Ebersole and Hess' Gerontological Nursing and Healthy Aging

by Touhy, Theris A.; Jett, Kathleen F., Ph.D.

• ISBN13: 9780323057011
• ISBN10: 0323057012
• Edition: 3rd
• Format: Paperback
• Copyright: 2009-03-16
• Publisher: Elsevier Science Health Science div

Summary

With a strong focus on health and wellness, this gerontological nursing text offers you a holistic perspective to caring for older adults. Designed to facilitate the healthiest adaptation possible, this text identifies potential problems that may occur and the means to address complications, alleviate discomfort, and help older adults lead healthy lives. Disease processes are discussed in the context of healthy adaptation, nursing support, and nursing responsibilities to help you gain an understanding of your clients' experience. Focus on health and wellness establishes a positive perspective to aging. Careful attention to age, cultural, and gender differences are integrated throughout to help you understand these important considerations when caring for older adults. Healthy aging strategies maximize the healthiest behaviors of clients with dementia and their caregivers. Consistent chapter organization includes learning objectives, research, and study questions/activities to make information easy to find and use. Incorporates assessment guidelines throughout provide useful tools for practice. End-of-chapter activities and discussion questions help you expand your knowledge and understanding of the content. Resource lists provide you with additional means to explore ways to care for the older adult. Incorporates the core competencies identified by the AACN and the Hartford Foundation Institute for Geriatric Nursing. Healthy People 2010 boxes assist you in integrating knowledge about healthy aging considerations. Evidence-Based Practice boxes summarize research findings that confirm effective practices or identify practices with unknown, ineffective, or harmful effects. Expanded sexuality-related content includes older adults living with AIDS and STDs. Genetics section reflects the emergence of the role of genetics in gerontological assessment.

Table of Contents

Introduction to Healthy Aging	p. 1
Aging in the United States	p. 1
Healthy, Wellness, and Aging	p. 2
Maslow's Hierarchy of Human Needs	p. 4
Gerontological Nursing History, Education, and Roles	p. 9
Gerontological Nursing: Growth of a Specialty	p. 10
Gerontological Nursing Education	p. 15
Roles in Gerontological Nursing	p. 16
Gerontological Nursing and Gerontology Organizations	p. 21
Communicating with Elders	p. 25
Communicating with Elders: General Principles	p. 25
Communication with Elders with Neurological Disorders	p. 33
Communication with Elders with Cognitive Impairment	p. 36
The Life Story	p. 38
Culture and Aging	p. 48
The Gerontological Explosion	p. 49
Health Disparities	p. 49
Increasing Cultural Competence	p. 49
Documentation for Optimal Care	p. 61
Documentation	p. 61
Documentation Across Health Care Settings	p. 62
Changes of Aging
Theories and Physical Changes of Aging	p. 66
Biological Theories of Aging	p. 67
Physical Changes that Accompany Aging	p. 68
Social, Psychological, Spiritual, and Cognitive Aspects of Aging	p. 84
Social, Psychological, Spiritual, and Cognitive Aspects of Aging	p. 85
Life Span Development Approach	p. 85
Types of Aging	p. 85
Sociological Theories of Aging	p. 86
Psychological Theories of Aging	p. 88
Spirituality and Aging	p. 90
Cognition and Aging	p. 91
Learning in Late Life	p. 95
Nutritional Needs	p. 101
Nutrition and Aging	p. 101
Factors Affecting Fulfillment of Nutritional Needs in Aging	p. 104
Health Conditions Affecting Nutrition	p. 114
Malnutrition	p. 121
Fluids and Continence	p. 130
Fluids	p. 131
Continence	p. 133
Rest, Sleep, and Activity	p. 148
Rest and Sleep	p. 148
Activity	p. 156
Promoting Healthy Skin and Feet	p. 163
Integument	p. 163
Healthy Feet	p. 174
Maintaining Mobility and Environmental Safety	p. 179
Mobility, Safety, and Satisfaction	p. 179
Falls and Risk Reduction	p. 181
Environmental Safety	p. 196
Assessment Tools in Gerontological Nursing	p. 205
Assessment Tools in Gerontological Nursing	p. 205
Safe Medication Use for Older Adults	p. 219
Pharmacokinetics	p. 220
Pharmacodynamics	p. 223
Chronopharmacology	p. 225
Medication Issues and Older Adults	p. 226
Psychotropic Medications	p. 232
Coping With Chronic Disorders In Late Life
Living with Chronic Illness	p. 239
Chronic Illness	p. 239
Theoretical Frameworks for Chronic Illness	p. 244
Pain and Comfort	p. 259
Acute and Persistent Pain	p. 261
Diabetes Mellitus	p. 272
Diabetes	p. 272
Bone and Joint Problems	p. 281
Musculoskeletal System	p. 281
Osteoporosis	p. 282
Arthritis	p. 285
Diseases Affecting Vision and Hearing	p. 291
Diseases Affecting Vision	p. 292
Diseases of the Ear	p. 299
Cardiac and Respiratory Disorders	p. 303
Cardiovascular Disorders	p. 304
Respiratory Disorders	p. 309
Cognitive Impairment	p. 317
Overview of Cognitive Impairment	p. 318
Overview of Dementia	p. 328
Caregiving for Persons with Dementia	p. 348
Caring For Elders And Their Caregivers
Economic and Legal Issues	p. 355
Social Security	p. 356
Medicare and Medicaid	p. 357
Care for Veterans	p. 360
Long-Term Care Insurance	p. 361
Legal Issues in Gerontological Nursing	p. 362
Elder Mistreatment and Neglect	p. 364
The National Elder Abuse Incidence Study	p. 371
Abuse and Neglect Assessment	p. 373
Relationships, Roles, and Transitions	p. 374
Relationships, Roles, and Transitions	p. 375
Families	p. 375
Late Life Transitions	p. 378
Caregiving	p. 383
Intimacy and Sexuality	p. 391
AIDS and the Elderly	p. 400
Mental Health and Wellness in Late Life	p. 406
Mental Health and Wellness in Late Life	p. 407
Suicide	p. 423
Substance Misuse and Alcohol Use Disorders	p. 424
Depression Rating Scales	p. 433
Loss, Grief, Dying, and Death in Late Life	p. 434
Death and Dying	p. 441
The Needs of the Dying and Their Families and Implications for Gerontological Nursing	p. 442
Dying and the Nurse	p. 444
Decision Making at End of Life	p. 446
Care Across the Continum	p. 450
Residential Options in Late Life	p. 450
Improving Transitions Across the Continuum of Care	p. 460
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