Dieses Buch will auf die Situation der Pflegebedurftigen, insbesondere auf die dementen Senilen in den Familien, Heimen und Tagesstatten aufmerksam machen und einen Beitrag leisten zum besseren Verstandnis dieser Menschen. In unserer Gesellschaft werden die Menschen immer alter und die Krankheiten im Alter nehmen zu. In der Pflege und Betreuung werden wir zunehmend vor Probleme gestellt.

Doris Eglseer untersucht den Zusammenhang zwischen Sarkopenie und dem Ernahrungszustand alterer Menschen (60+). Sarkopenie stellt mit Pravalenzzahlen von bis zu 85 % eines der bedeutendsten geriatrischen Syndrome und eine der haufigsten Ursachen fur verminderte Mobilitat, erhoehte Pflegebedurftigkeit und reduzierte Lebensqualitat bei alteren Menschen dar. Im Rahmen der vorliegenden Arbeit wurde eine systematische Literaturrecherche in Datenbanken und Suchmaschinen durchgefuhrt. Nach Auswertung der Literatur kann festgehalten werden, dass Sarkopenie und ein schlechter Ernahrungszustand - im Sinne von Mangel- und Unterernahrung - bei einem Grossteil der Betroffenen gleichzeitig vorliegen.

Andrea Kuhn erlautert den Entstehungsprozess der ersten Pflegekammer Deutschlands in Rheinland-Pfalz aus Perspektive der Pflege. Die Autorin fuhrt den langen Professionalisierungsweg der Pflege bis zum aktuellen Stand und die Etappen der politischen Entwicklung bis zur Errichtung der Landespflegekammer zusammen. Sie fachert die Spezifika des heterogenen Berufsstandes Pflege auf und erganzt sie um die Sicht weiterer Stakeholder. Darauf aufbauend benennt sie Vorteile und aggregiert Empfehlungen, die die Lucken aus Sicht der professionellen Pflege schliessen und einen zielgerichteten Kammeraufbau ermoeglichen. Das pflegewissenschaftliche Pilotwerk bundelt die vielen "losen Enden" der Profession im Lichte der Selbstverwaltung, die als fehlender Baustein zur Professionalisierung des Heilberufes Pflege von berufspolitischen Kreisen seit uber 20 Jahren gefordert wird.

This book aims to be a single point of reference for advances in the care of geriatric populations across medical and surgical specialties. The aging population is a unique demographic with its own health challenges. Geriatricians are specifically trained to address these challenges but few medical students or residents enter geriatrics, even as the demand for geriatric expertise increases. The practices of many medical and surgical specialists are dominated by older patients who may themselves see many specialists but rarely visit geriatricians. This updated edition elucidates the most common medical conditions seen in aging patients and translates approaches to those conditions for physicians across specialties. Divided into three sections that assemble crosscutting issues, medical specialties, and surgical and related specialties, this book serves as a guide for clinicians of all backgrounds who will work with older patients as the demographic ages further. This second edition of Geriatrics for Specialists expands the number of specialist chapters to reflect growth in research in aging and clinical care for older people in dermatology, plastic surgery, and behavioral neurology. All original chapters from the first edition are extensively revised and updated to reflect the rapid growth of new knowledge in the field.

Hospices have played a critical role in transforming ideas about death and dying. Viewing death as a natural event, hospices seek to enable people approaching mortality to live as fully and painlessly as possible. Award-winning medical historian Emily K. Abel provides insight into several important issues surrounding the growth of hospice care. Using a unique set of records, Prelude to Hospice expands our understanding of the history of U.S. hospices. Compiled largely by Florence Wald, the founder of the first U.S. hospice, the records provide a detailed account of her experiences studying and caring for dying people and their families in the late 1960s and early 1970s. Although Wald never published a report of her findings, she often presented her material informally. Like many others seeking to found new institutions, she believed she could garner support only by demonstrating that her facility would be superior in every respect to what currently existed. As a result, she generated inflated expectations about what a hospice could accomplish. Wald's records enable us to glimpse the complexities of the work of tending to dying people.

Chronic illness continues to be the leading cause of death and disability in adults in the United States. It impacts annual healthcare costs and significantly contributes to caregiver fatigue. Lubkin's Chronic Illness: Impact an Intervention, Eleventh Edition provides a solid foundation for nursing students by teaching them the skills and knowledge they need to care for both patients and families impacted by chronic illness. The text takes a holistic and patient-centric approach in addressing the acute needs of patients and their families as they navigate the challenges of chronic illness. The hallmark feature of this text remains its keen focus on the psychosocial issues experienced by both the individual and families involved, an area of care which is often overlooked. The Eleventh Edition has been substantially revised and will focus on population health including new and updated content on various populations. To enhance the learning experience, the author features real-life journal entries from both patients and caregivers providing a meaningful way for students to truly understand chronic illness from each unique perspective. Coverage of the difference between chronic disease and chronic illness Discussion of social isolation as a chronic illness Mindfulness presence in caregiving The perception of illness from the patient and partner perspective Patient education on the benefits of telehealth Managing chronic disease through social media community building An overview of the three types of spiritual assessment How to transition from home care to residential care New content on Medicare and Medicaid waiver programs

Ein Grossteil der chronischen Erkrankungen und deren Risikofaktoren kann durch persoenliches Verhalten, also durch den Lebensstil vermieden bzw. verhindert und insbesondere deren Progredienz minimiert werden. Aus unzahligen weltweit durchgefuhrten epidemiologischen Studien ist erwiesen, dass regelmassige koerperliche Aktivitat, eine entsprechende Ernahrung sowie soziale Eingebundenheit und damit Lebenszufriedenheit Schlusselfaktoren fur Lebensqualitat und Langlebigkeit sind. Das Buch geht diesem Phanomen auf den Grund und zeigt auf, welche gesundheitspolitischen Massnahmen sich im Kampf gegen eine Pflegebedurftigkeit im Alter bewahren. Denn durch gesundheitsfoerdernde, praventive und rehabilitative Massnahmen kann die Selbstandigkeit von alteren Menschen erhalten, gefoerdert oder sogar wiedergewonnen werden. Wesentliche Forderungen sind dabei eine strukturell, personell, finanziell und ausbildungstechnische Pflegereform und der flachendeckende Einsatz von anderen innovativen Werkzeugen, wie etwa Pflegekompetenzzentren und der Best Agers Bonus-Pass.

Traditionally, dementia has been defined primarily in terms of loss: loss of cognitive and communicative competencies, loss of identity, loss of personal relationships. People living with dementia have been portrayed as increasingly dependent on others, with their loved ones seen more as care givers than as spouses, children and relatives. However, in the last two decades this view of the person living with dementia as an 'empty vessel' has been increasingly challenged, and the focus has shifted from one of care to one of helping people to live with dementia. With contributions from an international range of expert authors, Living with Dementia strongly advocates this new perspective through in-depth discussion of what people with dementia and their loved ones can do, and how they can actively make use of remaining resources. Topics covered include: - How to involve people with dementia in collaborative activities in the home, and the benefits this has on their cognitive and communicative abilities. - Ways in which identity can be presented and preserved through storytelling, and the impact on identity of moving from home into residential care. - The benefits of a 'citizenship' approach to dementia: of recognising that a person living with dementia is an active agent, with the right to self-determination and the ability to exert power over their own lives. This important new contribution to the dementia debate is truly enlightening reading for students across the full range of health and social care disciplines, and offers a fresh perspective to existing practitioners and those who care for people with dementia.

From the internationally acclaimed author of the groundbreaking and award-winning book Dementia Beyond Drugs comes another eye-opening exploration of how to improve the lives of people with dementia and those who care for them. In this revised edition-including updated facts, studies, and terminology-Dr. G. Allen Power demonstrates how to achieve sustainable success in dementia care by changing the caregiving lens to focus on well-being and the ways in which it can be enhanced in people living with dementia. Revealing how drug-based interventions as well as completely holistic approaches consistently fall short of addressing and meeting the needs of people with dementia, this book offers a proactive approach-one that challenges widely accepted dementia care practices and provides a compelling new framework for developing more effective dementia services. Through in-depth examinations of seven domains of well-being, readers will discover how current care practices erode them, and the transformative approaches that can restore them, plus: how to apply a well-being approach to the everyday care of people living with dementia a highly adaptable framework that can be adopted in any living environment valuable insight on overcoming physical and operational barriers to well-being a wealth of person-centered, strengths-based approaches to care Filled with true stories that demonstrate the power of a well-being approach to greatly improve the lives of people with dementia as well as those who care for them, this book presents methods that promise a new and hopeful vision for achieving the best possible outcomes for every person living with cognitive changes. Readers will be challenged, motivated, and profoundly inspired.

Working with older people in care can be challenging and frustrating, especially when they behave in ways that seem irrational, aggressive, or unreasonably repetitive, and nothing you can do seems to help. The authors of this useful and practical book explain how to understand the difficult and annoying ways in which older people in care can behave, (especially people with dementia), how to stay calm and kind, and how to solve the problems they can create. With many examples of everyday challenges and how to deal with them, this book has the potential to change your working life.

Palliative Care Nursing: Caring for Suffering Patients continues to explore the concept of suffering as it relates to nursing practice in an updated new edition. This text helps practicing nurses and students define and recognize various aspects of suffering across the lifespan and within various patient populations, while providing guidance in alleviating suffering. In addition, the authors discuss ways nurses that witness suffering can optimize their own coping skills and facilitate personal growth. The Second Edition aligns with the recently updated ELNEC and AACN competencies and features three new chapters discussing advance care planning, palliative care for those with serious illnesses, and strategies for having difficult conversations with patients and families. How do we identify a patient who is suffering? How do we assess whether our patient (and/or their family) is coping with the event? What can we do to alleviate patient suffering? How can we convey the extent of the suffering to the other members of the healthcare team and advocate excellent palliative care for our patients? Palliative Care Nursing: Caring for Suffering Patients, Second Edition answers these questions and more, making it an indispensable resource for nursing students and nurses employed in a variety of health care settings.

How can positive psychology approaches help us to understand the process of adjustment to, and living well with dementia? As accounts of positive experiences in dementia are increasingly emerging, this book reviews current evidence and explores how psychological constructs such as hope, humour, creativity, spirituality, wisdom, resilience and personal growth may be linked with wellbeing and quality of life in dementia. Expert contributors from a range of academic and clinical backgrounds examine the application of positive psychological concepts to dementia and dementia care practice. The lived experiences of people with dementia are central to the book, and their voices bring life to the ideas explored, highlighting how positive experiences in dementia and dementia care are possible.

As the environment of care continues to evolve to promote person-centredness, dignity, health, and wellbeing, for nurses working with older people, this can be challenging. Nursing Older People at a Glance is a timely publication which provides an overview of key concepts that nurses need to know in order to care for older people in a wide range of settings. Divided into six sections, it explores a range of themes such as person-centred care, health and wellbeing, health promotion, and the complexity of older people's care, encompassing mental wellbeing, diverse communities and learning disability. With a strong focus on dignity in care throughout, Nursing Older People at a Glance will readily equip undergraduate and post-qualification nurses with the knowledge and skills required to care for older people in a competent and compassionate manner.

Personalisation builds on person-centred care to focus on how people with dementia can have more choice and control over decisions affecting them, and be supported to be part of their communities. This practical guide explains how to deliver personalised services and support for people with dementia through simple, evidence-based person-centred practices. The authors clearly explain personalisation and current person-centred thinking and practice, providing many vivid examples of how it has been achieved in community as well as residential care settings. They guide the reader through using a range of person-centred practices. Strategies for ensuring a good match between the person with dementia and the staff and volunteers supporting them are also described. In the final chapter, the reader is introduced to Progress for Providers, a photocopiable tool for tracking progress in delivering appropriate personalised support for people with dementia living in care homes. This is essential reading for dementia care practitioners and managers, as well as social and health care workers, community workers and students.

Focusing on theoretical, policy and practice issues which are increasingly identified as key priorities, the contributors to this important book examine the ways in which dementia care is evolving around the globe. They explore the latest theory underpinning dementia care, the applications of this theory in dementia care research and how this research is influencing and shaping practice. Written by practitioners, policy influencers and researchers who draw on case studies from the UK, the USA, Canada, Australia, France, India and Malta, the book forms the basis for a worldwide dialogue of interdisciplinary initiatives and ideas. Insights into how policy and regional and national dementia strategies are developed, and the range of innovative approaches that can be taken in practice, mark a positive step towards ensuring that the needs of people with dementia around the world are met, both now and in the future. This book makes essential reading for practitioners, researchers, policy makers and students in the field of dementia care.

This quick-access orientation guide-the only one written by experienced acute care nurses-delivers all the information new AG-ACNP practitioners and students need for skilled clinical practice across the adult lifespan. Organized with a clinical system-based approach, this resource puts vital information at your fingertips with succinct, easy-to-read bullet points, diagrams, and formulas. Tables highlight diagnostic criteria and compare/contrast similar disorders and treatments along with commonly used medications, dosages, and infusions. Designed to fit into a pocket for daily use, this book is based on critical care curriculum developed by the author over 25 years, along with the wisdom of experienced nurse contributors. It includes useful tips on medication dosing, ordering diagnostic tests, documentation, and billing, and provides clinical pearls for each body system. This pocket resource will be an invaluable companion for AG-ACNP students in clinical rotation, novice AG-ACNP graduates, and experienced nurses who are working with a new patient population. Key Features: Places vital information at your fingertips for easy information retrieval in a fast-paced environment Organized in a clinical system-based approach Provides quick-access tables, diagrams, and formulas, including risk calculators Streamlines complex information into easily understandable language Compares similar diagnostic criteria for accurate diagnoses in high-acuity settings Includes evidence-based treatments for best practice and patient care

Geriatric Notes is an essential quick reference for the advanced practice provider (APP) who provides care to elders in the outpatient setting, such as nursing homes, family practice, or home health. With a practical, accessible, and concise approach, it offers an easy to understand overview of the most common diagnoses, topics, and symptoms encountered in the aging population. Designed to offer access to the basics, this guide provides tables and bullet points for easy reference. Sections include health promotion, neurology and psychiatry, cardiovascular, pulmonary, gastroenterology, genitourinary, rheumatology, dermatology, endocrinology, labs, Beers list, and common presentations.