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Gerontological nursing

Author: Patricia A Tabloski
Publisher: Upper Saddle River, N.J. : Pearson, ©2010.
Edition/Format:   Book : English : 2nd edView all editions and formats
Database:WorldCat
Summary:
From the Publisher: Patricia Tabloski's Gerontological Nursing is a comprehensive, research-based text that guides nursing students in their care of older patients in both normal and pathological changes of aging. Drawing from current research in nursing, medicine, sociology and psychology, this book emphasizes critical thinking in the application of the nursing process to give students the confidence they need to  Read more...
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Material Type: Internet resource
Document Type: Book, Internet Resource
All Authors / Contributors: Patricia A Tabloski
ISBN: 9780135038109 0135038103
OCLC Number: 248347980
Description: xxiv, 912 p. : col. ill. ; 26 cm.
Contents: Unit 1: Foundations Of Nursing Practice --
1: Principles of gerontology --
Demographics and aging --
Longevity and the sex differential --
Life after 65 --
Living longer or living better? --
Healthy people 2010 --
Theories of aging --
Biological aging theories --
Psychological aging theories --
Sociological aging theories --
Patient and family teaching --
2: Gerontological nursing issues --
Scope and practice --
Advanced gerontological nursing --
Standards of gerontological nursing --
Functional health patterns and nursing diagnosis --
Care planning and setting realistic goals --
Implementation of the nursing care plan --
Evaluation --
Research agenda --
Role by setting --
Trends in financing health care for older persons --
Ethics --
Communication --
Patient and family teaching --
3: Principles of geriatrics --
Components of comprehensive geriatric assessment --
Contextual variables affecting holistic geriatric assessment --
Minimum data set --
Health promotion and disease screening --
Healthy people 2010 --
Health status --
Pain --
Legal issues --
Patient confidentiality --
Use of technology in assessment --
Health insurance portability and accountability act --
Informed consent and competence --
End-of-life issues --
Patient and family teaching --
Unit 2: Challenges Of Aging And the Cornerstones Of Excellence In Nursing Care --
4: Cultural diversity --
National standards for culturally and linguistically appropriate services in health care --
Culturalcare nursing --
Culturalcare triad --
Demographic change --
Nurse --
Caregiver --
Patient --
Ethnocultural heritage --
Culture --
Ethnicity --
Religion --
Socialization --
Examples of heritage consistency --
Ethnocultural life trajectories --
Heritage assessment tool --
Providing culturalcare --
Cultural sensitivity --
Cultural appropriateness --
Steps to cultural competency --
Implementing culturalcare nursing --
Patient and family teaching --
5: Nutrition and aging --
Normal changes in aging --
Changes in body composition --
Oral and gastrointestinal changes with aging --
Sensory changes --
Social and economic changes affecting nutrition --
Nutritional and disease-related health changes --
Nutritional requirements and aging --
Unique nutrient recommendations --
Supplement savvy: beyond the RDAs --
Alcohol and vitamins --
Nutritional assessment --
Nutritional assessment parameters --
Screening tools --
Common nutritional concerns in the older person --
Unintentional weight loss --
Medical nutritional therapy for chronic diseases --
Nursing diagnoses --
Patient and family teaching --
6: Pharmacology and older adults --
Cultural diversity and medication use --
Pharmacokinetic alterations in the older person --
Pharmacodynamic alterations in the older person --
Impact of concurrent conditions and therapy on drug therapy --
Adverse drug reactions and iatrogenesis --
Adverse drug events of concern in elderly --
Adverse effects from drug-drug interactions and drug-herb interactions --
Drug-drug interactions --
Over-the-counter medications --
Herbal preparations --
Reporting adverse drug events --
Promoting medication effectiveness and safety --
Drugs potentially inappropriate for use in older persons --
Beers criteria --
Appropriate use of psychotropics in older person --
Evaluating appropriate prescribing of medications --
Medication management --
Delegation of medication administration --
Promoting adherence --
Drug safety --
Medication errors --
Medication reconciliation --
Use of internet pharmacies --
Medication use during emergencies --
Unsafe medication practices --
Safe storage and disposal of medications --
Obtaining medications outside of the United States --
Healthcare fraud --
Assessing older patients' appropriate use of medications --
Financial considerations in medication use --
Medicare part D --
Patient and family teaching --
7: Psychological and cognitive function --
Personality and self-concept --
Personality disorders --
Elder abuse or mistreatment --
Psychotic disorders --
Life satisfaction and life events --
Adjustment disorder --
Bereavement --
Stress and coping --
Depression --
Nursing assessment of depression --
Suicide --
Alcohol abuse/substance abuse --
Basic principles relating to psychological assessment in older adults --
Cultural considerations --
Nursing interventions --
Nonpharmacological treatments --
Pharmacological treatments --
Nursing diagnosis --
Patient and family teaching --
8: Sleep and the older adult --
Sleep architecture --
Sleep disruption --
Health problems and sleep disruption --
Dementia --
Snoring --
Sleep apnea --
Urinary problems --
Sleep problems in hospitals and nursing homes --
Alcohol and caffeine --
Sleeping medications --
Nursing assessment --
Best practices --
Nursing interventions --
Additional nonpharmacological measures --
Pharmacological treatments for altered sleep patterns --
9: Pain management --
Pathophysiology of pain --
Acute pain in older adults --
Chronic pain in older adults --
Pain assessment techniques --
Pain assessment in the person with dementia --
Art and science of pain relief --
Pharmacological management --
Non-opioid analgesics --
Opioid analgesics --
Preventing and managing adverse effects --
Adjuvant drugs for older patients with pain --
Special pharmacological issues regarding pain --
Management in the older person --
Polypharmacy --
Pharmacological principles for successful pain management --
Nonpharmacological methods to manage pain in the older adult --
Consequences of unrelieved pain --
Analysis of the pain management plan --
Patient and family teaching --
10: Violence and elder mistreatment --
National incidence and prevalence of elder mistreatment --
Legal issues --
Categories of elder mistreatment --
Institutional mistreatment --
Definitions of elder mistreatment --
Characteristics of older adults at risk --
Characteristics of people who mistreat older adults --
Cultural perceptions of elder mistreatment --
Theories of elder mistreatment --
Assessment --
Physical examination --
Nursing diagnoses --
Interventions --
Documentation --
Implications for gerontological nursing practice --
Future considerations --
11: Care at the end of life --
Changing face of death --
Palliative care --
Hospice care --
Stages of the dying process --
Nurse's role --
Best practices --
Pain at the end of life --
Pain during the dying process --
Effects of unrelieved pain during the dying process --
Principles of pain relief during the dying process --
Pharmacological approach to pain management during the dying process --
Nursing care at the end of life --
Dying process --
Postmortem care --
Designations of level of care --
Advance directives --
Use of feeding tubes for artificial nutrition and hydration --
Cardiopulmonary resuscitation --
Euthanasia and physician-assisted suicide --
Cultural issues --
Preparing for death --
Grief and bereavement --
Caring for the caregiver --
Patient and family teaching --
Unit 3: Physiological Basis Of Practice --
12: Integument --
Usual structure and function of skin layers --
Epidermis --
Dermis --
Subcutaneous layer --
Dermal accessory structures --
Hair --
Nails --
Glands --
Usual functions of the skin --
Regulation of body fluids and temperature --
Regulation of the immune function --
Production of vitamin D --
Sensory reception --
Epidermis --
Dermis --
Subcutaneous layer --
Hair --
Nails --
Glands --
Sun damage --
Common skin conditions in older adults --
Skin cancer --
Skin tears --
Pressure ulcers in the older adult --
Wound healing --
Cellulitsis --
Fingernail and toenail conditions --
Nursing diagnosis --
Laboratory and testing values --
Laboratory values to determine risk for pressure ulcers --
Pharmacology and nursing responsibilities --
Topical antifungal agents --
Topical antibiotics --
Systemic antibiotics --
Selected antimicrobials --
Aminoglycosides --
Prescription creams and lotion for dry skin --
Nonpharmacological treatment of skin problems in older adults --
Skin cancer and precancer conditions --
Nonpharmacological treatment of skin cancer --
Prevention and management of skin tears --
Nonpharmacological treatment of pressure ulcers --
Treatment of ulcers --
Nonpharmacological treatment of fingernail and toenail conditions --
Nursing management principles --
Nursing process and documentation --
Knowledge-based decision making --
Evaluation and revision of nursing care plan --
13: Mouth and oral cavity --
Common diseases of aging relating to the mouth and oral cavity --
Barriers to mouth care --
Negative effects of poor oral care --
Risk factors for oral problems --
Nursing assessment of oral problems --
Common oral problems --
Xerostomia --
Oral candidiasis --
Oral pain --
Gingivitis and periodontal disease --
Stomatitis --
Oral cancer --
Kayser-Jones brief oral health status examination (BOHSE) --
Nursing strategies for providing oral care to patients with cognitive impairments --
Nursing diagnoses --
14: Sensation: hearing, vision, taste, touch, and smell --
Vision --
Nursing implications related to caring for patients with vision problems --
Visual problems --
Nursing diagnoses associated with visual impairment --
Hearing --
Types of hearing loss --
Assessing hearing loss --
Hearing aids --
Assistive listening devices --
Common hearing problems in older persons --
Nursing diagnoses associated with hearing impairment --
Taste --
Nursing assessment of the older patient with taste disturbances --
Nursing diagnoses associated with taste impairment --
Smell --
Nursing assessment of the older patient with disturbances of smell --
Nursing diagnosis --
Physical sensation --
Nursing assessment of the older person with tactile impairment --
Nursing diagnoses associated with tactile impairment --
Patient and family teaching --
15: Cardiovascular system --
Cardiac function --
Structure and function --
Conduction system --
Electrocardiogram --
Circulatory system --
Regulation of blood flow --
Cardiac circulation --
Common illnesses with older persons --
Hypertension --
Hypotension --
Hyperlipidemia --
Metabolic syndrome --
Chest pain --
Older women and heart disease --
Angina --
Myocardial infarction --
Valvular heart disease --
Heart failure --
Arrhythmias and conduction disorders --
Peripheral vascular disease --
Nursing management principles --
16: Respiratory system --
Anatomy and physiology --
Changes in cardiovascular function --
Changes in immune function --
Changes in neurologic, neuromuscular, and sensory functions --
Respiratory diseases common in older people --
Asthma --
Chronic obstructive pulmonary disease --
Tuberculosis --
Lung cancer --
Respiratory infections --
Acute bronchitis --
Pulmonary embolism --
Severe acute respiratory syndrome (SARS) --
Patient-family teaching --
17: Genitourinary and renal systems --
Age-related changes in the kidney --
Bladder and urethral changes with aging --
Antidiuretic hormone and the aging process --
Male reproductive system and advanced age --
Female reproductive system and advanced age --
Gay and lesbian older adults --
Common genitourinary concerns in older adults --
Acute and chronic renal failure --
Urinary tract infection --
Urinary incontinence --
Benign prostatic hyperplasia --
Menopause-related concerns --
Genitourinary malignancies --
Sex and the senior citizen --
Discussing sexuality with older adults --
Sexuality in long-term care --
Erectile dysfunction --
Sexually transmitted diseases --
18: Musculoskeletal system --
Normal musculoskeletal system and joints --
Skeletal system: structure and function --
Joints: structure and function --
Muscles: structure and function --
Skeleton --
Muscles --
Joints, ligaments, tendons, and cartilage --
Common musculoskeletal illnesses of older persons --
Osteoporosis --
Osteomalacia --
Paget's disease --
Joint disorders: noninfammatory and inflammatory categories --
Falls and the older person --
Hip fracture --
Selected nursing diagnoses for common musculoskeletal illnesses of the older persons --
Selected diagnostic tests and values for musculoskeletal problems --
Common diagnostic findings for musculoskeletal illnesses --
Pharmacology and nursing responsibilities --
Pharmacology and nursing responsibilities for osteoporosis --
Pharmacology and nursing responsibilities for Paget's disease --
Pharmacology and nursing responsibilities for osteomalacia --
Pharmacology and nursing responsibilities for osteoarthritis --
Pharmacology and nursing responsibilities for rheumatoid arthritis --
Disease-modifying antirheumatics drugs (DMARD's) --
Pharmacology and nursing responsibilities for acute gout and chronic gout --
Pharmacological treatment of bursitis --
Nonpharmacological treatment of musculoskeletal problems --
Nonpharamcological treatment of osteoporosis --
Assessment and prevention of risk factors for osteoporosis --
Nonpharmacological treatment of osteomalacia --
Nonpharmacological treatment of Paget's disease - Healthy people 2010 and living with arthritis --
Nonpharmacological treatment of osteoarthritis --
Prevention and treatment of osteoarthritis --
Nonpharmacological treatment of rheumatoid arthritis --
Teaching guidelines for rheumatoid arthritis --
Nonpharmacological treatment to prevent falls and fall-related injuries --
Treatment of hip fractures --
19: Endocrine system --
Diabetes mellitus --
Complications of diabetes mellitus --
Pathophysiology of DM --
Risk factors for development of diabetes mellitus --
Diagnostic criteria --
Goals of management --
Weight management --
Medications used to control diabetes mellitus --
Effect of acute illness --
Nonketotic hyperglycemic-hyperosmolar coma --
Difficulties in caring for older persons with DM --
General health promotion for the older person with diabetes --
Hope for the future --
Thyroid disorders --
Normal anatomy and physiolgoy --
Thyroid function testing --
Hypothyroidism --
Hyperthyroidism --
Nursing diagnoses associated with endocrine problems --
20: Gastrointestinal system --
Common disorders in aging --
Esophageal disorders --
Dysphagia --
Gastroesophageal reflux disease --
Gastric disorders --
Lower gastrointestinal tract disorders --
Endoscopic gastrointestinal procedures --
Nursing diagnosis for older persons with gastrointestinal tract problems --
21: Hematologic system --
Common disorders in aging --
Anemia --
Transfusions --
Chronic myeloproliferative disorders --
Hematologic malignancies --
Lymphomas --
Nursing assessment of older patients with hematologic abnormalities --
Hypercoagulability and anticoagulation --
Nursing assessment of the older person with hypercoagulability --
22: Neurologic system --
Central nervous system --
Peripheral nervous system --
Central nervous system --
Peripheral nervous system --
Conditions of the central nervous system --
Depression --
Delirium --
Dementia --
Types of dementia --
Mild cognitive impairment --
Alzheimer's disease --
Vascular dementia --
Lewy body dementia --
Frontotemporal dementia --
Stages of dementia --
Treatment options --
Pharmacologic therapies --
Nursing considerations --
At the time of diagnosis --
Advance directives and establishing a proxy (power of attorney for health care) --
Preparing for a progressive decline --
Effect of the disease on the person --
Parkinson's disease --
Stroke and TIA --
Seizures --
Multiple Sclerosis --
Forgetfulness or memory problems --
23: Immune system --
Immune system --
Characteristics unique to the immune system --
Types of immunity --
Components of the immune response --
Humoral immune response --
Primary and secondary response --
Cell-mediated immune response --
Factors affecting aging of the immune system --
Exercise --
Nutrients and herbal remedies --
Excessive immune responses --
Hypersensitivity --
Deficient immune responses --
Primary immunodeficiency disorders --
Susceptibility to infections --
Pneumonia --
Urinary tract infection (UTI) --
Bacteremia --
Tuberculosis --
Skin infections --
Trends in immunology --
Monoclonal antibodies --
Genetic engineering --
Nursing assessment --
24: Multisystem problems: caring for frail elders with comorbidities --
Risks of frailty --
Paths to frailty --
Social and psychological environments as contributors to frailty --
Common diagnoses associated with frailty in the older adult --
Cumulative effect of comorbidities --
Pathways to frailty --
Trajectories of functional decline --
Frailty and emotional health --
Frailty, comorbidities, and functional status --
Long-term care --
Making treatment decisions --
Acute illness and hospitalization --
Palliative care --
Conclusion --
Planning for hospitalization --
Appendix A --
Appendix B --
Glossary --
Index.
Responsibility: Patricia A. Tabloski.
More information:

Abstract:

From the Publisher: Patricia Tabloski's Gerontological Nursing is a comprehensive, research-based text that guides nursing students in their care of older patients in both normal and pathological changes of aging. Drawing from current research in nursing, medicine, sociology and psychology, this book emphasizes critical thinking in the application of the nursing process to give students the confidence they need to provide the highest level of care. Key Features: The Best Practicesfeature reinforces specific tools, instruments, and content from each chapter and applies them to gerontological nursing. This edition offers new examples of Best Practices. New to this edition: Complementary and Alternative Therapies help readers understand therapies that can supplement traditional medicine. Practice Pearls provide essential tips for student success in the clinical arena. Drug Alerts offer useful information regarding the prescription, dosage, and administration of drugs to older persons. Case Studies present a brief clinical scenario and encourage the student to analyze assessment, diagnoses, expected outcomes, planning and implementation, evaluation, and ethical dilemmas, followed up by critical thinking questions related to the nursing process. Patient/Family Teaching Guidelinesoffer instructions for elder care in a question and answer format and provide corresponding rationales.

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schema:description"From the Publisher: Patricia Tabloski's Gerontological Nursing is a comprehensive, research-based text that guides nursing students in their care of older patients in both normal and pathological changes of aging. Drawing from current research in nursing, medicine, sociology and psychology, this book emphasizes critical thinking in the application of the nursing process to give students the confidence they need to provide the highest level of care. Key Features: The Best Practicesfeature reinforces specific tools, instruments, and content from each chapter and applies them to gerontological nursing. This edition offers new examples of Best Practices. New to this edition: Complementary and Alternative Therapies help readers understand therapies that can supplement traditional medicine. Practice Pearls provide essential tips for student success in the clinical arena. Drug Alerts offer useful information regarding the prescription, dosage, and administration of drugs to older persons. Case Studies present a brief clinical scenario and encourage the student to analyze assessment, diagnoses, expected outcomes, planning and implementation, evaluation, and ethical dilemmas, followed up by critical thinking questions related to the nursing process. Patient/Family Teaching Guidelinesoffer instructions for elder care in a question and answer format and provide corresponding rationales."@en
schema:description"Unit 1: Foundations Of Nursing Practice -- 1: Principles of gerontology -- Demographics and aging -- Longevity and the sex differential -- Life after 65 -- Living longer or living better? -- Healthy people 2010 -- Theories of aging -- Biological aging theories -- Psychological aging theories -- Sociological aging theories -- Patient and family teaching -- 2: Gerontological nursing issues -- Scope and practice -- Advanced gerontological nursing -- Standards of gerontological nursing -- Functional health patterns and nursing diagnosis -- Care planning and setting realistic goals -- Implementation of the nursing care plan -- Evaluation -- Research agenda -- Role by setting -- Trends in financing health care for older persons -- Ethics -- Communication -- Patient and family teaching -- 3: Principles of geriatrics -- Components of comprehensive geriatric assessment -- Contextual variables affecting holistic geriatric assessment -- Minimum data set -- Health promotion and disease screening -- Healthy people 2010 -- Health status -- Pain -- Legal issues -- Patient confidentiality -- Use of technology in assessment -- Health insurance portability and accountability act -- Informed consent and competence -- End-of-life issues -- Patient and family teaching -- Unit 2: Challenges Of Aging And the Cornerstones Of Excellence In Nursing Care -- 4: Cultural diversity -- National standards for culturally and linguistically appropriate services in health care -- Culturalcare nursing -- Culturalcare triad -- Demographic change -- Nurse -- Caregiver -- Patient -- Ethnocultural heritage -- Culture -- Ethnicity -- Religion -- Socialization -- Examples of heritage consistency -- Ethnocultural life trajectories -- Heritage assessment tool -- Providing culturalcare -- Cultural sensitivity -- Cultural appropriateness -- Steps to cultural competency -- Implementing culturalcare nursing -- Patient and family teaching -- 5: Nutrition and aging -- Normal changes in aging -- Changes in body composition -- Oral and gastrointestinal changes with aging -- Sensory changes -- Social and economic changes affecting nutrition -- Nutritional and disease-related health changes -- Nutritional requirements and aging -- Unique nutrient recommendations -- Supplement savvy: beyond the RDAs -- Alcohol and vitamins -- Nutritional assessment -- Nutritional assessment parameters -- Screening tools -- Common nutritional concerns in the older person -- Unintentional weight loss -- Medical nutritional therapy for chronic diseases -- Nursing diagnoses -- Patient and family teaching -- 6: Pharmacology and older adults -- Cultural diversity and medication use -- Pharmacokinetic alterations in the older person -- Pharmacodynamic alterations in the older person -- Impact of concurrent conditions and therapy on drug therapy -- Adverse drug reactions and iatrogenesis -- Adverse drug events of concern in elderly -- Adverse effects from drug-drug interactions and drug-herb interactions -- Drug-drug interactions -- Over-the-counter medications -- Herbal preparations -- Reporting adverse drug events -- Promoting medication effectiveness and safety -- Drugs potentially inappropriate for use in older persons -- Beers criteria -- Appropriate use of psychotropics in older person -- Evaluating appropriate prescribing of medications -- Medication management -- Delegation of medication administration -- Promoting adherence -- Drug safety -- Medication errors -- Medication reconciliation -- Use of internet pharmacies -- Medication use during emergencies -- Unsafe medication practices -- Safe storage and disposal of medications -- Obtaining medications outside of the United States -- Healthcare fraud -- Assessing older patients' appropriate use of medications -- Financial considerations in medication use -- Medicare part D -- Patient and family teaching -- 7: Psychological and cognitive function -- Personality and self-concept -- Personality disorders -- Elder abuse or mistreatment -- Psychotic disorders -- Life satisfaction and life events -- Adjustment disorder -- Bereavement -- Stress and coping -- Depression -- Nursing assessment of depression -- Suicide -- Alcohol abuse/substance abuse -- Basic principles relating to psychological assessment in older adults -- Cultural considerations -- Nursing interventions -- Nonpharmacological treatments -- Pharmacological treatments -- Nursing diagnosis -- Patient and family teaching -- 8: Sleep and the older adult -- Sleep architecture -- Sleep disruption -- Health problems and sleep disruption -- Dementia -- Snoring -- Sleep apnea -- Urinary problems -- Sleep problems in hospitals and nursing homes -- Alcohol and caffeine -- Sleeping medications -- Nursing assessment -- Best practices -- Nursing interventions -- Additional nonpharmacological measures -- Pharmacological treatments for altered sleep patterns -- 9: Pain management -- Pathophysiology of pain -- Acute pain in older adults -- Chronic pain in older adults -- Pain assessment techniques -- Pain assessment in the person with dementia -- Art and science of pain relief -- Pharmacological management -- Non-opioid analgesics -- Opioid analgesics -- Preventing and managing adverse effects -- Adjuvant drugs for older patients with pain -- Special pharmacological issues regarding pain -- Management in the older person -- Polypharmacy -- Pharmacological principles for successful pain management -- Nonpharmacological methods to manage pain in the older adult -- Consequences of unrelieved pain -- Analysis of the pain management plan -- Patient and family teaching -- 10: Violence and elder mistreatment -- National incidence and prevalence of elder mistreatment -- Legal issues -- Categories of elder mistreatment -- Institutional mistreatment -- Definitions of elder mistreatment -- Characteristics of older adults at risk -- Characteristics of people who mistreat older adults -- Cultural perceptions of elder mistreatment -- Theories of elder mistreatment -- Assessment -- Physical examination -- Nursing diagnoses -- Interventions -- Documentation -- Implications for gerontological nursing practice -- Future considerations -- 11: Care at the end of life -- Changing face of death -- Palliative care -- Hospice care -- Stages of the dying process -- Nurse's role -- Best practices -- Pain at the end of life -- Pain during the dying process -- Effects of unrelieved pain during the dying process -- Principles of pain relief during the dying process -- Pharmacological approach to pain management during the dying process -- Nursing care at the end of life -- Dying process -- Postmortem care -- Designations of level of care -- Advance directives -- Use of feeding tubes for artificial nutrition and hydration -- Cardiopulmonary resuscitation -- Euthanasia and physician-assisted suicide -- Cultural issues -- Preparing for death -- Grief and bereavement -- Caring for the caregiver -- Patient and family teaching --"@en
schema:description"Unit 3: Physiological Basis Of Practice -- 12: Integument -- Usual structure and function of skin layers -- Epidermis -- Dermis -- Subcutaneous layer -- Dermal accessory structures -- Hair -- Nails -- Glands -- Usual functions of the skin -- Regulation of body fluids and temperature -- Regulation of the immune function -- Production of vitamin D -- Sensory reception -- Epidermis -- Dermis -- Subcutaneous layer -- Hair -- Nails -- Glands -- Sun damage -- Common skin conditions in older adults -- Skin cancer -- Skin tears -- Pressure ulcers in the older adult -- Wound healing -- Cellulitsis -- Fingernail and toenail conditions -- Nursing diagnosis -- Laboratory and testing values -- Laboratory values to determine risk for pressure ulcers -- Pharmacology and nursing responsibilities -- Topical antifungal agents -- Topical antibiotics -- Systemic antibiotics -- Selected antimicrobials -- Aminoglycosides -- Prescription creams and lotion for dry skin -- Nonpharmacological treatment of skin problems in older adults -- Skin cancer and precancer conditions -- Nonpharmacological treatment of skin cancer -- Prevention and management of skin tears -- Nonpharmacological treatment of pressure ulcers -- Treatment of ulcers -- Nonpharmacological treatment of fingernail and toenail conditions -- Nursing management principles -- Nursing process and documentation -- Knowledge-based decision making -- Evaluation and revision of nursing care plan -- 13: Mouth and oral cavity -- Common diseases of aging relating to the mouth and oral cavity -- Barriers to mouth care -- Negative effects of poor oral care -- Risk factors for oral problems -- Nursing assessment of oral problems -- Common oral problems -- Xerostomia -- Oral candidiasis -- Oral pain -- Gingivitis and periodontal disease -- Stomatitis -- Oral cancer -- Kayser-Jones brief oral health status examination (BOHSE) -- Nursing strategies for providing oral care to patients with cognitive impairments -- Nursing diagnoses -- 14: Sensation: hearing, vision, taste, touch, and smell -- Vision -- Nursing implications related to caring for patients with vision problems -- Visual problems -- Nursing diagnoses associated with visual impairment -- Hearing -- Types of hearing loss -- Assessing hearing loss -- Hearing aids -- Assistive listening devices -- Common hearing problems in older persons -- Nursing diagnoses associated with hearing impairment -- Taste -- Nursing assessment of the older patient with taste disturbances -- Nursing diagnoses associated with taste impairment -- Smell -- Nursing assessment of the older patient with disturbances of smell -- Nursing diagnosis -- Physical sensation -- Nursing assessment of the older person with tactile impairment -- Nursing diagnoses associated with tactile impairment -- Patient and family teaching -- 15: Cardiovascular system -- Cardiac function -- Structure and function -- Conduction system -- Electrocardiogram -- Circulatory system -- Regulation of blood flow -- Cardiac circulation -- Common illnesses with older persons -- Hypertension -- Hypotension -- Hyperlipidemia -- Metabolic syndrome -- Chest pain -- Older women and heart disease -- Angina -- Myocardial infarction -- Valvular heart disease -- Heart failure -- Arrhythmias and conduction disorders -- Peripheral vascular disease -- Nursing management principles -- 16: Respiratory system -- Anatomy and physiology -- Changes in cardiovascular function -- Changes in immune function -- Changes in neurologic, neuromuscular, and sensory functions -- Respiratory diseases common in older people -- Asthma -- Chronic obstructive pulmonary disease -- Tuberculosis -- Lung cancer -- Respiratory infections -- Acute bronchitis -- Pulmonary embolism -- Severe acute respiratory syndrome (SARS) -- Patient-family teaching -- 17: Genitourinary and renal systems -- Age-related changes in the kidney -- Bladder and urethral changes with aging -- Antidiuretic hormone and the aging process -- Male reproductive system and advanced age -- Female reproductive system and advanced age -- Gay and lesbian older adults -- Common genitourinary concerns in older adults -- Acute and chronic renal failure -- Urinary tract infection -- Urinary incontinence -- Benign prostatic hyperplasia -- Menopause-related concerns -- Genitourinary malignancies -- Sex and the senior citizen -- Discussing sexuality with older adults -- Sexuality in long-term care -- Erectile dysfunction -- Sexually transmitted diseases -- 18: Musculoskeletal system -- Normal musculoskeletal system and joints -- Skeletal system: structure and function -- Joints: structure and function -- Muscles: structure and function -- Skeleton -- Muscles -- Joints, ligaments, tendons, and cartilage -- Common musculoskeletal illnesses of older persons -- Osteoporosis -- Osteomalacia -- Paget's disease -- Joint disorders: noninfammatory and inflammatory categories -- Falls and the older person -- Hip fracture -- Selected nursing diagnoses for common musculoskeletal illnesses of the older persons -- Selected diagnostic tests and values for musculoskeletal problems -- Common diagnostic findings for musculoskeletal illnesses -- Pharmacology and nursing responsibilities -- Pharmacology and nursing responsibilities for osteoporosis -- Pharmacology and nursing responsibilities for Paget's disease -- Pharmacology and nursing responsibilities for osteomalacia -- Pharmacology and nursing responsibilities for osteoarthritis -- Pharmacology and nursing responsibilities for rheumatoid arthritis -- Disease-modifying antirheumatics drugs (DMARD's) -- Pharmacology and nursing responsibilities for acute gout and chronic gout -- Pharmacological treatment of bursitis -- Nonpharmacological treatment of musculoskeletal problems -- Nonpharamcological treatment of osteoporosis -- Assessment and prevention of risk factors for osteoporosis -- Nonpharmacological treatment of osteomalacia -- Nonpharmacological treatment of Paget's disease - Healthy people 2010 and living with arthritis -- Nonpharmacological treatment of osteoarthritis -- Prevention and treatment of osteoarthritis -- Nonpharmacological treatment of rheumatoid arthritis -- Teaching guidelines for rheumatoid arthritis -- Nonpharmacological treatment to prevent falls and fall-related injuries -- Treatment of hip fractures -- 19: Endocrine system -- Diabetes mellitus -- Complications of diabetes mellitus -- Pathophysiology of DM -- Risk factors for development of diabetes mellitus -- Diagnostic criteria -- Goals of management -- Weight management -- Medications used to control diabetes mellitus -- Effect of acute illness -- Nonketotic hyperglycemic-hyperosmolar coma -- Difficulties in caring for older persons with DM -- General health promotion for the older person with diabetes -- Hope for the future -- Thyroid disorders -- Normal anatomy and physiolgoy -- Thyroid function testing -- Hypothyroidism -- Hyperthyroidism -- Nursing diagnoses associated with endocrine problems -- 20: Gastrointestinal system -- Common disorders in aging -- Esophageal disorders -- Dysphagia -- Gastroesophageal reflux disease -- Gastric disorders -- Lower gastrointestinal tract disorders -- Endoscopic gastrointestinal procedures -- Nursing diagnosis for older persons with gastrointestinal tract problems -- 21: Hematologic system -- Common disorders in aging -- Anemia -- Transfusions -- Chronic myeloproliferative disorders -- Hematologic malignancies -- Lymphomas -- Nursing assessment of older patients with hematologic abnormalities -- Hypercoagulability and anticoagulation -- Nursing assessment of the older person with hypercoagulability -- 22: Neurologic system -- Central nervous system -- Peripheral nervous system -- Central nervous system -- Peripheral nervous system -- Conditions of the central nervous system -- Depression -- Delirium -- Dementia -- Types of dementia -- Mild cognitive impairment -- Alzheimer's disease -- Vascular dementia -- Lewy body dementia -- Frontotemporal dementia -- Stages of dementia -- Treatment options -- Pharmacologic therapies -- Nursing considerations -- At the time of diagnosis -- Advance directives and establishing a proxy (power of attorney for health care) -- Preparing for a progressive decline -- Effect of the disease on the person -- Parkinson's disease -- Stroke and TIA -- Seizures -- Multiple Sclerosis -- Forgetfulness or memory problems -- 23: Immune system -- Immune system -- Characteristics unique to the immune system -- Types of immunity -- Components of the immune response -- Humoral immune response -- Primary and secondary response -- Cell-mediated immune response -- Factors affecting aging of the immune system -- Exercise -- Nutrients and herbal remedies -- Excessive immune responses -- Hypersensitivity -- Deficient immune responses -- Primary immunodeficiency disorders -- Susceptibility to infections -- Pneumonia -- Urinary tract infection (UTI) -- Bacteremia -- Tuberculosis -- Skin infections -- Trends in immunology -- Monoclonal antibodies -- Genetic engineering -- Nursing assessment -- 24: Multisystem problems: caring for frail elders with comorbidities -- Risks of frailty -- Paths to frailty -- Social and psychological environments as contributors to frailty -- Common diagnoses associated with frailty in the older adult -- Cumulative effect of comorbidities -- Pathways to frailty -- Trajectories of functional decline -- Frailty and emotional health -- Frailty, comorbidities, and functional status -- Long-term care -- Making treatment decisions -- Acute illness and hospitalization -- Palliative care -- Conclusion -- Planning for hospitalization -- Appendix A -- Appendix B -- Glossary -- Index."@en
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schema:name"Gerontological nursing"@en
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