By Jennifer J. Yeager, PhD, MSN, RN, Mary B. Winton, PhD, MSN, RN and Sue E. Meiner, EdD, APRN, BC-GNP
Prepare to compassionately care for the aging population with Gerontologic Nursing, Seventh Edition, uniquely known for its comprehensive coverage of the most common medical-surgical problems associated with older adults. Organized by body system for
...view more
Prepare to compassionately care for the aging population with Gerontologic Nursing, Seventh Edition, uniquely known for its comprehensive coverage of the most common medical-surgical problems associated with older adults. Organized by body system for easy retrieval of information, it delves into health promotion and both basic and complex gerontologic concepts and issues. A disorder-focused approach addresses nursing management and care coordination across health care delivery settings. This text emphasizes topics such as nutrition, chronic illness, emergency treatment, patient teaching, home care, and end-of-life care — and provides you with a solid foundation to meet the future challenges of providing nursing care for the vast and growing older adult population.
Prepare to compassionately care for the aging population with Gerontologic Nursing, Seventh Edition, uniquely known for its comprehensive coverage of the most common medical-surgical problems associated with older adults. Organized by body system for easy retrieval of information, it delves into health promotion and both basic and complex gerontologic concepts and issues. A disorder-focused approach addresses nursing management and care coordination across health care delivery settings. This text emphasizes topics such as nutrition, chronic illness, emergency treatment, patient teaching, home care, and end-of-life care — and provides you with a solid foundation to meet the future challenges of providing nursing care for the vast and growing older adult population.
New to this 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
Key Features
NEW! Next Generation NCLEX® (NGN)-style cases and questions are included in select clinical chapters
NEW! Aging theory and nursing theory content promotes understanding of the relationship between theory and practice
NEW! Cultural content integrated throughout the text facilitates culturally congruent care practices
UPDATED! Completely revised chapters ensure content is relevant and practice-related for the gerontologic nurse
Body system chapters include an overview of age-related changes in structure and function
Current standards and guidelines are reflected throughout to ensure you are learning the most up-to-date information
Essential nursing care guidelines are presented in each clinical chapter
Psychologic and sociocultural issues and aspects of older adult care are integrated throughout the text
Clinical judgment questions at the end of chapters challenge you to apply your knowledge and clinical judgment skills
Helpful boxes throughout the text highlight key information, including:
Nursing Care Plan
Patient/Family Teaching
Health Promotion/Illness Prevention
Nutritional Considerations
Evidence-Based Practice
Emergency Treatment
Home Care
Key points and summary sections at the end of chapters reinforce the most important concepts and information
Author Information
By 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
By 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
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 Hypotheses (Patient Problems) Generate Solutions (Planning) Take Actions (Nursing Interventions) Evaluate Outcomes (Evaluation)
11 Pain Understanding Pain Definition Scope of the Problem of Pain Consequences of Unrelieved Pain Pathophysiology of Pain in Older Adults Perception of Pain in Older Adults Barriers to Effective Pain Management in Older Adults Pain Assessment Pain Assessment and Culture Pain Assessment Tools Nursing Care Guidelines for Older Adults with Pain Pharmacologic Treatment Planning Pain Relief
12 Infection and Inflammation Immunologic Theory Age-Related Changes in the Immune System Factors Affecting Immunocompetence Nutritional Factors Psychosocial Factors Drugs Complementary and Alternative Medications Infections The Chain of Infection Common Problems and Conditions COVID-19, Influenza, and Pneumonia Cancer Autoimmunity HIV Infection in Older Adults Significant Healthcare-Associated Pathogens Clostridium difficile Vancomycin-Resistant Enterococcus Methicillin-Resistant Staphylococcus aureus Extended Spectrum b-Lactamase-Positive Escherichia coli Nursing Care Guidelines for Infection Recognize Cues (Assessment) Analyze Cues and Prioritize Hypotheses (Patient Problems) Generate Solutions (Planning) Take Actions (Nursing Interventions) Evaluate Outcomes (Evaluation)
PART IV Diagnostic Studies and Pharmacologic Management 13 Laboratory and Diagnostic Tests Hematologic Testing Red Blood Cells White Blood Cells Folic Acid Vitamin B12 Total Iron-Binding Capacity Iron Uric Acid Prothrombin Time Partial Thromboplastin Time d-dimer Test Erythrocyte Sedimentation Rate C-Reactive Protein Platelets Components of Blood Chemistry Testing Electrolytes Amylase Total Protein Albumin and Prealbumin Blood Urea Nitrogen Creatinine Creatinine Clearance Triglycerides Total Cholesterol High-Density Lipoprotein Low-Density Lipoprotein Brain Natriuretic Peptide Alkaline Phosphatase Aspartate Aminotransferase Creatine Kinase Lactate Dehydrogenase Troponin Thyroid Function Tests Prostate-Specific Antigen Urinalysis Protein Glucose Bacteria Ketones pH Blood Components of Arterial Blood Gas Testing Partial Pressure of Oxygen pH of the Blood Bicarbonate Oxygen Saturation Therapeutic Drug Monitoring
14 Drugs and Aging Overview of Drug Use and Problems Demographics of Drug Use Changes in Drug Response With Aging Pharmacodynamic Changes: What the Drug Does to the Body Drugs and Quality of Life Pharmacologic Contributors to Risk Commonly Used Drugs Antipsychotics Anxiolytics and Hypnotics Antidepressants Cardiovascular Drugs Antimicrobials Opioid Analgesics Nonprescription Agents Dietary Supplements Drug Adherence Assessing for Risk Factors Strategies for Improving Adherence Reviewing the Drug List for Problems Substance Use Disorders Definitions and Common Usage Difficulty in Identification of SUD Physiologic Changes Psychological Changes Sociologic Changes Nursing Care Guidelines for SUDs Recognize Cues (Assessment) Analyze Cues and Prioritize Hypotheses (Patient Problems) Take Actions (Nursing Interventions) Evaluate Outcomes (Evaluation) Commonly Misused Substances in Older Adults Alcohol Prescription Drugs Nicotine Cannabis Future Trends
PART V Nursing Care of Physiologic and Psychological Disorders 15 Integumentary Function Age-Related Changes in Skin Structure and Function Epidermis Dermis Subcutaneous Fat Dermal Appendages Dermatoporosis Common Problems and Conditions Benign Skin Growths Inflammatory Dermatoses Psoriasis Pruritus Candidiasis Herpes Zoster (Shingles) Premalignant Skin Growths: Actinic Keratosis Malignant Skin Growths Basal Cell Carcinoma Squamous Cell Carcinoma Melanoma Nursing Care Guidelines for Malignant Skin Growths Lower Extremity Ulcers Arterial Ulcers Venous Ulcers Diabetic Foot Lesions Nursing Care Guidelines for Lower Extremity Ulcers Pressure Injuries Epidemiology of Pressure Injuries Etiology of Pressure Injuries Risk Assessment Tools Preventive Strategies Pressure Injury Management
16 Sensory Function Vision Age-Related Changes in Structure and Function Common Complaints Common Problems and Conditions Hearing and Balance Age-Related Changes in Structure and Function Common Problems and Conditions Taste and Smell Age-Related Changes in Structure and Function Common Problems and Conditions Touch
17 Cardiovascular Function Age-Related Changes in Structure and Function Conduction System Vessels Response to Stress and Exercise Common Cardiovascular Problems Hypertension Risk Factors for Heart Disease Coronary Artery Disease Arrhythmia Orthostatic Hypotension Syncope with Cardiac Causes Valvular Heart Disease (VHD) CHF Peripheral Artery Disease Chronic Venous Insufficiency Anemia
18 Respiratory Function Age-Related Changes in Structure and Function Factors Affecting Lung Function Exercise and Immobility Smoking Obesity Anesthesia and Surgery Respiratory Findings Common in Older Patients Respiratory Alterations in Older Patients Obstructive Pulmonary Disease Asthma Chronic Bronchitis Emphysema Chronic Obstructive Pulmonary Disease Restrictive Pulmonary Disease Lung Cancer Tuberculosis Pneumonia Other Respiratory Alterations Cardiogenic and Noncardiogenic Pulmonary Edema Pulmonary Emboli Obstructive Sleep Apnea
19 Gastrointestinal Function Age-Related Changes in Structure and Function Oral Cavity and Pharynx Esophagus Stomach Small Intestine Large Intestine Gallbladder Pancreas Liver Prevention Common GI Symptoms Nausea and Vomiting Anorexia Abdominal Pain Gas Diarrhea Constipation Fecal Incontinence Common Diseases of the GI Tract Gingivitis and Periodontitis Dysphagia Gastroesophageal Reflux and Esophagitis Vitamin B12 Deficiency Gastritis Peptic Ulcer Disease Enteritis Intestinal Obstruction Diverticula Colon Polyps Hemorrhoids Disorders of the Accessory Organs Cholelithiasis and Cholecystitis Pancreatitis Hepatitis Cirrhosis Secondary to Alcohol Use Disorder Drug-Induced Hepatitis GI Cancers Esophageal Cancer Gastric Cancer Colorectal Carcinoma Pancreatic Cancer Liver Cancer
20 Urinary Function Age-Related Changes in Structure and Function Prevalence of UI Common Incontinence Problems and Conditions Transient Incontinence Established Incontinence Nursing Care Guidelines for Incontinence Recognize Cues (Assessment) Analyze Cues and Prioritize Hypotheses (Patient Problems) Generate Solutions (Planning) Take Actions (Nursing Interventions) Evaluate Outcomes (Evaluation) Age-Related Renal Changes Common Renal Problems and Conditions Acute Kidney Injury Chronic Kidney Disease Urinary Tract Infection Bladder Cancer Benign Prostatic Hyperplasia Prostate Cancer
21 Musculoskeletal Function Age-Related Changes in Structure and Function Common Problems and Conditions of the Musculoskeletal System Hip Fracture Colles Fracture Clavicular Fracture Casts and Cast Care Osteoarthritis Spinal Stenosis Rheumatoid Arthritis Gouty Arthritis Osteoporosis Paget’s Disease Osteomyelitis Amputation Polymyalgia Rheumatica Foot Problems Muscle Cramps
22 Cognitive and Neurologic Function The Central Nervous System The Brain Spinal Cord Evaluation of Cognitive Function Cognitive Function in Typical Aging Cognitive Disorders Associated with Altered Thought Processes Depression Delirium Dementia Resources Other Common Problems and Conditions Suicide Parkinson Disease Cerebrovascular Accident Anxiety Schizophrenia Mental Health Resources E4 Center
23 Endocrine Function Endocrine Physiology in Older Adults Andropause and Menopause Adrenopause Somatopause Common Endocrine Pathophysiology in Older Adults Metabolic Syndrome–Diabetes Continuum Type 2 Diabetes Mellitus Hyperthyroidism Hypothyroidism Primary Osteoporosis Sexual Dysfunction
PART VI Health Care Transitions 24 Health Care Delivery Settings and Older Adults Characteristics of Older Adults in Acute Care Characteristics of the Acute Care Environment Philosophy of Care Risks of Hospitalization Safety Features Nursing in the Acute Care Setting Nursing-Specific Competency and Expertise Critical Care and Trauma Care Continuity of Care Benefits of Home Care Role of Home Care Agency Implementing the Plan of Treatment The Nurse’s Role Role of the Home-Health Aide Oasis Community-Based Providers Factors Affecting the Health Care Needs of Older Adults Functional Status Cognitive Function Housing Options for Older Adults Profile of Community- and Home-Based Services Home Health Care Home Health Agency Proprietary Agencies Facility-Based Agencies Visiting Nurse Associations Overview of Long-Term Care Definition Factors Associated with Institutionalization Medical and Psychosocial Models of Care Clinical Aspects of the Nursing Facility Resident Rights Resident Assessment Skin Care Incontinence Nutrition Drug Administration Rehabilitation Infection Control Mental Health End-of-Life Care Management Aspects of the Nursing Facility The Nursing Department Nursing Care Delivery Systems Specialty Care Settings Assisted-Living Programs Special Care Units Subacute Care Innovations in the Nursing Facility Creativity in “Everyday” Nursing Facilities Nurse Practitioners in the Nursing Facility The Future of the Nursing Facility Hospice Hospice Philosophy
25 Chronic Illness and Rehabilitation Chronicity Prevalence of Chronic Illness Cultural Competency Quality of Life and Health-Related Quality of Life Adherence in Chronic Illness Patient-Centered Approach Psychosocial Needs of Older Adults With Chronic Illness Physiologic Needs of Chronically Ill Older Adults Effect of Chronic Illness on Family and Caregivers Nursing Implications of Caregiver Stress Rehabilitation Care Environments Reimbursement Issues Public Policy and Legislation Enhancement of Fitness and Function Functional Assessment The Impact Act of 2014 Keys for Completing a Functional Assessment Health Promotion Management of Disabling Disorders Life Issues Nursing Strategies
26 Cancer Incidence Racial and Ethnic Patterns Aging and Its Relationship to Cancer Aging and Cancer Prevention Common Malignancies in Older Adults Lung Cancer Breast Cancer Prostate Cancer Colorectal Cancer Screening and Early Detection: Issues for Older Adults Major Treatment Modalities Surgery Radiation Therapy Chemotherapy Targeted Therapy Immunotherapy Hormone Therapy Bone Marrow/Stem Transplant Common Physiologic Complications Bone Marrow Suppression Nausea and Vomiting hemotherapy-Induced Oral Mucositis Anorexia and Cachexia Diarrhea Alopecia Older Adults’ Experience of Cancer Quality of Life Depression Grief and Loss Social Isolation and Loneliness Resources and Support
27 Loss and End-of-Life Issues Definitions Losses Bereavement Grief Mourning Approaching Death Comfort Theory General Health-Care Needs Effects of Age-Related Changes Nursing Care Guidelines for the Older Adult Who is Dying Hospice Palliative Care Legislative Initiatives
Appendix A: Resources and Advocacy Groups for Older Adults Index
https://www.asia.elsevierhealth.com/gerontologic-nursing-9780323875202.html322914Gerontologic Nursinghttps://www.asia.elsevierhealth.com/media/catalog/product/9/7/9780323875202_2.jpg74.2498.99USDInStock/Nursing & Midwifery/Adult Nursing/Books/Nursing & Midwifery/Adult Nursing/Books/Coming soon5054625505466443351514388722438872314886536505457141826924335105Prepare to compassionately care for the aging population with <b>Gerontologic Nursing, Seventh Edition</b>, uniquely known for its comprehensive coverage of the most common medical-surgical problems associated with older adults. Organized by body system for easy retrieval of information, it delves into health promotion and both basic and complex gerontologic concepts and issues. A disorder-focused approach addresses nursing management and care coordination across health care delivery settings. This text emphasizes topics such as nutrition, chronic illness, emergency treatment, patient teaching, home care, and end-of-life care — and provides you with a solid foundation to meet the future challenges of providing nursing care for the vast and growing older adult population. Prepare to compassionately care for the aging population with <b>Gerontologic Nursing, Seventh Edition</b>, uniquely known for its comprehensive coverage of the most common medical-surgical problems associated with older adults. Organized by body system for easy retrieval of information, it delves into health promotion and both basic and complex gerontologic concepts and issues. A disorder-focused approach addresses nursing management and care coordination across health care delivery settings. This text emphasizes topics such as nutrition, chronic illness, emergency treatment, patient teaching, home care, and end-of-life care — and provides you with a solid foundation to meet the future challenges of providing nursing care for the vast and growing older adult population.00add-to-cart97803238752022025ProfessionalBy Jennifer J. Yeager, PhD, MSN, RN, Mary B. Winton, PhD, MSN, RN and Sue E. Meiner, EdD, APRN, BC-GNP20267Book216w x 276h (8.50" x 10.875")Elsevier684Jan 21, 2025IN STOCKBy <STRONG>Jennifer J. Yeager</STRONG>, PhD, MSN, RN, Associate Professor, Tarleton State University, Stephenville, Texas, USA; <STRONG>Mary B. Winton</STRONG>, PhD, MSN, RN, Associate Professor, Tarleton State University, Stephenville, Texas, USA and <STRONG>Sue E. Meiner</STRONG>, EdD, APRN, BC-GNP, President, Consultant on Health Issues, Inc., McKinney, TexasBooksBookUnited StatesYesYesNoNoPlease SelectPlease SelectPlease Select
