MARC Record from marc_nuls

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035 $a(OCoLC)265657164
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050 00 $aRC954$b.E44 2010
060 00 $a2009 D-644
060 10 $aWY 152$bE42g 2010
082 00 $a618.97/0231$222
100 1 $aEliopoulos, Charlotte.
245 10 $aGerontological nursing /$cCharlotte Eliopoulos.
250 $a7th ed.
260 $aPhiladelphia :$bWolters Kluwer Health/Lippincott Williams & Wilkins, $cc2010.
300 $axxiii, 520 p. :$bcol. ill. ;$c26 cm.
504 $aIncludes bibliographical references and index.
505 0 $aUnit 1: -- Understanding The Aging Experience: -- Aging population: -- Views of older adults through history -- Characteristics of the older adult population -- Population growth and increasing life expectancy -- Marital status and living arrangements -- Geographic distribution -- Income and employment -- Education -- Health status -- Implications of an aging population -- Impact of the baby boomers -- Provision of and payment for services -- Theories of aging: -- Biological theories of aging -- Genetic theories -- Cross-linking theory -- Evolutionary theories -- Free radicals and lipofuscin theories -- Autoimmune reactions -- Wear and tear theories -- Stress -- Biogerontology -- Neuroendocrine and neurochemical theories -- Radiation theories -- Nutrition theories -- Environmental theories -- Implications of biological theories for nursing -- Psychosocial theories of aging -- Disengagement theory -- Activity theory -- Continuity theory -- Developmental tasks -- Gerotranscedence -- Implications of psychosocial theories for nursing -- Applying theories of aging to nursing practice -- Diversity: -- Increasing diversity of the older adult population -- Overview of diverse groups of older adults in the United States -- Hispanic Americans -- Black Americans -- Asian Americans -- Jewish Americans -- Native Americans -- Older prisoners -- Nursing considerations for culturally sensitive care of older adults -- Life transitions and story: -- Ageism -- Changes in family roles and relationships -- Parenting -- Grandparenting -- Loss of spouse -- Retirement -- Loss of the work role -- Reduced income -- Changes in health and functioning -- Cumulative effects of life transitions -- Shrinking social world -- Awareness of mortality -- Responding to life transitions -- Life review and life story -- Self-reflection -- Strengthening inner resources -- Common aging changes: -- Changes to the body -- Cells -- Physical appearance -- Respiratory system -- Cardiovascular system -- Gastrointestinal system -- Urinary system -- Reproductive system -- Musculoskeletal system -- Nervous system -- Sensory organs -- Endocrine system -- Integumentary system -- Immune system -- Thermoregulation -- Changes to the mind -- Personality -- Memory -- Intelligence -- Learning -- Attention span -- Nursing implications of age-related changes -- Unit 2: -- Foundations Of Gerontological Nursing: -- Specialty of gerontological nursing: -- Development of gerontological nursing -- Core elements of gerontological nursing practice -- Evidence-based practice -- Standards -- Principles -- Gerontological nursing roles -- Healer -- Caregiver -- Educator -- Advocate -- Innovator -- Advanced practice nursing roles -- Future of gerontological nursing -- Lessons from the past -- Challenges for the future -- Holistic model for gerontological nursing: -- Holistic gerontological care -- Holistic assessment of needs -- Health promotion-related needs -- Health challenges-related needs -- Requisites to meet needs -- Gerontological nursing interventions -- Examples of application -- Assessing needs: the case of Mr R -- Applying the holistic model: the case of Mrs D -- Legal aspects of gerontological nursing: -- Laws governing gerontological nursing practice -- Legal risks in gerontological nursing -- Malpractice -- Confidentiality -- Patient consent -- Patient competency -- Staff supervision -- Medications -- Restraints -- Telephone orders -- No-code orders -- Advance directives and issue related to death and dying -- Elder abuse -- Legal safeguards for nurses -- Ethical aspects of gerontological nursing: -- Philosophies guiding ethical thinking -- Ethics in nursing -- External and internal ethical standards -- Ethical principles -- Ethical dilemmas facing gerontological nurses -- Changes increasing ethical dilemmas for nurses -- Measures to help nurses make ethical decisions -- Continuum of care in gerontological nursing: -- Services in the continuum of care for older adults -- Preventive services -- Partial and intermittent care services -- Complete and continuous care services -- Complementary and alternative services -- Matching services to needs -- Settings and roles for gerontological nurses -- Self-care for the gerontological nurse: -- Characteristics of nurse healers -- Presence -- Availability -- Connections -- Models of holism -- Self-care and nurturing -- Following positive health care -- Practices -- Strengthening and building connections -- Committing to a dynamic process -- Unit 3: -- Fostering Connection And Gratification: -- Sexuality and intimacy: -- Attitudes toward sex and older adults -- Menopause as a journey to inner connection -- Symptom management and patient education -- Self-acceptance -- Realities of sex in older adulthood -- Sexual behavior and roles -- Intimacy -- Age-related changes and sexual response -- Identifying barriers to sexual activity -- Unavailability of a partner -- Psychological barriers -- Medical conditions -- Erectile dysfunction -- Medication adverse effects -- Cognitive impairment -- Promoting healthy sexual function -- Spirituality: -- Spiritual needs -- Love -- Meaning and purpose -- Hope -- Dignity -- Forgiveness -- Gratitude -- Transcendence -- Expression of faith -- Assessing spiritual needs -- Addressing spiritual needs -- Being available Honoring beliefs and practices -- Providing opportunities for solitude -- Promoting hope -- Assisting in discovering meaning in challenging situations -- Facilitating religious practices -- Praying with and for -- Summary: Importance of spiritual care -- Unit 4: -- General Care Concerns: -- Nutrition and hydration: -- Nutritional needs of older adults -- Quantity and quality of caloric needs -- Nutritional supplements -- Special needs of women -- Hydration needs of older adults -- Promotion of oral health -- Threats to good nutrition -- Indigestion and food intolerance -- Anorexia -- Dysphagia -- Constipation -- Malnutrition -- Addressing nutritional status and hydration in older adults -- Rest and sleep: -- Age-related changes in sleep -- Circadian sleep-wake cycles -- Sleep stages -- Sleep efficiency and quality -- Sleep disturbances -- Insomnia -- Nocturnal myoclonus and restless leg syndrome -- Sleep apnea -- Medical conditions that affect sleep -- Drugs that affect sleep -- Promoting rest and sleep in older adults -- Pharmacologic measures to promote sleep -- Nonpharmacologic measures to promote sleep -- Pain control --
505 0 $aComfort and pain management :-- Comfort -- Pain: a complex phenomenon -- Prevalence of pain in older adults -- Types of pain -- Pain perception -- Effects of unrelieved pain -- Pain assessment -- Integrative approach to pain management -- Complementary therapies -- Dietary changes -- Medication -- Comforting -- Safety: -- Aging and risk to safety -- Importance of the environment to health and wellness -- Impact of aging on environmental safety and function -- Lighting -- Temperature -- Colors -- Scents -- Floor coverings -- Furniture -- Sensory stimulation -- Noise control -- Bathroom hazards -- Psychosocial considerations -- Problem of falls -- Risk and prevention -- Risk associated with restraints -- Interventions to reduce intrinsic risks to safety -- Reducing hydration and nutrition risks -- Addressing risk associated with sensory deficits -- Addressing risks associated with mobility limitations -- Monitoring body temperature -- Preventing infection -- Suggesting sensible clothing -- Using medications cautiously -- Avoiding crime -- Promoting safe driving -- Promoting early detection of problems -- Addressing risks associated with functional impairment -- Safe medication use: -- Effects of aging on medication use -- Polypharmacy and interactions -- Altered pharmacokinetics -- Altered pharmacodynamics -- Increased risk of adverse reactions -- Promoting the safe use of drugs -- Avoiding potentially inappropriate drugs: beer's criteria -- Reviewing necessity and effectiveness of prescribed drugs -- Promoting safe and effective administration -- Providing patient teaching -- Alternatives to drugs -- Review of selected drugs -- Analgesics -- Antacids -- Antianxiety drugs (anxiolytics) -- Antibiotics -- Anticoagulants -- Anticonvulsants -- Antidepressants -- Antidiabetic drugs -- Antihypertensive drugs -- Anti-inflammatory drugs -- Nonsteroidal (NSAIDs) -- Antipsychotics -- Cholesterol-lowering drugs -- Cognitive enhancing drugs -- Digoxin -- Diuretics -- Laxatives -- Sedative/hypnotics -- Unit 5: -- Facilitating Physiological Balance: -- Respiration: -- Effects of aging on respiratory health -- Respiratory health promotion -- Selected respiratory conditions -- Asthma -- Chronic bronchitis -- Emphysema -- Lung cancer -- Lung abscess -- General nursing considerations for respiratory conditions -- Recognizing symptoms -- Preventing complications -- Ensuring safe oxygen administration -- Performing postural drainage -- Promoting productive coughing -- Using complementary therapies -- Promoting self-care -- Providing encouragement -- Circulation: -- Effects of aging on cardiovascular health -- Cardiovascular health promotion -- Proper nutrition -- Adequate exercise -- Cigarette smoke avoidance -- Stress management -- Proactive interventions -- Selected cardiovascular conditions -- Hypertension -- Hypotension -- Congestive heart failure -- Pulmonary emboli -- Coronary artery disease -- Arrhythmias -- Peripheral vascular disease -- General nursing considerations for cardiovascular conditions -- Prevention -- Keeping the patient informed -- Preventing complications -- Promoting circulation -- Providing foot care -- Managing problems associated with peripheral vascular disease -- Promoting normality -- Integrating complementary therapies -- Digestion and bowel elimination: -- Effects of aging on gastrointestinal health -- Gastrointestinal health promotion -- Selected gastrointestinal conditions and related nursing considerations -- Dry mouth (xerostomia) -- Dental problems -- Dysphagia -- Hiatal hernia -- Esophageal cancer -- Peptic ulcer -- Cancer of the stomach -- Diverticular disease -- Cancer of the colon -- Chronic constipation -- Flatulence -- Intestinal obstruction -- Fecal impaction -- Bowel incontinence -- Acute appendicitis -- Cancer of the pancreas -- Biliary tract disease -- Summary -- Urinary elimination: -- Effects of aging on urinary elimination -- Urinary system health promotion -- Selected urinary conditions -- Urinary incontinence -- Bladder cancer -- Rental calculi -- Glomerulonephritis -- General nursing considerations for urinary conditions -- Reproductive system health: -- Effects on aging on the reproductive system -- Reproductive system health promotion -- Selected reproductive system conditions -- Problems of the female reproductive system -- Problems of the male reproductive system -- Summary -- Movement: -- Effects of aging on musculoskeletal function -- Musculoskeletal health promotion -- Promotion of physical exercise in all age groups -- Exercise programs tailored for older adults -- Mind-body connection -- Prevention of inactivity -- Nutrition -- Selected musculoskeletal conditions -- Fractures -- Osteoarthritis -- Rheumatoid arthritis -- Osteoporosis -- Gout -- Podiatric conditions -- General nursing considerations for musculoskeletal conditions -- Managing pain -- Preventing injury -- Promoting independence -- Neurologic function: -- Effects of aging on the nervous system -- Neurologic health promotion -- Selected neurologic conditions -- Parkinson's disease -- Transient ischemic attacks -- Cerebrovascular accidents -- General nursing considerations for neurologic conditions -- Promoting independence -- Preventing injury --
505 0 $aSensation: -- Effects of aging on sensory function -- Sensory health promotion -- Promoting vision -- Promoting hearing -- Assessing problems -- Selected sensory conditions and related nursing interventions -- Visual deficits -- Hearing deficits -- General nursing considerations for sensory deficits -- Endocrine function: -- Effects of aging on endocrine function -- Selected endocrine conditions and related nursing considerations -- Diabetes mellitus -- Hypothyroidism -- Hyperthyroidism -- Hyperlipidemia -- Integumentary function: -- Effects of aging on the integument -- Integumentary health promotion -- Selected integumentary conditions -- Pruritus -- Keratosis -- Seborrheic keratosis -- Skin cancer -- Vascular lesions -- Pressure ulcers -- General nursing considerations for integumentary conditions -- Promoting normalcy -- Using alternative therapies -- Immune function: -- Effects of aging on immune function -- Immunologic health promotion -- Diet -- Exercise -- Immunization -- Stress management -- Mind-body connection -- Careful use of antibiotics -- Unit 6: -- Multisystemic Disorders: -- Infections: -- Unique manifestations of infection in older adults -- Common infections -- Urinary tract infection -- Prostatitis -- Pneumonia -- Influenza -- Tuberculosis -- Vaginitis -- Herpes zoster -- Scabies -- HIV and AIDS -- Clostridium difficile infection -- Antibiotic-resistant microorganism -- Cancer: -- Aging and cancer -- Unique challenges for older persons with cancer -- Explanations for increased incidence in old age -- Cancer risk factors -- Heredity -- Diet -- Drinking water -- Tobacco -- Alcohol -- Radiation -- Ultraviolet radiation -- Occupational exposure to carcinogens -- Radon -- Special risk for women -- Other contributing factors -- Prevention and screening -- Treatment -- Conventional treatment -- Complementary and alternative medicine -- Nursing considerations for older adults with cancer -- Providing patient education -- Promoting optimum care -- Providing support to patients and families -- Mental health disorders: -- Aging and mental health -- Promoting mental health in older adults -- Selected mental health conditions -- Depression -- Anxiety -- Alcohol abuse -- Paranoia -- Hypochondriasis -- Nursing considerations for mental health conditions -- Monitoring medications -- Promoting a positive self-concept -- Managing behavioral problems -- Delirium and dementia: -- Delirium -- Dementia -- Alzheimer's disease -- Other dementias -- Caring for persons with dementia -- Unit 7: -- Gerontological Care Issues: -- Living in harmony with chronic conditions: -- Chronic conditions and older adults -- Goals for chronic care -- Assessment of chronic care needs -- Maximizing the benefits of chronic care -- Selecting an appropriate physician -- Using a chronic care coach -- Increasing knowledge -- Locating a support group -- Making smart lifestyle choices -- Using complementary and alternative therapies -- Factors affecting the course of chronic care -- Defense mechanisms and implications -- Impact of ongoing care on the family -- Need for institutional care -- Chronic care: a nursing challenge -- Rehabilitative care: -- Need for rehabilitation -- Living with disability -- Importance of attitude and coping capacity -- Losses accompanying disability -- Principles of rehabilitative nursing -- Functional assessment -- Interventions to facilitate and improve functioning -- Facilitating proper positioning -- Assisting with range-of-motion exercises -- Teaching about mobility aids -- Teaching about bowel and bladder training -- Maintaining and promoting mental function -- Using community resources -- Acute care: -- Risks associated with hospitalization of older adults -- Surgical care -- Special risks for older adults -- Preoperative care considerations -- Operative and postoperative care considerations -- Emergency care -- Infections -- Discharge planning for older adults -- Long-term care: -- Development of long-term institutional care -- Before the 20th century -- During the 20th century -- Lessons to be learned from history -- Long-term institutional care today -- Nursing facility standards -- Facility residents -- Nursing roles and responsibilities -- Assisted living facilities -- Looking forward: a new model of long-term care -- Family caregiving: -- Older adult's family -- Identification of family members -- Family member roles -- Family dynamics and relationships -- Scope of family caregiving -- Protecting the health of the older adult and caregiver -- Family dysfunction and abuse -- Reward of family caregiving -- End-of-life care: -- Definitions of death -- Family experience with the dying process -- Supporting the dying individual -- Stages of the dying process and related nursing interventions -- Physical care needs -- Spiritual care needs -- Signs of imminent death -- Advance directives -- Supporting family and friends -- Supporting through the stages of the dying process -- Helping family and friends after a death -- Supporting nursing staff -- Index.
520 $aSynopsis: This student-friendly text focuses on how to provide the type of high quality of life that older adults desire and need. Presented in a concise, easy-to-understand manner, this edition focuses on the integration of holistic concepts and practices; and places a greater emphasis on the emotional and spiritual aspects of aging and gerontological care. Improved organization, new special features, and updated illustrations and photos are highlights of the seventh edition.
650 0 $aGeriatric nursing.
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