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Gerontologic Nursing
- 7th Edition - November 14, 2024
- Authors: Jennifer J. Yeager, Mary B. Winton, Sue E. Meiner
- Language: English
- formats.LooseLeaf ISBN:9 7 8 - 0 - 3 2 3 - 9 3 6 8 6 - 6
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 8 7 5 2 0 - 2
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 9 3 6 8 7 - 3
Prepare to compassionately care for the aging population with Gerontologic Nursing, Seventh Edition, uniquely known for its comprehensive coverage of the most common medica… Read more
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Request a sales quotePrepare to compassionately care for the aging population with Gerontologic Nursing, Seventh 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. A disorder-focused approach addresses nursing management and care coordination across health care delivery settings. This text emphasizes topics such as nutrition, chronic illness, emergency treatment, patient teaching, home care, and end-of-life care — and provides you with a solid foundation to meet the future challenges of providing nursing care for the vast and growing older adult population.
- NEW! Next Generation NCLEX® (NGN)-style cases and questions are included in select clinical chapters
- NEW! Aging theory and nursing theory content promotes understanding of the relationship between theory and practice
- NEW! Cultural content integrated throughout the text facilitates culturally congruent care practices
- UPDATED! Completely revised chapters ensure content is relevant and practice-related for the gerontologic nurse
- Body system chapters include an overview of age-related changes in structure and function
- Current standards and guidelines are reflected throughout to ensure you are learning the most up-to-date information
- Essential nursing care guidelines are presented in each clinical chapter
- Psychologic and sociocultural issues and aspects of older adult care are integrated throughout the text
- Clinical judgment questions at the end of chapters challenge you to apply your knowledge and clinical judgment skills
- Helpful boxes throughout the text highlight key information, including:
- Nursing Care Plan
- Patient/Family Teaching
- Health Promotion/Illness Prevention
- Nutritional Considerations
- Evidence-Based Practice
- Emergency Treatment
- Home Care
- Key points and summary sections at the end of chapters reinforce the most important concepts and information
Undergraduate gerontologic or medical-surgical nursing students
- Gerontologic Nursing
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- About the Authors
- Contributors and Reviewers
- Preface
- Acknowledgments
- List of Illustrations
- List of Tables
- PART I. Introduction to Gerontologic Nursing
- 1. Overview of gerontologic nursing
- Foundations of the specialty of gerontologic nursing
- Professional origins
- Standards of practice
- Roles
- Terminology
- Demographic profile of the older population
- The older population
- Highlights of the profile of older americans
- Sex and marital status
- Race and ethnicity
- Living arrangements
- Geographic distribution
- Education
- Income and poverty
- Employment
- Health status of older adults
- Self-assessed health and chronic disease
- Functional status
- Healthcare expenditure and use
- Implications for healthcare delivery
- Acute care setting
- Nursing facilities
- Home care
- Continuum of care
- Effect of an aging population on gerontologic nursing
- Ageism
- Nursing education
- Nursing practice
- Nursing research
- Summary
- Key points
- References
- 2. Healthcare policy that affects older adults
- Scope of practice and professional standards: Legal significance
- Overview of relevant healthcare policies
- Sources of law
- Health insurance portability and accountability act (HIPAA) of 1996
- Elder abuse and protective services
- Medicare and medicaid
- Nursing facility reform
- Obra’s three major parts
- Affordable care act
- The patient self-determination act
- Autonomy and self-determination
- Do not resuscitate orders
- Legal tools
- Communication between patient’s directives and family desires
- Nurses’ ethical code and practice decisions
- Ethical dilemmas and considerations
- Experimentation and research
- Organ donation
- Ethics committees
- Social media
- Summary
- Key points
- References
- 3. Assessment of the older adult
- Special considerations affecting assessment
- Interrelationship between physical and psychosocial aspects of aging
- Nature of disease and disability and their effects on functional status
- Tailoring the nursing assessment to the older person
- The health history
- The interviewer
- The patient
- Electronic health records
- The health history format
- Approach to physical assessment
- Equipment and skills
- Additional assessment measures
- Functional status assessment
- Cognitive and affective assessment
- Social assessment
- Laboratory data
- Summary
- Key points
- References
- Websites
- PART II. Influences on Health and Illness
- 4. Family influences
- Role and function of families
- Planning in advance of need
- Common late-life family issues and decisions
- The issue of driving
- Financial and legal concerns
- End-of-life healthcare decisions
- Family caregiving
- Caregiver education
- Respite programs
- Support groups
- Assessing the family
- Past relationships
- Family dynamics
- Roles
- Dependence and independence
- Changes in living arrangements
- Deciding about a care facility
- Summary
- Key points
- References
- 5. Socioeconomic and environmental influences
- Socioeconomic factors
- Generational differences
- Income
- Education
- Health status and healthcare coverage
- Environmental influences
- Geographic location of residence
- Housing
- Transportation
- Advocacy
- Summary
- Key points
- References
- 6. Health promotion and illness/disability prevention
- Essentials of health promotion for aging adults
- Terminology
- Barriers to health promotion and disease prevention
- Models of health promotion
- Transtheoretical model
- Health belief model
- Health promotion model
- Disease prevention
- Primary preventive measures
- Secondary preventive measures
- Tertiary preventive measures
- Nursing role in prevention
- Nursing care guidelines for health promotion and disease prevention
- Supporting the empowerment of older adults
- Summary
- Key points
- References
- Websites
- PART III. Influences on Quality of Life
- 7. Nutrition
- Malnutrition
- Factors influencing nutritional risk in older adults
- Drug–nutrient interactions
- Dehydration
- Micronutrient deficiency
- Indicators of malnutrition
- Oral health
- Nutritional screening and assessment
- Nutritional screening
- Nutritional assessment
- Patient problems associated with nutritional problems
- Evidence-based strategies to improve nutrition
- Components of a healthy diet
- Dysphagia
- Specialized nutritional support
- Summary
- Key points
- References
- 8. Sleep and activity
- Sleep and older adults
- Biologic brain functions responsible for sleep
- Stages of sleep
- Sleep and circadian rhythm
- Insomnia
- Age-related changes in sleep
- Factors affecting sleep
- Sleep disorders and conditions
- Components of the sleep history
- Further assessment of sleep
- Getting a good night’s sleep
- Activity and older adults
- Activities of daily living
- Physical exercise
- Activity as affected by lifestyle changes
- Activity affected by alzheimer disease and other dementias
- Summary
- Key points
- References
- 9. Safety
- Falls
- Overview and magnitude of the problem
- Definition of falling
- Meaning of falling
- Normal age-related changes contributing to falling
- Fall risk
- Fall antecedents and fall classification
- Fall consequences
- History
- Physical examination
- Special testing
- Management
- Safety and the home environment
- Burn injuries in the home
- Other injuries in the home
- Foodborne illnesses
- Seasonal safety issues
- Hypothermia and hyperthermia in older adults
- Disasters
- Storage of medications and health care supplies in the home
- Crime prevention
- Automobile safety
- Abuse and neglect
- Firearms
- Summary
- Key points
- References
- 10. 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
- Physiologic changes
- Genitourinary syndrome of menopause
- Pathologic conditions affecting older adults’ sexual responses
- Illness, surgery, and medication
- Human immunodeficiency virus
- Malignancies
- Dementia
- Environmental and psychosocial barriers to sexual practice
- Lesbian, gay, bisexual, and transgender older adults
- Nursing care guidelines for sexuality and aging
- Recognize cues (assessment)
- Analyze cues and prioritize hypotheses (patient problems)
- Generate solutions (planning)
- Take actions (nursing interventions)
- Evaluate outcomes (evaluation)
- Summary
- Key points
- References
- 11. Pain
- Understanding pain
- Definition
- Scope of the problem of pain
- Consequences of unrelieved pain
- Pathophysiology of pain in older adults
- Perception of pain in older adults
- Barriers to effective pain management in older adults
- Pain assessment
- Pain assessment and culture
- Pain assessment tools
- Nursing care guidelines for older adults with pain
- Pharmacologic treatment
- Planning pain relief
- Summary
- Key points
- References
- Websites
- 12. Infection and inflammation
- Immunologic theory
- Age-related changes in the immune system
- Factors affecting immunocompetence
- Nutritional factors
- Psychosocial factors
- Drugs
- Complementary and alternative medications
- Infections
- The chain of infection
- Common problems and conditions
- COVID-19, influenza, and pneumonia
- Cancer
- Autoimmunity
- HIV infection in older adults
- Significant healthcare-associated pathogens
- Clostridium difficile
- Vancomycin-resistant enterococcus
- Methicillin-resistant staphylococcus aureus
- Extended spectrum β-lactamase-positive Escherichia coli
- Nursing care guidelines for infection
- Recognize cues (assessment)
- Analyze cues and prioritize hypotheses (patient problems)
- Generate solutions (planning)
- Take actions (nursing interventions)
- Evaluate outcomes (evaluation)
- Summary
- Key points
- References
- PART IV. Diagnostic Studies and Pharmacologic Management
- 13. Laboratory and diagnostic tests
- Hematologic testing
- Red blood cells
- White blood cells
- Folic acid
- Vitamin B12
- Total iron-binding capacity
- Iron
- Uric acid
- Prothrombin time
- Partial thromboplastin time
- D-dimer test
- Erythrocyte sedimentation rate
- C-reactive protein
- Platelets
- Components of blood chemistry testing
- Electrolytes
- Amylase
- Total protein
- Albumin and prealbumin
- Blood urea nitrogen
- Creatinine
- Creatinine clearance
- Triglycerides
- Total cholesterol
- High-density lipoprotein
- Low-density lipoprotein
- Brain natriuretic peptide
- Alkaline phosphatase
- Aspartate aminotransferase
- Creatine kinase
- Lactate dehydrogenase
- Troponin
- Thyroid function tests
- Prostate-specific antigen
- Urinalysis
- Protein
- Glucose
- Bacteria
- Ketones
- pH
- Blood
- Components of arterial blood gas testing
- Partial pressure of oxygen
- pH of the blood
- Bicarbonate
- Oxygen saturation
- Therapeutic drug monitoring
- Summary
- Key points
- References
- 14. Drugs and aging
- Overview of drug use and problems
- Demographics of drug use
- Changes in drug response with aging
- Pharmacodynamic changes: What the drug does to the body
- Drugs and quality of life
- Pharmacologic contributors to risk
- Commonly used drugs
- Antipsychotics
- Anxiolytics and hypnotics
- Antidepressants
- Cardiovascular drugs
- Antimicrobials
- Opioid analgesics
- Nonprescription agents
- Dietary supplements
- Drug adherence
- Assessing for risk factors
- Strategies for improving adherence
- Reviewing the drug list for problems
- Substance use disorders
- Definitions and common usage
- Difficulty in identification of SUD
- Physiologic changes
- Psychological changes
- Sociologic changes
- Nursing care guidelines for SUDs
- Recognize cues (assessment)
- Analyze cues and prioritize hypotheses (patient problems)
- Take actions (nursing interventions)
- Evaluate outcomes (evaluation)
- Commonly misused substances in older adults
- Alcohol
- Prescription drugs
- Nicotine
- Cannabis
- Future trends
- Summary
- Key points
- References
- PART V. Nursing Care of Physiologic and Psychological Disorders
- 15. Integumentary function
- Age-related changes in skin structure and function
- Epidermis
- Dermis
- Subcutaneous fat
- Dermal appendages
- Dermatoporosis
- Common problems and conditions
- Benign skin growths
- Inflammatory dermatoses
- Psoriasis
- Pruritus
- Candidiasis
- Herpes zoster (shingles)
- Premalignant skin growths: Actinic keratosis
- Malignant skin growths
- Basal cell carcinoma
- Squamous cell carcinoma
- Melanoma
- Nursing care guidelines for malignant skin growths
- Lower extremity ulcers
- Arterial ulcers
- Venous ulcers
- Diabetic foot lesions
- Nursing care guidelines for lower extremity ulcers
- Pressure injuries
- Epidemiology of pressure injuries
- Etiology of pressure injuries
- Risk assessment tools
- Preventive strategies
- Pressure injury management
- Summary
- Key points
- References
- 16. Sensory function
- Vision
- Age-related changes in structure and function
- Common complaints
- Common problems and conditions
- Hearing and balance
- Age-related changes in structure and function
- Common problems and conditions
- Taste and smell
- Age-related changes in structure and function
- Common problems and conditions
- Touch
- Summary
- Key points
- References
- 17. Cardiovascular function
- Age-related changes in structure and function
- Conduction system
- Vessels
- Response to stress and exercise
- Common cardiovascular problems
- Hypertension
- Risk factors for heart disease
- Coronary artery disease
- Arrhythmia
- Orthostatic hypotension
- Syncope with cardiac causes
- Valvular heart disease (VHD)
- CHF
- Peripheral artery disease
- Chronic venous insufficiency
- Anemia
- Summary
- Key points
- References
- 18. Respiratory function
- Age-related changes in structure and function
- Factors affecting lung function
- Exercise and immobility
- Smoking
- Obesity
- Anesthesia and surgery
- Respiratory findings common in older patients
- Respiratory alterations in older patients
- Obstructive pulmonary disease
- Asthma
- Chronic bronchitis
- Emphysema
- Chronic obstructive pulmonary disease
- Restrictive pulmonary disease
- Lung cancer
- Tuberculosis
- Pneumonia
- Other respiratory alterations
- Cardiogenic and noncardiogenic pulmonary edema
- Pulmonary emboli
- Obstructive sleep apnea
- Summary
- Key points
- References
- 19. Gastrointestinal function
- Age-related changes in structure and function
- Oral cavity and pharynx
- Esophagus
- Stomach
- Small intestine
- Large intestine
- Gallbladder
- Pancreas
- Liver
- Prevention
- Common GI symptoms
- Nausea and vomiting
- Anorexia
- Abdominal pain
- Gas
- Diarrhea
- Constipation
- Fecal incontinence
- Common diseases of the GI tract
- Gingivitis and periodontitis
- Dysphagia
- Gastroesophageal reflux and esophagitis
- Vitamin B12 deficiency
- Gastritis
- Peptic ulcer disease
- Enteritis
- Intestinal obstruction
- Diverticula
- Colon polyps
- Hemorrhoids
- Disorders of the accessory organs
- Cholelithiasis and cholecystitis
- Pancreatitis
- Hepatitis
- Cirrhosis secondary to alcohol use disorder
- Drug-induced hepatitis
- GI cancers
- Esophageal cancer
- Gastric cancer
- Colorectal carcinoma
- Pancreatic cancer
- Liver cancer
- Summary
- Key points
- References
- 20. Urinary function
- Age-related changes in structure and function
- Prevalence of UI
- Common incontinence problems and conditions
- Transient incontinence
- Established incontinence
- Nursing care guidelines for incontinence
- Recognize cues (assessment)
- Analyze cues and prioritize hypotheses (patient problems)
- Generate solutions (planning)
- Take actions (nursing interventions)
- Evaluate outcomes (evaluation)
- Age-related renal changes
- Common renal problems and conditions
- Acute kidney injury
- Chronic kidney disease
- Urinary tract infection
- Bladder cancer
- Benign prostatic hyperplasia
- Prostate cancer
- Summary
- Key points
- References
- 21. Musculoskeletal function
- Age-related changes in structure and function
- Common problems and conditions of the musculoskeletal system
- Hip fracture
- Colles fracture
- Clavicular fracture
- Casts and cast care
- Osteoarthritis
- Spinal stenosis
- Rheumatoid arthritis
- Gouty arthritis
- Osteoporosis
- Paget’s disease
- Osteomyelitis
- Amputation
- Polymyalgia rheumatica
- Foot problems
- Muscle cramps
- Summary
- Key points
- References
- 22. Cognitive and neurologic function
- The central nervous system
- The brain
- Spinal cord
- Evaluation of cognitive function
- Cognitive function in typical aging
- Cognitive disorders associated with altered thought processes
- Depression
- Delirium
- Dementia
- Resources
- Other common problems and conditions
- Suicide
- Parkinson disease
- Cerebrovascular accident
- Anxiety
- Schizophrenia
- Mental health resources
- E4 center
- Summary
- Key points
- References
- Websites
- 23. Endocrine function
- Endocrine physiology in older adults
- Andropause and menopause
- Adrenopause
- Somatopause
- Common endocrine pathophysiology in older adults
- Metabolic syndrome–diabetes continuum
- Type 2 diabetes mellitus
- Hyperthyroidism
- Hypothyroidism
- Primary osteoporosis
- Sexual dysfunction
- Summary
- Key points
- References
- Websites
- PART VI. Health Care Transitions
- 24. Health care delivery settings and older adults
- Characteristics of older adults in acute care
- Characteristics of the acute care environment
- Philosophy of care
- Risks of hospitalization
- Safety features
- Nursing in the acute care setting
- Nursing-specific competency and expertise
- Critical care and trauma care
- Continuity of care
- Benefits of home care
- Role of home care agency
- Implementing the plan of treatment
- The nurse’s role
- Role of the home-health aide
- Oasis
- Community-based providers
- Factors affecting the health care needs of older adults
- Functional status
- Cognitive function
- Housing options for older adults
- Profile of community- and home-based services
- Home health care
- Home health agency
- Proprietary agencies
- Facility-based agencies
- Visiting nurse associations
- Overview of long-term care
- Definition
- Factors associated with institutionalization
- Medical and psychosocial models of care
- Clinical aspects of the nursing facility
- Resident rights
- Resident assessment
- Skin care
- Incontinence
- Nutrition
- Drug administration
- Rehabilitation
- Infection control
- Mental health
- End-of-life care
- Management aspects of the nursing facility
- The nursing department
- Nursing care delivery systems
- Specialty care settings
- Assisted-living programs
- Special care units
- Subacute care
- Innovations in the nursing facility
- Creativity in “everyday” nursing facilities
- Nurse practitioners in the nursing facility
- The future of the nursing facility
- Hospice
- Hospice philosophy
- Summary
- Key points
- References
- 25. Chronic illness and rehabilitation
- Chronicity
- Prevalence of chronic illness
- Cultural competency
- Quality of life and health-related quality of life
- Adherence in chronic illness
- Patient-centered approach
- Psychosocial needs of older adults with chronic illness
- Physiologic needs of chronically ill older adults
- Effect of chronic illness on family and caregivers
- Nursing implications of caregiver stress
- Rehabilitation
- Care environments
- Reimbursement issues
- Public policy and legislation
- Enhancement of fitness and function
- Functional assessment
- The Impact Act of 2014
- Keys for completing a functional assessment
- Health promotion
- Management of disabling disorders
- Life issues
- Nursing strategies
- Summary
- Key points
- References
- 26. Cancer
- Incidence
- Racial and ethnic patterns
- Aging and its relationship to cancer
- Aging and cancer prevention
- Common malignancies in older adults
- Lung cancer
- Breast cancer
- Prostate cancer
- Colorectal cancer
- Screening and early detection: Issues for older adults
- Major treatment modalities
- Surgery
- Radiation therapy
- Chemotherapy
- Targeted therapy
- Immunotherapy
- Hormone therapy
- Bone marrow/stem transplant
- Common physiologic complications
- Bone marrow suppression
- Nausea and vomiting
- Chemotherapy-induced oral mucositis
- Anorexia and cachexia
- Diarrhea
- Alopecia
- Older adults’ experience of cancer
- Quality of life
- Depression
- Grief and loss
- Social isolation and loneliness
- Resources and support
- Summary
- Key points
- References
- 27. Loss and end-of-life issues
- Definitions
- Losses
- Bereavement
- Grief
- Mourning
- Approaching death
- Comfort theory
- General health-care needs
- Effects of age-related changes
- Nursing care guidelines for the older adult who is dying
- Hospice
- Palliative care
- Legislative initiatives
- Summary
- Key points
- References
- Appendix A: Resources and advocacy groups for older adults
- Index
- No. of pages: 704
- Language: English
- Edition: 7
- Published: November 14, 2024
- Imprint: Elsevier
- formats.LooseLeaf ISBN: 9780323936866
- Paperback ISBN: 9780323875202
- eBook ISBN: 9780323936873
JY
Jennifer J. Yeager
Associate Professor Jennifer J. Yeager works at Tarleton State University, Stephenville, Texas.
Affiliations and expertise
Associate Professor, Tarleton State University, Stephenville, Texas, USAMW
Mary B. Winton
Associate Professor Mary B. Winton works at Tarleton State University, Stephenville, Texas.
Affiliations and expertise
Associate Professor, Tarleton State University, Stephenville, Texas, USASM
Sue E. Meiner
Affiliations and expertise
President, Consultant on Health Issues, Inc., McKinney, Texas