Gerontologic Nursing - Elsevier EBook on VitalSource, 7th Edition

• One Next Generation NCLEX® (NGN)-style case/question added to each clinical chapter
• Adding content on culturally congruent care to Socioeconomic and Environmental Influences chapter
• Expanded content on Pressure Injuries

Expanded content on Infection & Inflammation

About the Authors
Contributors and Reviewers
Preface
Acknowledgments

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

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

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

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

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

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

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

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

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

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
Adults
Nursing Care Guidelines for Sexuality and Aging
Recognize Cues (Assessment)
Analyze Cues and Prioritize Hypot

Jennifer J. Yeager, PhD, MSN, RN, Associate Professor, Tarleton State University, Stephenville, Texas, USA, Mary B. Winton, PhD, MSN, RN, Associate Professor, Tarleton State University, Stephenville, Texas, USA and Sue E. Meiner, EdD, APRN, BC-GNP, President, Consultant on Health Issues, Inc., McKinney, Texas