Gerontological Nursing

by Eliopoulos, Charlotte

• ISBN13: 9780781744287
• ISBN10: 0781744288
• Edition: 6th
• Format: Paperback
• Copyright: 2004-07-08
• Publisher: LWW

Summary

The new edition of Gerontological Nursing changes the focus of materials from a "nurse-centered approach," to a focus on "elder-centered care," which highlights how to promote the type of high-quality life that older adults desire and need. In color for the first time, Gerontological Nursing includes such features as: Key Concept Boxes, Points to Ponder Boxes, Critical Thinking Exercises, and Sample Care Plans.

Table of Contents

UNIT I Understanding the Aging Experience
The Aging Population	3	(10)
The Aged Through History	4	(1)
Growth of The Older Population	5	(1)
Race and Gender Differences	6	(1)
Income and Employment	7	(1)
Education	8	(1)
Health Status	8	(2)
Use of Resources	10	(1)
Impact of the Baby Boomers	10	(3)
Theories of Aging	13	(10)
Biological Theories	14	(3)
Psychosocial Theories	17	(2)
Nursing Implications	19	(4)
Diversity	23	(12)
Black Americans	24	(1)
Native Americans	25	(1)
Jewish Americans	26	(1)
Asian Americans	27	(2)
Hispanic Americans	29	(1)
Elderly Prisoners	30	(1)
Nursing Considerations	30	(5)
Life Transitions and Story	35	(16)
Role Changes	36	(1)
Ageism	37	(1)
Grandparenting	37	(2)
Widowhood	39	(1)
Retirement	40	(1)
Awareness of Mortality	41	(2)
Increasing Health Risks	43	(1)
Reduced Income	43	(1)
Shrinking Social World	44	(1)
Life Story	45	(6)
Common Aging Changes	51	(22)
Changes to the Body	52	(12)
Changes to the Mind	64	(2)
Nursing Implications	66	(7)
UNIT II Foundations Of Gerontological Nursing
The Specialty of Gerontological Nursing	73	(12)
Development of Gerontological Nursing	74	(2)
Gerontological Nursing Roles	76	(1)
Advanced Practice Nursing	77	(1)
Standards	78	(1)
Evidence-Based Practice	78	(1)
Principles Guiding Gerontological Nursing Practice	78	(3)
Holistic Gerontological Care	81	(4)
Holistic Model for Gerontological Care	85	(18)
Health Promotion-Related Needs	86	(2)
Health Challenges-Related Needs	88	(1)
Requisites to Meet Needs	88	(2)
Gerontological Nursing Interventions	90	(1)
Examples of Application	90	(13)
Legal Aspects of Gerontological Nursing	103	(12)
Laws Governing Gerontological Nursing Practice	104	(1)
Legal Risks Facing Nurses	104	(8)
Legal Safeguards	112	(3)
Ethics of Caring	115	(8)
Changes Increasing Ethical Dilemmas for Nurses	115	(1)
Philosophies Guiding Ethical Thinking	116	(1)
Ethics in Nursing	117	(2)
Ethical Dilemmas Facing Nurses	119	(1)
Measures to Help Nurses Make Ethical Decisions	119	(4)
Gerontological Nursing Practice Settings	123	(16)
Role of Gerontological Nurses in Diverse Care Settings	124	(1)
Practice Settings for Gerontological Nurses	124	(1)
Preventive and Ancillary Services	125	(4)
Supportive Services	129	(2)
Partial and Intermittent Care Services	131	(1)
Complete and Continuous Care Services	132	(1)
Nonconventional Services	132	(1)
Matching Services to Needs	133	(6)
Self-Care for the Gerontological Nurse	139	(10)
Gerontological Nurses Create Foundations for Healing	139	(1)
Characteristics of Nurse Healers	140	(1)
Self-Care and Nurturing	141	(4)
Self-Care Is a Dynamic Process	145	(4)
UNIT III Fostering Connection and Gratification
Connecting With Self	149	(12)
Self-Reflection	150	(2)
Strengthening Inner Resources	152	(1)
Sexuality	153	(2)
Menopause as a Journey to Inner Connection	155	(6)
Connecting with Others	161	(14)
Communication	162	(1)
Social Interaction and Nursing Intervention	163	(1)
Sex and the Elderly	164	(1)
Sexual Intercourse	165	(1)
Sexual Dysfunction	166	(5)
Facilitating Connections	171	(4)
Spirituality	175	(12)
Spiritual Needs	176	(1)
Assessing Spiritual Needs	177	(1)
Supporting Spiritual Needs	177	(10)
UNIT IV Facilitating Physiological Balance
Respiration and Circulation	187	(6)
Tissue Health	187	(2)
Effective Breathing	189	(4)
Nutrition and Hydration	193	(14)
Nutritional Needs of Elders	193	(4)
Special Needs of Women	197	(1)
Hydration	197	(1)
Oral Health	197	(2)
Nutritional Supplements	199	(1)
Threats to Good Nutrition	200	(7)
Elimination	207	(8)
Bladder Elimination	207	(2)
Bowel Elimination	209	(1)
Excretion Through the Skin	210	(1)
Elimination of Toxins via Fasting	211	(4)
Movement	215	(14)
Physical Activity	215	(3)
Special Adjustments for the Elderly	218	(5)
Mind-Body Connection	223	(1)
Hazards of Inactivity	223	(1)
Self-Fulfilling Prophecy	223	(6)
Rest	229	(10)
Sleep	229	(3)
Sleep Disturbances	232	(2)
Activity and Rest	234	(1)
Pain Control	234	(1)
Stress Management	235	(4)
Comfort	239	(10)
Comfort	239	(1)
Pain---A Complex Phenomenon	240	(1)
Types of Pain	240	(1)
Pain Management	240	(3)
An Integrative Approach to Pain Management	243	(2)
Medication	245	(1)
Comforting	245	(4)
Immunity	249	(6)
The Immune System in Late Life	249	(1)
Promoting Immunologic Health	250	(5)
Risk Reduction	255	(24)
Aging and Risks to Safety	256	(1)
Impact of Environment	257	(2)
Impact of Aging on Environmental Safety and Function	259	(1)
Lighting	259	(1)
Temperature	260	(1)
Colors	261	(1)
Scents	261	(1)
Floor Coverings	262	(1)
Furniture	262	(1)
Sensory Stimulation	263	(1)
Noise Control	263	(1)
Bathroom Hazards	263	(1)
Psychosocial Considerations	264	(1)
Reducing Risks	265	(3)
Early Detection	268	(1)
Risks Associated With Functional Impairment	268	(1)
Falls	269	(1)
Restraints	269	(3)
Safety Aids	272	(7)
UNIT V Selected Health Conditions
Infections	279	(10)
Common Infections	279	(10)
Cardiovascular Conditions	289	(24)
Facilitating Cardiovascular Health	290	(2)
Cardiovascular Conditions	292	(14)
General Nursing Considerations	306	(3)
Complementary Therapies	309	(4)
Respiratory Conditions	313	(12)
Effects of Aging on Respiratory Health	313	(1)
Facilitating Respiratory Health	314	(2)
Selected Disorders	316	(2)
Nursing Considerations	318	(7)
Gastrointestinal Conditions	325	(14)
Scope and Impact of Gastrointestinal Problems in Late Life	325	(1)
Facilitating Gastrointestinal Health	326	(1)
Selected Disorders	326	(13)
Musculoskeletal Conditions	339	(18)
Facilitating Musculoskeletal Function	340	(1)
Selected Disorders	340	(10)
Nursing Considerations	350	(7)
Genitourinary Conditions	357	(16)
Facilitating Genitourinary Health	358	(1)
Selected Disorders	358	(11)
Additional Nursing Considerations	369	(4)
Neurologic Conditions	373	(12)
Facilitating Neurologic Health	373	(2)
Selected Disorders	375	(4)
Nursing Interventions Related to Neurologic Problems	379	(6)
Sensory Deficits	385	(18)
Importance of Good Sensory Function	385	(1)
Facilitating Optimal Sensory Function	386	(3)
Visual Deficits and Related Nursing Interventions	389	(7)
Hearing Deficits and Related Nursing Interventions	396	(2)
Other Sensory Deficits and Related Nursing Interventions	398	(5)
Dermatologic Conditions	403	(10)
Facilitating Good Skin Status	403	(3)
Selected Conditions	406	(3)
Nursing Considerations	409	(4)
Metabolic and Endocrine Conditions	413	(12)
Diabetes	413	(7)
Hypothyroidism	420	(1)
Hyperthyroidism	421	(1)
Hyperlipidemia	421	(4)
Cancer	425	(12)
Aging and Cancer	427	(1)
Cancer Risk Factors	427	(3)
Prevention	430	(1)
Screening	430	(1)
Treatment	430	(3)
Nursing Considerations	433	(4)
Conditions Affecting Mood and Cognition	437	(30)
Aging and Mental Health	438	(1)
Promoting Mental Health	438	(4)
Selected Conditions	442	(16)
Nursing Considerations	458	(9)
UNIT VI Gerontological Care Issues
Safe Medication Use	467	(12)
Drugs Consumed by the Older Population	467	(1)
Response of Older Adults to Drugs	468	(1)
Pharmacokinetics	468	(4)
Pharmacodynamics	472	(1)
Promoting the Safe Use of Drugs	473	(2)
Alternatives to Drugs	475	(4)
Living in Harmony With Chronic Conditions	479	(14)
Chronic Conditions and the Elderly	480	(1)
Healing Versus Curing	480	(2)
Chronic Care Goals	482	(1)
Assessing Chronic Care Needs	483	(1)
Maximizing Function	484	(4)
Following the Course of Chronic Care	488	(5)
Rehabilitative Care	493	(20)
Living With Disability	494	(1)
Rehabilitative Nursing	495	(1)
Assessing Functional Capacity	496	(1)
Proper Positioning	497	(1)
Range-of-Motion Exercises	498	(4)
Mobility Aids	502	(1)
Bowel and Bladder Training	503	(3)
Maintaining and Promoting Mental Function	506	(2)
Resources for Rehabilitative Needs	508	(5)
Acute Care	513	(14)
Risks Associated With Hospitalization	513	(2)
Surgical Care	515	(4)
Emergencies	519	(1)
Infection Control	519	(5)
Discharge Planning	524	(3)
Nursing in Long-Term Care Facilities	527	(14)
Development of Long-Term Institutional Care	528	(3)
Facility Residents	531	(2)
Facility Standards	533	(1)
Nursing Responsibilities	533	(2)
A New Model of Long-Term Care	535	(6)
Family Caregiving	541	(12)
Various Family Compositions	542	(1)
Family Roles	542	(1)
Family Dynamics	543	(1)
Scope of Family Caregiving	544	(1)
Protecting the Health of Patient and Caregiver	544	(3)
Family Dysfunction	547	(1)
Rewards of Caregiving	548	(5)
End of Life Care	553	(16)
Definitions of Death	554	(1)
Family Experience With Mortality in the Past	554	(2)
Family Experience With Mortality in the Present	556	(1)
Supporting the Dying Individual	557	(7)
Supporting Family and Friends	564	(2)
Supporting Nursing Staff	566	(3)
Challenges of the Future	569	(6)
The Past, Present, and Future Status of Gerontological Nursing	569	(1)
Challenges	570	(5)
Index	575