Essentials of Gerontological Nursing Meredith Wallace Primary Author mixed material bibliography New York SpringerPublising Cmpany 2008 monographic en English

E-BOOK

ISBN 13: 978-0-8261-2052-6 Preface xiii Acknowledgments xv ONE The Graying of America 1 Issues of Aging 2 Government-Funded Health Care 3 Medical Concerns 4 Ageism—Facts and Myths of Aging 5 M yths 5 A geism 10 Ethnogeriatrics and Health Care 11 C ultural Competence 14 Gerontological Nursing 19 Theories of Aging 22 B iological Theories 22 P sychological Theories 24 M oral/Spiritual Theories 24 S ociological Theories 25 Summary 26 TWO The Health Care Delivery System 29 Retirement 31 Challenges Within the Current Health Care Delivery System 33 Financing Health Care 38 M edicare and Related Plans 38 M edicaid 65 P rivate Pay, or Fee for Service 68 V eteran’s Benefi ts 68 Long-Term Care Insurance 69 Payment Options for Older Adults Without Resources for Health Care 71 Summary 72 THREE Normal Changes of Aging 75 Cardiovascular System 77 Respiratory System 88 Integumentary System 89 Gastrointestinal System 91 Constipation 92 B owel Incontinence 93 Urinary System 94 U rinary Incontinence 94 Musculoskeletal System 96 Sexuality/Reproductive System 98 Changes in the Senses 100 Neurological Changes 102 Summary 103 FOUR Assessing Older Adults 105 Systematic Geriatric Assessment 106 Health History 110 Reminiscence and Life Review 112 Physical Assessment 112 Critical Components of a Comprehensive Geriatric Assessment 115 F unction 116 C ognition 117 Summary 118 FIVE Health Promotion 121 Primary Prevention 124 A lcohol Usage Among Older Adults 124 S moking 125 N utrition and Hydration 126 R isk Factors for Malnutrition 127 F ailure to Thrive (FTT) 128 I nterventions to Promote Nutrition 129 E xercise 130 S leep 131 F all Prevention 131 R estraint Usage 133 A dult Immunization 134 nfl uenza 134 P neumonia 135 Tetanus and Diphtheria 135 Secondary Prevention 137 C ardiovascular Disease 137 D iabetes 138 Cancer 139 Summary 142 SIX Pathological Disease Processes in Older Adults 145 Musculoskeletal Disorders 147 Osteoarthritis 147 O steoporosis 148 Cardiovascular and Respiratory Disorders 151 H ypertension 151 C ongestive Heart Failure (CHF) 152 A ngina and Myocardial Infarction (MI) 155 O bstructive Airway Diseases 157 C erebral Vascular Accident (Stroke) 158 Diabetes Mellitus 160 Infectious Diseases 162 Infl uenza 162 P neumonia 163 S exually Transmitted Disease and Human Immunodefi ciency Virus/Acquired Immune Defi ciency Syndrome 165 Cancer 168 Parkinson’s Disease 170 Summary 172 SEVEN Medication Usage 175 Pharmacokinetics and Pharmacodynamics 177 M edication Absorption 178 M edication Distribution 180 H epatic Metabolism 181 R enal Elimination 182 Medication Interactions 183 M edication–Disease Interactions 183 M edication–Nutrient Interactions 184 Generic Medications 185 Inappropriate Medications 185 Medication Adherence 187 Over-the-Counter and Illegally Obtained Narcotics and Herbal Medications 190 Summary 194EIGHT Cognitive and Psychological Issues in Aging 197 Delirium 198 Depression 205 S uicide 209 Dementia 210 A lzheimer’s Disease (AD) 210 Summary 216 NINE Ethical Issues of Aging and Independence 219 Ethical Principles 221 A utonomy 222 B enefi cence 224 N onmalefi cence 224 J ustice 225 Driving 226 Sexuality in Older Adults 229 Gambling 234 Summary 237 TEN Quality of Life Issues Among Older Adults 239 Quality of Life (QOL) 240 Elder Mistreatment 243 Pain 247 Grandparenting 248 Spirituality 249 Summary 252 ELEVEN Environments of Care 255 Home Care 256 C aregiving at Home 260 Acute Care 262 Skilled Nursing Facilities 263 U rinary Tract Infections 264 P ressure (Decubitus) Ulcers 272 Assisted Living 273 Continuing Care Retirement Communities 274 Homeless Older Adults 275 Summary 276 TWELVE End-of-Life Care 279 Advance Directives 280 Financial Planning for End of Life 283 Dimensions of End-of-Life Care 283 P hysical Dimension 285 Government-Funded Health Care MEDICAL CONCERNS 610.73/WAL/e PERPUSTAKAAN POLTEKKES KEMENKES GORONTALO POLTEKKES KEMENKES GORONTALO 610.73/WAL/e 09-EB2018-P9 My Library (09-EB2018-P) 610.73 WAL e E-BOOK : Essentials of Gerontological Nursing B9.jpeg.jpeg 1297 2018-04-16 09:46:31 2019-02-06 09:29:51 machine generated