Ebersole and Hess' Gerontological Nursing & Healthy Aging

6th Edition - April 7, 2021
Authors: Theris A. Touhy, Kathleen F Jett
Language: English
Other ISBN:
9 7 8 - 0 - 3 2 3 - 7 9 7 7 2 - 6
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 7 5 1 6 4 - 3
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 6 9 8 0 3 - 0
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 6 9 8 0 4 - 7

Gain the nursing skills you need to provide wellness-based care for older adults! Ebersole and Hess' Gerontological Nursing & Healthy Aging, 6th Edition uses a holistic… Read more

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Gain the nursing skills you need to provide wellness-based care for older adults! Ebersole and Hess' Gerontological Nursing & Healthy Aging, 6th Edition uses a holistic approach to describe compassionate care along a continuum of wellness. Designed to promote healthy aging regardless of the patient’s situation or disorder, this text provides best-practice guidelines in covering physical, psychosocial, spiritual, and cognitive health. New to this edition are Next Generation NCLEX®-style case studies, updates on measuring clinical judgment, expanded coverage of core competencies, and more. Written by gerontological nursing experts Theris Touhy and Kathleen Jett, this concise text provides a solid foundation in every aspect of healthy aging.

Cover Image
Title Page
Copyright
Dedication
REVIEWERS AND EVOLVE WRITERS
Preface
ANCILLARIES
ACKNOWLEDGMENTS
Table of Contents
SECTION 1 Foundations of Healthy Aging
CHAPTER 1 Gerontological Nursing and Promotion of Healthy Aging
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
CARE OF OLDER ADULTS: A NURSING IMPERATIVE
HISTORY OF GERONTOLOGICAL NURSING
GERONTOLOGICAL NURSING EDUCATION
ORGANIZATIONS DEVOTED TO GERONTOLOGY RESEARCH AND PRACTICE
RESEARCH ON AGING
GERONTOLOGICAL NURSING ROLES
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
REFERENCES
CHAPTER 2 Introduction to Healthy Aging
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
THE YEARS AHEAD
HOW OLD IS OLD?
MOVING TOWARD HEALTHY AGING
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
REFERENCES
CHAPTER 3 Making Clinical Judgments in the Cross-Cultural Setting With Older Adults
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
CULTURE
DIVERSITY
HEALTH DISPARITIES AND INEQUITIES
MOVING TOWARD CULTURAL PROFICIENCY TO IMPROVE HEALTH OUTCOMES
CULTURAL KNOWLEDGE
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: CROSS-CULTURAL NURSING
INTEGRATING CONCEPTS
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
NEXT-GENERATION NCLEX® EXAMINATION-STYLE QUESTIONS
ANSWERS TO NEXT GENERATION NCLEX® EXAMINATION STYLE QUESTIONS
REFERENCES
CHAPTER 4 Biological Theories and Age-Related Cues
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
BIOLOGICAL AGING
“Inflamm-aging”
RECOGNIZING AND ANALYZING CUES TO PROMOTE HEALTHY AGING: NORMAL CHANGES WITH AGING
PHYSICAL CHANGES THAT ACCOMPANY AGING
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
REFERENCES
CHAPTER 5 Clinical Judgment to Promote Psychosocial, Spiritual, and Cognitive Health
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
PSYCHOSOCIAL THEORIES OF AGING
SPIRITUALITY AND AGING
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: SPIRITUAL HEALTH
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: COGNITIVE HEALTH
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
NEXT-GENERATION NCLEX® EXAMINATION-STYLE QUESTIONS
ANSWERS TO NEXT GENERATION NCLEX® EXAMINATION STYLE QUESTIONS
REFERENCES
SECTION 2 Foundations of Gerontological Nursing
CHAPTER 6 Gerontological Nursing Across the Continuum of Care
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
Community Care
NURSING FACILITIES (NURSING HOMES)
LONG-TERM CARE AND THE US HEALTH CARE SYSTEM
QUALITY OF CARE IN SKILLED NURSING FACILITIES
TRANSITIONS ACROSS THE CONTINUUM
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: TRANSITIONAL CARE
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
NEXT-GENERATION NCLEX® EXAMINATION-STYLE QUESTIONS
NEXT GENERATION NCLEX® EXAMINATION STYLE QUESTIONS
REFERENCES
CHAPTER 7 Economic and Legal Issues Affecting Clinical Judgment
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
LATE-LIFE INCOME
HEALTH CARE INSURANCE PLANS IN LATER LIFE
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING
LEGAL ISSUES IN GERONTOLOGICAL NURSING
RECOGNIZING AND ANALYZING CUES: RELATED TO CAPACITY
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
NEXT-GENERATION NCLEX® EXAMINATION-STYLE QUESTIONS
ANSWERS TO NEXT GENERATION NCLEX® EXAMINATION STYLE QUESTIONS
REFERENCES
SECTION 3 Fundamentals of Caring
CHAPTER 8 Recognizing and Analyzing Cues in Gerontological Nursing
THE LIVED EXPERIENCE
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: CLINICAL CUES
THE HEALTH HISTORY
RECOGNIZING AND ANALYZING CUES: PHYSICAL HEALTH
RECOGNIZING AND ANALYZING CUES: COGNITIVE ABILITY
RECOGNIZING AND ANALYZING CUES: MOOD
RECOGNIZING AND ANALYZING CUES: FUNCTIONAL ABILITY
RECOGNIZING AND ANALYZING COMPREHENSIVE CUES
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: DOCUMENTATION
EVALUATING OUTCOMES
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
NEXT GENERATION NCLEX® EXAMINATION STYLE QUESTIONS
REFERENCES
CHAPTER 9 Clinical Judgment to Promote Safe Medication Use
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
PHARMACOKINETICS
PHARMACODYNAMICS
CHRONOPHARMACOLOGY
MEDICATION-RELATED PROBLEMS AND OLDER ADULTS
PSYCHOACTIVE MEDICATIONS
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: MEDICATION USE
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
NEXT-GENERATION NCLEX® EXAMINATION-STYLE QUESTIONS
REFERENCES
CHAPTER 10 Clinical Judgment to Promote Nutritional Health
THE LIVED EXPERIENCE
NUTRITIONAL HEALTH
OBESITY (OVERNUTRITION)
MALNUTRITION (UNDERNUTRITION)
FACTORS AFFECTING FULFILLMENT OF NUTRITIONAL NEEDS
CHRONIC DISEASES AND CONDITIONS AFFECTING NUTRITION
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: NUTRITIONAL HEALTH
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
NEXT-GENERATION NCLEX® EXAMINATION-STYLE QUESTIONS
REFERENCES
CHAPTER 11 Clinical Judgment to Promote Hydration and Oral Health
THE LIVED EXPERIENCE
HYDRATION MANAGEMENT
DEHYDRATION
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: DEHYDRATION
ORAL HEALTH
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: ORAL HEALTH
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
NEXT-GENERATION NCLEX® EXAMINATION-STYLE QUESTIONS
REFERENCES
CHAPTER 12 Clinical Judgment to Promote Bladder and Bowel Health
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: BLADDER HEALTH
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: UI
URINARY TRACT INFECTIONS (UTIs)
BOWEL ELIMINATION
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: BOWEL FUNCTION
ACCIDENTAL BOWEL LEAKAGE/FECAL INCONTINENCE
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: ACCIDENTAL BOWEL LEAKAGE (FI)
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
NEXT-GENERATION NCLEX® EXAMINATION-STYLE QUESTIONS
REFERENCES
CHAPTER 13 Clinical Judgment to Promote Healthy Rest, Sleep, and Activity
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
REST AND SLEEP
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: SLEEP
ACTIVITY
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: PHYSICAL ACTIVITY
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
REFERENCES
CHAPTER 14 Clinical Judgment to Promote Healthy Skin
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
SKIN
COMMON SKIN PROBLEMS
SKIN CANCERS
PRESSURE INJURIES (PIs)
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: PRESSURE INJURIES
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
NEXT-GENERATION NCLEX® EXAMINATION-STYLE QUESTIONS
REFERENCES
CHAPTER 15 Clinical Judgment to Reduce Fall Risk and Injuries
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
FALLS
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: FALL PREVENTION
RESTRAINTS AND SIDE RAILS
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
NEXT-GENERATION NCLEX® EXAMINATION-STYLE QUESTIONS
REFERENCES
CHAPTER 16 Clinical Judgment to Promote Safe Environments
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
HOME SAFETY
VULNERABILITY TO ENVIRONMENTAL TEMPERATURES
VULNERABILITY TO NATURAL DISASTERS
GUN SAFETY
TRANSPORTATION SAFETY
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: DRIVING SAFETY
EMERGING TECHNOLOGIES TO ENHANCE SAFETY OF OLDER ADULTS
AGING IN PLACE
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
NEXT-GENERATION NCLEX® EXAMINATION-STYLE QUESTIONS
REFERENCES
SECTION 4 Promoting Health in Chronic Illness
CHAPTER 17 Living With Chronic Illness
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
ACUTE ILLNESS
CHRONIC ILLNESS
THEORETICAL FRAMEWORKS FOR CHRONIC ILLNESS
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: CHRONIC ILLNESS
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
REFERENCES
CHAPTER 18 Clinical Judgment to Promote Relief From Pain
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
ACUTE AND PERSISTENT PAIN
BARRIERS TO PROVIDING COMFORT TO OLDER ADULTS IN PAIN
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: PAIN
RECOGNIZING AND ANALYZING CUES: PAIN IN THOSE WITH COGNITIVE OR COMMUNICATION LIMITATIONS
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
NEXT-GENERATION NCLEX® EXAMINATION-STYLE QUESTIONS
REFERENCES
CHAPTER 19 Clinical Judgment to Enhance Hearing and Vision
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
VISUAL IMPAIRMENT
DISEASES AND DISORDERS OF THE EYE
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: VISION
HEARING IMPAIRMENT
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: HEARING
TINNITUS
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
NEXT-GENERATION NCLEX® EXAMINATION-STYLE QUESTIONS
REFERENCES
CHAPTER 20 Metabolic Disorders
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
THYROID DISEASE
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: THYROID DISEASE
DIABETES
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: DIABETES
CLINICAL JUDGMENT WHEN CARING FOR OLDER ADULTS WITH DIABETES IN LONG-TERM CARE SETTINGS
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
REFERENCES
CHAPTER 21 Bone and Joint Problems
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
MUSCULOSKELETAL SYSTEM
OSTEOPOROSIS
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: SKELETAL DISORDERS
THE ARTHRITIS
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: BONE AND JOINT PROBLEMS
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
NEXT-GENERATION NCLEX® EXAMINATION-STYLE QUESTIONS
ANSWERS TO NEXT GENERATION NCLEX® EXAMINATION STYLE QUESTIONS
REFERENCES
CHAPTER 22 Cardiovascular and Respiratory Disorders
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
CARDIOVASCULAR DISEASE (CVD)
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: CVD
RESPIRATORY DISORDERS
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: RESPIRATORY
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
ANSWERS TO NEXT GENERATION NCLEX® EXAMINATION STYLE QUESTIONS
REFERENCES
CHAPTER 23 Neurological Disorders
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
CEREBROVASCULAR DISEASE
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: CEREBROVASCULAR EVENTS
NEURODEGENERATIVE DISORDERS
CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: PD
ALZHEIMER’S DISEASE
CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: AD
COMMUNICATION AND PERSONS WITH NEUROLOGICAL DISORDERS
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
REFERENCES
CHAPTER 24 Clinical Judgment to Promote Mental Health
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
MENTAL HEALTH
MENTAL HEALTH DISORDERS
FACTORS INFLUENCING MENTAL HEALTH CARE
MENTAL HEALTH DISORDERS
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: ANXIETY
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: PTSD
SCHIZOPHRENIA
PSYCHOTIC SYMPTOMS IN OLDER ADULTS
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: PSYCHOTIC SYMPTOMS
BIPOLAR DISORDER
DEPRESSION
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: DEPRESSION
SUICIDE
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: SUICIDAL RISK
SUBSTANCE USE DISORDERS
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: ALCOHOL USE DISORDER
OTHER SUBSTANCE ABUSE CONCERNS
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
NEXT-GENERATION NCLEX® EXAMINATION-STYLE QUESTIONS
ANSWERS TO NEXT GENERATION NCLEX® EXAMINATION STYLE QUESTIONS
REFERENCES
SECTION 5 Caring for Older Adults and Their Caregivers
CHAPTER 25 Clinical Judgment in Care of Individuals With Neurocognitive Disorders
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
NEUROCOGNITIVE DISORDER: DELIRIUM
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: DELIRIUM
CARE OF INDIVIDUALS WITH NEUROCOGNITIVE DISORDERS
COMMUNICATION
BEHAVIOR CONCERNS AND NURSING MODELS OF CARE
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: BPSD
PROVIDING CARE FOR ACTIVITIES OF DAILY LIVING
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: BATHING COMFORT
WANDERING
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: WANDERING BEHAVIOR
NUTRITION
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: NUTRITION
NURSING ROLES IN THE CARE OF PERSONS WITH DEMENTIA
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
NEXT-GENERATION NCLEX® EXAMINATION-STYLE QUESTIONS
ANSWERS TO NEXT GENERATION NCLEX® EXAMINATION STYLE QUESTIONS
REFERENCES
CHAPTER 26 Clinical Judgment to Promote Healthy Relationships, Roles, and Transitions
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
LATER LIFE TRANSITIONS
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: RETIREMENT
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: LOSS OF SPOUSE/LIFE PARTNER
RELATIONSHIPS IN LATER LIFE
FAMILIES
INTIMACY
SEXUALITY
SEXUAL HEALTH
SEXUAL RESPONSE
SEXUALITY AND LGBT INDIVIDUALS
INTIMACY AND CHRONIC ILLNESS
INTIMACY AND SEXUALITY IN LONG-TERM CARE FACILITIES
INTIMACY, SEXUALITY, AND DEMENTIA
HIV/AIDS AND OLDER ADULTS
STDS IN OLDER ADULTS
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: SEXUAL HEALTH
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
NEXT-GENERATION NCLEX® EXAMINATION-STYLE QUESTIONS
ANSWERS TO NEXT GENERATION NCLEX® EXAMINATION STYLE QUESTIONS
REFERENCES
CHAPTER 27 Clinical Judgment to Promote Caregiver Health
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
CAREGIVING
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: Caregiving
ELDER MISTREATMENT
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING: ELDER MISTREATMENT
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
NEXT-GENERATION NCLEX® EXAMINATION-STYLE QUESTIONS
ANSWERS TO NEXT GENERATION NCLEX® EXAMINATION STYLE QUESTIONS
REFERENCES
CHAPTER 28 Loss, Death, and Palliative Care
LEARNING OBJECTIVES
THE LIVED EXPERIENCE
GRIEF WORK
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING
DYING, DEATH, AND PALLIATIVE CARE
USING CLINICAL JUDGMENT TO PROMOTE HEALTHY AGING WHILE DYING
DYING AND THE NURSE
DECISION-MAKING AT THE END OF LIFE
KEY CONCEPTS
ACTIVITIES AND DISCUSSION QUESTIONS
NEXT-GENERATION NCLEX® EXAMINATION-STYLE QUESTIONS
ANSWERS TO NEXT GENERATION NCLEX® EXAMINATION STYLE QUESTIONS
REFERENCES
Index

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Theris A. Touhy

Kathleen F Jett