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9780781738088

Nursing for Wellness in Older Adults Theory and Practice

by
  • ISBN13:

    9780781738088

  • ISBN10:

    0781738083

  • Edition: 4th
  • Format: Hardcover
  • Copyright: 2003-10-07
  • Publisher: LWW
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Summary

With this comprehensive, wellness-oriented gerontology text, your students will learn that advanced age is not synonymous with infirmity. Organized around the functional consequences theory of gerontological nursing, the book examines age-related changes rather than diseases and conditions. The emphasis of this clear, reader-friendly text is on helping patients, residents, and clients remain healthy and functional to maintain the best possible quality of life. Book jacket.

Table of Contents

PART 1 OLDER ADULTS: AN INTRODUCTION
CHAPTER 1 The Continuum of Older Adulthood,
3(16)
Older Adulthood as a Continuum,
3(1)
Definitions of Aging,
4(1)
Diversity of Older Adults,
5(1)
Attitudes, Ageism, and Myths of Aging,
6(5)
Characteristics of Older Adults in the United States,
11(5)
Chapter Summary,
16(1)
Critical Thinking Exercises,
17(1)
Educational Resources,
17(2)
CHAPTER 2 Older Adults in Families, Communities, and the World,
19(20)
Older Adults in Families,
19(2)
Transcultural Perspectives of Aging in the United States,
21(6)
Older Adults in Other Diverse Communities,
27(1)
Continuum of Living Arrangements for Older Adults,
28(3)
Older Adults in the World,
31(4)
Chapter Summary,
35(1)
Critical Thinking Exercises,
35(1)
Educational Resources,
35(4)
CHAPTER 3 The Phenomenon of Aging
39(32)
Life Expectancy, Morbidity, and Mortality,
40(2)
The Role of Theory in Understanding Aging,
42(1)
Biologic Theories of Aging,
43(8)
Sociologic Theories of Aging,
51(3)
Psychological Theories of Aging,
54(4)
A Theory for Gerontological Nursing: The Functional Consequences Theory,
58(2)
Concepts Underlying the Functional Consequences Theory,
60(5)
Chapter Summary,
65(1)
Critical Thinking Exercises,
66(1)
Educational Resources,
66(5)
PART 2 GERONTOLOGICAL NURSING
CHAPTER 4 Gerontological Nursing and Health Promotion,
71(20)
Gerontology and Geriatrics,
71(1)
Gerontological Nursing,
72(3)
Unique Challenges of Gerontological Nursing,
75(3)
Health Promotion,
78(9)
Chapter Summary,
87(1)
Critical Thinking Exercises,
87(1)
Educational Resources,
88(3)
CHAPTER 5 Gerontological Nursing and the Continuum of Care for Older Adults,
91(18)
Development of a Continuum of Care,
92(1)
Acute Care,
93(1)
Nursing Homes,
94(2)
Home Care,
96(3)
Community-Based Services,
99(2)
Paying for Gerontological Health Care Services,
101(4)
Chapter Summary,
105(1)
Critical Thinking Exercises, 106 Educational Resources,
106(3)
CHAPTER 6 Legal and Ethical Concerns,
109(14)
Autonomy and Rights,
109(2)
Advance Directives,
111(2)
Nursing Homes,
113(1)
End-of-Life Care,
114(2)
Cultural Aspects of Legal and Ethical Issues,
116(1)
Chapter Summary,
117(1)
Critical Thinking Exercises,
118(1)
Educational Resources,
119(4)
PART 3 PSYCHOSOCIAL ASPECTS OF FUNCTION
CHAPTER 7 Cognitive Function,
123(16)
Age-Related Changes That Affect Cognitive Function,
123(1)
Theories About Aging and Cognition,
124(3)
Risk Factors That Affect Cognitive Function,
127(1)
Functional Consequences Associated With Cognitive Function in Older Adults,
128(1)
Nursing Assessment of Cognitive Function,
129(1)
Nursing Diagnosis,
129(1)
Outcomes,
130(1)
Nursing Interventions to Promote Healthy Cognitive Function,
130(4)
Evaluating Effectiveness of Nursing Interventions,
134(1)
Chapter Summary,
134(1)
Concluding Case Study and Nursing Care Plan,
134(1)
Critical Thinking Exercises,
135(1)
Educational Resources,
135(4)
CHAPTER 8 Psychosocial Function,
139(26)
Age-Related Changes That Affect Psychosocial Function: Life Events,
140(4)
Theories About Aging and Psychosocial Function,
144(3)
Religion, Spirituality, and Aging,
147(1)
Risk Factors That Affect Psychosocial Function,
148(1)
Functional Consequences Associated With Psychosocial Function in Older Adults,
149(1)
Nursing Assessment of Psychosocial Function,
150(1)
Nursing Diagnosis,
150(1)
Outcomes,
151(1)
Nursing Interventions to Promote Healthy Psychosocial Function,
151(9)
Evaluating Effectiveness of Nursing Interventions,
160(1)
Chapter Summary,
160(1)
Concluding Case Study and Nursing Care Plan,
160(1)
Critical Thinking Exercises,
161(1)
Educational Resources,
162(3)
CHAPTER 9 Communication and Transcultural Nursing Care,
165(14)
Communicating With Older Adults,
165(7)
Cultural Aspects of Caring for Older Adults,
172(5)
Chapter Summary,
177(1)
Critical Thinking Exercises,
177(1)
Educational Resources,
177(2)
CHAPTER 10 Psychosocial Assessment,
179(34)
Overview of the Psychosocial Assessment Process,
180(2)
Mental Status Assessment,
182(7)
Decision Making and Executive Function,
189(1)
Affective Function,
190(6)
Contact With Reality,
196(7)
Social Supports,
203(5)
Chapter Summary,
208(1)
Critical Thinking Exercises,
208(1)
Educational Resources,
208(5)
PART 4 PHYSIOLOGIC ASPECTS OF FUNCTION
CHAPTER 11 Overall Functional Assessment,
213(14)
History of the Functional Assessment,
213(1)
Current Use of Functional Assessments in
Gerontological Practice,
214(1)
Sample Functional Assessment Tool,
215(9)
Chapter Summary,
224(1)
Critical Thinking Exercises,
224(1)
Educational Resources,
224(3)
CHAPTER 12 Hearing
227(24)
Age-Related Changes That Affect Hearing,
227(2)
Risk Factors That Affect Hearing,
229(2)
Pathologic Conditions That Can Affect Hearing,
231(1)
Functional Consequences Associated With Hearing in Older Adults,
232(3)
Nursing Assessment of Hearing,
235(3)
Nursing Diagnosis,
238(1)
Outcomes,
238(1)
Nursing Interventions to Improve Hearing,
239(6)
Evaluating Effectiveness of Nursing Interventions,
245(1)
Chapter Summary,
246(1)
Concluding Case Study and Nursing Care Plan,
246(1)
Critical Thinking Exercises,
247(1)
Educational Resources,
248(3)
CHAPTER 13 Vision,
251(28)
Age-Related Changes That Affect Vision,
252(1)
Risk Factors That Affect Vision,
253(1)
Effects of Age-Related Changes on Vision,
254(3)
Pathologic Conditions That Can Affect Vision,
257(4)
Functional Consequences Associated With Vision in Older Adults,
261(2)
Nursing Assessment of Vision,
263(4)
Nursing Diagnosis,
267(1)
Outcomes,
268(1)
Nursing Interventions to Improve Vision,
268(5)
Evaluating Effectiveness of Nursing Interventions,
273(1)
Chapter Summary,
273(1)
Concluding Case Study and Nursing Care Plan,
274(1)
Critical Thinking Exercises,
275(2)
Educational Resources,
277(2)
CHAPTER 14 Digestion and Nutrition,
279(30)
Age-Related Changes That Affect Digestion and Eating Patterns,
280(2)
Age-Related Changes in Nutritional Requirements,
282(1)
Risk Factors That Affect Digestion and Nutrition in Older Adults,
283(6)
Pathologic Conditions Associated With Digestion and Nutrition
289(1)
Functional Consequences Associated With Digestion and Nutrition in Older Adults,
289(2)
Nursing Assessment of Digestion and Nutrition,
291(6)
Nursing Diagnosis,
297(1)
Outcomes,
297(1)
Nursing Interventions to Promote Healthy Digestion and Nutrition,
297(4)
Evaluating Effectiveness of Nursing Interventions,
301(2)
Chapter Summary,
303(1)
Concluding Case Study and Nursing Care Plan,
303(1)
Critical Thinking Exercises,
304(1)
Educational Resources,
305(4)
CHAPTER 15 Urinary Function,
309(28)
Age-Related Changes That Affect Urinary Function,
310(2)
Risk Factors That Affect Urinary Function,
312(4)
Pathologic Conditions Associated With Urinary Function,
316(1)
Functional Consequences Associated With Urinary Elimination in Older Adults,
316(4)
Nursing Assessment of Urinary Function,
320(3)
Nursing Diagnosis,
323(1)
Outcomes,
323(1)
Nursing Interventions to Promote Healthy Urinary Function,
324(7)
Evaluating Effectiveness of Nursing Interventions,
331(1)
Chapter Summary,
331(1)
Concluding Case Study and Nursing Care Plan,
332(2)
Critical Thinking Exercises,
334(1)
Educational Resources,
334(3)
CHAPTER 16 Cardiovascular Function,
337(26)
Age-Related Changes That Affect Cardiovascular Function,
338(1)
Risk Factors That Affect Cardiovascular Function,
339(2)
Pathologic Conditions Associated With Cardiovascular Function,
341(1)
Functional Consequences Associated With Cardiovascular Function in Older Adults,
342(3)
Nursing Assessment of Cardiovascular Function,
345(6)
Nursing Diagnosis,
351(1)
Outcomes,
351(1)
Nursing Interventions to Promote Healthy Cardiovascular Function,
352(5)
Evaluating Effectiveness of Nursing Interventions,
357(1)
Chapter Summary,
357(1)
Concluding Case Study and Nursing Care Plan,
358(1)
Critical Thinking Exercises,
358(2)
Educational Resources,
360(3)
CHAPTER 17 Respiratory Function,
363(18)
Age-Related Changes That Affect Respiratory Function,
364(2)
Risk Factors That Affect Respiratory Function,
366(2)
Pathologic Conditions That Can Affect Respiratory Function,
368(1)
Functional Consequences Associated With Respiratory Function in Older Adults,
368(2)
Nursing Assessment of Respiratory Function,
370(3)
Nursing Diagnosis,
373(1)
Outcomes,
373(1)
Nursing Interventions to Promote Healthy Respiratory Function,
374(3)
Evaluating Effectiveness of Nursing Interventions,
377(1)
Chapter Summary,
377(1)
Concluding Case Study and Nursing Care Plan,
378(1)
Critical Thinking Exercises,
378(1)
Educational Resources,
379(2)
CHAPTER 18 Mobility and safety,
381(34)
Age-Related Changes That Affect Mobility and Safety,
381(2)
Osteoporosis as an Age-Related Change,
383(1)
Risk Factors That Affect Overall Musculoskeletal Function,
384(1)
Risk Factors for the Development of Osteoporosis and Fractures,
384(2)
Risk Factors for Unsafe Mobility and Falls,
386(4)
Pathologic Conditions That Can Affect Musculoskeletal Function,
390(1)
Functional Consequences Associated With Musculoskeletal Changes in Older Adults,
390(3)
Nursing Assessment of Musculoskeletal Function,
393(6)
Nursing Diagnosis,
399(1)
Outcomes,
400(1)
Nursing Interventions to Promote Healthy Musculoskeletal Function,
400(1)
Nursing Interventions to Prevent and Treat Osteoporosis,
401(4)
Multidisciplinary Interventions to Prevent Falls and Fall-Related Injuries,
405(4)
Evaluating Effectiveness of Nursing Interventions,
409(1)
Chapter Summary,
409(1)
Concluding Case Study and Nursing Care Plan,
410(1)
Critical Thinking Exercises,
410(1)
Educational Resources,
411(4)
CHAPTER 19 Skin,
415(22)
Age-Related Changes That Affect the Skin,
416(1)
Risk Factors That Affect the Skin,
417(2)
Pathologic Changes That Can Affect Skin,
419(1)
Functional Consequences Associated With Skin in Older Adults,
420(2)
Nursing Assessment of Skin,
422(5)
Nursing Diagnosis,
427(1)
Outcomes,
427(2)
Nursing Interventions to Promote Healthy Skin,
429(3)
Evaluating Effectiveness of Nursing Interventions,
432(1)
Chapter Summary,
432(1)
Concluding Case Study and Nursing Care Plan,
433(1)
Critical Thinking Exercises,
433(1)
Educational Resources,
434(3)
CHAPTER 20 Sleep and Rest,
437(20)
Age-Related Changes That Affect Sleep and Rest Patterns,
438(2)
Risk Factors That Affect Sleep,
440(3)
Functional Consequences Associated With Sleep Changes in Older Adults,
443(2)
Nursing Assessment of Sleep Patterns,
445(3)
Nursing Diagnosis,
448(1)
Outcomes,
448(1)
Nursing Interventions to Improve Sleep,
448(5)
Evaluating Effectiveness of Nursing Interventions,
453(1)
Chapter Summary,
453(1)
Concluding Case Study and Nursing Care Plan,
453(1)
Critical Thinking Exercises,
454(1)
Educational Resources,
455(2)
CHAPTER 21 Thermoregulation,
457(16)
Age-Related Changes That Affect Thermoregulation,
457(2)
Risk Factors That Affect Thermoregulation,
459(2)
Functional Consequences Associated With Thermoregulation in Older Adults,
461(2)
Nursing Assessment of Thermoregulation,
463(3)
Nursing Diagnosis,
466(1)
Outcomes,
466(1)
Nursing Interventions to Promote Healthy Thermoregulation,
466(2)
Evaluating Effectiveness of Nursing Interventions,
468(1)
Chapter Summary,
469(1)
Concluding Case Study and Nursing Care Plan,
469(1)
Critical Thinking Exercises,
470(1)
Educational Resources,
470(3)
CHAPTER 22 Sexual Function,
473(30)
Age-Related Changes That Affect Sexual Function,
474(1)
Risk Factors That Affect Sexual Function,
475(4)
Pathologic Conditions Associated With Sexual Function in Older Adults,
479(1)
Functional Consequences Associated With Sexual Function in Older Adults,
480(5)
Nursing Assessment of Sexual Function,
485(3)
Nursing Diagnosis,
488(1)
Outcomes,
488(1)
Nursing Interventions to Promote Healthy Sexual Function,
488(2)
Nursing Interventions to Provide Sexual Health Education to Women,
490(2)
Nursing Interventions to Provide Sexual Health Education to Men,
492(2)
Nursing Interventions to Address the Sexual Needs of Nursing Home Residents,
494(1)
Evaluating Effectiveness of Nursing Interventions,
495(1)
Chapter Summary,
495(1)
Concluding Case Study and Nursing Care Plan,
496(1)
Critical Thinking Exercises,
496(1)
Educational Resources,
497(6)
PART 5 MEDICATION MANAGEMENT
CHAPTER 23 Medications and the Older Adult,
503(38)
Age-Related Changes That Affect Medications in Older Adults,
504(3)
Risk Factors That Affect Medications,
507(4)
Medication Interactions With Other Substances,
511(3)
Functional Consequences Associated With Medications in Older Adults,
514(4)
Nursing Assessment of Medication Use and Effects,
518(7)
Nursing Diagnosis,
525(1)
Outcomes,
525(1)
Nursing Interventions to Promote Healthy Medication Taking Patterns in Older Adults,
526(6)
Evaluating Effectiveness of Nursing Interventions,
532(1)
Chapter Summary,
532(1)
Concluding Case Study and Nursing Care Plan,
533(2)
Critical Thinking Exercises,
535(1)
Educational Resources,
535(6)
PART 6 IMPAIRED PSYCHOSOCIAL FUNCTION IN OLDER ADULTS
CHAPTER 24 Impaired Cognitive Function: Delirium and Dementia,
541(40)
Delirium,
542(2)
Overview of Dementia,
544(3)
Types of Dementia,
547(6)
Risk Factors Associated With Dementia,
553(1)
Functional Consequences Associated With Dementia in Older Adults,
554(4)
Nursing Assessment of Dementia in Older Adults,
558(2)
Nursing Diagnosis,
560(1)
Outcomes,
560(1)
Nursing Interventions to Address Dementia in Older Adults,
561(11)
Evaluating the Effectiveness of Nursing Interventions,
572(1)
Chapter Summary,
573(1)
Concluding Case Study and Nursing Care Plan,
573(1)
Critical Thinking Exercises,
574(1)
Educational Resources,
575(6)
CHAPTER 25 Impaired Affective Function: Depression,
581(26)
Theories About Late-Life Depression,
582(2)
Types of Depression,
584(1)
Risk Factors for Depression in Older Adults,
585(2)
Functional Consequences Associated With Depression in Older Adults,
587(3)
Nursing Assessment of Depression in Older Adults,
590(2)
Nursing Diagnosis,
592(1)
Outcomes,
593(1)
Nursing Interventions to Address Depression in Older Adults,
594(6)
Evaluating Effectiveness of Nursing Interventions,
600(1)
Chapter Summary,
601(1)
Concluding Case Study and Nursing Care Plan,
601(1)
Critical Thinking Exercises,
602(1)
Educational Resources,
603(4)
CHAPTER 26 Elder Abuse and Neglect,
607(30)
Overview,
607(3)
Cultural Considerations,
610(1)
Risk Factors That Contribute to Elder Abuse and Neglect,
611(2)
Functional Consequences Associated With Elder Abuse and Neglect,
613(3)
Nursing Assessment of Abused or Neglected Older Adults,
616(6)
Nursing Diagnosis,
622(1)
Outcomes,
622(1)
Nursing Interventions to Address Elder Abuse,
622(4)
Legal Interventions,
626(7)
Evaluating Effectiveness of Nursing Interventions,
633(1)
Chapter Summary,
633(1)
Critical Thinking Exercises,
634(1)
Educational Resources,
634(3)
Appendix: Review of Physiologic Aspects of Function, 637(8)
Index, 645

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