Gerontologic Nursing

6th Edition - October 1, 2018
Authors: Sue E. Meiner, Jennifer J. Yeager
Language: English
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 4 9 8 1 1 - 1
formats.LooseLeaf ISBN:
9 7 8 - 0 - 3 2 3 - 8 4 8 3 8 - 1
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 4 9 8 0 9 - 8

Compassionately care for the aging population with Gerontologic Nursing, 6th Edition, uniquely known for its comprehensive coverage of the most common medical-surgical problems… Read more

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Compassionately care for the aging population with Gerontologic Nursing, 6th Edition, uniquely known for its comprehensive coverage of the most common medical-surgical problems associated with older adults. Organized by body system for easy retrieval of information, it delves into health promotion and both basic and complex gerontologic concepts and issues. This disorder-focused gerontologic nursing text features an enhanced focus on nursing management and care coordination across health care delivery settings. It emphasizes topics such as nutrition, chronic illness, emergency treatment, patient teaching, home care, and end-of-life care — and includes the latest guidelines for mammograms, colonoscopies, pneumonia, and shingles vaccinations. With the addition of new nursing theories, this edition offers a valuable framework for gerontologic care.

Cover image
Title page
Table of Contents
Copyright
Dedication
About the Authors
Contributors and Reviewers
Preface
Organization
Format
Features
Acknowledgments
Part I: Introduction to Gerontologic Nursing
1: Overview of Gerontologic Nursing
Foundations of the specialty of gerontologic nursing
Demographic profile of the older population
Health status of older adults
Effect of an aging population on gerontologic nursing
Summary
Key points
Critical-thinking exercises
2: Theories Related to Care of the Older Adult
Biologic theories of aging
Sociologic theories of aging
Psychological theories of aging
Nursing theories
Moral and spiritual development
Summary
Key points
Critical-thinking exercises
3: Legal and Ethical Issues
Professional standards: their origin and legal significance
Overview of relevant laws
Elder abuse and protective services
Nursing facility reform
Autonomy and self-determination
The patient self-determination act
Values history
Nurses’ ethical code and end-of-life care
Summary
Key points
Critical-thinking exercises
4: Assessment of the Older Adult
Special considerations affecting assessment
The health history
Additional assessment measures
Laboratory data
Summary
Key points
Critical-thinking exercises
Part II: Influences on Health and Illness
5: Cultural Influences
Diversity of the older adult population in the united states
Culturally sensitive gerontologic nursing care
Skills
Cultural competence frameworks
Summary
Key points
Critical-thinking exercises
6: Family Influences
Role and function of families
Common late-life family issues and decisions
Interventions to support family caregivers
Working with families of older adults: considerations and strategies
Summary
Key points
Critical-thinking exercises
7: Socioeconomic and Environmental Influences
Socioeconomic factors
Environmental influences
Advocacy
Summary
Key points
Critical-thinking exercises
8: Health Promotion and Illness/Disability Prevention
Essentials of health promotion for aging adults
Models of health promotion
Barriers to health promotion and disease prevention
Health protection
Disease prevention
The nurse’s role in health promotion and disease prevention
Supporting empowerment of older adults
Summary
Key points
Critical-thinking exercises
Part III: Influences on Quality of Life
9: Nutrition
Introduction
Factors influencing nutritional risk in older adults
Drug–nutrient interactions
Dehydration
Micronutrient deficiency
Malnutrition
Oral health
Nutritional screening and assessment
Nursing diagnoses associated with nutritional problems
Evidence-based strategies to improve nutrition
Components of a healthy diet
Dysphagia
Specialized nutritional support
Summary
Key points
Critical-thinking exercises
10: Sleep and Activity
Sleep and older adults
Activity and older adults
Summary
Key points
Critical-thinking exercises
11: Safety
Falls
Nursing management of falls
Safety and the home environment
Seasonal safety issues
Disasters
Storage of medications and health care supplies in the home
Living alone
Automobile safety
Abuse and neglect
Firearms
Summary
Key points
Critical-thinking exercises
12: Sexuality and Aging
Older adult needs for sexuality and intimacy
The importance of intimacy among older adults
Nursing’s reluctance to manage the sexuality of older adults
Normal changes of the aging sexual response
Pathologic conditions affecting older adults’ sexual responses
Environmental and psychosocial barriers to sexual practice
Lesbian, gay, bisexual, and transgender older adults
Nursing management
Summary
Key points
Critical-thinking exercises
13: Pain
Understanding pain
Pathophysiology of pain in older adults
Barriers to effective pain management in older adults
Pain assessment
Nursing care of older adults with pain
Summary
Key points
Critical-thinking exercises
14: Infection and Inflammation
The chain of infection
Age-related changes in the immune system
Factors affecting immunocompetence
Common problems and conditions
Human immunodeficiency virus infection in older adults
Significant nosocomial pathogens
Nursing management
Summary
Key points
Critical-thinking exercise
Part IV: Diagnostic Studies and Pharmacologic Management
15: Laboratory and Diagnostic Tests
Components of hematologic testing
Components of blood chemistry testing
Urinalysis
Components of arterial blood gas testing
Therapeutic drug monitoring
Summary
Key points
Critical-thinking exercises
16: Drugs and Aging
Overview of drug use and problems
Commonly used drugs
Drug adherence
Substance use disorders
Assessment
Nursing diagnoses
Nursing management
Commonly misused substances in older adults
Future trends
Summary
Key points
Critical-thinking exercises
Part V: Nursing Care of Physiologic and Psychologic Disorders
17: Integumentary Function
Age-related changes in skin structure and function
Common problems and conditions
Nursing Management
Nursing Management
Nursing Management
Nursing Management
Premalignant skin growths: actinic keratosis
Nursing Management
Malignant skin growths
Nursing Management
Lower extremity ulcers
Nursing Management
Pressure injuries
Summary
Key points
Critical-thinking exercises
18: Sensory Function
Vision
Nursing Management of Glaucoma
Nursing Management of Cataracts
Nursing Management of Retinal Disorders
Nursing Management of Vision Impairment
Hearing and balance
Nursing Management of Cerumen Impaction
Nursing management of Tinnitus
Nursing Management of Hearing Loss
Nursing Management of Vertigo
Taste and smell
Nursing Management of Xerostomia
Touch
Summary
Key points
Critical-thinking exercises
19: Cardiovascular Function
Age-related changes in structure and function
Common cardiovascular problems
Nursing Management
Nursing Management
Nursing Management
Nursing Management
Nursing Management
Nursing Management
Nursing Management
Nursing Management
Nursing Management
Nursing Management
Summary
Key points
Critical-thinking exercises
20: Respiratory Function in Aging
Age-related changes in structure and function
Factors affecting lung function
Respiratory symptoms common in older patients
Respiratory alterations in older patients
Obstructive pulmonary disease
Nursing management
Nursing management
Restrictive pulmonary disease
Nursing management
Nursing management
Nursing management
Other respiratory alterations
Nursing management
Nursing management
Nursing management
Summary
Key points
Critical-thinking exercises
21: Gastrointestinal Function
Age-related changes in structure and function
Prevention
Common gastrointestinal symptoms
Common diseases of the gastrointestinal tract
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Disorders of the accessory organs
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Gastrointestinal cancers
Nursing management
Nursing management
Nursing management
Nursing management
Summary
Key points
Critical-thinking exercises
22: Urinary Function
Age-related changes in structure and function
Prevalence of urinary incontinence
Common problems and conditions
Nursing Management
Age-related renal changes
Common RENAL problems and conditions
Nursing Management
Nursing Management
Nursing Management
Nursing Management
Nursing Management
Summary
Key points
Critical-thinking exercises
23: Musculoskeletal Function
Age-related changes in structure and function
Common problems and conditions of the musculoskeletal system
Nursing Management
Nursing Management
Nursing Management
Nursing Management
Nursing Management
Nursing Management
Nursing Management
Nursing Management
Nursing Management
Nursing Management
Foot problems
Muscle cramps
Summary
Key points
Critical-thinking exercises
24: Cognitive and Neurologic Function*
Structural age-related changes of the neurologic system
Assessment of cognitive function
Cognitive disorders associated with altered thought processes
Nursing management
Diagnostic assessment of cognitive disorders
Treatment of behavioral and psychological symptoms of dementia
Nursing management
Challenges in the care of older adults with cognitive disorders
Other common problems and conditions
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Drug management
Mental health care resources
Trends and needs
Summary
Key points
Critical-thinking questions
25: Endocrine Function
Endocrine physiology in older adults
Common endocrine pathophysiology in older adults
Nursing management
Nursing management
Nursing management
Nursing management
Nursing management
Summary
Key points
Critical-thinking exercises
Part VI: Health Care Transitions
26: Health Care Delivery Settings and Older Adults
Characteristics of older adults in acute care
Characteristics of the acute care environment
Nursing in the acute care setting
Home care and hospice
Factors affecting the health care needs of noninstitutionalized older adults
Community-based services
Home health care
Continuity of care
Implementing the plan of treatment
OASIS
Hospice
Overview of long-term care
Clinical aspects of the nursing facility
Management aspects of the nursing facility
Specialty care settings
Innovations in the nursing facility
The future of the nursing facility
Summary
Key points
Critical-thinking exercises
27: Chronic Illness and Rehabilitation
Chronicity
Rehabilitation
Summary
Key points
Critical-thinking exercise
28: Cancer
Incidence
Aging and Its relationship to cancer
Common malignancies in older adults
Screening and early detection: issues for older adults
Major treatment modalities
Common physiologic complications
Older adults’ experience of cancer
Summary
Key points
Critical-thinking exercises
29: Loss and End-of-Life Issues
Definitions
Losses
Mourning
Approaching death: older persons’ perspectives
Summary
Key Points
Critical-thinking exercises
Appendix A: Values History Form
Overall attitude toward life and health
Personal relationships
Thoughts about independence and self-sufficiency
Living environment
Religious background and beliefs
Relationships with doctors and other health caregivers
Thoughts about illness, dying, and death
Finances
Funeral plans
Optional questions
Legal documents
Appendix B: U.S. Advocacy Organizations for Older Adults
Organizations of older adults
Organizations of professionals working in the field of aging
Organizations of both professionals and older adults
Appendix C: Chronic Illness and Rehabilitation Resources
Index

Life Sciences

Physical Sciences & Engineering

Social Sciences & Humanities

Health

Gerontologic Nursing

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Sue E. Meiner

Jennifer J. Yeager