Gerontologic Nursing - E-Book

Sue E. Meiner

Description

Gerontologic Nursing, 5th Edition offers comprehensive disorder and wellness coverage to equip you with the essential information you need to provide the best nursing care to older adults. A body-system organization makes information easy to find, and includes discussions on health promotion, psychologic and sociocultural issues, and the common medical-surgical problems associated with aging adults. Written by expert educator and clinician Sue Meiner, EdD, APRN, BC, GNP, this book also emphasizes topics such as nutrition, chronic illness, emergency treatment, patient teaching, home care, and end-of-life care.

• Case Studies specialty boxes provide realistic situations to expand your knowledge and understanding.
• UNIQUE! Nursing care plans supply guidance on selecting appropriate nursing activities and interventions for specific conditions.
• Evidence-Based Practice specialty boxes pull the critical evidence-based information contained in the text into boxes for easy access and identification.
• UNIQUE! Client/Family Teaching specialty boxes emphasize key aspects of practice and teaching for self-care.
• UNIQUE! Home Care specialty boxes highlight tips to promote practical, effective home care for the older adult.
• UNIQUE! Emergency Treatment specialty boxes highlight critical treatment needed in emergency situations.
• UNIQUE! Nutritional Considerations specialty boxes demonstrate special nutritional needs and concerns facing the aging population.
• NEW! Completely revised Pharmacologic Management chapter covering substance abuse.
• NEW! Completely revised Cognitive and Neurologic Function chapter covering mental health.

• NEW! Up-to-date content equips you with the most current information as the basis of the best possible care for problems affecting the older adult population.
• Streamlined focus presents the essential "need to know" information for the most common conditions in older adults in a format that you can easily and quickly grasp.
• UNIQUE! Disorder index on the inside cover supplies a handy reference to guide students to the information they need quickly and easily.
• Complex aspects of aging offers detailed and comprehensive coverage of pain, infection, cancer, chronic illness, loss, death, and dying, and substance abuse.
• Thorough assessment coverage recaps normal, deviations from normal, and abnormal findings of vitals for the older adult for students and practitioners.

Sujets

• Médecine
• Spécialités médicales
• Medical
• Nursing
• Gerontology

Informations

• Publié par: Mosby
• Date de parution: 17 octobre 2014
• Nombre de lectures: 7
• EAN13: 9780323293792
• Langue: English
• Poids de l'ouvrage: 26 Mo

Extrait

Gerontologic Nursing
Fifth Edition
Sue E. Meiner, EdD, APRN, BC-GNP
President, Consultant on Health Issues, Inc., McKinney, Texas
Formerly: Nurse Practitioner in Private Practice Las Vegas, Nevada; and Assistant Professor University of Nevada, Las Vegas Las Vegas, Nevada
Table of Contents
Cover image
Title page
Copyright
Dedication
About the Author
Contributors and Reviewers
Preface
Organization
Format
Features
Acknowledgments
Part 1: Introduction to Gerontologic Nursing
Chapter 1: Overview of Gerontologic Nursing
Foundations of the specialty of gerontologic nursing
Demographic profile of the older population
Health status of older adults
Impact of an aging population on gerontologic nursing
Summary
Key points
Critical thinking exercises
Chapter 2: Theories of aging
Biologic theories of aging
Sociologic theories of aging
Psychologic Theories of Aging
Moral and spiritual development
Summary
Key points
Critical thinking exercises
Chapter 3: Legal and ethical issues
Professional standards: their origin and legal significance
Overview of relevant laws
Elder abuse and protective services
Nursing facility reform
Autonomy and self-determination
The patient self-determination act
Values history
Nurses’ ethical code and end-of-life care
Summary
Key points
Critical thinking exercises
Appendix 3A Values History Form
Section 1
Section 2
Optional Questions
Suggestions for Use
Chapter 4: Gerontologic Assessment
Special considerations affecting assessment
Interrelationship between physical and psychosocial aspects of aging
Nature of disease and disability and their effects on functional status
Tailoring the nursing assessment to the older person
The health history
Additional assessment measures
Laboratory data
Summary
Key points
Critical thinking exercises
Part 2: Influences on Health and Illness
Chapter 5: Cultural Influences
Diversity of the older adult population in the united states
Culturally sensitive gerontologic nursing care
Skills
Putting it together
Summary
Key points
Critical thinking exercises
Chapter 6: Family Influences
Role and function of families
Common late-life family issues and decisions
Interventions to support family caregivers
Working with families of older adults: considerations and strategies
Summary
Key points
Critical thinking exercises
Chapter 7: Socioeconomic and Environmental Influences
Socioeconomic factors
Environmental influences
Advocacy
Summary
Key points
Critical thinking exercises
Appendix 7A Resources
Organizations of Professionals Working in the Field of Aging
Organizations of Both Professionals and Older Adults
Chapter 8: Health Promotion and Illness/Disability Prevention
Essentials of health promotion for aging adults
Models of health promotion
Barriers to health promotion and disease prevention
Health protection
Disease prevention
The nurse’s role in health promotion and disease prevention
Supporting empowerment of older adults
Summary
Key points
Critical thinking exercises
Chapter 9: Health care delivery settings and older adults
Characteristics of older adults in acute care
Characteristics of the acute care environment
Nursing in the acute care setting
Home care and hospice
Factors affecting the health care needs of noninstitutionalized older adults
Community-based services
Home health care
Continuity of care
Implementing the plan of treatment
Oasis
Hospice
Overview of long-term care
Clinical aspects of the nursing facility
Management aspects of the nursing facility
Specialty care settings
Innovations in the nursing facility
The future of the nursing facility
Summary
Key points
Critical thinking exercises
Part 3: Wellness Issues
Chapter 10: Nutrition
Social and cultural aspects of food
Demographics of the aging population
Physiologic changes in aging that affect nutritional status
Psychosocial and socioeconomic factors related to malnutrition
Nutritional screening and assessment
Nutritional guidelines for all ages
Drug–nutrient interactions
Nursing diagnoses associated with nutritional problems
Specialized nutritional support
Failure to thrive
Summary
Key points
Critical thinking exercises
Chapter 11: Sleep and Activity
Sleep and older adults
Activity and older adults
Summary
Key points
Critical thinking exercises
Chapter 12: Safety
Falls
Nursing management of falls
Safety and the home environment
Seasonal safety issues
Disasters
Storage of medications and health care supplies in the home
Living alone
Automobile Safety
Abuse and neglect
Firearms
Summary
Key points
Critical thinking exercises
Chapter 13: Sexuality and Aging
Older adult needs for sexualality and intimacy
The importance of intimacy among older adults
Nursing’s reluctance to manage the sexuality of older adults
Normal changes of the aging sexual response
Physiologic changes
Pathologic conditions affecting older adults’ sexual responses
Environmental and psychosocial barriers to sexual practice
Alternative sexual practice among older adults
Nursing management
Summary
Key points
Critical thinking exercises
Part 4: Common Psychophysiologic Stressors
Chapter 14: Pain
Understanding pain
Pathophysiology of pain in older adults
Barriers to effective pain management in older adults
Pain assessment
Nursing care of older adults with pain
Summary
key Points
Critical thinking exercises
Chapter 15: Infection
Learning objectives
The chain of infection
Age-related changes in the immune system
Factors affecting immunocompetence
Common problems and conditions
Human immunodefiency virus infection in older adults
Significant nosocomial pathogens
Nursing management
Summary
Key points
Critical thinking exercises
Chapter 16: Chronic Illness and Rehabilitation
Chronicity
Rehabilitation
Summary
Key points
Critical thinking exercise
Appendix 16A Resources
Chapter 17: Cancer
Incidence
Aging and its relationship to cancer
Common malignancies in older adults
Screening and early detection: issues for older adults
Major treatment modalities
Common physiologic complications
Older adults’ experience of cancer
Summary
Key points
Critical thinking exercises
Chapter 18: Loss and End-of-Life Issues
Definitions
Losses
Mourning
Approaching death: older persons’ perspectives
Summary
Key points
Critical thinking exercises
Part 5: Diagnostic Studies and Pharmacologic Management
Chapter 19: Laboratory and Diagnostic Tests
Components of hematologic testing
Components of blood chemistry testing
Components of urine chemistry testing
Components of arterial blood gas testing
Blood level monitoring
Summary
Key points
Critical thinking exercises
Chapter 20: Pharmacologic Management
Overview of medication use and problems
Commonly used medications
Medication adherence
Substance abuse
Definitions and common usage
Assessment
Nursing diagnoses
Nursing management
Commonly abused substances in older adults
Future trends
Summary
Key points
Critical thinking exercises
Part 6: Nursing Care of Physiologic and Psychologic Disorders
Chapter 21: Cardiovascular Function
Age-related changes in structure and function
Common cardiovascular problems
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Summary
Key points
Critical thinking exercises
Chapter 22: Respiratory Function
Age-related changes in structure and function
Factors affecting lung function
Respiratory symptoms common in older patients
Respiratory alterations in older patients
Obstructive pulmonary disease
Nursing management
Nursing management
Restrictive pulmonary disease
Nursing management
Nursing management
Bronchopulmonary infection
Nursing management
Nursing management
Other respiratory alterations
Nursing management
Nursing management
Nursing management
Summary
Key points
Critical thinking exercises
Chapter 23: Endocrine Function
Endocrine physiology in older adults
Common endocrine pathophysiology in older adults
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Summary
Key points
Critical thinking exercises
Chapter 24: Gastrointestinal Function
Age-related changes in structure and function
Prevention
Common gastrointestinal symptoms
Common diseases of the gastrointestinal tract
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Disorders of the accessory organs
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Gastrointestinal cancers
Nursing management
Nursing management
Nursing management
Nursing management
Summary
Key points
Critical thinking exercises
Chapter 25: Musculoskeletal Function
Age-related changes in structure and function
Common problems and conditions of the musculoskeletal system
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Foot problems
Muscle cramps
Summary
Key points
Critical thinking exercises
Chapter 26: Urinary Function
Age-related changes in structure and function
Prevalence of urinary incontinence
Common problems and conditions
Nursing management
Age-related renal changes
Common problems and conditions
Nursing manag