Caring for the Elderly Client

by Anderson, Mary Ann; Braun, Judith V.

• ISBN13: 9780803604629
• ISBN10: 0803604629
• Edition: 2nd
• Format: Paperback
• Copyright: 1999-05-01
• Publisher: F a Davis Co

Summary

Weber State Univ., Ogden, UT. Textbook, for the LPN/LVN student, on the special aspects of gerontologic care and the role of the practical nurse. Chapters include study questions, summaries and objectives, and case studies. By a Brandon/ Hill author. Previous edition: c1995. Softcover. DNLM: Geriatric Nursing.

Table of Contents

Unit One FOUNDATIONS OF CARE FOR THE ELDERLY CLIENT	1	(154)
The Aging Experience	3	(22)
Elaine Tagliareni
Verle Waters
Introduction	4	(1)
Demographics	4	(1)
Impact of Aging on Nursing	5	(1)
Ethical Considerations	5	(1)
Attitudes Toward Aging	6	(1)
Ageism	6	(2)
The Normal Aging Process	8	(2)
Normal Physiological Changes According to Body Systems	10	(9)
Summary	19	(1)
Case Study	20	(5)
Promoting Wellness	25	(24)
Mary Lou Long
Introduction	26	(1)
Chronic Disease	26	(1)
Illness/Wellness as a Continuum	27	(3)
Nutrition	30	(2)
Exercise and Fitness	32	(7)
Lifestyles	39	(2)
Self-Care---Taking Charge	41	(2)
Summary	43	(1)
Case Study	44	(5)
The Management Role of the Licensed Practical/Vocational Nurse	49	(28)
Mary Ann Anderson
Introduction	50	(1)
Management Roles	50	(1)
Management Styles	50	(3)
Communication	53	(7)
The Planning Hoop	60	(3)
Priority Setting	63	(1)
Managing Personnel	63	(5)
Managing the Quality of Care	68	(2)
Summary	70	(1)
Case Study	71	(6)
The Use of the Nursing Process and Nursing Diagnosis in the Care of the Older Adult	77	(34)
Kathleen R. Culliton
Introduction	78	(1)
Environments of Care	78	(1)
The Nursing Process	79	(14)
Case Study	93	(18)
Legal and Ethical Considerations Regarding the Elderly	111	(22)
Mary Ann Anderson
Introduction	112	(1)
Ethics	112	(1)
The Law	112	(5)
Use of Restraints	117	(4)
Advanced Directives	121	(3)
Informed Consent	124	(1)
Elder Abuse	125	(2)
Sexual Needs	127	(1)
Summary	128	(1)
Case Study	129	(4)
Environments of Care	133	(22)
Mary McCarthy Slater
Kathleen R. Culliton
Introduction	134	(1)
Environmental Management	134	(4)
Relocation Trauma	138	(2)
Environments of Care	140	(10)
Summary	150	(1)
Case Study	151	(4)
Unit Two CLINICAL PRACTICE	155	(232)
Common Medical Diagnoses	157	(28)
Mary Ann Johnson
Introduction	158	(1)
Acute Versus Chronic Conditions	159	(1)
Review of Systems	160	(3)
Chronic Illnesses Commonly Found in Older Adults	163	(15)
Summary	178	(7)
Physiological Assessment	185	(34)
Kay Martin Grott
Kathleen R. Culliton
Introduction	186	(1)
Physical Assessment	186	(18)
Functional Assessment	204	(5)
Discharge Planning and Assessment	209	(6)
Case Study	215	(4)
Common Clinical Problems: Physiological	219	(28)
Vivian J. Koroknay
Introduction	220	(1)
Alternation in Mobility	220	(3)
Potential for Injury from Falls	223	(3)
Alteration in Elimination	226	(6)
Alternation in Skin Integrity: Pressure/Ulcers	232	(4)
Altered Nutritional Status	236	(2)
Sleep Pattern Disturbances	238	(2)
Iatrogenesis	240	(1)
Conclusion	241	(1)
Case Study	242	(5)
Psychological Assessment	247	(26)
Jeanne Robertson Samter
Introduction	248	(1)
Mental Health	248	(5)
Assessment Tools and How to Use Them	253	(3)
When to Assess	256	(1)
Assessment Techniques	257	(1)
What to Do with the Assessment Information	258	(1)
Other Assessments	259	(3)
Summary	262	(1)
Conclusion	263	(1)
Case Study	264	(9)
Common Clinical Problems: Psychological	273	(30)
Colleen Brill
Introduction	274	(1)
General Guidelines for Communicating with the Elderly	274	(3)
Communication Skills	277	(5)
Grieving and Depression	282	(3)
Delirium and Dementia	285	(4)
Agitation	289	(3)
Paranoia	292	(1)
Developmental Disabilities	292	(1)
Substance Abuse	293	(1)
Eating Disorders	293	(1)
Acute Psychological Problems	294	(1)
Chronic Mental Illness	294	(1)
Groups for the Elderly	295	(2)
Psychotropic Medications	297	(1)
Physical and Mental Health	298	(1)
Conclusion	298	(1)
Case Study	299	(4)
Restorative Care	303	(24)
Sister Rose Therese Bahr
Kathleen R. Culliton
Introduction	304	(1)
Understanding Rehabilitation and Restorative Concepts	304	(2)
The Nurses' Roles	306	(2)
Goals of Rehabilitation and Restorative Care	308	(2)
Developing Goals for Rehabilitative and Restorative Care	310	(1)
Implementation of Goals in Rehabilitative and Restorative Care	311	(2)
Assessment of Goals	313	(5)
Clinical Implications of Rehabilitative and Restorative Care	318	(3)
Summary	321	(1)
Case Study	322	(5)
Pharmacology and Its Significance for Elderly Clients	327	(20)
Pamela Hugie
Introduction	328	(1)
Aging Changes that Affect Pharmacotherapeutics	328	(5)
Pharmacokinetics	333	(2)
Pharmacology Problems	335	(3)
Nursing Care of the Elderly Receiving Medications	338	(3)
Conclusion	341	(1)
Case Study	342	(5)
Laboratory Values and the Elderly	347	(40)
Yuonne A. Sehy
Introduction	348	(1)
Meaning of Laboratory Values in the Elderly	348	(1)
Common Screening Tests	349	(3)
Hematologic Indicators	352	(5)
Blood Chemistry Indicators	357	(11)
Nutritional Indicators	368	(4)
Drug Monitoring and Toxicology	372	(6)
Summary	378	(1)
Case Study	379	(4)
Appendices
Appendix A: Living Will Instruction Guide	383	(4)
Appendix B: Answers to Chapter Study Questions	387