Gerontological Nursing

A Holistic Approach to the Care of Older People

1st Edition - July 31, 2020
Imprint: Elsevier
Authors: Caroline Vafeas, Susan Slatyer
Language: English
Paperback ISBN:
9 7 8 - 0 - 7 2 9 5 - 4 3 6 7 - 5
eBook ISBN:
9 7 8 - 0 - 7 2 9 5 - 8 8 4 4 - 7
eBook ISBN:
9 7 8 - 0 - 7 2 9 5 - 8 8 4 3 - 0

This first edition Australian text aligns nursing care principles and practice to the unique requirements of older people. Written by leading academics and clinicians, Gerontolo… Read more

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This first edition Australian text aligns nursing care principles and practice to the unique requirements of older people.

Written by leading academics and clinicians, Gerontological Nursing: A holistic approach to the care of older people covers the essential skills of gerontological care with a focus on chronic diseases, neurocognitive disorders, mental health, quality of life and healthy ageing, palliative care and bereavement, safety issues, and the role of the caregiver.

As nurses play an ever more critical role in supporting the needs of an ageing population, this essential text will enable nursing students to navigate the complexities of older people’s healthcare, promote healthy ageing, and help people to live well.

Cover image
Title page
Table of Contents
Copyright
About the Authors
Preface
List of Illustrations
List of Tables
Chapter 1: Gerontological Nursing in Australia and New Zealand
INTERNATIONAL CONTEXT OF GERONTOLOGY
THE STUDY OF AGEING WITHIN THE INTERNATIONAL CONTEXT
THE ROLE OF THE NURSE
CHALLENGES OF GERONTOLOGICAL NURSING CARE
SUMMARY
SUMMARY OF CHAPTERS
Chapter 2: Contemporary Ageing
INTRODUCTION
CURRENT TRENDS AND PATTERNS IN AUSTRALIA AND NEW ZEALAND
THE NEW ZEALAND CONTEXT
THEORIES ON AGEING
SUMMARY
REVIEW QUESTIONS
Chapter 3: Cross-Cultural Ageing
INTRODUCTION
OVERVIEW OF CULTURAL DIVERSITY IN OLDER PEOPLE
CULTURAL COMPETENCE AND CULTURAL SAFETY
CHALLENGES IN PROMOTING HEALTHY AGEING
OPPORTUNITIES IN PROMOTING HEALTHY AGEING
SUMMARY
USEFUL RESOURCES
Chapter 4: Promoting Healthy Ageing
INTRODUCTION
DEFINITION OF HEALTHY AGEING
FUNCTIONAL ABILITY AND HEALTHY AGEING
ENVIRONMENT AND HEALTHY AGEING
HEALTH LITERACY
HISTORY OF HEALTH PROMOTION AND HEALTHY AGEING
HEALTH PROMOTION
INTEGRATED PERSON-CENTRED FRAMEWORK
HEALTH PROMOTION AND SOCIAL DETERMINANTS
EXERCISE AND ACTIVITY
SUMMARY
USEFUL RESOURCES
Chapter 5: Navigating the Healthcare System
INTRODUCTION
NAVIGATING THE SYSTEM
AUSTRALIAN PUBLIC HEALTH AND AGED CARE SYSTEMS
FUNDING AND CARE OPTIONS
GOVERNMENT POLICY
CLINICAL GOVERNANCE
QUALITY HEALTH SERVICE STANDARDS
HEALTH AND AGED CARE STANDARDS, AUDIT AND BENCHMARKING
SUMMARY
Chapter 6: Gerontological Nursing Across the Continuum of Care
INTRODUCTION
HOME CARE/RESPITE CARE/RESIDENTIAL CARE
TRANSITIONAL CARE
CARING IN THE ACUTE SETTING
RURAL AND REMOTE NURSING
AGED CARE IN NEW ZEALAND
SUMMARY
Chapter 7: Communication and Shared Decision-Making
INTRODUCTION
AUTONOMY AND SHARED DECISION-MAKING
THREE COMPONENTS OF HEALTHCARE DECISIONS: CHOICE, CAPACITY AND CONSENT
NURSING SKILLS FOR SHARED DECISION-MAKING
SUMMARY
Chapter 8: Comprehensive Health Assessment
INTRODUCTION
A SUMMARY OF THE PHYSIOLOGICAL EFFECTS OF AGEING (see Fig. 8.1)
ASSESSMENT OF THE OLDER PERSON
DOCUMENTATION AND RECORD-KEEPING
Documentation in Residential Care Facilities and the Hospital Setting
SUMMARY
Chapter 9: Living with Chronic Conditions
INTRODUCTION
AGEING IN AUSTRALIA AND NEW ZEALAND
WHY ARE OLDER PEOPLE MORE LIKELY TO DEVELOP CHRONIC CONDITIONS?
CHALLENGE OF AGEING HEALTHILY
Chapter 10: Infection Prevention and Control
INTRODUCTION
HAND HYGIENE
AGE-RELATED CHANGES IN THE IMMUNE SYSTEM
VACCINATION SCHEDULE FOR OLDER ADULTS
COMMON INFECTIONS
SUMMARY
Chapter 11: Safe Use of Medications
INTRODUCTION
THE NEED FOR SAFE MEDICATION USE IN OLDER PEOPLE
MEDICATION SAFETY IN OLDER PEOPLE
AGE-RELATED CHANGES
APPROPRIATE AND INAPPROPRIATE PRESCRIBING
MEDICATION REVIEW
DEPRESCRIBING
PALLIATIVE CARE
COMPLEMENTARY THERAPY AND SUPPLEMENTS
SUMMARY
Chapter 12: Nutrition and Hydration
INTRODUCTION
NUTRITIONAL HEALTH IN OLDER PEOPLE
UNDERNUTRITION IN OLDER PEOPLE
OBESITY IN OLDER PEOPLE
ORAL HEALTH IN OLDER PEOPLE
MANAGEMENT FOR MALNUTRITION AND WEIGHT LOSS IN OLDER PEOPLE
MANAGEMENT OF OBESITY IN OLDER PEOPLE
MANAGEMENT OF DEHYDRATION IN OLDER PEOPLE
SUMMARY
USEFUL RESOURCES
Chapter 13: Elimination
INTRODUCTION
AGEING AND URINARY FUNCTION
AGEING AND URINARY DYSFUNCTION Urinary Incontinence
TYPES OF URINARY INCONTINENCE
STOMA
SUMMARY
Chapter 14: Sleep
INTRODUCTION
SLEEP DISORDERS IN OLDER PEOPLE
SLEEP AND HEALTHY AGEING
SUMMARY
Chapter 15: Promoting Healthy Skin
INTRODUCTION
AGE-RELATED CHANGES
RISK FACTORS FOR SKIN DAMAGE
COMMON SKIN CONDITIONS IN OLDER PEOPLE
SKIN ASSESSMENT
WOUND ASSESSMENT AND MANAGEMENT
SKIN TEARS
PRESSURE INJURIES
LEG ULCERS
SKIN CANCERS
HERPES ZOSTER
FOOT CARE
SUMMARY
Chapter 16: Falls and Falls Prevention
INTRODUCTION
HEALTHY AGEING AND PREVENTION OF FALLS
INCIDENCE OF FALLS AND FALL-RELATED INJURIES
STAFF REPORTING OF FALLS
RISK FACTORS FOR INJURIES FROM FALLS
FALL RISK REDUCTION STRATEGIES ACROSS SETTINGS
REVIEWING STRATEGIES FOR PREVENTING FALLS
INTERVENTIONS TO REDUCE INJURIES FROM FALLS
SUMMARY
Chapter 17: Palliative Care
INTRODUCTION
A GOOD DEATH
PALLIATIVE CARE
PALLIATIVE CARE SERVICES
STANDARDS FOR PALLIATIVE CARE
PALLIATIVE CARE FOR OLDER PEOPLE
A PALLIATIVE APPROACH IN RESIDENTIAL AGED CARE
SPECIALISED PALLIATIVE SERVICE IN RESIDENTIAL AGED CARE
RECOGNISING THE END OF LIFE
Constipation
COMMUNICATION AND DECISION-MAKING IN PALLIATIVE CARE
VOLUNTARY ASSISTED DYING
SUMMARY
Chapter 18: Safety and Security
INTRODUCTION
SAFETY AND SECURITY CONCERNS IN OLDER PEOPLE
NATURAL DISASTERS: IMPLICATIONS FOR OLDER PEOPLE
PREPARING FOR THE UNEXPECTED TO KEEP OLDER PEOPLE SAFE
VULNERABLE OLDER PEOPLE AND HOMELESSNESS
ROAD SAFETY IN OLDER DRIVERS
TECHNOLOGIES TO SUPPORT OLDER PEOPLE AS THEY AGE
SUMMARY
Chapter 19: Pain Assessment and Management
INTRODUCTION
THE BIOPSYCHOSOCIAL MODEL OF PAIN
CONSEQUENCES OF CHRONIC PAIN
TYPES OF PAIN
AGE-RELATED CHANGES AND PAIN
PAIN IN OLDER PEOPLE WITH COGNITIVE IMPAIRMENT
PAIN ASSESSMENT
INTERVENTIONS TO ADDRESS PAIN
SUMMARY
Chapter 20: Hearing
INTRODUCTION
TYPES OF HEARING LOSS
ADDITIONAL RISK FACTORS FOR HEARING LOSS IN OLDER ADULTS
FUNCTIONAL IMPACTS OF HEARING LOSS
ASSESSMENT
INTERVENTIONS
SUMMARY
Chapter 21: Vision
INTRODUCTION
AGE-RELATED CHANGES (see Table 21.1 and Fig. 21.1)
COMMON EYE CONDITIONS
HEALTHY AGEING AND PREVENTION
NURSING OLDER PEOPLE WITH VISION IMPAIRMENT
Chapter 22: Musculoskeletal Health
INTRODUCTION
MUSCULOSKELETAL HEALTH
AGE-RELATED CHANGES
MUSCULOSKELETAL ASSESSMENT
OSTEOPOROSIS
OSTEOMALACIA
PAGET'S DISEASE
INFLAMMATORY JOINT DISEASE
Gout
ANKYLOSING SPONDYLITIS
FRACTURES
CONSEQUENCES ASSOCIATED WITH TRAUMATIC INJURY AND LIMITED MOBILITY IN OLDER PEOPLE
SUMMARY
Chapter 23: Cardiovascular Health
INTRODUCTION
THE CARDIOVASCULAR SYSTEM
THE AGEING CARDIOVASCULAR SYSTEM
RISK FACTORS AND CARDIOVASCULAR DISEASE
COMMON CONDITIONS ASSOCIATED WITH CARDIOVASCULAR DISEASE
Stroke
DIAGNOSING CARDIOVASCULAR DISEASE
INTERVENTIONS
MAXIMISING CARDIOVASCULAR HEALTH
HEALTHY DIET
SUMMARY
Chapter 24: Respiratory Health
INTRODUCTION
AGE-RELATED CHANGES
COMMON CONDITIONS OF THE RESPIRATORY SYSTEM
ASSESSMENT
COMMON INTERVENTIONS
MAXIMISING RESPIRATORY HEALTH
SUMMARY
Chapter 25: Mental Health in Older Age
INTRODUCTION
MENTAL HEALTH IN OLDER AGE
MENTAL DISORDERS IN OLD AGE
Pathophysiology
CULTURE AND OLDER PERSONS’ MENTAL HEALTH
MENTAL HEALTH ASSESSMENT
DEPRESSION IN THE OLDER PERSON
ANXIETY IN OLDER PEOPLE
PSYCHOSIS IN OLDER PEOPLE
SUBSTANCE USE IN OLDER PEOPLE
SUICIDE IN OLDER PEOPLE
Chapter 26: Neurocognitive Disorders
INTRODUCTION
DELIRIUM
MILD COGNITIVE IMPAIRMENT (MILD NCD)
DEMENTIA (MAJOR NCD)
PARKINSON'S DISEASE (MILD OR MAJOR NCD)
SYMPTOMS OF DEMENTIA
Nursing Interventions
Person-Centred Care
Use of Language and Stigma
EVIDENCE-BASED COMMUNICATION THERAPIES
Validation Therapy
MAINTAINING WELLBEING
Promoting Independence
Addressing Pain
Creating Enabling Environments
PHARMACOLOGICAL MANAGEMENT
SUMMARY
Chapter 27: Relationships in Later Life
INTRODUCTION
RELATIONSHIPS
INTIMACY
SEXUALITY
SEXUAL AND GENDER DIVERSITY
Open Environments
LONELINESS
DIVORCE, SEPARATION AND RELATIONSHIP LOSS
ELDER ABUSE
LATER LIFE TRANSITIONS
SUMMARY
Chapter 28: The Caregiver
INTRODUCTION
THE CHANGING ROLE AND RECOGNITION OF FAMILY CAREGIVERS
VIEWS OF CAREGIVING
Residential Aged Care Setting
CARING FOR FAMILY CAREGIVERS
ASSESSMENT
SUMMARY
ADDITIONAL RESOURCES
Chapter 29: Loss, Grief and Bereavement in Later Life
INTRODUCTION
CHANGE AND LOSS IN OLDER AGE
COPING AND ADJUSTING TO CHANGE AND LOSS
CULTURAL INFLUENCES ON LOSS AND GRIEF
GRIEF AND BEREAVEMENT
Anticipatory Grief
DISTURBED GRIEF
COPING WITH BEREAVEMENT
RESPONDING TO COMPLEX BEREAVEMENT OUTCOMES
SUMMARY
Practice Scenario Multiple Choice Answers
Index

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Gerontological Nursing

A Holistic Approach to the Care of Older People

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Caroline Vafeas

Susan Slatyer

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