Clinical Nurse Specialists (
Clinical Nurse Specialists (
Clinical Nurse Specialists (
This book offers the new clinical instructor a continuation of the medical-surgical learning process. Week-to-week instruction and resource materials, along with medication quizzes and student learning activities, will help the instructor be sure that the students are learning new knowledge and skills. Care plan and medication forms are included along with medication administration guidelines. Resources for each body system, which are the learning materials handed out each week based on that week’s specific topic, and ancillary PowerPoints and forms from the book are provided. Delegation and patient teaching are also included topics. Each clinical week is prepared and sequestered to provide the clinical instructor with enough material to teach without covering the same topic twice. Instructors will discover this book takes the work out of working in the clinical area. Each preconference and postconference topic is planned out. Makeup assignments for those students who miss a clinical class are also included. Nursing assessments and patient data collection activities are discussed as the first tier of the nursing process. Concept mapping and development of critical thinking skills that serve as the foundation for establishing treatment goals, interventions, and evaluations are introduced. The book also provides an introduction to geriatric patient care, pharmacology and patient safety, the importance of lab work in understanding specific patient responses to medications, and the potential for drug interactions and toxicities.
This book is an effort to combine the presentation of chronic health conditions experienced by aging patients with pharmacologic considerations that are unique to this population. Nurse practitioners are increasingly responsible for delivering care to elderly patients in primary care who present with complex conditions, medication regimens, and numerous specialty providers. This reference will provide a “big picture” look at how to approach pharmacotherapy and present principles to guide decision-making so that adverse drug events may be prevented. An evidence-based, quick-access reference for adult gerontology nurse practitioners and related health care providers, this book describes a holistic, patient-centered approach to prescribing drugs to older adults. Comprehensive yet concise writing distills timely guidance on the complexities of safely prescribing to this unique population. The book opens with physiologic changes and assessment considerations for older adults, followed by a discussion of pharmacokinetics and pharmacodynamics, then a final section on guidelines for drug selection, drug interactions, and multimorbidities. Each chapter presents information in a consistent, easy-to-read template. Patient Care Pearls alert readers to crucial information and relevant case studies with examples of inappropriate medical prescribing provide context for drug delivery. Key points and chapter summaries help reinforce information. Additional features include the provision of guidelines for psychotropic medications in long-term care facilities, special considerations for frail older adults, and the role of pharmacists as a resource for other practitioners.
The book examines various theories of aging including a contrast between the strengths-based person-in-environment theory and the pathologically based medical model of psychological problems. It advocates truly engaging with the older client during the assessment phase, and discusses a variety of intervention modalities. The book integrates an advanced clinical social work practice with in-depth knowledge of evidence-based practice as well as geriatric medicine, psychiatry and gerontology. The social worker must evaluate the status of the client’s housing, transportation, food, clothing, recreation opportunities, social supports, access to medical care, kinship and other factors considered important by the social worker or the client. Constructivist theory is a conceptual framework that is foundational to existential therapy, cognitive behavioral therapy (CBT), and narrative therapy, which are effective for older adults. Stigma associated with race, ethnicity, and sexual orientation produce psychosocial stressors that converge on older clients. The book discusses several medical conditions affecting older adults such as Alzheimer’s disease, arthritic pain, diabetes and various types of cancers. Older adults may also suffer from substance abuse-related problems, hypersexuality, and various types of abuse such as neglect. The book also highlights the problems faced by the older adult LGBT community and those suffering from HIV disease. It ends with discussions on care and residential settings for the older adults, and palliative care and euthanasia.
This book fills a gaping void in the selection of textbooks to use in graduate courses on the psychology of aging. It serves as a primer for any graduate student who is going to work in a clinical setting with older adults, or in a research lab that studies some aspect of the psychology of aging. The book introduces students to the background knowledge needed in order to understand some of the more complex concepts in the psychology of aging. Additionally, it provides clear explanations of concepts (e.g., genetics of aging research, neuroimaging techniques, understanding of important legal documents for older adults). The book focuses solely on older adults, providing in-depth coverage of this burgeoning population. It also provides coverage on cognitive reserve, neurocognitive disorders, and social aspects of aging. The book is intended for graduate students or upper-level undergraduate students in psychology, biology, nursing, counseling, social work, gerontology, speech pathology, psychiatry, and other disciplines who provide services for, or perform research with, older adults. It is organized into four sections. Section I presents introduction to the psychology of aging. Section II gives a core foundation in biological aspects of aging. It covers general biological theories of aging, common physical health problems in older adults, and normal changes that occur to the brain with aging. Section III describes the psychological components of aging such as changes in personality and emotional development, mental health aspects of aging, normal changes in cognitive functioning, cognitive reserve and interventions for cognitive decline, neurocognitive disorders in aging, aging's impact on relationships and families, and working in late life and retirement. The final section presents the social aspects of aging, which includes death, bereavement, and widowhood, aging experience in ethnic and sexual minorities, and lastly, aging and the legal system.
This book provides innovative ways to incorporate aging content into courses, trainings, and workshops for students or professionals. It presents activities which offer hands-on approaches to engage students of all backgrounds–from social workers to family caregivers, medical students to demographers, nurses to community planners, personal care attendants to students in introduction to gerontology courses. These faculty-tested, peer-reviewed educational activities cover topics ranging from physical aging, media, and demographic portrayals of older adults to disaster planning, public policy, and diversity among older adults. The book includes 32 unique and interesting activities. Each activity comes with detailed instructions, basic back-ground information, a materials list, and an explanation of how the specific content aligns with one or more of the Association for Gerontology in Higher Education (AGHE) competencies for undergraduate and graduate education in gerontology. The book is divide into eleven chapters. The first chapter explores teaching courses on aging, and the potential of experiential learning activities to engage students. The second chapter discusses ageism and aging in the media. The next four chapters talk about dementia, demography, health care, and housing for older adults. The seventh chapter describes physical aging. Chapter 8 analyzes public policy and aging. Chapter 9 describes positive interactions with older adults. Chapter 10 explains research projects and papers, and the final chapter discusses spirituality.
This book brings together the work of experts from a variety of fields such as adult development, adult education, family science, family therapy and counseling, gerontology, psychology, social work, and sociology. It is organized into four sections, each of which contains chapters reflecting a given theme as it pertains to grandparenting. Section one explores the breadth of the grandparent role from multiple theoretical perspectives, explores both quantitative and qualitative research methodologies in the study of grandparenting. It examines cohort effects and emphasizes the multigenerational developmental contexts in which grandparents and grandchildren are situated. In addition, it presents variations on grandparenting: grandfathers, great-grandparenting, and step-grandparents. Section two focuses on the diversity among grandparents, examining such issues as variations in sexual orientation in such persons, grandparents who are raising their grandchildren, and changing gender roles among grandparents. Section three examines the difficulties and challenges that grandparents face in enacting their roles as well as the resources and strengths they bring to bear. It discusses the impact of having to cope with both acute and chronic illness on intergenerational relationships, the design and implementation of interventions to positively affect emotional functioning. It discusses the clinical case study approaches to helping grandparents, resilience and resourcefulness in the face of stress. Section four emphasizes the societal and cultural aspects of grandparenting, exploring issues of race and ethnicity, grandparent education, global grandparenting, and many dimensions of social policy as they relate to grandparents. The last chapter pulls the material together in presenting a multidimensional, multileveled, and dynamic picture of grandparenting stressing the influence of evolving historical and interpersonal contexts on such persons and their grandchildren. It also offers suggestions for future research over the next two decades.
The ability to reduce the burden of illness among older adults is necessary as individuals are living longer and experiencing lower rates of disability. Advanced practice nurses are skilled to relieve the burden of illness among older adults through specialized training and providing treatment in a variety of clinical settings. While geriatric-focused content exists, advanced practice nurses can benefit from clinical pearls specific for the advanced practice nurse providing holistic mental health care. This handbook offers advanced practice nurses, nurse educators, and graduate nursing students a reference that is intended to be supplemental to uniquely providing care for older adults which includes an overview of the aging process as well as assessing and developing treatment plans for older adults with mental health disorders. As older adults often work collaboratively with family, friends, caregivers, and health care providers, approaches to such relationships are explored and intended to serve as a resource for providing mental health care that can contribute to the overall success of treatment. The text provides an interprofessional box that encourages and assists the advanced practice nurse navigating through interdisciplinary collaborative practice. Such interprofessional partnerships can enhance care—particularly in cases of complexity. Advanced practice nurses can utilize the provided case studies to identify and modify service delivery that promotes evidence based practice.
This book serves as the pillar for clinical care teams to improve health equity among homeless older adults. Interdisciplinary care teams are essential in complex homeless older population clinical practice, as all disciplines must work together to address medical, surgical, behavioral, nutritional, and social determinants of health. All clinicians who treat older adults, from the independent to the frail, should approach problem solving via an inclusive approach that includes social work, pharmacy, nursing, rehabilitation, administrative, and medicine inputs. The social determinants of health that contribute to the complexities of clinical care outcomes cannot be addressed within silos. The book reflects a holistic care model to assist clinicians in the complicated homeless population that is continuing to change in the instability of the homeless environment. The book is divided into 14 chapters. The chapters in are organized by problems most commonly faced by clinicians in servicing homeless populations: mental, social, medical, and surgical challenges. Chapter one presents definition and background of geriatric homelessness. Chapter two discusses chronic mental health issues (psychosis) in the geriatric homeless. Chapters three and four describe neurocognitive disorders, depression, and grief in the geriatric homeless population. The next two chapters explore ethical, legal, housing and social issues in the geriatric homeless. Chapters seven and eight discuss infectious diseases in homeless geriatrics population. Chapter nine is on cardiovascular disease in homeless older adults. Chapter 10 describes care of geriatric diabetic homeless patients. Chapter 11 discusses geriatric nutrition and homelessness. Chapter 12 presents barriers and applications of medication therapy management in the homeless population. Chapter 13 describes dermatologic conditions in the homeless population. Finally, the book addresses end-of-life considerations in homelessness and aging.
This book is a gift back to all the staff nurses, nurse leaders, nurse educators, and system leaders who have helped us think deeply about what it means to provide excellent care to older adults. Its goal is to tell the story of how Nurses Improving Care to the Hospitalized elderly evolved into the national and international program it is today and what some of the essential elements are to ensure program success. The book consists of twenty chapters. The book provides the historical underpinnings of the program and the nurse leaders who helped conceptualize and shape the program. It describes the approach to Nurses Improving Care for Healthcare System Elders (NICHE) and how the geriatric institutional assessment profile along with a readiness assessment for the geriatric resource nurses and assurance of leader ship support are crucial to have in place at the outset of the program. Careful assessment, person-centered care, planning, and reliable follow-through with the geriatric syndromes most likely to create difficulties for older people are at the heart of the program. The book relates to the business proposition for NICHE and how external regulations and consumers are central to refinement of the program on an ongoing basis. The international context is exceptionally important as one’s world becomes more and more integrated in one practice approaches and concepts. As global demography shifts toward older adults, every older person in their family should expect and demand age-friendly healthcare. NICHE is the backbone of an age-friendly health system and the very special vignettes provided by nurses who have traveled the geriatric resource nurse journey are inspiring.