Health Promotion for the Elderly

by Colleen Keller

• ISBN13: 9780761914747
• ISBN10: 0761914749
• Format: Paperback
• Copyright: 1999-12-01
• Publisher: Sage Publications, Inc

Summary

The decentralization of health care and the aging of the baby boomers point to a critical need for health provider information on prevention and health promotion for the elderly. This book provides a foundation for understanding the requirements and goals, as well as both individual and community models that have been developed for health promotion in the elderly. The authors provide an overview of health promotion needs and objectives for aging populations and address health promotion for risk reduction, individual models for health promotion, and community models for health promotion.

Author Biography

Colleen Keller is Professor in the Department of Family Care Nursing at the University of Texas Health Sciences Center at San Antonio.

Table of Contents

Preface	ix
Changes Accompanying Aging and Functional Assessment	1	(16)
Goals for Health Promotion in Older People	2	(3)
Identification of Changes Accompanying Aging	5	(8)
Integumentary System	7	(1)
Gastrointestinal System	8	(1)
Genitourinary System	8	(1)
Musculoskeletal System	9	(1)
Cardiovascular System	10	(1)
Pulmonary System	11	(1)
Neurological System	12	(1)
Endocrine System	13	(1)
Functional Assessment	13	(4)
Health Risk in Older People	17	(24)
Cigarette Smoking	17	(2)
Physical Inactivity	19	(3)
Falls	20	(1)
Osteoporosis	21	(1)
Nutritional Risk	22	(2)
Overnutrition	22	(1)
Undernutrition	23	(1)
Stressors Among Vulnerable Individuals and Groups	24	(6)
Sociocultural Barriers to Health Promotion Efforts	24	(1)
Socioeconomic Barriers to Health Promotion Efforts	25	(5)
Cardiovascular Risk in Older People	30	(5)
Age	30	(1)
Gender	31	(1)
Family History	31	(1)
Blood Pressure and Hypertension	32	(1)
Serum Lipids and Lipoproteins	32	(1)
Diabetes Mellitus	33	(1)
Psychosocial and Contextual Factors	34	(1)
Coronary-Prone Behavior	35	(1)
Social Context	35	(1)
Polypharmacy	35	(2)
Hormone Alterations at Midlife	37	(1)
Health Consequences of Menopause	37	(1)
Psychosocial Risks in Older People	38	(3)
Depression	38	(1)
Sleep Disorders	39	(1)
Physical and Social Environment	40	(1)
Theoretical Models for Health Promotion in Older People	41	(10)
Individual-Level Models	42	(4)
Community-Based Models	46	(5)
Health promotion Interventions	51	(71)
Smoking Cessation	51	(5)
Pharmacological Interventions	52	(2)
Behavioral and Cognitive Interventions	54	(2)
Physical Activity	56	(15)
Benefits of Physical Activity on Cardiovascular Disease	57	(1)
Benefits of Physical Activity on Weight Management	58	(2)
Benefits of Physical Activity on Lipoproteins and Glucose Tolerance	60	(1)
Benefits of Physical Activity on Osteoporosis	61	(1)
Benefits of Physical Activity on Psychological Well-Being	61	(1)
Benefits of Physical Activity on Muscle Weakness and Functional Capacity	62	(2)
Falls	64	(2)
Minimum Level of Physical Activity for Elders	66	(1)
The Exercise Prescription	66	(1)
Clinical Assessment	67	(3)
Motivational Issues and Promoting Physical Activity in Older People	70	(1)
Nutritional Management	71	(32)
Energy Requirements	71	(1)
Nutritional Assessment	72	(1)
Clinical Examination	73	(1)
Biochemical Assessment	74	(1)
Anthropometric Data	74	(2)
Overnutrition	76	(1)
Undernutrition	77	(2)
Protein Requirements	79	(1)
Dietary Carbohydrate Intake	79	(1)
Dietary Fat Intake	80	(1)
Dietary Cholesterol Intake	80	(1)
Dietary Fiber Intake	81	(3)
Alcohol Intake	84	(1)
Vitamin Requirements	84	(9)
Mineral Requirements	93	(6)
Fluid Intake	99	(2)
Managing Nutritional Status	101	(2)
Management of Stressors	103	(3)
Health Promotion Interventions in Ethnically Diverse Elderly	103	(3)
Management of Cardiovascular Risk	106	(11)
Hypertension	106	(1)
Management of Unfavorable Lipids	107	(2)
Control of Hyperglycemia	109	(1)
Polypharmacy	109	(1)
Management of Hormone Alterations	110	(2)
Hormone Replacement Therapy as Prevention	112	(2)
Alternative Therapy for Hormone Alterations	114	(3)
Psychosocial Health-Promoting Interventions	117	(5)
Treatment of Depression	117	(3)
Social Network Function and Support	120	(2)
Prevention and Screening	122	(7)
Cancer Screening	122	(2)
Immune Support	124	(5)
Pneumococcal Vaccine	125	(1)
Influenza Vaccine	126	(1)
Tetanus and Diphtheria	127	(1)
Other Vaccines	128	(1)
Directions for Research and Intervention	129	(5)
The Importance of Thorough and Appropriate Assessments	130	(1)
The Importance of Lifestyle Changes in Achieving Healthy Outcomes	130	(1)
The Importance of Culturally Sensitive Health Promotion Efforts	131	(1)
The Importance of Theory-Based Interventions	131	(3)
References	134	(41)
Index	175	(6)
About the Authors	181