The Care Home Handbook
October 2014, Wiley-Blackwell
“I would recommend each Home purchase a copy”- Ian Turner, Chair, Registered Nursing Home Association
“Identifies a gap in the sector and offers a practical means of addressing the need.”- Des Kelly, OBE, Executive Director, National Care Forum
The Care Home Handbook has one aim: to improve the care and wellbeing of residents in care homes. It informs, reminds and refreshes the reader's knowledge, enabling care homes to meet the essential standards of care required of them.
Aimed at all nurses and healthcare assistants working in care homes, this invaluable, unique and jargon-free resource will help staff deliver skilful care, prevent poor practice, and build knowledge and confidence when working with older people. Grounded in everyday practice, this handbook promotes professional and person-centred care that is safe, high-quality, caring and compassionate. It features sections on the resident’s journey, values and standards, core nursing skills, common clinical conditions, medicines management, infection control, and risk.
List of Contributors xiii
Review Panel xvii
List of Abbreviations xviii
Section A: The Resident’s Journey 1
1 Admissions and Discharges 3
2 Life in a Care Home 21
Section B: Values, Standards, Ethics and Probity 45
3 Respect and Dignity 47
4 Rights and Legal Considerations 58
Section C: Core Nursing and Personal Care Skills 73
5 Feeding and Nutrition, Hygiene, and Promotion of Continence 75
Section D: Common Clinical Conditions 101
6 Mobility and Falls 103
7 Vision, Hearing and Foot Care 123
8 Major Medical Problems 133
9 Medical Emergencies 155
Section E: Mental Health Problems 191
10 Dementia, Delirium and Depression 193
Section F: Medicines Management 209
11 The Management of Medications 211
Section G: Infection Prevention and Control 233
12 Infection Prevention 235
13 Managing Specific Infections 257
Section H: Procedures and Observations 279
14 Specialised Procedures 281
15 Clinical Measurement and Observations 295
Section I: The End of Life 317
16 Dying and Death 319
Section J: Contacting Other Professionals 339
17 Referrals and Template Letters to Colleagues 341
Section K: What if … 375
18 Dealing with Challenging Problems 377
Appendix 1: Rating Scales 391
Appendix 2: When to Request Urgent Medical Help 431
About the Editors
Graham Mulley is Emeritus Professor of Elderly Medicine at the University of Leeds, UK, past President
of the British Geriatrics Society and Scientifi c Advisor to the International Longevity Centre (UK).
Clive Bowman is Honorary Visiting Professor at the School of Health Sciences, City University London, UK.
Michal Boyd practices as a Gerontology Nurse Practitioner in Auckland, New Zealand, and is a Senior Lecturer for the School of Nursing and Freemasons’ Department of Geriatric Medicine at the University of Auckland.
Sarah Stowe is a Locum Consultant Physician at Airedale NHS Foundation Trust, Keighley, UK.