These are exciting and challenging times for gerontological nursing. N urses are at center stage for defining and improving health care for o ur nation's older adults. "Ways of Knowing and Caring for the Older Ad ult" is a powerful resource on the broad range of issues that face nur ses seeking excellence in this increasingly important specialty. Any h ealth care professional who works with the elderly will benefit greatl y from this outstanding collection of scholarly and experiential paper s.

The transformation in the health care industry, begun over a decade ag o, will continue well into the 21st century. And the dominant theme in the new millennium is likely to be collaborative practice and outcome s-based health care delivery. A collection of the most current and inn ovative presentations in path-based, collaborative practices, this boo k focuses on the design, implementation and analysis of outcomes for t he heavy volume DRGs. For each DRG, the authors present two to three s tandard clinical pathways, and then show how those pathways can be man ipulated to alter outcomes. Health Care Outcomes covers topics in Resp iratory, Neonatal/Pediatric, General Surgery, Orthopaedic, and Geriatr ic Care. A comprehensive collection of critical pathways and outcomes maps being used by leading hospitals and health care agencies around t he country, this is an important reference for developing path-based c are models, or revising critical paths and outcomes maps.

Many are disquieted by how we care for older persons today. This book documents an example of care practices and management infrastructure that restore dignity and wholeness to the elderly.

"At present nursing homes are designed . . . like outmoded zoos. Residents are kept in small rooms, emotionally isolated. Occasionally they are visited by family members who reach through the bars and offer them treats. Aides keep their bodies clean and presentable. . . . America invests huge amounts of money to maintain the body while leaving the person to languish, cut off from all they love." From Nobody's Home

After caring for his mother at the end of her life, Thomas Edward Gass felt drawn to serve the elderly. He took a job as a nursing home aide but was not prepared for the reality that he found at his new place of employment, a for-profit long-term-care facility. In a book that is by turns chilling and graphic, poignant and funny, Gass describes America s system of warehousing its oldest citizens.

Gass brings the reader into the sterile home with its flat metal roof and concrete block walls. Like an industrial park complex, it is clean, efficient, and functional. He is blunt about the institution s goal: keep those faint hearts pumping and the life savings and Medicaid dollars rolling in. With 130 beds in the facility, the owner grosses about three million dollars annually. As a relatively well-paid aide, Gass made $6.90 an hour.

Seventeen of the twenty-six residents on Gass s hall were incontinent, and much of his initiation to the work was learning to care for them in the most intimate ways. One of the many challenges was the limited time that he had available for each of his charges 17.3 minutes per day by his calculation. Even as he learned to ignore all but the most pressing demands of the residents, he discovered the remarkable lengths to which aides and their patients will go to relieve the constant ache of loneliness at the nursing home.

With Americans living longer than ever before, elder care is among the fastest growing occupations. This book makes clear that there is a systemic conflict between profit and extent of care. Instead of controlling costs and maximizing profits, what if long-term care focused on our basic need to lead meaningful and connected lives until our deaths? What if staff members dropped the feigned hope of forestalling the inevitable and concentrated on making their charges comfortable and respected? These and other questions raised by this powerful book will cause Americans to rethink how nursing homes are run, staffed, and financed as well as the circumstances under which we hope to meet our end."

Written by an author team from a top-ranked nursing program, this ground-breaking new text, presents state of the art guidelines for geriatric care for the advance practice nursing student. Practical, logically organized, and complete, this text features;

* Expert guidelines, strategies, protocols, and principles for working with older adults

* Essential coverage of diagnosis, treatment standards, management, special concerns, judgment calls, and more, organized by body system

* Unique coverage of pain management, care for the dying, palliative care, and advance directives

* Hands-on help with evaluation and treatment of cardiovascular, respiratory, genitourinary, GI, thyroid, gynecological, musculoskeletal, and CNS disorders, as well as diabetes mellitus

* In-depth guidance on problems such as falls, sensory deficits, pressure injuries, and elder abuse and neglect

Comprehensive, authoritative, and up-to-date, this text is sure to become an essential component of your nurse practitioner curriculum.

Updated 2006 Caregivers find JOY caring for loved ones with Alzheimer's despite losing them day-by-day. ..".comforting, spiritually healing book filled with touches of wry humor..." Midwest Book Review "We laugh so we won't cry," explain caregivers. ..".a breath of fresh air...The lovingly told humorous stories and anecdotes prove once again that laughter is good medicine..." B.J. FitzRay, Author, Alzheimer's Activities Watch for Finding the JOY in CAREGIVING--the third in this series of Finding the JOY titles.

According to the Alzheimer's Association, one in ten persons over sixty-five and nearly half of those over eighty-five have Alzheimer's disease. Today, 4 million Americans have Alzheimer's disease. In a national survey, 19 million Americans said they have a family member with the ailment, and 37 million said they knew someone who had it. But when Rosette Teitel found herself in the role of caregiver to her ailing husband, she could find no books that answered her practical needs: How do you give a 170-pound man a shower? How do you pick him up when he falls? What should you anticipate as the disease progresses? What support networks are available? When is it time to consider a nursing home and how do you find one?

While many Alzheimer's disease books focus on the disease and the patient, Teitel draws on her own experience -- as well as that of a clinical psychologist, a coordinator of an Alzheimer's program at a community center, members of the Alzheimer's Foundation, a research psychologist, an elder-law attorney, and a neurologist -- to tackle subjects rarely dealt with in other self-help books. Teitel covers topics such as managing the expenses of long-term care through Medicaid, estate planning, and preparing for the patient's death and the loss of someone whose daily survival has been at the center of one's existence. The chapters deal with background information on diagnosis, treatment, and the progression of the disease; the physical and emotional changes and resources involved with the day-to-day caregiving; support networks; nursing homes; finances; death of the patient; grief, mourning, and life after the patient's death; and interviews with children caring for parents withAlzheimer's disease. In addition, Teitel provides a helpful list of frequently asked questions, scheduling and memory aids, and websites where readers can find resources.

Developed Especially For Practicing Nurses Preparing For The Certification Examination Offered By The American Nurses Credentialing Center (ANCC), This Gerontological Review Provides A Succinct, Yet Comprehensive Review Of The Core Material. This Book Has Been Organized To Give The Reviewer Test Taking Strategies And Techniques And Sample Test Questions, Which Are Intended To Serve As An Introduction To The Testing Arena. In Additon, A Biblioraphy Is Included For Those Who Need A More In Depth Discussion Of The Subject Matter In Each Chapter.

This practical resource, a companion volume to "Teaching Gerontology: The Curriculum Imperative," gives educators useful tools for teaching the subject. The book includes innovative classroom and clinical activ ities, guides for independent student field assignments, proven strate gies for effective use of print and video resources, and learning acti vities which develop students' ethical reasoning and sensitivity. An a nnotated list of articles, textbooks, videos, and films for teaching g erontologic nursing concepts is included.

Ideal for quick reference, this pocket-sized guide puts all the crucial information on caring for patients with dementia at your fingertips. Evidence-based and fully updated for this second edition, it includes all you need to know on: person-centred dementia care; dementia-friendly environments; working with families as partners; communication and managing behaviour; pain assessment; nutrition and medication; advanced care plans; and much more ... All health and social care professionals involved in the care of dementia patients will find this book a valuable resource, while it is an essential guide for students on placement in this area.

Namaste Care is a therapeutic approach to caring for those living with advanced dementia, focused on improving their quality of life through a simple, soothing and rewarding process. This step-by-step guide is for anyone looking to translate the principles of the Namaste Care approach successfully and professionally into a home or care setting, with an emphasis on the value of volunteers in the community in implementing this. The Namaste Care approach is focussed on giving comfort and pleasure to people with advanced dementia through sensory stimulation, especially the use of touch, and this book provides extensive guidance on every stage of the process, including harnessing community interest, recruiting and training volunteers, and managing pain and discomfort. In a time of ever-growing strain on healthcare resources, this practical guide is a timely reminder of the power and value of informal care and compassionate communities in helping to care better for people with dementia, and is essential reading for carers, professionals and family members.

The innovative Newcastle Challenging Behaviour Model for dementia care has recently been updated, leading to new advances in the field. This revised second edition guide to assessment and treatment of behaviours that challenge associated with dementia includes these latest developments along with new sections on what have traditionally been considered controversial topics. The new chapters cover issues including: - End of life care - Use of therapeutic dolls - Lies and deception - Physical restraint during personal care - Racism towards care staff With a particular emphasis on non-pharmacological approaches, this book details the range of behaviours common in individuals with dementia, along with the most effective assessment and treatment techniques for health care professionals.

Handbook of Geriatric Care Management, Fourth Edition is a comprehensive and practical guide for care managers that addresses the multiple needs of aging adults and their families. An ideal teaching tool, it guides students and professionals along the journey of becoming a successful care manager. New to this edition are two new chapters on working with older veterans and helping clients with depression. Completely updated and revised, the Fourth Edition provides updated ethics and standards, a focus on credentialing and certification, numerous case studies, sample forms and letters, and tips for building and growing a care manager business.

Demographic trends confirm what clinicians already know - they are spending increasing amounts of time dealing with older people. This new "ABC" provides an introduction to the new and increasing challenges of treating older patients in a variety of settings.

"ABC of Geriatric Medicine" provides an overview of geriatric medicine in practice. Chapters are written by experts, and are based on the specialty geriatric medicine curriculum in the UK.

"ABC of Geriatric Medicine" is a highly illustrated, informative, and practical source of knowledge, with links to further information and resources. It is an essential guide where management of the ageing population is a major health issue - for hospital and family doctors, students, nurses and other members of the multi-disciplinary team.

Volunteers have a long been involved in supporting the delivery of palliative care. Indeed in some countries, the range and quality of hospice and palliative care services depends on the involvement of volunteers. Hospice and palliative care services and volunteering are changing. As society develops, so too does volunteering. Volunteers have growing expectations of organizations, and increasingly seek roles that meet their needs and aspirations, rather than fitting in with organizational approaches. As hospice and palliative care services experience increasing and changing demands for their services due to aging populations with complex healthcare needs, we need to recognize that volunteers have a vital role to play in supporting the delivery of services of the future. The Changing Face of Volunteering in Hospice and Palliative Care explores the complex phenomenon that is volunteering in hospice and palliative care in different countries. It considers how and why volunteering is changing, through the contributions of authors from Western and Eastern Europe, North America, Australia, Africa, and India. It reflects on the influence of culture and organisational contexts, in addition to management approaches, legislative, and political influences, highlighting factors that contribute to the success of volunteering. Contributing to knowledge and understanding in the field of volunteering in hospice and palliative care internationally, this book highlights the factors that contribute to the success of volunteering models, allowing readers to see possibilities for change and find new ideas for innovative practice in their own setting.

Use the ingenious communication and memory aids featured in this practical guide to significantly improve the ability of people with dementia and related memory impairments to stay connected, engaged, and functioning at their optimal level of independence. Presenting a wide array of evidence-based examples, Memory and Communication Aids for People with Dementia contains all the information needed to develop personalised supports for any individual and every circumstance. From low-tech options such as memory wallets, memo boards, planners, and reminder cards to commercial products available through new electronic technologies, these simple but powerful tools help to provide conversation prompts, answers to common questions, and reminders for daily living. Confusion, anxiety, frustration, and challenging behaviours melt away when individuals are able to communicate their needs and preferences to caregivers remember important names, places, and appointments complete tasks unassisted engage in meaningful conversations and social interactions recall past events and achievements preserve their dignity and identity Full-colour illustrations and simple instructions for creating various memory and communication tools are included. Abundant examples of useful content and formats are supplemented by more than 30 downloadable guides and templates to use or customise. Speech-language pathologists, occupational and physical therapists, activity directors, direct care staff, and family members interacting with adults with memory impairments will welcome this practical and life-enhancing resource.

Pflegen mit Pflegediagnosen - auch als Pflegeprofi

Der erste Praxisbegleiter fur examinierte Pflegekrafte in der Gesundheits- und (Kinder-)krankenpflege basierend auf Pflegediagnosen. Als Nachschlagewerk bietet es pflegerisches Wissen konzentriert auf die wichtigsten Fakten. So konnen Pflegende effizient ihr Wissen vertiefen oder Vergessenes nachlesen.

Die klare Struktur dient der schnellen Orientierung fur sicheres und effizientes Handeln und Pflegen: Pflegediagnosen und Pflegetechniken, Definition der Symptome zu jeder Pflegediagnose, physiologisches und pathophysiologisches Hintergrundwissen, Beobachtungskriterien, Erlauterung von Pflegetechniken, in Bezug zur Pflegediagnose stehende Krankheitsbilder und Erlauterung der speziellen Pflegetechniken

Plus:

• Wie vom Krankenpflegegesetz gefordert: Pravention, Anleitung und Beratung
• Rehabilitation
• Pflegemassnahmen bei allen wichtigen Krankheitsbildern und in verschiedenen Lebenssituationen der Patienten.
• Handlungsanleitungen mit Materialchecklisten Nachschlagewerk fur die Gesundheits- und (Kinder-)krankenpflege auf Grundlage von Pflegediagnosen mit klarer Struktur: Zur schnellen Orientierung fur schnelles Handeln

The book outlines a range of non-pharmacological therapies clinicians can adopt in their daily practice and sets out information and advice on each therapy and how to implement them in practice, illustrated with case studies and practical examples and drawing on the author's own clinical work. Many different therapies are discussed including Cognitive Behaviour Therapy (CBT), Neuro-Linguistic Programming (NLP), and farm and ranch therapy. Each has been chosen for its own particular benefits, including early stage dementia and rarer forms, while others can be applied more generally. Tying each therapy together are six key clinical approaches and models of intervention. The core of this is the Nightingale Psycho-Social Model of Support for Someone Living with Dementia. This person-centred approach focuses on the maintenance of meaningful occupation, platonic and intimate relationships, community involvement and maintaining life within normal patterns of behaviour. The new go-to book for clinicians, it is an invaluable tool for anyone looking for a wide variety of dementia therapies.

The dental needs of people living with dementia are often overlooked, particularly in the care home and hospital community. It is challenging to maintain good standards of oral care with people living with dementia, and poor care can increase the fear and anxiety levels of those living with dementia. Very few dentists have the training that equips them with the specialist knowledge necessary to work with this population. This pocket guide sets out tailored advice for supporting the oral and dental needs of people living with dementia. It sets out straightforward models on providing effective preventative mouth care, spotting symptoms and what to do when problems occur. This concise handbook will help any dentists, care home staff, nurses and other health professionals working day to day with people with dementia.

The NICHE model demonstrates improved clinical outcomes, positive fiscal results, enhanced nursing competencies, community recognition, and greater patient, family, and staff satisfaction. This official guidebook to the NICHE model of care provides nurses with the knowledge and skills for delivering best practice in the care of older adults. Primarily hospital-based, NICHE currently has a network of over 600 national and international healthcare organizations. The NICHE model ensures that every adult age 65 and over receives care that promotes dignity, autonomy and function. Written by world-leading experts in gerontological nursing, this distinguished publication serves as the gold standard manual for nurses and all clinical care providers looking to provide optimal, evidence-based care to their older patients. As the leading nurse-driven program designed to address the complex needs of older adults, the NICHE model emphasizes the role of the nurse as a change agent and leader for effective program development, implementation of best practices, and formulation of healthcare policy. This model engages frontline practicing nurses and staff, providing the requisite knowledge and skills to work autonomously with full responsibility and authority in complex healthcare systems. Key Features: Reflects the best practices of the over 600 NICHE hospitals Features multiple case studies and exemplars Uses an interprofessional approach to care Draws on leading gerontological nursing experts nationally and internationally Highly relevant to a global audience This publication also serves as the policy, planning and implementation companion to Evidence-Based Geriatric Nursing Protocols for Best Practice, edited by Marie Boltz, PhD, RN, GNP-BC, FGSA, FFAN et al