Essentials of Gerontological Nursing

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ISBN: 9780826120526 | 0826120520
Cover: Paperback
Copyright: 10/1/2007

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Essentials of Gerontological Nursing presents the best practices needed to care for older adults. Its brief, yet comprehensive, grasp of issues in elder care is a refreshing addition to the current literature, which is more commonly focused on theory than on clinical practice. Designed primarily for students in gerontological nursing courses in BSN and graduate programs, the book provides: Essential clinical information and "best practices" needed to care for older adults, Current research and new patient approaches in gerontological nursing, Overviews of rarely discussed issues, such as elder abuse, cultural considerations, and restraint alternatives, Clinical specifications and practical applications, Content designed to fit into a one-semester course. Essentials of Gerontological Nursing is everything the nursing student needs to know when caring for older adults. Book jacket.

Preface	p. xiii
Acknowledgments	p. xv
The Graying of America	p. 1
Issues of Aging	p. 2
Government-Funded Health Care	p. 3
Medical Concerns	p. 4
Ageism-Facts and Myths of Aging	p. 5
Myths	p. 5
Ageism	p. 10
Ethnogeriatrics and Health Care	p. 11
Cultural Competence	p. 14
Gerontological Nursing	p. 19
Theories of Aging	p. 22
Biological Theories	p. 22
Psychological Theories	p. 24
Moral/Spiritual Theories	p. 24
Sociological Theories	p. 25
Summary	p. 26
The Health Care Delivery System	p. 29
Retirement	p. 31
Challenges Within the Current Health Care Delivery System	p. 33
Financing Health Care	p. 38
Medicare and Related Plans	p. 38
Medicaid	p. 65
Private Pay, or Fee for Service	p. 68
Veteran's Benefits	p. 68
Long-Term Care Insurance	p. 69
Payment Options for Older Adults Without Resources for Health Care	p. 71
Summary	p. 72
Normal Changes of Aging	p. 75
Cardiovascular System	p. 77
Respiratory System	p. 88
Integumentary System	p. 89
Gastrointestinal System	p. 91
Constipation	p. 92
Bowel Incontinence	p. 93
Urinary System	p. 94
Urinary Incontinence	p. 94
Musculoskeletal System	p. 96
Sexuality/Reproductive System	p. 98
Changes in the Senses	p. 100
Neurological Changes	p. 102
Summary	p. 103
Assessing Older Adults	p. 105
Systematic Geriatric Assessment	p. 106
Health History	p. 110
Reminiscence and Life Review	p. 112
Physical Assessment	p. 112
Critical Components of a Comprehensive Geriatric Assessment	p. 115
Function	p. 116
Cognition	p. 117
Summary	p. 118
Health Promotion	p. 121
Primary Prevention	p. 124
Alcohol Usage Among Older Adults	p. 124
Smoking	p. 125
Nutrition and Hydration	p. 126
Risk Factors for Malnutrition	p. 127
Failure to Thrive (FTT)	p. 128
Interventions to Promote Nutrition	p. 129
Exercise	p. 130
Sleep	p. 131
Fall Prevention	p. 131
Restraint Usage	p. 133
Adult Immunization	p. 134
Influenza	p. 134
Pneumonia	p. 135
Tetanus and Diphtheria	p. 135
Secondary Prevention	p. 137
Cardiovascular Disease	p. 137
Diabetes	p. 138
Cancer	p. 139
Summary	p. 142
Pathological Disease Processes in Older Adults	p. 145
Musculoskeletal Disorders	p. 147
Osteoarthritis	p. 147
Osteoporosis	p. 148
Cardiovascular and Respiratory Disorders	p. 151
Hypertension	p. 151
Congestive Heart Failure (CHF)	p. 152
Angina and Myocardial Infarction (MI)	p. 155
Obstructive Airway Diseases	p. 157
Cerebral Vascular Accident (Stroke)	p. 158
Diabetes Mellitus	p. 160
Infectious Diseases	p. 162
Influenza	p. 162
Pneumonia	p. 163
Sexually Transmitted Disease and Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome	p. 165
Cancer	p. 168
Parkinson's Disease	p. 170
Summary	p. 172
Medication Usage	p. 175
Pharmacokinetics and Pharmacodynamics	p. 177
Medication Absorption	p. 178
Medication Distribution	p. 180
Hepatic Metabolism	p. 181
Renal Elimination	p. 182
Medication Interactions	p. 183
Medication-Disease Interactions	p. 183
Medication-Nutrient Interactions	p. 184
Generic Medications	p. 185
Inappropriate Medications	p. 185
Medication Adherence	p. 187
Over-the-Counter and Illegally Obtained Narcotics and Herbal Medications	p. 190
Summary	p. 194
Cognitive and Psychological Issues in Aging	p. 197
Delirium	p. 198
Depression	p. 205
Suicide	p. 209
Dementia	p. 210
Alzheimer's Disease (AD)	p. 210
Summary	p. 216
Ethical Issues of Aging and Independence	p. 219
Ethical Principles	p. 221
Autonomy	p. 222
Beneficence	p. 224
Nonmaleficence	p. 224
Justice	p. 225
Driving	p. 226
Sexuality in Older Adults	p. 229
Gambling	p. 234
Summary	p. 237
Quality of Life Issues Among Older Adults	p. 239
Quality of Life (QOL)	p. 240
Elder Mistreatment	p. 243
Pain	p. 247
Grandparenting	p. 248
Spirituality	p. 249
Summary	p. 252
Environments of Care	p. 255
Home Care	p. 256
Caregiving at Home	p. 260
Acute Care	p. 262
Skilled Nursing Facilities	p. 263
Urinary Tract Infections	p. 264
Pressure (Decubitus) Ulcers	p. 272
Assisted Living	p. 273
Continuing Care Retirement Communities	p. 274
Homeless Older Adults	p. 275
Summary	p. 276
End-of-Life Care	p. 279
Advance Directives	p. 280
Financial Planning for End of Life	p. 283
Dimensions of End-of-Life Care	p. 283
Physical Dimension	p. 285
Psychological Dimension	p. 288
Social Dimension	p. 288
Spiritual Dimension	p. 288
Communication	p. 290
Grieving	p. 291
Widowhood	p. 291
Hospice Care	p. 291
Summary	p. 293
Future Trends and Needs	p. 295
America Continues to Gray	p. 296
Changes in the Health Care Delivery System	p. 300
Ethical, Legal, and Financial Issues Related to Older Adults	p. 302
Normal Changes of Aging	p. 304
Wellness, Health Promotion, and Health Education	p. 305
Medication Management	p. 305
Geriatric Assessment	p. 307
Advances in Acute Illnesses and Chronic Disease Management	p. 307
Special Issues of Aging	p. 309
Psychological and Cognitive Issues in Aging	p. 309
Environments of Care	p. 310
Spirituality and End-of-Life Care	p. 311
Conclusion	p. 311
Web Resources	p. 313
Index	p. 315
Table of Contents provided by Ingram. All Rights Reserved.

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Essentials of Gerontological Nursing

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