Primary health care in South Africa is mainly delivered by clinical nurse practitioners with the support of family physicians. South African clinical nurse practitioner's manual, an adaptation of South African family practice manual, focuses on practical skills that clinical nurse practitioners should obtain during their training and will use in their professional practice.
South African clinical nurse practitioner's manual deals with aspects of clinical examination and common procedures, as well as key proficiencies in areas of communication, occupational health, research, teaching and health care administration. It provides the theory and the practical steps of routine skills as well as emergency care over a full spectrum of primary care - from the newborn to the elderly. It also looks at topical issues in the South African context, including community-orientated primary care.
Contents include the following:
Owing to the fact that clinical nurse practitioner training is becoming more formalised in all provinces, this manual forms an integral part of these training programmes, and should prove invaluable to this field of nursing.
SECTION 1 Assessment and physical examination
Chapter 1 The general assessment
Chapter 2 Assessment of a patient with a cardiovascular or respiratory problem
Chapter 3 Assessment of a patient with a gastro-intestinal problem
Chapter 4 Assessment of a patient with a rectal problem
Chapter 5 Assessment of a patient with a genito-urinary problem
Chapter 6 Assessment of a patient with a musculoskeletal problem
Chapter 7 Assessment of a patient with a skin problem
Chapter 8 Assessment of a patient with a neurological problem
Chapter 9 Assessment of a patient with a mental health problem
Chapter 10 Assessment of a patient with a visual problem
Chapter 11 Assessment of a patient with an ear, nose or throat problem
Chapter 12 Assessment of a child
SECTION 2 Consultation and communication
Chapter 13 How to communicate effectively in the consultation
Chapter 14 How to do a paediatric consultation
Chapter 15 How to motivate behaviour change
Chapter 16 How to break bad news
Chapter 17 How to develop a counselling style
Chapter 18 How to work with an interpreter
Chapter 19 How to obtain informed consent
Chapter 20 How to consult with the “difficult” patient
Chapter 21 How to cope with stress and avoid burnout
SECTION 3 Family-orientated care
Chapter 22 How to assess family structure and resources
Chapter 23 How to assess family function
Chapter 24 How to hold a family conference
SECTION 4 Child health
Chapter 25 How to do a developmental assessment
Chapter 26 How to assess growth and classify malnutrition in children
Chapter 27 How to do childhood immunisation
Chapter 28 How to administer an intramuscular injection to a child
Chapter 29 How to get intravenous access in a child
Chapter 30 How to do a skin test for tuberculosis
Chapter 31 How to collect specimens from children
Chapter 32 How to interpret laboratory results in children
SECTION 5 Adult health
Chapter 33 How to assess an injured ankle
Chapter 34 How to assess the at-risk diabetic foot
Chapter 35 How to record an electrocardiogram
Chapter 36 How to use inhalers and spacers
Chapter 37 How to use a peak expiratory flow meter
Chapter 38 How to nebulise a patient
Chapter 39 How to insert a urinary catheter
Chapter 40 How to perform and interpret urinalysis
Chapter 41 How to approach the care of acute and chronic wounds
Chapter 42 How to interpret laboratory results
Chapter 43 How to test for malaria
Chapter 44 How to do HIV rapid testing and staging of HIV disease
Chapter 45 How to use a haemoglobinometer
Chapter 46 How to use a glucometer
Chapter 47 How to read a chest radiograph
Chapter 48 How to certify a patient under the Mental Health Care Act 17 of 2002
SECTION 6 Administrative
Chapter 49 How to fill in a sick leave certificate
Chapter 50 How to notify a medical condition
Chapter 51 How to refer a patient
SECTION 7 Occupational
Chapter 52 How to assess fitness for driving at work
Chapter 53 How to claim compensation for work-related injuries or diseases
SECTION 8 Newborn
Chapter 54 How to do a well newborn check
Chapter 55 How to assess gestational age at birth
Chapter 56 How to resuscitate a newborn
Chapter 57 How to establish kangaroo mother care for preterm infants
SECTION 9 Women’s health
Chapter 58 How to perform a pregnancy test
Chapter 59 How to use the antenatal growth chart
Chapter 60 How to examine a pregnant woman
Chapter 61 How to assess foetal wellbeing through its movements
Chapter 62 How to examine the breasts
Chapter 63 How to take a Papanicolaou smear
SECTION 10 Emergencies
Chapter 64 Algorithms for emergencies
Chapter 65 How to immobilise the spine
Chapter 66 How to administer oxygen
Chapter 67 How to insert a peripheral line
Chapter 68 How to insert a nasogastric tube
Chapter 69 How to measure the Glasgow Coma Scale
Chapter 70 How to calculate the percentage of burn
Chapter 71 How to apply a plaster slab
SECTION 11 Community-orientated care
Chapter 72 How to assess patient satisfaction
Chapter 73 How to do a home visit
Chapter 74 How to make a community diagnosis
Chapter 75 How to work with community structures
Chapter 76 How to prioritise a community-based intervention
SECTION 12 Management
Chapter 77 How to audit or improve quality of care
Chapter 78 How to work in a team
Chapter 79 How to facilitate a small-group learning meeting
Chapter 80 How to deal with a medical error
SECTION 13 Research
Chapter 81 How to write an article for publication
Chapter 82 How to write a research proposal
Chapter 83 How to develop clinical guidelines
SECTION 14 Teaching and learning
Chapter 84 How to plan a teaching activity
Chapter 85 How to use a learning journal or portfolio
Chapter 86 How to organise continuing professional development
Chapter 87 How to plan a health education programme
