinary incontinence<\/p>\n\n\n\n<p>37. Urination<\/p>\n\n\n\n<p>38. Urine<\/p>\n\n\n\n<p><strong>Patient, resident, and client are synonymous terms referring to the person receiving care<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<h1 class=\"wp-block-heading\">Module 8 CNA Vocabulary Sentences for Adult English Learners<\/h1>\n\n\n\n<h2 class=\"wp-block-heading\">Patient Care Skills &#8211; Personal Hygiene and Elimination<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The nurse assistant cleaned the <strong>abrasion<\/strong> on the resident&#8217;s knee after she scraped it during a fall.<\/li>\n\n\n\n<li>The resident was at risk for <strong>aspiration<\/strong> because she had difficulty swallowing liquids safely.<\/li>\n\n\n\n<li>When taking a temperature, the nurse assistant placed the thermometer in the resident&#8217;s <strong>axilla<\/strong> under his arm.<\/li>\n\n\n\n<li>The nurse assistant emptied the urine from the resident&#8217;s <strong>catheter<\/strong> bag every shift.<\/li>\n\n\n\n<li>The resident with a <strong>colostomy<\/strong> needed help changing the collection bag on his abdomen.<\/li>\n\n\n\n<li>The resident had <strong>constipation<\/strong> and had not had a bowel movement for three days.<\/li>\n\n\n\n<li>The nurse assistant noticed <strong>cyanosis<\/strong> around the resident&#8217;s lips, which appeared blue from lack of oxygen.<\/li>\n\n\n\n<li>The nurse assistant turned the bedridden resident every two hours to prevent a <strong>decubitus ulcer<\/strong> from forming.<\/li>\n\n\n\n<li>The nurse assistant helped the resident to the bathroom for <strong>defecation<\/strong> when she felt the urge for a bowel movement.<\/li>\n\n\n\n<li>The <strong>dermis<\/strong> is the layer of skin under the epidermis that contains blood vessels and nerves.<\/li>\n\n\n\n<li>The resident with <strong>diarrhea<\/strong> needed frequent assistance to the bathroom for loose, watery stools.<\/li>\n\n\n\n<li><strong>Elimination<\/strong> includes all the ways the body gets rid of waste through urine, stool, and sweating.<\/li>\n\n\n\n<li>The <strong>epidermis<\/strong> is the top layer of skin that protects the body from germs and injury.<\/li>\n\n\n\n<li>The nurse assistant reported the <strong>erythema<\/strong> or redness around the resident&#8217;s surgical wound to the nurse.<\/li>\n\n\n\n<li>The burn victim had <strong>eschar<\/strong>, which was dead tissue that needed to be removed by the doctor.<\/li>\n\n\n\n<li>The resident had <strong>excoriation<\/strong> on her arms from scratching the itchy rash too much.<\/li>\n\n\n\n<li>The nurse assistant tested the resident&#8217;s stool for <strong>fecal<\/strong> blood using a special test kit.<\/li>\n\n\n\n<li>The nurse assistant observed the color and consistency of the resident&#8217;s <strong>feces<\/strong> before disposing of it.<\/li>\n\n\n\n<li>The resident complained of <strong>flatulence<\/strong> and abdominal discomfort from too much gas in his intestines.<\/li>\n\n\n\n<li>The medication was given <strong>h.s.<\/strong> (hour of sleep), which means it should be taken at bedtime.<\/li>\n\n\n\n<li>The resident with an <strong>ileostomy<\/strong> had liquid stool that drained into a bag attached to her abdomen.<\/li>\n\n\n\n<li>The resident had a fecal <strong>impaction<\/strong> with hard, dry stool stuck in his rectum that needed medical attention.<\/li>\n\n\n\n<li>The resident with <strong>incontinence<\/strong> could not control when she urinated or had bowel movements.<\/li>\n\n\n\n<li>The resident with a <strong>jejunostomy<\/strong> received liquid nutrition through a tube in her small intestine.<\/li>\n\n\n\n<li>The resident had <strong>neuropathy<\/strong> in his feet, which caused numbness and tingling from nerve damage.<\/li>\n\n\n\n<li>The nurse assistant found <strong>nits<\/strong> (lice eggs) in the resident&#8217;s hair during the head examination.<\/li>\n\n\n\n<li><strong>Oral hygiene<\/strong> includes brushing teeth, flossing, and cleaning the mouth to prevent dental problems.<\/li>\n\n\n\n<li>The resident developed <strong>osteomyelitis<\/strong>, a serious bone infection that required antibiotic treatment.<\/li>\n\n\n\n<li>The resident had an <strong>ostomy<\/strong>, which was a surgical opening in her abdomen for waste elimination.<\/li>\n\n\n\n<li>The nurse assistant cleaned the <strong>perineum<\/strong> (area between the genitals and anus) during personal care.<\/li>\n\n\n\n<li>The nurse assistant used special cushions to prevent <strong>pressure sores<\/strong> on the wheelchair-bound resident.<\/li>\n\n\n\n<li>The resident used a <strong>prosthesis<\/strong> (artificial leg) to help her walk after her amputation.<\/li>\n\n\n\n<li>The nurse assistant changed the collection bag around the resident&#8217;s <strong>stoma<\/strong> (artificial opening) on his abdomen.<\/li>\n\n\n\n<li>The nurse assistant measured and recorded the amount of <strong>stool<\/strong> the resident produced each day.<\/li>\n\n\n\n<li>The male resident used a <strong>urinal<\/strong> to collect his urine when he could not get to the bathroom.<\/li>\n\n\n\n<li>The resident had <strong>urinary incontinence<\/strong> and wore protective undergarments because she could not control her bladder.<\/li>\n\n\n\n<li>The nurse assistant assisted the resident with <strong>urination<\/strong> by helping her to the bathroom every two hours.<\/li>\n\n\n\n<li>The nurse assistant measured the resident&#8217;s <strong>urine<\/strong> output and noted that it was dark yellow in color.<\/li>\n<\/ol>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Note:<\/strong> Patient, resident, and client are synonymous terms referring to the person receiving car<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<h1 class=\"wp-block-heading\">Module 8: 5 CNA Training Dialogues &#8211; Module 8 Vocabulary<\/h1>\n\n\n\n<h2 class=\"wp-block-heading\">Dialogue 1: Morning Care Routine<\/h2>\n\n\n\n<p><strong>Characters:<\/strong> Maria (experienced CNA), James (new CNA)<\/p>\n\n\n\n<p><strong>Maria:<\/strong> Good morning, James. We need to help Mrs. Chen with her <strong>oral hygiene<\/strong> and personal care this morning.<\/p>\n\n\n\n<p><strong>James:<\/strong> Should I gather the supplies? I noticed she has <strong>cyanosis<\/strong> around her lips yesterday.<\/p>\n\n\n\n<p><strong>Maria:<\/strong> Yes, that&#8217;s concerning. We should report any color changes. Also, check her <strong>axilla<\/strong> for signs of <strong>erythema<\/strong> when we help her wash.<\/p>\n\n\n\n<p><strong>James:<\/strong> I see she has a <strong>catheter<\/strong>. How do we provide <strong>perineal<\/strong> care safely?<\/p>\n\n\n\n<p><strong>Maria:<\/strong> Very carefully. We need to prevent <strong>aspiration<\/strong> and maintain proper <strong>elimination<\/strong> function. Always work from front to back in the <strong>perineum<\/strong> area.<\/p>\n\n\n\n<p><strong>James:<\/strong> What about the <strong>abrasion<\/strong> on her elbow from yesterday?<\/p>\n\n\n\n<p><strong>Maria:<\/strong> We&#8217;ll clean it gently. We don&#8217;t want it to develop into a <strong>pressure sore<\/strong> or <strong>decubitus ulcer<\/strong>.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Dialogue 2: Skin Assessment<\/h2>\n\n\n\n<p><strong>Characters:<\/strong> Dr. Martinez (Nurse), Alex (CNA)<\/p>\n\n\n\n<p><strong>Dr. Martinez:<\/strong> Alex, I need you to check Mr. Johnson&#8217;s skin condition. Look for any changes in the <strong>epidermis<\/strong> or <strong>dermis<\/strong>.<\/p>\n\n\n\n<p><strong>Alex:<\/strong> I noticed some <strong>excoriation<\/strong> on his back this morning. Should I be concerned?<\/p>\n\n\n\n<p><strong>Dr. Martinez:<\/strong> Yes, document it. Any breakdown can lead to serious complications like <strong>osteomyelitis<\/strong> if not treated properly.<\/p>\n\n\n\n<p><strong>Alex:<\/strong> There&#8217;s also some dark tissue that looks like <strong>eschar<\/strong> near his tailbone.<\/p>\n\n\n\n<p><strong>Dr. Martinez:<\/strong> That&#8217;s very serious. We need to prevent further tissue death. Make sure he&#8217;s repositioned every two hours.<\/p>\n\n\n\n<p><strong>Alex:<\/strong> His daughter mentioned he has <strong>neuropathy<\/strong> in his feet. Does that affect skin care?<\/p>\n\n\n\n<p><strong>Dr. Martinez:<\/strong> Absolutely. Patients with <strong>neuropathy<\/strong> can&#8217;t feel injuries, so we must inspect their skin daily for any problems.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Dialogue 3: Bowel and Bladder Care<\/h2>\n\n\n\n<p><strong>Characters:<\/strong> Susan (CNA), Robert (Patient), Linda (Nurse)<\/p>\n\n\n\n<p><strong>Susan:<\/strong> Good afternoon, Mr. Robert. How are you feeling today? Any problems with <strong>urination<\/strong>?<\/p>\n\n\n\n<p><strong>Robert:<\/strong> I&#8217;ve been having <strong>incontinence<\/strong> issues. It&#8217;s embarrassing.<\/p>\n\n\n\n<p><strong>Susan:<\/strong> Don&#8217;t worry, it&#8217;s very common. We&#8217;re here to help. Have you had a bowel movement today?<\/p>\n\n\n\n<p><strong>Robert:<\/strong> No, I think I&#8217;m getting <strong>constipation<\/strong> again. My stomach feels bloated with <strong>flatulence<\/strong>.<\/p>\n\n\n\n<p><strong>Linda:<\/strong> (entering the room) Let me check his chart. Mr. Robert, we may need to check for <strong>impaction<\/strong>. When did you last have <strong>defecation<\/strong>?<\/p>\n\n\n\n<p><strong>Robert:<\/strong> Three days ago. The <strong>stool<\/strong> was very hard.<\/p>\n\n\n\n<p><strong>Linda:<\/strong> Susan, let&#8217;s increase his fluids and fiber. We need to prevent <strong>fecal<\/strong> <strong>impaction<\/strong>. Also, check if he needs the <strong>urinal<\/strong> more frequently.<\/p>\n\n\n\n<p><strong>Susan:<\/strong> Should we discuss <strong>catheter<\/strong> options for his <strong>urinary incontinence<\/strong>?<\/p>\n\n\n\n<p><strong>Linda:<\/strong> Let&#8217;s try bladder retraining first. We&#8217;ll monitor his <strong>urine<\/strong> output carefully.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Dialogue 4: Special Care Needs<\/h2>\n\n\n\n<p><strong>Characters:<\/strong> Patricia (CNA), Mr. Williams (Patient with ostomy)<\/p>\n\n\n\n<p><strong>Patricia:<\/strong> Mr. Williams, it&#8217;s time to check your <strong>colostomy<\/strong> site. How has your <strong>stoma<\/strong> been feeling?<\/p>\n\n\n\n<p><strong>Mr. Williams:<\/strong> It&#8217;s been a little sore. Is that normal after my <strong>ostomy<\/strong> surgery?<\/p>\n\n\n\n<p><strong>Patricia:<\/strong> Some tenderness is expected. I need to examine the <strong>stoma<\/strong> for any signs of infection or irritation.<\/p>\n\n\n\n<p><strong>Mr. Williams:<\/strong> My doctor mentioned something about <strong>ileostomy<\/strong> versus <strong>colostomy<\/strong>. What&#8217;s the difference?<\/p>\n\n\n\n<p><strong>Patricia:<\/strong> A <strong>colostomy<\/strong> connects your colon to the abdominal wall, while an <strong>ileostomy<\/strong> connects the small intestine. Yours is a <strong>colostomy<\/strong>.<\/p>\n\n\n\n<p><strong>Mr. Williams:<\/strong> I&#8217;m also worried about eating. Will I still have normal <strong>elimination<\/strong>?<\/p>\n\n\n\n<p><strong>Patricia:<\/strong> Your body will adjust. We&#8217;ll work with the dietitian to ensure proper nutrition and <strong>elimination<\/strong> patterns.<\/p>\n\n\n\n<p><strong>Mr. Williams:<\/strong> Thank you for being so patient. I know this isn&#8217;t easy work.<\/p>\n\n\n\n<p><strong>Patricia:<\/strong> That&#8217;s what we&#8217;re here for. Every <strong>patient<\/strong> deserves respectful, quality care.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Dialogue 5: Evening Care and Documentation<\/h2>\n\n\n\n<p><strong>Characters:<\/strong> Jennifer (Night Shift CNA), Karen (Day Shift CNA during report)<\/p>\n\n\n\n<p><strong>Karen:<\/strong> Jennifer, Mrs. Thompson needs special attention tonight. She has a <strong>prosthesis<\/strong> for her left leg.<\/p>\n\n\n\n<p><strong>Jennifer:<\/strong> I&#8217;ll make sure to help her with it. Any skin issues I should watch for?<\/p>\n\n\n\n<p><strong>Karen:<\/strong> Check for <strong>pressure sores<\/strong> where the <strong>prosthesis<\/strong> contacts her skin. Also, she&#8217;s been complaining about <strong>nits<\/strong> in her hair.<\/p>\n\n\n\n<p><strong>Jennifer:<\/strong> I&#8217;ll examine her scalp carefully. What about her <strong>elimination<\/strong> patterns?<\/p>\n\n\n\n<p><strong>Karen:<\/strong> She&#8217;s had some <strong>diarrhea<\/strong> today, so monitor for dehydration. Her last <strong>urination<\/strong> was at 3 PM.<\/p>\n\n\n\n<p><strong>Jennifer:<\/strong> Should I wake her for <strong>h.s.<\/strong> care, or let her sleep?<\/p>\n\n\n\n<p><strong>Karen:<\/strong> Check on her <strong>hour of sleep<\/strong> routine. If she&#8217;s sleeping peacefully, just do safety checks.<\/p>\n\n\n\n<p><strong>Jennifer:<\/strong> I&#8217;ll document everything carefully. Any concerns about <strong>aspiration<\/strong> risk?<\/p>\n\n\n\n<p><strong>Karen:<\/strong> She&#8217;s stable, but keep her head elevated. Call if you notice any <strong>cyanosis<\/strong> or breathing changes.<\/p>\n\n\n\n<p><strong>Jennifer:<\/strong> Thanks for the thorough report. I&#8217;ll take good care of all our <strong>residents<\/strong> tonight.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">Vocabulary Review<\/h2>\n\n\n\n<p>These dialogues incorporate <strong>38 key terms<\/strong> from Module 8, including:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Personal hygiene and care terms<\/li>\n\n\n\n<li>Elimination and bowel\/bladder care<\/li>\n\n\n\n<li>Skin assessment terminology<\/li>\n\n\n\n<li>Medical devices and procedures<\/li>\n\n\n\n<li>Patient safety considerations<\/li>\n<\/ul>\n\n\n\n<p><strong>Practice Tip:<\/strong> Read these dialogues aloud to practice pronunciation and natural conversation flow in healthcare settings.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Module 8: Patient Care Skills Statement of Purpose: The purpose of this unit is to teach the students<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-38","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/vesl.us\/aesl740\/wp-json\/wp\/v2\/pages\/38","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vesl.us\/aesl740\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/vesl.us\/aesl740\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/vesl.us\/aesl740\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vesl.us\/aesl740\/wp-json\/wp\/v2\/comments?post=38"}],"version-history":[{"count":6,"href":"https:\/\/vesl.us\/aesl740\/wp-json\/wp\/v2\/pages\/38\/revisions"}],"predecessor-version":[{"id":242,"href":"https:\/\/vesl.us\/aesl740\/wp-json\/wp\/v2\/pages\/38\/revisions\/242"}],"wp:attachment":[{"href":"https:\/\/vesl.us\/aesl740\/wp-json\/wp\/v2\/media?parent=38"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}