Course Outline
In this 8th edition, Gerontological Nursing continues to bridge the growing body of specialty knowledge with relevancy for practice. Presenting a wide range of topics, this text provides comprehensive information to serve as a strong foundation for gerontological nursing practice.
With its focus on health promotion and healing through a balance of the body, mind, and spirit of individuals, Gerontological Nursing guides nurses not just in treating diseases but also in serving the needs of the total person. This text teaches nursing interventions that can empower the older individual to achieve maximum self-care in regard to health challenges related needs.
Key features that provide a greater understanding and application include:
- Bringing Research to Life presents current research and how to apply that knowledge in practice.
- Practice Realities pose real-life examples of challenges that could be faced by a nurse in practice.
- Points to Ponder boxes pose questions to stimulate thinking related to the content
- Assessment Guides outline the components of general observations, interview, and physical assessment of major body systems
- Nursing Diagnosis Highlights provide an overview of selected nursing diagnosis common in older adults
- Nursing Care Plans demonstrate the steps in developing nursing diagnoses, goals, and actions from identified needs
- Consider This Case boxes illustrate examples of clinical situations that offer opportunities for critical thinking
- Critical Thinking Exercises help guide application
About Authors
Charlotte Eliopoulos, RN, MPH, ND, PhD is a recognized leader in long-term care and gerontological nursing, Charlotte Eliopoulos has dedicated over thirty years to the advancement of these specialties. She has served in a variety of positions ranging from nursing assistant to director of nursing, and pioneered such roles as clinical specialist in gerontological nursing in the acute medical service of the Johns Hopkins Hospital and state specialist in gerontological nursing for the Maryland Department of Health. She published the first book ever written on nursing administration in long-term care in the early 1980s, which contributed to the birth of this nursing specialty. She is a popular speaker and currently serves as the Executive Director of the newly formed American Association for Long Term Care Nursing.
Charlotte has written 19 books, several of which have multiple editions; they include Gerontological Nursing 6th edition, Nursing Administration of Long-Term Care 6th edition, DON Guide for Excellence in LTC, LPN Guide for Excellence in LTC, and Staff Development Handbook for Long-Term Care Facilities. She also has written numerous book chapters and articles. She is certified in gerontological nursing by the American Nurses’ Association and in nursing administration in long-term care by NADONA/LTC.
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Learning Objectives
After completing this course you’ll be able to:
- Define life expectancy and life span.
- Compare Medicare Part A, B, C, and D.
- Discuss chronic diseases and list the ten leading chronic conditions. (Box 1-3)
- State the percentage of the older population who is in a nursing home, assisted living community or other institutional setting.
- Describe the five stochastic theories.
- Describe the seven nonstochastic theories.
- Describe the five sociologic theories of aging.
- Describe the two psychological theories of aging.
- Discuss the diversity of the older population.
- Discuss hypertension in black Americans.
- List the diseases seen among Native Americans.
- Discuss ageism.
- Describe the six stages of retirement.
- List physical appearance changes to the body.
- Discuss several changes to the mind as people age.
- Discuss evidence-based practice.
- Describe several roles of the gerontological nurse.
- Discuss holistic care.
- List the three conditions that must be present for malpractice to exist.
- Define durable power of attorney for health care.
- Discuss the four philosophies regarding ethics.
- List several ethical principles that guide health care.
- Discuss supportive and preventative services for older adults.
- Discuss partial and intermittent care services.
- Discuss complete and continuous care services.
- List the five characteristics that enable nurses to engage as healers for older adults.
- Define andropause.
- List several psychological causes for sexual dysfunction.
- List several spiritual needs.
- Defme the Harris-Benedict equation.
- Describe “My Plate” for older adults.
- List several threats to good nutrition.
- Define phase advance and sleep latency.
- Discuss stress and methods to control stress.
- Describe several types of pain.
- List several complimentary therapies for the treatment of pain.
- List several risks to safety in the older adult.
- Discuss the best environmental color scheme for older people.
- Define the post-fall syndrome.
- List the factors that alter drug absorption.
- Discuss the work of Dr. Mark H. Beers. (1991)
- Discuss safe and effective methods of medication administration.
- Discuss several health practices for the older adult.
- List methods to promote productive coughing.
- Compare the Reversal Diet and Prevention Diet.
- Discuss CHF including the four categories.
- Discuss the research done on NSAID use among patients with hypertension and coronary artery disease.
- Describe oral care for the unconscious patient.
- Compare the two types of hiatal hernia.
- List the effects of aging on the urinary system.
- Describe the types of urinary incontinence and list the goals.
- State the type of cancer in women that is the leading cause of death.
- Discuss prostate cancer.
- List the three areas of all exercise programs.
- Discuss the effects of inactivity.
- Compare osteoarthritis and osteoporosis.
- List teaching strategies for foot care in the older adult.
- List the effects of aging on the nervous system.
- Describe how to perform a speech assessment.
- Describe the effects of aging on the sensory system.
- List the causes of hearing loss.
- Describe the metabolic syndrome.
- Discuss cause, prevention, and treatment of pressure ulcers.
- List the foods that have a positive effect on immunity.
- Discuss the cause, symptons, and treatement of urinary tract infections.
- Discuss the sympotns and treatment of influenza.
- Discuss complimentary and alternative medicine and why it is attractive to cancer patients.
- List the signs and symptons of depression.
- Discuss suicide among the elderly.
- Compare the symptoms of delirium and dementia.
- List the functions of a chronic care coach and the steps in coaching.
- Describe the frail person.
- Discuss operative and post-operative care of the older adult.
- Describe the new model of long-term care.
- Define training, leaving and caring for caregivers and discuss their role.
- List the physical care challenges nurses face of the dying patient.
Table of Contents
- The Aging Population
- Theories of Aging
- Diversity
- Life Transitions Story
- Common Aging Changes
- The Speciality of Gerontological Nursing
- Holistic Model for Gerontological Nursing
- Legal Aspects of Gerontological Nursing
- Ethical Aspects of Gerontological Nursing
- Continuum of Care in Gerontological Nursing
- Self-Care for the Gerontological Nurse
- Sexuality and Intimacy
- Spirituality
- Nutrition and Hydration
- Rest and Sleep
- Comfort and Pain Management
- Safety
- Safe Medication Use
- Respiration
- Circulation
- Digestion and Bowel Elimination
- Urinary Elimination
- Reproductive System Health
- Movement
- Neurologic Function
- Sensation
- Endocrine Function
- Integumentary Function
- Immune Function
- Infections
- Cancer
- Mental Health Disorders
- Delirium and Dementia
- Living in Harmony With Chronic Conditions
- Rehabilitative Care
- Acute Care
- Long-Term Care
- Family Caregiving
- End-of-Life Care