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Ebersole and Hess’ Gerontological Nursing & Healthy Aging 4th edition Touhy Study guide.

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1 Introduction to Healthy Aging 1 Aging in the United States 1 Moving Toward Healthy Aging 3 Maslow’s Hierarchy of Human Needs 7 2 Gerontological Nursing History, Education, and Roles 11 Care of Older Adults: A Nursing Imperative 11 History of Gerontological Nursing 13 Gerontological Nursing Education 16 Roles in Gerontological Nursing 18 Gerontological Nursing and Gerontology Organizations 22 3 Care Across the Continuum 26 Elder-Friendly Communities 27 Residential Options In Later Life 28 Community and Home Care 30 Acute Care 32 Nursing Homes (Long-Term Care Facilities) 32 Improving Transitions Across the Continuum of Care 37 4 Culture and Aging 43 The Gerontological Explosion 45 Health Disparities 45 Increasing Cultural Competence 46 5 Theories of Aging and Physical Changes 55 Biological Theories of Aging 56 Physical Changes that Accompany Aging 57 6 Social, Psychological, Spiritual, and Cognitive Aspects of Aging 72 Life Span Development Approach 73 Types of Aging 73 Sociological Theories of Aging 74 Psychological Theories of Aging 75 Spirituality and Aging 77 Cognition and Aging 80 Learning in Late Life 83 7 Assessment and Documentation for Optimal Care 88 Assessment Tools in Documentation Across Health Care Settings 101 Appendix 7-1: Chapters in Which Instrumental Activities of Daily Living 98 Documentation for Quality Care 101 Pharmacokinetics 107 Pharmacodynamics 110 Chronopharmacology 112 xi xii Contents Medication-Related Problems and Older Adults 112 Potentially Inappropriate Medication (PIM) 114 11 Rest, Sleep, and Activity 169 Rest and Sleep 169 Activity 175 Interventions 177 Obesity (Overnutrition) 130 Malnutrition 130 Factors Affecting Fulfillment of Nutritional Needs 132 Special Considerations in Nutrition for Older People: Hydration, Dysphagia, Oral Care 140 10 Elimination 151 Bladder Function 152 Bowel Elimination 162 13 Promoting Safety 196 Falls and Fall Risk Reduction 196 Restraints and Side Rails 209 Environmental Safety 210 Transportation Safety 217 Acute and Persistent Pain 235 16 Diseases Affecting Vision and Hearing 246 Vision 247 Hearing Impairment 253 17 Metabolic Disorders 260 Thyroid Disease 261 Diabetes 262 18 Bone and Joint Problems 271 Musculoskeletal System 272 Osteoporosis 272 The Arthritides 275 19 Cardiovascular and Respiratory Disorders 281 Cardiovascular Disease 282 Respiratory Disorders 287 20 Neurological Disorders 296 Cerebrovascular Disease 297 Delirium 311 Dementia 316 Caregiving for Persons with Dementia 330 22 Mental Health 336 Factors Influencing Mental Health Care 337 Mental Health Disorders 339 Psychiatric Symptoms in Older Adults 342 Schizophrenia 344 Bipolar Disorder 345 Depression 346 Suicide 352 Substance Misuse and Alcohol Use Disorders 353 Contents xiii 23 Economic and Legal Issues 361 Caregiving 385 Social Security 362 Intimacy and Sexuality 391 Medicare and Medicaid 363 HIV/AIDS and Older Adults 399 Care For Veterans 366 25 Loss, Death, and Palliative Care 404 Long-Term Care Insurance Legal Issues in Gerontological Nursing 367 368 The Grieving Process Dying, Death, and Palliative Care Dying and the Nurse 405 410 414 Elder Mistreatment and Neglect Appendix 23-1: Definitions 370 Decision Making at the End of Life 415 of Elder Abuse and Neglect 375 24 Relationships, Roles, and Transitions 377 Families 378 Later Life Transitions 381

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