Restorative Care Nursing for Older Adults: A Guide for All Care Settings

by Resnick, Barbara

• ISBN13: 9780826133847
• ISBN10: 0826133843
• Edition: 2nd
• Format: Paperback
• Copyright: 2011-12-01
• Publisher: SPRINGER PUB CO INC

Summary

This book provides a practical hands-on perspective for implementing function focused care in all settings [It] is a unique resource that is relevant for all nurses and health care providers working with older adults. In addition to addressing functional decline, function-focused care provides a fresh and practical solution to many of the problems that tend to arise with older adults such as infections, falls, and pressure ulcers all known to be associated with immobility." "Colin MilnerCEO International Council on Active Aging(From the Foreword)The purpose of restorative care nursing (often referred to as function-focused care) is to take an active role in helping older adults maintain their highest level of function, thereby preventing excess disability. This is the only volume to educate caregivers about both the philosophy of restorative care and how to integrate it into all care settings for older adults. Now in its second edition, the text contains updated content in each chapter along with two entirely new chapters on function-focused care for cognitively impaired adults, ethical issues, and patient-centered care.The book provides a complete six-week education program in restorative care for nurses and other caregivers, numerous practical suggestions for beneficial activities that will enhance function, and strategies for motivating both older adults and caregivers to engage in restorative care. Woven throughout the text is research that documents the benefits and expected outcomes of restorative care. The book also includes the requirements for restorative care across all settings, and the necessary documentation. "Restorative Care Nursing for Older Adults" will help formal and informal caregivers and administrators at all levels assimilate the philosophy of restorative care and be able to develop and implement successful restorative care programs. This New Edition Features: Completely updated information, including two new chapters on function-focused care for cognitively impaired adults, ethical issues, and patient-centered careA six-week education program that teaches practical application of restorative care nursingHelpful suggestions and strategies for motivating older adults and caregiversEducation materials designed for nursing home, assisted living, and acute care settings, including required documentation and goal-setting formsEducational materials for family caregivers

Table of Contents

Foreword	p. xi
Preface	p. xiii
Acknowledgments	p. xv
Focusing on Function in All Care Interactions: A New Philosophy of Nursing Care	p. 1
The Nursing Philosophy of Care	p. 2
To Care for or Care With: Outcome-Based Evidence for Decisions	p. 3
Evidence of the Benefit of Physical Activity	p. 4
Function-Focused Care	p. 4
Theoretical Model to Guide Integration of the Function-Focused Care Approach	p. 6
From Theory to Implementation of Function-Focused Care	p. 10
Implementing Function-Focused Care in Any Setting	p. 15
Component I	p. 16
Component II	p. 21
Component III	p. 25
Component IV	p. 25
Tricks of the Trade in Dissemination and Implementation	p. 30
Conclusion	p. 33
	p. 35
	p. 37
Function-Focused Care in the Nursing Home	p. 41
Factors That Influence Functional Performance of Nursing Home Residents	p. 42
Evidence of the Benefit of Function-Focused Care in Nursing Home Settings	p. 43
Designated Versus Integrated Function-Focused Care Approaches	p. 43
Challenges to Sustainability of New Interventions in Nursing Home Settings	p. 44
Implementing a Function-Focused Philosophy of Care in Nursing Home Settings Using a Social Ecological Model	p. 44
Culture Change and Function-Focused Care	p. 50
Implementation of Function-Focused Care in Nursing Home Settings	p. 51
Conclusion	p. 51
	p. 54
Function-Focused Care in Assisted Living Communities	p. 67
Facilitators and Challenges to Sustainability of New Interventions in Long-Term Care Settings	p. 68
Use of Dissemination of Innovation Theory in AL Communities	p. 69
Use of Social Ecological Models	p. 71
Environment	p. 74
Policy	p. 76
Prior Outcomes of Implementing Function-Focused Care in AL Communities	p. 76
Conclusion	p. 81
	p. 84
Function-Focused Care in the Acute Care Hospital	p. 93
The Need for FFC	p. 93
Challenges Hospitalized Older Adults Face	p. 94
Functional Status: A Critical Vital Sign	p. 95
FFC Components for Acute Care Settings	p. 95
Special Considerations for Acute Care Settings	p. 103
Conclusion	p. 105
	p. 110
	p. 112
	p. 115
Function-Focused Care in Home Settings	p. 127
Impact of Intrapersonal Factors on Functional and Physical Activity in Home Settings	p. 127
Role of Interpersonal Factors on Functional and Physical Activity in Home Settings	p. 128
Motivating the Older Adult and the Caregiver to Engage in FFC Activities	p. 129
Impact of the Home Environment on Function and Physical Activity	p. 132
Impact of Policy and Culture on Function and Physical Activity in the Home	p. 132
Components of FFC for Home Settings	p. 133
Expected Outcomes Following Implementation of an FFC Intervention in the Home Setting	p. 141
Physical Function Outcomes	p. 143
Psychosocial Outcomes	p. 143
Conclusion	p. 143
	p. 147
Function-Focused Care With Older Adults With Moderate to Severe Cognitive Impairment	p. 141
Factors That Influence Functional Performance of Older Adults With Moderate to Severe Cognitive Impairment	p. 152
Benefits of Function-Focused Care for Older Adults With Moderate to Severe Cognitive Impairment	p. 152
Barriers/Challenges to Function-Focused Care for Residents With Moderate to Severe Cognitive Impairment	p. 153
A Five-Step Approach to Implementing Function-Focused Care for Adults With Cognitive Impairment	p. 153
Conclusion	p. 159
	p. 163
Ethical Issues and Function-Focused Care	p. 175
Basic Principles of Biomedical Ethics	p. 175
Nurses Code of Ethics	p. 177
Ethical Challenges Associated With Function-Focused Care	p. 178
Resident Safety	p. 181
Ethical Issues Among Older Adults With Cognitive Impairment	p. 182
Practical Ethics and Examples of Ethical Cases Related to Function-Focused Care	p. 182
Ethical Issues Around Restricting Function Through Use of Protective Measures and Restraints	p. 185
Conclusion	p. 186
Index	p. 187
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