This is a timely and vital resource for new and seasoned gerontology nurses responsible for coordinating care and advocacy for their patients as health care shifts from hospital-based to community-based care. Comprehensive and organized for quick access to information, this clinical guide encompasses the broad network of community health resources available and describes how to access them on behalf of geriatric patients and clients. It provides an overview of growing old in the United States and discusses cultural and socioeconomic considerations, common conditions and morbidities affecting older adults, and the wide variety of community resources available to address these concerns.
The book provides the critical information gerontology nurses need to synthesize the health conditions affecting older adults with education about and access to vital community-based services. It discusses health delivery in regard to cultural diversity, the physical and psychological changes of aging and how to adapt to them, and different types of community-based health options including home health services, independent and assisted living, long-term care, and hospice and palliative care. Woven throughout are the themes of empowerment and advocacy for the nurse, patient, and family. Included in each chapter are abundant tools and resources that can be quickly referenced, and there is an emphasis on patient advocacy and teaching throughout. The book is also a supportive resource for nursing education programs and for nurses in mentorship roles in hospital or primary clinical practice settings.
Key Features:
Encompasses the broad network of community health resources available to older adults Provides easy access to informational websites, tools, and resources Addresses the physical and psychological changes of aging Focuses on advocacy and empowerment Serves as a comprehensive resource for new and seasoned gerontology nurses, educators, and mentors

nexusstc/The Gerontology Nurse’s Guide to the Community-Based Health Network/b665b69fffc5408d688142f0674d31a5.pdf

lgli/The_Gerontology_Nurses_Guide_to_the_Community-Ba-978-0-8261-2701-3.pdf

lgrsnf/The_Gerontology_Nurses_Guide_to_the_Community-Ba-978-0-8261-2701-3.pdf

zlib/Medicine/Brenda L. Bonham Howe MSN RN BSLS/The Gerontology Nurse's Guide to the Community-Based Health Network_2576830.pdf

Brenda L. Bonham Howe; Brenda L. Howe

Howe MSN RN BSLS, Brenda L. Bonham

Brenda L Howe; Elizabeth Nieginski

Howe, Brenda L. Bonham, R. N.

Springer Publishing Company, Incorporated

Springer Publishing Company, Inc., New York, 2014

United States, United States of America

New York, New York State, 2015

New York, copyright © 2015

0

lg1382740

producers:
Adobe PDF Library 8.0

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Includes bibliographical references and index.

Cover 1
Title 4
Copyright 5
Contents 8
Contributors 10
Preface 12
Share The Gerontology Nurse’s Guide to the Community-Based Health Network 16
Part I: Growing Old in the United States 17
Chapter 1: Psychosocial–Cultural Health 17
Smaller World, Increasing Life Span 17
Nonmedical Caregivers 18
Psychosocial Impact 18
Growing Old is Not for the Faint of Heart—Nor is Being a Caregiver 19
Home to Community 20
Mental Health and Caregiving 21
Nursing Shortage 22
Summary 23
Resources 24
References 25
Chapter 2: Health Care Delivery: Cultural Considerations 27
Minority Growth 27
National Culturally and Linguistically Appropriate Services Standards 28
Interpreter Validation 28
Health Care Conflict 29
Psychosocial Barriers to Successful Health Care Delivery 30
Racism 30
Health Care Access 31
Ethical Responsibilities 31
Summary 32
Resources 32
References 34
Chapter 3: Health Care Delivery: Cultural Domains 37
Cultural Domain 38
Health and Illness in the Hispanic Population 40
Health and Illness in the Native American Population 50
Summary 66
Resources 66
References 67
Part II: Physical and Psychological Changes of Aging 73
Chapter 4: Theoretical Perspectives on Aging and Physical Changes 73
Theories on Aging 73
Psychosocial Theories 83
Summary 88
Resources 89
References 89
Chapter 5: How to Deal With Compromised Independence 93
Physical and Mental Changes of Aging 93
Physical Changes Associated With Aging 94
Musculoskeletal Changes 96
Foot Health 98
Memory Loss and Aging 102
Alzheimer’s Disease 104
Summary 105
Resources 105
References 108
Appendix 111
Part III: The Community-Based Health Network 113
Chapter 6: Home-Style Adult Safety and Socialization Options 113
The Significance of Home-Style Options 113
Home Safety Inspection 114
In-Home Caregiver Options 116
Day Care 119
Group Homes 120
Staff and Training 122
Summary 123
Resources 123
References 125
Chapter 7: Home Health Services 127
Home Care in the United States 127
Current Home Care Organizations 130
What Does Medicare-Approved Home Health Provide? 132
Regulatory Agencies 132
Qualifications for Home Health Service 136
Services Provided by Home Health Team Members 137
Outcome and Assessment Information Set 138
Job Descriptions 139
Summary 145
Resource 145
References 146
Appendix 148
Home Health Patient Tracking Sheet 148
Outcome and Assessment Information Set 150
Clinical Record Items 151
Patient History and Diagnoses 152
Living Arrangements 161
Sensory Status 162
Integumentary Status 164
Respiratory Status 170
Cardiac Status 170
Elimination Status 171
Neuro/Emotional/Behavioral Status 172
ADL/IADL 176
Medications 182
Care Management 185
Therapy Need and Plan of Care 188
Emergent Care 190
Data Items Collected at Inpatient Facility Admission or Agency Discharge Only 191
Chapter 8: Skilled Nurse Competency Requirements for Home Health Services 195
Expect the Unexpected 196
RN Expectations for All Nurse Roles 198
Summary 213
Resources 214
References 214
Chapter 9: Hospice and Palliative Care Services 215
End-of-Life Care 215
The Start of Hospice 215
Who is Eligible for Medicare Hospice Benefits? 216
What is Hospice Care? 216
The IDT 217
How is Hospice Service Initiated? 218
What to Expect on Hospice? 218
Funding and Financial Issues 220
Palliative Care 220
Conclusion 221
Summary 222
Resources 223
References 224
Chapter 10: Skilled Nurse Competency Requirements for Hospice Services 227
What to Expect When the End Comes 228
Hospice Nurses are Eternal Students of Human Nature 229
National Hospice and Palliative Care Organization 229
National Board for Certification of Hospice and Palliative Care Nurses 230
Summary 230
Resources 231
References 231
Chapter 11: Independent Living 233
What is Independent Living? 233
Amenities 233
Activities 234
Safety 235
Staff Members 235
Staff Members, Scope of Practice, and Education Requirements 236
Health Nurse 236
Personal Care Assistant Versus Certified Nursing Assistant 236
Funding 237
Licensure/Regulatory Agencies 237
Summary 238
Resources 239
References 241
Chapter 12: Assisted Living 243
What is Assisted Living? 243
Amenities 244
Activities 245
Safety 245
Staff Members 246
Staffing Requirements 248
Training 248
Staff-to-Resident Ratio 249
Licensure/Regulatory Agencies 250
Funding 251
Summary 251
Resources 252
References 254
Chapter 13: Long-Term Care 257
What is Long-Term Care? 257
Staff Members, Scope of Practice, and Education Requirements 258
Funding 260
Licensure/Regulatory Agencies 260
Summary 260
Resources 261
References 261
Chapter 14: Alzheimer’s and Memory Care 263
Residential Care Transformation into Memory Care 263
Caregiver Burden 264
Memory Care Has a New Face 265
Summary 268
Resources 268
References 269
Chapter 15: Additional Community Health Resources for the Financially Compromised 271
Where to Start 272
“Who Do I Call First?” 273
Summary 274
Resources 274
References 276
Part IV: Empowering the Inner Advocate 277
Chapter 16: Why Must Clients and Caregivers Embrace Self-Advocacy? 277
Human Side of Professionals 278
Take Charge of Medical Records 278
Doctor Deficit 279
Ideal is Not Reality 279
“The Nurse” 280
Staff Retention 281
Moral and Ethical Burnout 282
Moral Residue 282
Empowering the Inner Advocate 283
Plan Positive Relief 283
Recreation and Recreation Therapy for the Geriatric Population 284
Summary 288
Resources 290
References 291
Appendix 16a 292
Summary 294
Appendix 16b 296
Appendix 16c 298
Appendix 16d 300
Index 303

This is a timely and vital resource for new and seasoned gerontology nurses responsible for coordinating care and advocacy for their patients as health care shifts from hospital-based to community-based care. Comprehensive and organized for quick access to information, this clinical guide encompasses the broad network of community health resources available and describes how to access them on behalf of geriatric patients and clients. It provides an overview of growing old in the United States and discusses cultural and socioeconomic considerations, common conditions and morbidities affecting older adults, and the wide variety of community resources available to address these concerns.
The book provides the critical information gerontology nurses need to synthesize the health conditions affecting older adults with education about and access to vital community-based services. It discusses health delivery in regard to cultural diversity, the physical and psychological changes of aging and how to adapt to them, and different types of community-based health options including home health services, independent and assisted living, long-term care, and hospice and palliative care. Woven throughout are the themes of empowerment and advocacy for the nurse, patient, and family. Included in each chapter are abundant tools and resources that can be quickly referenced, and there is an emphasis on patient advocacy and teaching throughout. The book is also a supportive resource for nursing education programs and for nurses in mentorship roles in hospital or primary clinical practice settings.
Key Features:
Encompasses the broad network of community health resources available to older adults Provides easy access to informational websites, tools, and resources Addresses the physical and psychological changes of aging Focuses on advocacy and empowerment Serves as a comprehensive resource for new and seasoned gerontology nurses, educators, and mentors

Psycho-social-cultural health
Health care delivery : cultural considerations
Health care delivery : cultural domains / Maria Milagros Kneusel
Theoretical perspectives on aging and physical changes / Jane Tiedet
How to deal with compromised independence
Home-style adult safety and socialization options
Home health services
Skilled nurse competency requirements for home health services
Hospice and palliative care services / Stephanie Bernahl Barss
Skilled nurse competency requirements for hospice services
Independent living
Assisted living
Long term care / Kaye Conrath
Alzheimer's and memory care
Additional community health resources for the financially compromised
Why must clients and caregivers embrace self-advocacy? / Esther Freeman.

This clinical guide for gerontology nurses in community-based practice provides an overview of growing old in the United States; discusses cultural and socioeconomic considerations and common conditions and morbidities affecting older adults; and surveys the wide variety of community resources available to address the concerns of geriatric patients and clients

2015-08-03