1. Chronic Illness and Older Adults
Chapter 5 Overview
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2. Copyright © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.
Chronic Illness
Table 5-1. Characteristics of Acute and Chronic Illness.
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Chronic Illness
Trajectory of Chronic Illness
Fig The Chronic Illness Trajectory is a theoretical model of chronic illness.
The trajectory model of chronic illness recognizes that chronic illness will have
many phases (see Table 5-3).
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Chronic Illness
Trajectory of Chronic Illness, continued
Preventing and managing a crisis
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Chronic Illness
Trajectory of Chronic Illness, continued
Carrying out prescribed treatment regimen
Table 5-5. Characteristics of Treatment Regimens.
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Chronic Illness
Trajectory of Chronic Illness, continued
Controlling symptoms
Reordering time
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Chronic Illness
Trajectory of Chronic Illness, continued
Adjusting to changes in course of disease
Preventing social isolation
Attempting to normalize interactions with others
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Chronic Illness
Prevention of Chronic Illness
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Nursing Management
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Older Adults
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Demographics of Aging
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12. Attitudes Toward Aging
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Biologic Aging
Fig The aging process can be viewed as a balance between negative
and positive factors.
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14. Age-Related Psychologic Changes
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15. Special Older Adult Populations
Chronically Ill Older Adults
Older Adult Woman
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16. Special Older Adult Populations
Cognitively Impaired Older Adults
Table 5-8. Gerontologic Differences in Assessment: Effects of Aging
on Mental Functioning
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17. Special Older Adult Populations
Rural Older Adults
Homeless Older Adults
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18. Special Older Adult Populations
Fig Older adults living in rural areas often enjoy
outside activities, such as gardening.
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19. Special Older Adult Populations
Frail Older Adults
Table 5-9. Nutritional Assessment of Older Adults.
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20. Culturally Competent Care
Fig Ethnic older adults need special
consideration.
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21. Social Support and Older Adult
Family Caregivers
Elder Mistreatment/Abuse
Self-Neglect
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22. Social Services for Older Adults
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Medicare and Medicaid
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24. Care Alternatives for Older Adults
Housing
Community-Based Older Adults With Special Needs
Adult day care programs
Home health care
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25. Care Alternatives for Older Adults
Fig Senior centers offer places for older adults who live independently
to meet and gather with friends.
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26. Care Alternatives for Older Adults
Long-term Care Facilities
Case Management
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27. Care Alternatives for Older Adults
Fig Social interaction and acceptance are important for older adults.
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28. Legal and Ethical Issues
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Nursing Management
Nursing Assessment
Nursing Diagnoses
Planning
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Nursing Management
Fig SPICES.
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Nursing Management
Nursing Implementation
Health promotion
Fig Water aerobics is an example of a health
promotion activity for older adults.
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Nursing Management
Nursing Implementation, continued
Acute care
Table Care of the Hospitalized Older Adult.
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Nursing Management
Nursing Implementation
Acute care, continued
Hospital discharge
Geriatric rehabilitation
Assistive devices
Safety
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Nursing Management
Fig The nurse assists a patient in a geriatric rehabilitation
facility.
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Nursing Management
Nursing Implementation
Acute care, continued
Medication use
Table Drug Therapy.
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Nursing Management
Nursing Implementation, continued
Fig The effects of aging on drug metabolism.
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Nursing Management
Nursing Implementation
Acute care, continued
Depression
Sleep
Use of restraints
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Evaluation
Table Evaluating Nursing Care for Older Adults.
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