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Gerontological nursing

Author: Charlotte Eliopoulos
Publisher: Philadelphia : Wolters Kluwer Health/Lippincott Williams & Wilkins, ©2010.
Edition/Format:   Print book : English : 7th edView all editions and formats
Database:WorldCat
Summary:
Synopsis: This student-friendly text focuses on how to provide the type of high quality of life that older adults desire and need. Presented in a concise, easy-to-understand manner, this edition focuses on the integration of holistic concepts and practices; and places a greater emphasis on the emotional and spiritual aspects of aging and gerontological care. Improved organization, new special features, and updated  Read more...
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Material Type: Internet resource
Document Type: Book, Internet Resource
All Authors / Contributors: Charlotte Eliopoulos
ISBN: 9780781753449 0781753449
OCLC Number: 265657164
Description: xxiii, 520 pages : color illustrations ; 26 cm
Contents: Unit 1: Understanding The Aging Experience: --
Aging population: --
Views of older adults through history --
Characteristics of the older adult population --
Population growth and increasing life expectancy --
Marital status and living arrangements --
Geographic distribution --
Income and employment --
Education --
Health status --
Implications of an aging population --
Impact of the baby boomers --
Provision of and payment for services --
Theories of aging: --
Biological theories of aging --
Genetic theories --
Cross-linking theory --
Evolutionary theories --
Free radicals and lipofuscin theories --
Autoimmune reactions --
Wear and tear theories --
Stress --
Biogerontology --
Neuroendocrine and neurochemical theories --
Radiation theories --
Nutrition theories --
Environmental theories --
Implications of biological theories for nursing --
Psychosocial theories of aging --
Disengagement theory --
Activity theory --
Continuity theory --
Developmental tasks --
Gerotranscedence --
Implications of psychosocial theories for nursing --
Applying theories of aging to nursing practice --
Diversity: --
Increasing diversity of the older adult population --
Overview of diverse groups of older adults in the United States --
Hispanic Americans --
Black Americans --
Asian Americans --
Jewish Americans --
Native Americans --
Older prisoners --
Nursing considerations for culturally sensitive care of older adults --
Life transitions and story: --
Ageism --
Changes in family roles and relationships --
Parenting --
Grandparenting --
Loss of spouse --
Retirement --
Loss of the work role --
Reduced income --
Changes in health and functioning --
Cumulative effects of life transitions --
Shrinking social world --
Awareness of mortality --
Responding to life transitions --
Life review and life story --
Self-reflection --
Strengthening inner resources --
Common aging changes: --
Changes to the body --
Cells --
Physical appearance --
Respiratory system --
Cardiovascular system --
Gastrointestinal system --
Urinary system --
Reproductive system --
Musculoskeletal system --
Nervous system --
Sensory organs --
Endocrine system --
Integumentary system --
Immune system --
Thermoregulation --
Changes to the mind --
Personality --
Memory --
Intelligence --
Learning --
Attention span --
Nursing implications of age-related changes. Unit 2: Foundations Of Gerontological Nursing: --
Specialty of gerontological nursing: --
Development of gerontological nursing --
Core elements of gerontological nursing practice --
Evidence-based practice --
Standards --
Principles --
Gerontological nursing roles --
Healer --
Caregiver --
Educator --
Advocate --
Innovator --
Advanced practice nursing roles --
Future of gerontological nursing --
Lessons from the past --
Challenges for the future --
Holistic model for gerontological nursing: --
Holistic gerontological care --
Holistic assessment of needs --
Health promotion-related needs --
Health challenges-related needs --
Requisites to meet needs --
Gerontological nursing interventions --
Examples of application --
Assessing needs: the case of Mr R --
Applying the holistic model: the case of Mrs D --
Legal aspects of gerontological nursing: --
Laws governing gerontological nursing practice --
Legal risks in gerontological nursing --
Malpractice --
Confidentiality --
Patient consent --
Patient competency --
Staff supervision --
Medications --
Restraints --
Telephone orders --
No-code orders --
Advance directives and issue related to death and dying --
Elder abuse --
Legal safeguards for nurses --
Ethical aspects of gerontological nursing: --
Philosophies guiding ethical thinking --
Ethics in nursing --
External and internal ethical standards --
Ethical principles --
Ethical dilemmas facing gerontological nurses --
Changes increasing ethical dilemmas for nurses --
Measures to help nurses make ethical decisions --
Continuum of care in gerontological nursing: --
Services in the continuum of care for older adults --
Preventive services --
Partial and intermittent care services --
Complete and continuous care services --
Complementary and alternative services --
Matching services to needs --
Settings and roles for gerontological nurses --
Self-care for the gerontological nurse: --
Characteristics of nurse healers --
Presence --
Availability --
Connections --
Models of holism --
Self-care and nurturing --
Following positive health care --
Practices --
Strengthening and building connections --
Committing to a dynamic process. Unit 3: Fostering Connection And Gratification: --
Sexuality and intimacy: --
Attitudes toward sex and older adults --
Menopause as a journey to inner connection --
Symptom management and patient education --
Self-acceptance --
Realities of sex in older adulthood --
Sexual behavior and roles --
Intimacy --
Age-related changes and sexual response --
Identifying barriers to sexual activity --
Unavailability of a partner --
Psychological barriers --
Medical conditions --
Erectile dysfunction --
Medication adverse effects --
Cognitive impairment --
Promoting healthy sexual function --
Spirituality: --
Spiritual needs --
Love --
Meaning and purpose --
Hope --
Dignity --
Forgiveness --
Gratitude --
Transcendence --
Expression of faith --
Assessing spiritual needs --
Addressing spiritual needs --
Being available Honoring beliefs and practices --
Providing opportunities for solitude --
Promoting hope --
Assisting in discovering meaning in challenging situations --
Facilitating religious practices --
Praying with and for --
Summary: Importance of spiritual care. Unit 4: General Care Concerns: --
Nutrition and hydration: --
Nutritional needs of older adults --
Quantity and quality of caloric needs --
Nutritional supplements --
Special needs of women --
Hydration needs of older adults --
Promotion of oral health --
Threats to good nutrition --
Indigestion and food intolerance --
Anorexia --
Dysphagia --
Constipation --
Malnutrition --
Addressing nutritional status and hydration in older adults --
Rest and sleep: --
Age-related changes in sleep --
Circadian sleep-wake cycles --
Sleep stages --
Sleep efficiency and quality --
Sleep disturbances --
Insomnia --
Nocturnal myoclonus and restless leg syndrome --
Sleep apnea --
Medical conditions that affect sleep --
Drugs that affect sleep --
Promoting rest and sleep in older adults --
Pharmacologic measures to promote sleep --
Nonpharmacologic measures to promote sleep --
Pain control --
Comfort and pain management :--
Comfort --
Pain: a complex phenomenon --
Prevalence of pain in older adults --
Types of pain --
Pain perception --
Effects of unrelieved pain --
Pain assessment --
Integrative approach to pain management --
Complementary therapies --
Dietary changes --
Medication --
Comforting --
Safety: --
Aging and risk to safety --
Importance of the environment to health and wellness --
Impact of aging on environmental safety and function --
Lighting --
Temperature --
Colors --
Scents --
Floor coverings --
Furniture --
Sensory stimulation --
Noise control --
Bathroom hazards --
Psychosocial considerations --
Problem of falls --
Risk and prevention --
Risk associated with restraints --
Interventions to reduce intrinsic risks to safety --
Reducing hydration and nutrition risks --
Addressing risk associated with sensory deficits --
Addressing risks associated with mobility limitations --
Monitoring body temperature --
Preventing infection --
Suggesting sensible clothing --
Using medications cautiously --
Avoiding crime --
Promoting safe driving --
Promoting early detection of problems --
Addressing risks associated with functional impairment --
Safe medication use: --
Effects of aging on medication use --
Polypharmacy and interactions --
Altered pharmacokinetics --
Altered pharmacodynamics --
Increased risk of adverse reactions --
Promoting the safe use of drugs --
Avoiding potentially inappropriate drugs: beer's criteria --
Reviewing necessity and effectiveness of prescribed drugs --
Promoting safe and effective administration --
Providing patient teaching --
Alternatives to drugs --
Review of selected drugs --
Analgesics --
Antacids --
Antianxiety drugs (anxiolytics) --
Antibiotics --
Anticoagulants --
Anticonvulsants --
Antidepressants --
Antidiabetic drugs --
Antihypertensive drugs --
Anti-inflammatory drugs --
Nonsteroidal (NSAIDs) --
Antipsychotics --
Cholesterol-lowering drugs --
Cognitive enhancing drugs --
Digoxin --
Diuretics --
Laxatives --
Sedative/hypnotics. Unit 5: Facilitating Physiological Balance: --
Respiration: --
Effects of aging on respiratory health --
Respiratory health promotion --
Selected respiratory conditions --
Asthma --
Chronic bronchitis --
Emphysema --
Lung cancer --
Lung abscess --
General nursing considerations for respiratory conditions --
Recognizing symptoms --
Preventing complications --
Ensuring safe oxygen administration --
Performing postural drainage --
Promoting productive coughing --
Using complementary therapies --
Promoting self-care --
Providing encouragement --
Circulation: --
Effects of aging on cardiovascular health --
Cardiovascular health promotion --
Proper nutrition --
Adequate exercise --
Cigarette smoke avoidance --
Stress management --
Proactive interventions --
Selected cardiovascular conditions --
Hypertension --
Hypotension --
Congestive heart failure --
Pulmonary emboli --
Coronary artery disease --
Arrhythmias --
Peripheral vascular disease --
General nursing considerations for cardiovascular conditions --
Prevention --
Keeping the patient informed --
Preventing complications --
Promoting circulation --
Providing foot care --
Managing problems associated with peripheral vascular disease --
Promoting normality --
Integrating complementary therapies --
Digestion and bowel elimination: --
Effects of aging on gastrointestinal health --
Gastrointestinal health promotion --
Selected gastrointestinal conditions and related nursing considerations --
Dry mouth (xerostomia) --
Dental problems --
Dysphagia --
Hiatal hernia --
Esophageal cancer --
Peptic ulcer --
Cancer of the stomach --
Diverticular disease --
Cancer of the colon --
Chronic constipation --
Flatulence --
Intestinal obstruction --
Fecal impaction --
Bowel incontinence --
Acute appendicitis --
Cancer of the pancreas --
Biliary tract disease --
Summary --
Urinary elimination: --
Effects of aging on urinary elimination --
Urinary system health promotion --
Selected urinary conditions --
Urinary incontinence --
Bladder cancer --
Rental calculi --
Glomerulonephritis --
General nursing considerations for urinary conditions --
Reproductive system health: --
Effects on aging on the reproductive system --
Reproductive system health promotion --
Selected reproductive system conditions --
Problems of the female reproductive system --
Problems of the male reproductive system --
Summary --
Movement: --
Effects of aging on musculoskeletal function --
Musculoskeletal health promotion --
Promotion of physical exercise in all age groups --
Exercise programs tailored for older adults --
Mind-body connection --
Prevention of inactivity --
Nutrition --
Selected musculoskeletal conditions --
Fractures --
Osteoarthritis --
Rheumatoid arthritis --
Osteoporosis --
Gout --
Podiatric conditions --
General nursing considerations for musculoskeletal conditions --
Managing pain --
Preventing injury --
Promoting independence --
Neurologic function: --
Effects of aging on the nervous system --
Neurologic health promotion --
Selected neurologic conditions --
Parkinson's disease --
Transient ischemic attacks --
Cerebrovascular accidents --
General nursing considerations for neurologic conditions --
Promoting independence --
Preventing injury --
Sensation: --
Effects of aging on sensory function --
Sensory health promotion --
Promoting vision --
Promoting hearing --
Assessing problems --
Selected sensory conditions and related nursing interventions --
Visual deficits --
Hearing deficits --
General nursing considerations for sensory deficits --
Endocrine function: --
Effects of aging on endocrine function --
Selected endocrine conditions and related nursing considerations --
Diabetes mellitus --
Hypothyroidism --
Hyperthyroidism --
Hyperlipidemia --
Integumentary function: --
Effects of aging on the integument --
Integumentary health promotion --
Selected integumentary conditions --
Pruritus --
Keratosis --
Seborrheic keratosis --
Skin cancer --
Vascular lesions --
Pressure ulcers --
General nursing considerations for integumentary conditions --
Promoting normalcy --
Using alternative therapies --
Immune function: --
Effects of aging on immune function --
Immunologic health promotion --
Diet --
Exercise --
Immunization --
Stress management --
Mind-body connection --
Careful use of antibiotics. Unit 6: Multisystemic Disorders: --
Infections: --
Unique manifestations of infection in older adults --
Common infections --
Urinary tract infection --
Prostatitis --
Pneumonia --
Influenza --
Tuberculosis --
Vaginitis --
Herpes zoster --
Scabies --
HIV and AIDS --
Clostridium difficile infection --
Antibiotic-resistant microorganism --
Cancer: --
Aging and cancer --
Unique challenges for older persons with cancer --
Explanations for increased incidence in old age --
Cancer risk factors --
Heredity --
Diet --
Drinking water --
Tobacco --
Alcohol --
Radiation --
Ultraviolet radiation --
Occupational exposure to carcinogens --
Radon --
Special risk for women --
Other contributing factors --
Prevention and screening --
Treatment --
Conventional treatment --
Complementary and alternative medicine --
Nursing considerations for older adults with cancer --
Providing patient education --
Promoting optimum care --
Providing support to patients and families --
Mental health disorders: --
Aging and mental health --
Promoting mental health in older adults --
Selected mental health conditions --
Depression --
Anxiety --
Alcohol abuse --
Paranoia --
Hypochondriasis --
Nursing considerations for mental health conditions --
Monitoring medications --
Promoting a positive self-concept --
Managing behavioral problems --
Delirium and dementia: --
Delirium --
Dementia --
Alzheimer's disease --
Other dementias --
Caring for persons with dementia. Unit 7: Gerontological Care Issues: --
Living in harmony with chronic conditions: --
Chronic conditions and older adults --
Goals for chronic care --
Assessment of chronic care needs --
Maximizing the benefits of chronic care --
Selecting an appropriate physician --
Using a chronic care coach --
Increasing knowledge --
Locating a support group --
Making smart lifestyle choices --
Using complementary and alternative therapies --
Factors affecting the course of chronic care --
Defense mechanisms and implications --
Impact of ongoing care on the family --
Need for institutional care --
Chronic care: a nursing challenge --
Rehabilitative care: --
Need for rehabilitation --
Living with disability --
Importance of attitude and coping capacity --
Losses accompanying disability --
Principles of rehabilitative nursing --
Functional assessment --
Interventions to facilitate and improve functioning --
Facilitating proper positioning --
Assisting with range-of-motion exercises --
Teaching about mobility aids --
Teaching about bowel and bladder training --
Maintaining and promoting mental function --
Using community resources --
Acute care: --
Risks associated with hospitalization of older adults --
Surgical care --
Special risks for older adults --
Preoperative care considerations --
Operative and postoperative care considerations --
Emergency care --
Infections --
Discharge planning for older adults --
Long-term care: --
Development of long-term institutional care --
Before the 20th century --
During the 20th century --
Lessons to be learned from history --
Long-term institutional care today --
Nursing facility standards --
Facility residents --
Nursing roles and responsibilities --
Assisted living facilities --
Looking forward: a new model of long-term care --
Family caregiving: --
Older adult's family --
Identification of family members --
Family member roles --
Family dynamics and relationships --
Scope of family caregiving --
Protecting the health of the older adult and caregiver --
Family dysfunction and abuse --
Reward of family caregiving --
End-of-life care: --
Definitions of death --
Family experience with the dying process --
Supporting the dying individual --
Stages of the dying process and related nursing interventions --
Physical care needs --
Spiritual care needs --
Signs of imminent death --
Advance directives --
Supporting family and friends --
Supporting through the stages of the dying process --
Helping family and friends after a death --
Supporting nursing staff --
Index.
Responsibility: Charlotte Eliopoulos.
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Abstract:

Focuses on how to provide the type of high quality of life that older adults desire and need. This title also focuses on the integration of holistic concepts and practices, and places an emphasis on  Read more...

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