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Gerontological Nursing,9780130941558
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Gerontological Nursing

by
Edition:
1st
ISBN13:

9780130941558

ISBN10:
0130941557
Media:
Paperback
Pub. Date:
1/1/2006
Publisher(s):
Prentice Hall
List Price: $62.95
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Summary

Patricia Tabloskis Gerontological Nursing is a comprehensive, research-based text that will guide nursing students in their care of older patients. The text presents information related to normal and pathological changes of aging, with an emphasis on the critical information that nurses need for assessment, diagnosis, planning and evaluating care outcomes for their older clients. Bolstered by current research in nursing, medicine, sociology and psychology, this book combines information on medical-surgical care for older patients with issues facing the older population. It emphasizes both critical thinking and application of the nursing process to give students the confidence they need to provide the highest level of care.

Author Biography

Patricia A. Tabloski is a faculty member at the William F. Connell School of Nursing at Boston College.

Table of Contents

Unit One Foundations of Nursing Practice
1(82)
Principles of Gerontology
2(25)
Demographics and Aging
6(1)
Longevity and the Sex Differential
6(7)
Life After 65
9(3)
Living Longer or Living Better?
12(1)
Healthy People 2010
13(2)
Theories of Aging
15(6)
Biological Aging Theories
18(1)
Psychological Aging Theories
19(1)
Sociological Aging Theories
20(1)
Patient and Family Teaching
21(6)
Gerontological Nursing Issues
27(27)
Scope of Practice
29(1)
Advanced Gerontological Nursing
29(1)
Standards of Gerontological Nursing
30(4)
Functional Health Patterns and Nursing Diagnosis
34(8)
Care Planning and Setting Realistic Goals
35(3)
Implementation of the Nursing Care Plan
38(2)
Evaluation
40(1)
Research Agenda
40(2)
Role by Setting
42(2)
Trends in Financing Healthcare for Older Persons
44(1)
Ethics
45(2)
Communication
47(1)
Patient and Family Teaching
48(6)
Principles of Geriatrics
54(29)
Components of Comprehensive Geriatric Assessment
57(8)
Contextual Variables Affecting Holistic Geriatric Assessment
57(5)
Minimum Data Set
62(2)
Health Promotion and Disease Screening
64(1)
Healthy People 2010
65(11)
Health Status
65(3)
Pain
68(2)
Legal Issues
70(3)
Patient Confidentiality
73(1)
Use of Technology in Assessment
73(1)
Health Insurance Portability and Accountability Act
73(2)
Informed Consent and Competence
75(1)
End-of-Life Issues
76(1)
Patient and Family Teaching
77(6)
Unit Two Challenges of Aging and the Cornerstones of Excellence in Nursing Care
83(244)
Cultural Diversity
84(26)
National Standards for Culturally and Linguistically Appropriate Services in Health Care
85(1)
Cultural Care Nursing
86(2)
CulturalCare Triad
88(2)
Demographic Change
88(1)
The Nurse
88(1)
The Caregiver
89(1)
The Patient
90(1)
Ethnocultural Heritage
90(2)
Culture
90(1)
Ethnicity
91(1)
Religion
91(1)
Socialization
91(1)
Examples of Heritage Consistency
92(1)
Ethnocultural Life Trajectories
93(4)
Heritage Assessment Tool
97(3)
Best Nursing Practices
100(1)
Providing CulturalCare
100(3)
Cultural Sensitivity
100(2)
Cultural Appropriateness
102(1)
Steps to Cultural Competency
102(1)
Implementing CulturalCare Nursing
103(1)
Patient and Family Teaching
103(7)
Nutrition and Aging
110(45)
Normal Aging and Nutrition
111(4)
Changes in Body Composition
111(1)
Oral and Gastrointestinal Changes With Aging
112(1)
Sensory Changes
113(1)
Social and Economic Changes Affecting Nutrition
114(1)
Nutritional and Disease-Related Health Changes
115(1)
Nutritional Requirements and Aging
115(10)
Unique Nutrient Recommendations
117(6)
Supplement Savvy: Beyond the RDAs
123(1)
Alcohol and Vitamins
124(1)
Nutritional Assessment
125(9)
Nutritional Assessment Parameters
125(5)
Screening Tools
130(4)
Common Nutritional Concerns in the Older Person
134(12)
Unintentional Weight Loss
134(10)
Medical Nutritional Therapy for Chronic Diseases
144(1)
Nursing Diagnoses
144(2)
Patient and Family Teaching Guidelines
146(9)
Pharmacology and Older Adults
155(33)
Cultural Diversity and Medication Safety
156(1)
Pharmacokinetic Alterations in the Older Person
157(7)
Pharmacodynamic Alterations in the Older Person
159(1)
Impact of Concurrent Conditions and Therapy on Drug Therapy
159(2)
Adverse Drug Reactions and latrogenesis
161(2)
Reporting Adverse Drug Effects
163(1)
Prevention of Adverse Drug Effects in the Older Person
164(1)
Polypharmacy
164(3)
Adverse Drug Effects of Concern in the Older Person
165(2)
Alternative and Complementary Medicine
167(4)
Over-the-Counter Medications
169(1)
Appropriate Versus Inappropriate Prescribing Practices
169(2)
Appropriate Use of Psychotropics in the Older Person
171(3)
OBRA Regulations and Interpretive Guidelines
171(1)
Use of Antipsychotic Drugs
172(1)
Short-Acting Benzodiazepines and Other Anxiolytics
173(1)
Evaluating Appropriate Prescribing of Medications
173(1)
Promoting Adherence and Compliance
174(3)
Assessing Older Patients' Appropriate Use of Medications
177(1)
Medication Management
178(2)
Healthcare Fraud
179(1)
Costs of Medication
179(1)
Use of Internet Pharmacies
180(1)
Unsafe Medication Practices
180(1)
Patient and Family Teaching
180(8)
Psychological and Cognitive Function
188(36)
Normal Changes With Aging
191(2)
Personality and Self-Concept
193(1)
Personality Disorders
194(1)
Elder Abuse or Mistreatment
195(1)
Psychotic Disorders
196(1)
Life Satisfaction and Life Events
196(2)
Adjustment Disorder
197(1)
Bereavement
197(1)
Stress and Coping
198(1)
Depression
199(10)
Nursing Assessment of Depression
202(1)
Suicide
203(2)
Alcohol Abuse
205(2)
Basic Principles Relating to Psychological Assessment in Older Adults
207(2)
Cultural Considerations
209(1)
Nursing Interventions
210(7)
Nonpharmacological Treatments
210(6)
Best Practices
216(1)
Nursing Diagnosis
216(1)
Patient and Family Teaching
217(7)
Sleep and the Older Adult
224(25)
Sleep Architecture
225(2)
Normal Sleep and Aging
227(2)
Health Problems and Sleep Disruption
229(1)
Sleep Disruption
230(6)
Dementia
231(1)
Snoring
231(1)
Sleep Apnea
232(2)
Urinary Problems
234(1)
Sleep Problems in Hospitals and Nursing Homes
235(1)
Alcohol and Caffeine
235(1)
Sleeping Medications
235(1)
Nursing Assessment
236(1)
Best Practices
237(1)
Nursing Interventions
237(12)
Additional Nonpharmacological Measures
240(1)
Pharmacological Treatments for Altered Sleep Patterns
241(8)
Pain Management
249(22)
Pathophysiology of Pain
251(1)
The Art and Science of Pain Relief
251(2)
Pharmacological Management
253(3)
Adjuvant Drugs for Older Patients With Pain
253(1)
Special Pharmacological Issues Regarding Pain Management in the Older Person
254(1)
Pharmacological Principles for Successful Pain Management
255(1)
Nonpharmacological Methods to Manage Pain in the Older Person
256(1)
Consequences of Unrelieved Pain
257(8)
Acute Pain in Elderly Adults
258(2)
Chronic Pain in the Older Person
260(1)
Pain Assessment Techniques
260(2)
Analysis of the Pain Management Plan
262(3)
Patient and Family Teaching
265(6)
Violence and Elder Mistreatment
271(22)
National Incidence and Prevalence of Elder Mistreatment
272(7)
Legal Issues
272(1)
Categories of Elder Mistreatment
273(1)
Institutional Mistreatment
273(1)
Definitions of Elder Mistreatment
274(1)
Characteristics of Older Adults at Risk
275(1)
Characteristics of People Who Mistreat Older Adults
275(1)
Cultural Perceptions of Elder Mistreatment
275(1)
Theories of Elder Mistreatment
276(3)
Assessment
279(6)
Physical Examination
279(4)
Nursing Diagnoses
283(1)
Interventions
283(1)
Documentation
284(1)
Implications for Gerontological Nursing Practice
284(1)
Future Considerations
285(8)
Care of the Dying
293(34)
The Changing Face of Death
296(1)
Palliative Care
297(1)
Hospice Care
298(2)
Stages of the Dying Process
299(1)
Complementary and Alternative Care
300(1)
The Nurse's Role
301(19)
Pain Relief at the End of Life
302(2)
Pain During the Dying Process
304(1)
Effects of Unrelieved Pain During the Dying Process
304(1)
Principles of Pain Relief During the Dying Process
304(1)
Pharmacological Approach to Pain Management During the Dying Process
305(3)
Nursing Care at the End of Life
308(2)
Nursing Diagnoses at the End of Life
310(1)
Postmortem Care
311(1)
Designations of Level of Care
312(1)
Advance Directives
313(3)
Use of Feeding Tubes for Artificial Nutrition
316(1)
Mercy Killing or Euthanasia
317(1)
Cultural Issues
317(1)
Preparing for Death
318(1)
Grief
318(2)
Caring for the Caregiver
320(1)
Patient and Family Teaching
320(7)
Unit Three Physiological Basis of Practice
327(482)
The Integument
328(37)
Usual Structure and Function of Skin Layers
329(1)
Epidermis
329(1)
Dermis
329(1)
Hypodermis
329(1)
Dermal Accessory Structures
330(1)
Hair
330(1)
Nails
330(1)
Glands
330(1)
Usual Functions of the Skin
331(1)
Regulation of Body Fluids and Temperature
331(1)
Regulation of the Immune Function
331(1)
Production of Vitamin D
331(1)
Sensory Reception
331(1)
Normal Changes of Aging
332(3)
Epidermis
332(2)
Dermis
334(1)
Subcutaneous Layer
334(1)
Hair
335(1)
Nails
335(1)
Glands
335(1)
Sebaceous Glands
335(1)
Common Illnesses of Older Persons
335(11)
Skin Cancer
335(1)
Actinic Keratosis
336(2)
Skin Tears
338(1)
Pressure Ulcers in the Older Person
338(3)
Wound Healing
341(2)
Cellulitis
343(1)
Fingernail and Toenail Conditions
344(1)
Nursing Diagnoses
344(1)
Laboratory and Testing Values
345(1)
Laboratory Values to Determine Risk for Pressure Ulcer
346(1)
Pharmacology and Nursing Responsibilities
346(1)
Topical Antifungal Agents
346(1)
Topical Antibiotics
346(1)
Systemic Antibiotics
347(1)
Selected Antimicrobials
347(1)
Aminoglycosides
347(1)
Prescription Creams and Lotions for Dry Skin
347(1)
Nonpharmacological Treatment of Skin Problems in Older Persons
347(10)
Skin Cancer and Precancer Conditions
348(1)
Nonpharmacological Treatment of Skin Cancer
349(1)
Prevention and Management of Skin Tears
350(1)
Nonpharmacological Treatment of Pressure Ulcers
350(3)
Treatment of Pressure Ulcers
353(4)
Nonpharmacological Treatment of Fingernail and Toenail Conditions
357(1)
Nursing Management Principles
357(8)
Nursing Process and Documentation
357(1)
Knowledge-Based Decision Making
357(1)
Evaluation and Revision of Nursing Care Plan
358(7)
The Mouth and Oral Cavity
365(18)
Normal Changes of Aging
366(1)
Common Diseases of Aging Relating to the Mouth and Oral Cavity
367(2)
Barriers to Mouth Care
368(1)
Negative Effects of Poor Oral Care
368(1)
Risk Factors for Oral Problems
369(1)
Nursing Assessment of Oral Problems
369(2)
Common Oral Problems
371(7)
Xerostomia
371(1)
Oral Candidiasis
371(1)
Oral Pain
372(1)
Gingivitis and Periodontal Disease
372(2)
Stomatitis
374(1)
Oral Cancer
374(1)
Nursing Strategies for Providing Oral Care to Patients with Cognitive Impairments
375(3)
Nursing Diagnoses
378(5)
Sensation: Hearing, Vision, Taste, Touch, and Smell
383(76)
Vision
384(13)
Normal Age-Related Changes
386(2)
Nursing Implications Related to Caring for Patients With Vision Problems
388(2)
Visual Problems
390(7)
Nursing Diagnoses Associated With Visual Impairment
397(1)
Hearing
397(10)
Age-Related Changes
398(2)
Types of Hearing Loss
400(2)
Assessing Hearing Loss
402(2)
Hearing Aids
404(1)
Assistive Listening Devices
405(1)
Common Hearing Problems in Older Persons
405(1)
Nursing Diagnoses Associated With Hearing Impairment
406(1)
Taste
407(3)
Nursing Assessment of the Older Patient With Taste Disturbances
408(2)
Nursing Diagnoses Associated With Taste Impairment
410(1)
Smell
410(3)
Nursing Assessment of the Older Patient With Disturbances of Smell
411(1)
Nursing Diagnosis
412(1)
Physical Sensation
412(1)
Nursing Assessment of the Older Person With Tactile Impairment
413(8)
Nursing Diagnoses Associated With Tactile Impairment
413(1)
Teaching Guidelines for Patient and Family With Sensory Impairments
413(8)
The Cardiovascular System
421(1)
Structure and Function
422(5)
Conduction System
424(1)
Electrocardiogram
425(1)
The Circulatory System
425(1)
Regulation of Blood Flow
426(1)
Cardiac Circulation
427(1)
Normal Changes With Aging
427(4)
Common Illnesses With Older Persons
431(28)
Hypertension
432(3)
Hypotension
435(1)
Hyperlipidemia
435(3)
Chest Pain
438(1)
Angina
439(1)
Myocardial Infarction
439(2)
Valvular Heart Disease
441(1)
Congestive Heart Failure
442(4)
Arrhythmias and Conduction Disorders
446(1)
Peripheral Vascular Disease
447(1)
Nursing Management Principles
448(11)
The Respiratory System
459(58)
Anatomy and Physiology
460(2)
Normal Changes of Aging
462(3)
Changes in Cardiovascular Function
463(1)
Changes in Immune Function
463(2)
Changes in Neurologic, Neuromuscular, and Sensory Functions
465(1)
Respiratory Diseases Common in Older People
465(46)
Asthma
465(22)
Chronic Obstructive Pulmonary Disease
487(12)
Tuberculosis
499(4)
Lung Cancer
503(1)
Respiratory Infections
504(5)
Acute Bronchitis
509(1)
Pulmonary Embolism
509(1)
Severe Acute Respiratory Syndrome (SARS)
510(1)
Patient-Family Teaching Guidelines
511(6)
The Genitourinary and Renal Systems
517(34)
Normal Changes of Aging
518(6)
Age-Related Changes in the Kidney
518(3)
Bladder and Urethral Changes With Aging
521(1)
Antidiuretic Hormone and the Aging Process
522(1)
Male Reproductive System and Advanced Age
522(1)
Female Reproductive System and Advanced Age
523(1)
Gay and Lesbian Older Adults
523(1)
Common Genitourinary Concerns in Older Adults
524(15)
Acute and Chronic Renal Failure
525(2)
Urinary Tract Infection
527(1)
Urinary Incontinence
528(5)
Benign Prostatic Hyperplasia
533(1)
Menopause-Related Concerns
534(1)
Genitourinary Malignancies
535(4)
Sex and the Senior Citizen
539(12)
Discussing Sexuality With Older Adults
542(1)
Sexuality in Long-Term Care
542(1)
Erectile Dysfunction
543(1)
Sexually Transmitted Diseases
543(8)
The Musculoskeletal System
551(49)
The Normal Musculoskeletal System and Joints
552(2)
Skeletal System: Structure and Function
552(1)
Joints: Structure and Function
553(1)
Muscles: Structure and Function
554(1)
Normal Changes of Aging
554(2)
Skeleton: Normal Changes of Aging
554(2)
Muscles: Normal Changes of Aging
556(1)
Joints, Ligaments, Tendons, and Cartilage: Normal Changes of Aging
556(1)
Common Musculoskeletal Illnesses of Older Persons
556(12)
Osteoporosis
557(1)
Osteomalacia
558(2)
Paget's Disease
560(1)
Joint Disorders: Noninflammatory and Inflammatory Categories
561(7)
Falls and the Older Person
568(1)
Hip Fracture
568(1)
Selected Nursing Diagnoses for Common Musculoskeletal Illnesses of Older Persons
569(6)
Selected Diagnostic Tests and Values for Musculoskeletal Problems
572(3)
Common Diagnostic Findings for Musculoskeletal Illnesses
575(1)
Pharmacology and Nursing Responsibilities
575(7)
Pharmacology and Nursing Responsibilities for Osteoporosis
575(3)
Pharmacology and Nursing Responsibilities for Paget's Disease
578(1)
Pharmacology and Nursing Responsibilities for Osteomalacia
578(1)
Pharmacology and Nursing Responsibilities for Osteoarthritis
579(1)
Pharmacology and Nursing Responsibilities for Rheumatoid Arthritis
579(1)
Disease-Modifying Antirheumatic Drugs
580(1)
Pharmacology and Nursing Responsibilities for Acute Gout and Chronic Gout
581(1)
Pharmacological Treatment of Bursitis
582(1)
Nonpharmacological Treatment of Musculoskeletal Problems
582(2)
Nonpharmacological Treatment of Osteoporosis
582(1)
Assessment and Prevention of Risk Factors for Osteoporosis
582(1)
Nonpharmacological Treatment of Osteomalacia
583(1)
Nonpharmacological Treatment of Paget's Disease
584(1)
Healthy People 2010 and Living With Arthritis
584(16)
Nonpharmacological Treatment of Osteoarthritis
584(1)
Prevention and Treatment of Osteoarthritis
585(2)
Nonpharmacological Treatment for Rheumatoid Arthritis
587(1)
Teaching Guidelines for Rheumatoid Arthritis
588(1)
Nonpharmacological Treatment to Prevent Falls and Fall-Related Injuries
588(2)
Treatment of Hip Fractures
590(10)
The Endocrine System
600(42)
Diabetes Mellitus
601(10)
Complications of Diabetes Mellitus
601(3)
Pathophysiology of DM
604(1)
Risk Factors for Development of Diabetes Mellitus
605(1)
Diagnostic Criteria
606(5)
Goals of Management
611(15)
Weight Management
612(5)
Medications Used to Control Diabetes Mellitus
617(6)
Effect of Acute Illness
623(1)
Nonketotic Hyperglycemic-Hyperosmolar Coma
623(1)
Difficulties in Caring for Older Patients With DM
624(1)
General Health Promotion for the Older Person With Diabetes
625(1)
Hope for the Future
626(1)
Thyroid Disorders
626(16)
Normal Anatomy and Physiology
626(2)
Normal Changes of Thyroid Function With Aging
628(1)
Thyroid Function Testing
628(1)
Hypothyroidism
629(4)
Hyperthyroidism
633(2)
Nursing Diagnoses Associated With Endocrine Problems
635(7)
The Gastrointestinal System
642(42)
Normal Changes of Aging
643(3)
Common Disorders in Aging
646(29)
Esophageal Disorders
646(1)
Dysphagia
646(5)
Gastroesophageal Reflux Disease
651(7)
Gastric Disorders
658(4)
Lower Gastrointestinal Tract Disorders
662(13)
Endoscopic Gastrointestinal Procedures
675(1)
Nursing Diagnoses for Older Patients With Gastrointestinal Tract Problems
676(8)
The Hematologic System
684(27)
Normal Changes of Aging
686(1)
Common Disorders in Aging
686(12)
Anemia
688(6)
Transfusions
694(1)
Chronic Myeloproliferative Disorders
695(1)
Hematologic Malignancies
696(1)
Lymphomas
697(1)
Nursing Assessment of Older Patients With Hematologic Abnormalities
698(6)
Hypercoagulability and Anticoagulation
700(4)
Nursing Assessment of the Older Patient With Hypercoagulability
704(7)
The Neurologic System
711(43)
Normal Changes of Aging
712(1)
Dementia
713(4)
Progressive Dementias
715(1)
Alzheimer's Disease
715(1)
Vascular Dementia
716(1)
Lewy Body Disease
716(1)
Frontotemporal Dementia
717(1)
Alzheimer's Disease
717(18)
Stages of Alzheimer's Disease and Implications for Nursing Care
718(17)
Parkinson's Disease
735(3)
Stroke
738(6)
Seizures
744(10)
The Immune System
754(33)
The Immune System
755(2)
Characteristics Unique to the Immune System
756(1)
Types of Immunity
756(1)
Components of the Immune Response
757(1)
Humoral Immune Response
757(4)
Primary and Secondary Immune Responses
759(1)
Cell-Mediated Immune Response
760(1)
Changes in Immunity with Aging
761(4)
Factors Affecting Aging of the Immune System
762(3)
Excessive Immune Responses
765(5)
Hypersensitivity
766(4)
Deficient Immune Responses
770(4)
Primary Immunodeficiency Disorders
770(3)
Secondary Immunodeficiency Disorders
773(1)
Susceptibility to Infections
774(13)
Pneumonia
774(1)
Urinary Tract Infection
775(1)
Bacteremia
775(2)
Tuberculosis
777(1)
Skin Infections
777(1)
Nursing Assessment
778(1)
Nursing Interventions to Improve Immune Status
779(8)
Multisystem Problems: Caring for Frail Elders With Comorbidities
787(22)
Risks of Frailty
788(1)
The Paths to Frailty
789(3)
Social and Psychological Environments As Contributors to Frailty
792(1)
Common Diagnoses Associated With Frailty in the Older Adult
792(17)
Cumulative Effect of Comorbidities
792(1)
Pathways to Frailty
793(2)
Trajectories of Functional Decline
795(1)
Frailty and Emotional Health
796(1)
Frailty, Comorbidities, and Functional Status
796(4)
Long-Term Care
800(1)
Making Treatment Decisions
801(1)
Acute Illness and Hospitalization
802(5)
Palliative Care
807(2)
Conclusion 809(10)
Appendix A 819(2)
Appendix B 821(10)
Index 831


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