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CHPNA Exam Format | CHPNA Course Contents | CHPNA Course Outline | CHPNA Exam Syllabus | CHPNA Exam Objectives

- Assist with Hygiene

- routine personal care

- bathing

- shaving

- oral care

- personal odor control

- colostomy

- perineal

- wounds

- skin care

- Assist with Grooming

- hair care

- nail care

- cleaning

- filing

- foot care

- soaking

- cleaning

- hearing aids and eyeglasses

- dressing and undressing (clothing and accessories)

- Assist with Ambulation/Mobility

- foster/maintain independence

- use of durable medical equipment (DME)

- walker

- mechanical lift

- positioning

- exercise and range of motion

- transfers

- prevention of falls

- Assist with Toileting

- bowel and bladder training

- scheduled toileting

- catheter care

- ostomy care

- adaptive equipment

- raised toilet seat

- bedside commode

- Nutrition/Hydration

- support patient decision not to eat/drink

- feed patient safely

- offer fluids/foods according to patients choice and comfort

- observe and report issues related to tube feeding and IV hydration

- Observe and Report on Patient Condition

- patient status in relation to the documented diagnosis

- level of pain (e.g., on a 0-10 scale)

- changes in level, type, and location in pain

- nonverbal cues

- effectiveness and side effects of medications

- Facilitate Non-Drug Treatment for Symptoms

- therapeutic support

- meditation

- music

- massage

- deep breathing

- diversional/recreational activities

- hot/cold compresses

- repositioning

- Maintain Infection Control

- universal/standard precautions

- biohazardous waste disposal

- sharps

- fluids

- isolation techniques

- Provide and Maintain Best Possible Environment to Support Patient

- personal environment

- familiar objects

- pictures

- homelike

- death in patients place of choice

- care according to the patients preferred schedule

- safety

- fall precautions

- prevention of hazards

- storage and use of oxygen

- privacy storage and use)

- Identify Changes in Physical Status

- activity level

- vital signs and weight changes

- skin impairment

- breakdown

- rash

- itching

- injury

- elimination habits

- swallowing ability

- nausea/vomiting

- edema and ascites

- signs of impending death

- seizure activity

- Identify Changes in Mental Status

- confusion

- responsiveness

- emotional change

- anxiety

- fear

- depression

- agitation

- terminal restlessness

- Identify Changes in Functional Status

- mobility

- weakness

- sleepiness

- fatigue

- appetite

- Identify Changes in Respiratory Status

- effectiveness of interventions

- nebulizers

- inhalers

- oxygen therapy

- air circulation

- change in breathing patterns

- cough

- apnea

- increased secretions

- Psychosocial/Spiritual Care of the Patient and Family/ Caregivers

- Spiritual Care

- identify spiritual issues

- guilt

- estrangement

- meaning of life

- honor and support individual spiritual beliefs

- enable spiritual practices

- sacraments

- prayer

- arrange transport services

- provide patient and family/caregivers support with letting go

- Respect Differences and Maintain Neutral Attitude

- race, ethnicity, and cultural background

- religious/spiritual preference

- sexual preference

- age

- social and economic circumstances

- treatment choices

- advance directives

- holistic approach

- veterans

- gender identity

- criminal background

- Identify and Assist Patient and Family/Caregiver Needs

- Education

- signs and symptoms of end-of-life

- agency/community services

- grief and loss

- infection control practices

- nutrition/hydration (including unique needs as the patient declines)

- personal care techniques and comfort measures

- Patient and Family/Caregiver Support

- respite (including volunteer support)

- companionship and compassion

- advocacy for patient and family/caregivers

- reframing hope (patients expectations)

- end of life concerns

- Assure Dignity and Honor Patient and Family/Caregiver

- allow closure time for loved ones

- bereavement resources

- support groups

- literature

- post-mortem care

- care of body

- care of room

- allow for cultural or spiritual practices at time of death

- Assist with Communication Between Patient, Family/Caregivers, and Care Providers

- barriers to communication

- active listening

- adaptive communication devices (e.g., word boards)

- use of interpreters

- Provide Support for Changes in Body Image

- physical appearance

- weight change

- hair loss

- amputation

- elimination changes

- ostomies

- incontinence

- catheters

- loss of independence

- Provide Support for Changes in Mental Status

- memory

- medication-related altered mental status

- depression

- anxiety

- post-traumatic stress disorder

- Observe and Report Threats to Patient and Family/Caregiver Safety

- physical abuse

- neglect

- substance abuse

- caregivers inability to provide care

- suicidal ideation

- encourage patient and family/caregiver involvement in the plan of care

- provide input to team members in carrying out the plan of care

- provide support and communication during changes in levels of care and across care settings

- assisted living

- hospitalization

- respite

- recognize and report change in family/caregiver dynamics

- review death with the team

- Ethics, Roles, and Responsibilities

- identify and respond to ethical issues

- confidentiality

- honest communication

- maintain boundaries

- within job description

- with patient/family/caregivers

- assist in resolving work-related conflicts

- maintain accurate and timely documentation according to the patients plan of care

- identify risks to personal safety (e.g., firearms in the home)

- serve as a mentor/trainer for new staff

- participate on committees, professional organizations,

- performance-improvement projects

- maintain continuing education confidentiality, honest communication

- promote hospice and palliative care in the community

- practice self-care (e.g., stress management)

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