{"id":40,"date":"2025-08-18T21:55:44","date_gmt":"2025-08-18T21:55:44","guid":{"rendered":"https:\/\/vesl.us\/aesl740\/?page_id=40"},"modified":"2025-10-29T19:41:58","modified_gmt":"2025-10-29T19:41:58","slug":"module-9","status":"publish","type":"page","link":"https:\/\/vesl.us\/aesl740\/module-9\/","title":{"rendered":"Module 9"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>Module 9: Patient Care Procedures<\/strong><\/h2>\n\n\n\n<p><strong>Statement of Purpose: The purpose of this unit is to provide learning experiences that will prepare the Nurse Assistant to safely carry out procedures that support the patient\/resident in meeting physical care needs that cannot be performed independently.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Module 9 Vocabulary Study Tool:<\/strong> <a href=\"https:\/\/claude.ai\/public\/artifacts\/4c96bb58-2bd4-4a75-9798-52968be491c0\">https:\/\/claude.ai\/public\/artifacts\/4c96bb58-2bd4-4a75-9798-52968be491c0<\/a><\/h2>\n\n\n\n<p>Performance Standards (Objectives): <strong>Define key terminology:<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-audio\"><audio controls src=\"https:\/\/vesl.us\/aesl740\/wp-content\/uploads\/sites\/3\/2025\/10\/Module-9.mp3\"><\/audio><\/figure>\n\n\n\n<p>1. Admission<\/p>\n\n\n\n<p>2. Anti-embolic stockings<\/p>\n\n\n\n<p>3. Bandage<\/p>\n\n\n\n<p>4. Binders<\/p>\n\n\n\n<p>5. Clean catch<\/p>\n\n\n\n<p>6. Defecate<\/p>\n\n\n\n<p>7. Discharge<\/p>\n\n\n\n<p>8. Draw sheet<\/p>\n\n\n\n<p>9. Edema<\/p>\n\n\n\n<p>10. Elastic bandage<\/p>\n\n\n\n<p>11. Electric bed<\/p>\n\n\n\n<p>12. Evacuation<\/p>\n\n\n\n<p>13. Excoriated<\/p>\n\n\n\n<p>14. Expectorate<\/p>\n\n\n\n<p>15. Fanfold<\/p>\n\n\n\n<p>16. Fluid<\/p>\n\n\n\n<p>17. Gastrostomy tube<\/p>\n\n\n\n<p>18. Hives<\/p>\n\n\n\n<p>19. Intake<\/p>\n\n\n\n<p>20. Integumentary system<\/p>\n\n\n\n<p>21. Intravenous (IV)<\/p>\n\n\n\n<p>22. Lesions<\/p>\n\n\n\n<p>23. Manual bed<\/p>\n\n\n\n<p>24. Mitered corner<\/p>\n\n\n\n<p>25. Mucous<\/p>\n\n\n\n<p>26. Nasogastric tube (NGT)<\/p>\n\n\n\n<p>27. Non-prescription<\/p>\n\n\n\n<p>28. Occupied bed<\/p>\n\n\n\n<p>29. Ointment<\/p>\n\n\n\n<p>30. Output<\/p>\n\n\n\n<p>31. Percutaneous Endoscopic Gastrostomy (PEG)<\/p>\n\n\n\n<p>32. Pruritus<\/p>\n\n\n\n<p>33. Reflux<\/p>\n\n\n\n<p>34. Reverse Trendelenburg<\/p>\n\n\n\n<p>35. Scaly<\/p>\n\n\n\n<p>36. Semi-Fowler\u2019s position<\/p>\n\n\n\n<p>37. Side rails<\/p>\n\n\n\n<p>38. Specimen<\/p>\n\n\n\n<p>39. Suppository<\/p>\n\n\n\n<p>40. Transfer<\/p>\n\n\n\n<p>41. Trendelenburg<\/p>\n\n\n\n<p>42. Unoccupied bed<\/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\">CNA Vocabulary Practice Sentences &#8211; Module 9: Patient Care Procedures<\/h1>\n\n\n\n<h2 class=\"wp-block-heading\">Vocabulary Sentences for Adult English Learners<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The nurse completed the <strong>admission<\/strong> process when Mrs. Johnson entered the nursing home for long-term care.<\/li>\n\n\n\n<li>The CNA applied <strong>anti-embolic stockings<\/strong> to the patient&#8217;s legs to prevent blood clots from forming during bed rest.<\/li>\n\n\n\n<li>The nurse assistant used a sterile <strong>bandage<\/strong> to cover the wound on the resident&#8217;s arm after cleaning it.<\/li>\n\n\n\n<li>The physical therapist used abdominal <strong>binders<\/strong> to provide extra support for the patient&#8217;s back injury.<\/li>\n\n\n\n<li>The CNA collected a <strong>clean catch<\/strong> urine sample by having the patient urinate into a sterile container.<\/li>\n\n\n\n<li>The resident needed assistance to <strong>defecate<\/strong> because of mobility problems and constipation.<\/li>\n\n\n\n<li>The family celebrated when the doctor signed the <strong>discharge<\/strong> papers, allowing their father to return home.<\/li>\n\n\n\n<li>The CNA used a <strong>draw sheet<\/strong> to help turn the patient in bed without causing skin damage.<\/li>\n\n\n\n<li>The patient&#8217;s ankles showed <strong>edema<\/strong>, with visible swelling from excess fluid buildup.<\/li>\n\n\n\n<li>The nurse wrapped an <strong>elastic bandage<\/strong> around the resident&#8217;s sprained wrist to provide support and reduce swelling.<\/li>\n\n\n\n<li>The CNA raised the head of the <strong>electric bed<\/strong> by pressing a button to help the resident breathe more easily.<\/li>\n\n\n\n<li>During the fire drill, staff practiced <strong>evacuation<\/strong> procedures to safely move all residents out of the building.<\/li>\n\n\n\n<li>The patient&#8217;s skin became <strong>excoriated<\/strong> from lying in the same position too long without being turned.<\/li>\n\n\n\n<li>The respiratory therapist taught the patient how to <strong>expectorate<\/strong> mucus effectively during breathing treatments.<\/li>\n\n\n\n<li>The CNA used the <strong>fanfold<\/strong> method to fold the clean sheets for quick and neat bed making.<\/li>\n\n\n\n<li>The doctor ordered the patient to increase <strong>fluid<\/strong> intake to prevent dehydration.<\/li>\n\n\n\n<li>The resident received liquid nutrition through a <strong>gastrostomy tube<\/strong> because he could not swallow safely.<\/li>\n\n\n\n<li>The patient developed <strong>hives<\/strong> on her arms after taking the new medication, indicating an allergic reaction.<\/li>\n\n\n\n<li>The CNA recorded the patient&#8217;s daily <strong>intake<\/strong> by measuring all liquids consumed during meals and snacks.<\/li>\n\n\n\n<li>The <strong>integumentary system<\/strong> includes the skin, hair, and nails, which protect the body from infection.<\/li>\n\n\n\n<li>The patient received medications and fluids through an <strong>intravenous (IV)<\/strong> line in his arm.<\/li>\n\n\n\n<li>The doctor examined the unusual <strong>lesions<\/strong> on the patient&#8217;s skin to determine if they needed treatment.<\/li>\n\n\n\n<li>The CNA used the hand crank to adjust the <strong>manual bed<\/strong> to a more comfortable position for the resident.<\/li>\n\n\n\n<li>The nursing student learned to make a <strong>mitered corner<\/strong> when changing bed sheets to keep them neat and secure.<\/li>\n\n\n\n<li>The patient coughed up <strong>mucous<\/strong> from her lungs during the respiratory infection.<\/li>\n\n\n\n<li>The doctor inserted a <strong>nasogastric tube (NGT)<\/strong> through the patient&#8217;s nose to provide nutrition directly to the stomach.<\/li>\n\n\n\n<li>The resident could buy <strong>non-prescription<\/strong> pain relievers like aspirin without a doctor&#8217;s order.<\/li>\n\n\n\n<li>The CNA carefully changed the linens on the <strong>occupied bed<\/strong> while the patient remained lying down.<\/li>\n\n\n\n<li>The nurse applied antibiotic <strong>ointment<\/strong> to the small cut on the resident&#8217;s finger.<\/li>\n\n\n\n<li>The CNA measured the patient&#8217;s <strong>output<\/strong> by recording the amount of urine collected in 24 hours.<\/li>\n\n\n\n<li>The surgeon placed a <strong>Percutaneous Endoscopic Gastrostomy (PEG)<\/strong> tube for long-term feeding in the unconscious patient.<\/li>\n\n\n\n<li>The resident complained of <strong>pruritus<\/strong> and kept scratching the itchy rash on his arms.<\/li>\n\n\n\n<li>The patient experienced <strong>reflux<\/strong> when stomach acid came back up into the esophagus after eating.<\/li>\n\n\n\n<li>The surgeon positioned the patient in <strong>reverse Trendelenburg<\/strong> with the feet elevated higher than the head during the procedure.<\/li>\n\n\n\n<li>The elderly resident had <strong>scaly<\/strong> skin that was dry and flaking, requiring daily moisturizer application.<\/li>\n\n\n\n<li>The CNA positioned the patient in <strong>Semi-Fowler&#8217;s position<\/strong> by raising the head of the bed to help with breathing.<\/li>\n\n\n\n<li>The nurse raised the bed&#8217;s <strong>side rails<\/strong> to prevent the confused patient from falling out of bed.<\/li>\n\n\n\n<li>The CNA collected a urine <strong>specimen<\/strong> in a sterile container for laboratory testing.<\/li>\n\n\n\n<li>The nurse inserted a <strong>suppository<\/strong> into the patient&#8217;s rectum to help relieve constipation.<\/li>\n\n\n\n<li>The ambulance crew prepared to <strong>transfer<\/strong> the patient from the hospital to the rehabilitation center.<\/li>\n\n\n\n<li>The surgical team placed the patient in <strong>Trendelenburg<\/strong> position with the head lower than the feet during the operation.<\/li>\n\n\n\n<li>The housekeeping staff cleaned and made the <strong>unoccupied bed<\/strong> with fresh linens for the next patient.<\/li>\n<\/ol>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>Note for learners:<\/strong> These sentences use each vocabulary word in a practical healthcare context that you might encounter as a CNA. Practice reading these sentences aloud and try to use each bolded word in your own sentences.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<h1 class=\"wp-block-heading\">Module 9: 5 CNA English Learning Dialogues<\/h1>\n\n\n\n<h2 class=\"wp-block-heading\">Dialogue 1: New Patient Admission<\/h2>\n\n\n\n<p><strong>Setting: Hospital room during patient admission<\/strong><\/p>\n\n\n\n<p><strong>Nurse Sarah:<\/strong> Good morning! I&#8217;m Sarah, your CNA today. We&#8217;re going to help with your <strong>admission<\/strong> process.<\/p>\n\n\n\n<p><strong>Patient Mr. Johnson:<\/strong> Hello, Sarah. I&#8217;m a bit nervous about being here.<\/p>\n\n\n\n<p><strong>Nurse Sarah:<\/strong> That&#8217;s completely normal. First, let me help you get comfortable in this <strong>electric bed<\/strong>. I can adjust the height and position easily with these controls.<\/p>\n\n\n\n<p><strong>Patient Mr. Johnson:<\/strong> Oh, that&#8217;s much better. What are these rails on the sides?<\/p>\n\n\n\n<p><strong>Nurse Sarah:<\/strong> Those are <strong>side rails<\/strong> for your safety. They prevent falls while you&#8217;re sleeping. Now, I need to help you put on these <strong>anti-embolic stockings<\/strong> to improve your circulation.<\/p>\n\n\n\n<p><strong>Patient Mr. Johnson:<\/strong> They look like tight socks.<\/p>\n\n\n\n<p><strong>Nurse Sarah:<\/strong> Exactly! They help prevent blood clots in your legs. I&#8217;ll also need to monitor your <strong>intake<\/strong> and <strong>output<\/strong> &#8211; that means tracking how much fluid you drink and how much urine you produce.<\/p>\n\n\n\n<p><strong>Patient Mr. Johnson:<\/strong> I understand. Thank you for explaining everything.<\/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: Bed Making and Patient Positioning<\/h2>\n\n\n\n<p><strong>Setting: Patient room during daily care<\/strong><\/p>\n\n\n\n<p><strong>CNA Maria:<\/strong> Good morning, Mrs. Chen! Time to change your bed linens. Can you sit in the chair while I make your <strong>occupied bed<\/strong>?<\/p>\n\n\n\n<p><strong>Patient Mrs. Chen:<\/strong> I&#8217;m feeling weak today. Can you help me?<\/p>\n\n\n\n<p><strong>CNA Maria:<\/strong> Of course! Let me raise the bed to <strong>Semi-Fowler&#8217;s position<\/strong> first &#8211; that&#8217;s sitting up at about 45 degrees. It&#8217;ll be easier for you to breathe and more comfortable.<\/p>\n\n\n\n<p><strong>Patient Mrs. Chen:<\/strong> Yes, that feels better.<\/p>\n\n\n\n<p><strong>CNA Maria:<\/strong> Now I&#8217;ll use this <strong>draw sheet<\/strong> to help move you safely. It goes under your body and makes transfers easier. I&#8217;ll need to create <strong>mitered corners<\/strong> on your sheets &#8211; that&#8217;s the proper hospital way to tuck them in.<\/p>\n\n\n\n<p><strong>Patient Mrs. Chen:<\/strong> You&#8217;re very skilled at this.<\/p>\n\n\n\n<p><strong>CNA Maria:<\/strong> Thank you! I learned that proper bed making prevents wrinkles that could cause pressure sores on your skin.<\/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: Medication and Wound Care<\/h2>\n\n\n\n<p><strong>Setting: Patient room during wound care<\/strong><\/p>\n\n\n\n<p><strong>CNA David:<\/strong> Hi, Mr. Rodriguez. I&#8217;m here to help you with your wound care and check your <strong>gastrostomy tube<\/strong>.<\/p>\n\n\n\n<p><strong>Patient Mr. Rodriguez:<\/strong> The area around my feeding tube is looking red and irritated.<\/p>\n\n\n\n<p><strong>CNA David:<\/strong> Let me take a look. I see some <strong>lesions<\/strong> and the skin appears <strong>excoriated<\/strong> &#8211; that means it&#8217;s scraped and irritated. This <strong>ointment<\/strong> should help heal the area.<\/p>\n\n\n\n<p><strong>Patient Mr. Rodriguez:<\/strong> Will you need to apply a <strong>bandage<\/strong>?<\/p>\n\n\n\n<p><strong>CNA David:<\/strong> Yes, I&#8217;ll use an <strong>elastic bandage<\/strong> to secure the dressing. It will provide gentle pressure and protection. I also notice some <strong>edema<\/strong> &#8211; swelling &#8211; in your legs.<\/p>\n\n\n\n<p><strong>Patient Mr. Rodriguez:<\/strong> Is that serious?<\/p>\n\n\n\n<p><strong>CNA David:<\/strong> It&#8217;s something we need to monitor. The doctor may prescribe medication to help reduce the swelling. I&#8217;ll also check if you need any <strong>non-prescription<\/strong> items like skin lotion.<\/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: Sample Collection and Hygiene<\/h2>\n\n\n\n<p><strong>Setting: Patient room during routine care<\/strong><\/p>\n\n\n\n<p><strong>CNA Jennifer:<\/strong> Hello, Ms. Park. I need to collect a urine <strong>specimen<\/strong> for your lab tests today.<\/p>\n\n\n\n<p><strong>Patient Ms. Park:<\/strong> How do I do that correctly?<\/p>\n\n\n\n<p><strong>CNA Jennifer:<\/strong> I&#8217;ll teach you the <strong>clean catch<\/strong> method. First, you&#8217;ll clean the area, then start urinating, stop, then collect the middle portion in this sterile cup.<\/p>\n\n\n\n<p><strong>Patient Ms. Park:<\/strong> I understand. I&#8217;ve been having trouble with <strong>pruritus<\/strong> &#8211; itching &#8211; on my arms.<\/p>\n\n\n\n<p><strong>CNA Jennifer:<\/strong> I see some <strong>hives<\/strong> on your skin. That could be an allergic reaction. I&#8217;ll apply some soothing lotion and report this to your nurse. Also, the skin looks a bit <strong>scaly<\/strong> and dry.<\/p>\n\n\n\n<p><strong>Patient Ms. Park:<\/strong> I&#8217;ve also been coughing up <strong>mucous<\/strong>.<\/p>\n\n\n\n<p><strong>CNA Jennifer:<\/strong> When you need to <strong>expectorate<\/strong> &#8211; cough up phlegm &#8211; please use these tissues. I&#8217;ll make sure to report your symptoms to the medical team.<\/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: Preparing for Discharge<\/h2>\n\n\n\n<p><strong>Setting: Patient room on discharge day<\/strong><\/p>\n\n\n\n<p><strong>CNA Robert:<\/strong> Good morning, Mrs. Wilson! Today is your <strong>discharge<\/strong> day. Are you excited to go home?<\/p>\n\n\n\n<p><strong>Patient Mrs. Wilson:<\/strong> Yes, but I&#8217;m worried about managing my <strong>PEG<\/strong> tube at home.<\/p>\n\n\n\n<p><strong>CNA Robert:<\/strong> That&#8217;s your <strong>Percutaneous Endoscopic Gastrostomy<\/strong> tube for feeding. We&#8217;ve prepared detailed instructions for you. Remember to clean around it daily to prevent infection.<\/p>\n\n\n\n<p><strong>Patient Mrs. Wilson:<\/strong> What about these compression socks I&#8217;ve been wearing?<\/p>\n\n\n\n<p><strong>CNA Robert:<\/strong> Continue wearing your <strong>anti-embolic stockings<\/strong> during the day, especially if you&#8217;ll be sitting for long periods. They help prevent <strong>reflux<\/strong> of blood in your legs.<\/p>\n\n\n\n<p><strong>Patient Mrs. Wilson:<\/strong> I need to use a <strong>suppository<\/strong> for constipation. Is that okay?<\/p>\n\n\n\n<p><strong>CNA Robert:<\/strong> Yes, but follow the instructions carefully. If you can&#8217;t <strong>defecate<\/strong> naturally for more than three days, contact your doctor. Your <strong>integumentary system<\/strong> &#8211; your skin &#8211; looks healthy now, so keep it clean and dry.<\/p>\n\n\n\n<p><strong>Patient Mrs. Wilson:<\/strong> Thank you for all your help during my stay.<\/p>\n\n\n\n<p><strong>CNA Robert:<\/strong> You&#8217;re welcome! Take care, and don&#8217;t hesitate to call if you have questions.<\/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><strong>Key terms used in these dialogues:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Admission, discharge, transfer<\/li>\n\n\n\n<li>Electric bed, manual bed, occupied bed, unoccupied bed<\/li>\n\n\n\n<li>Semi-Fowler&#8217;s position, Trendelenburg, side rails<\/li>\n\n\n\n<li>Anti-embolic stockings, elastic bandage, binders<\/li>\n\n\n\n<li>Gastrostomy tube, PEG, nasogastric tube (NGT)<\/li>\n\n\n\n<li>Intake, output, specimen, clean catch<\/li>\n\n\n\n<li>Lesions, excoriated, scaly, pruritus, hives<\/li>\n\n\n\n<li>Edema, mucous, expectorate, defecate<\/li>\n\n\n\n<li>Draw sheet, mitered corner, fanfold<\/li>\n\n\n\n<li>Integumentary system, ointment, suppository<\/li>\n\n\n\n<li>Intravenous (IV), non-prescription, reflux<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Module 9: Patient Care Procedures Statement of Purpose: The purpose of this unit is to provide learning experiences<\/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-40","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/vesl.us\/aesl740\/wp-json\/wp\/v2\/pages\/40","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=40"}],"version-history":[{"count":6,"href":"https:\/\/vesl.us\/aesl740\/wp-json\/wp\/v2\/pages\/40\/revisions"}],"predecessor-version":[{"id":238,"href":"https:\/\/vesl.us\/aesl740\/wp-json\/wp\/v2\/pages\/40\/revisions\/238"}],"wp:attachment":[{"href":"https:\/\/vesl.us\/aesl740\/wp-json\/wp\/v2\/media?parent=40"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}