Nursing Home Care

Description

THE DEFINITIVE TEXT ON THE PRINCIPLES AND CLINCAL PRACTICE OF NURSING HOME CARE

Nursing Home Care is a practical textbook designed to serve as a rich evidence-based resource to provide physicians and other practitioners with the information and knowledge to advance nursing home care. It states and explains the principles underpinning safe, personalized, and dignified nursing home practice using an integrated, cooperative approach. In addition, it provides the medical knowledge necessary to give quality care to nursing home residents.

Nursing Home Care reflects the International Association for Geriatrics and Gerontology's conviction that nursing home practice is an interdisciplinary endeavor that requires a sound theoretical, scientific, and values base in addition to clinical expertise. Mindful of the influences of different culture and context, the premise of this text is that there is a shared and common knowledge base to guide nursing home practice and approaches to caring that are universal.

THIS UNIQUE TEXT IS LOGICALLY DIVIDED INTO FOUR PARTS:

PART 1 covers the origins of the nursing home movement, plus alternative approaches, including aging in place and what older people are saying about nursing home life and culture change.

PART 2 focuses on the fundamentals of working as part of a nursing home team providing day-to-day care and the leadership essentials to drive the quality improvement agenda.

PART 3 addresses the most common conditions experienced by older nursing home residents.

PART 4 is devoted to clinical and nursing aspects of specific disease management.

KEY FEATURES:

Online supplemental material, including 1,000 PowerPoint slides available to faculty, plus Q&A available from the IAGGI * Over 150 multiple choice questions * Key points for each chapter * An essential study guide for the IAGG certificate in nursing home care

About the Authors

John E. Morley
Division of Geriatric Medicine
Saint Louis University
School of Medicine
St. Louis, Missouri

Debbie Tolson PhD Professor of Gerontological Nursing
Glasgow Caledonian University
Cowcadden Road
Glasgow, UK

Bruno Vellas, CHU
Toulouse
Service de Medecine, Gerontologie Clinique
Toulouse, France

Table of Contents

Part 1 Introduction to Nursing Home Life & Alternatives
My Experience of Nursing Homes: Voice of the Resident
Our Experience of Nursing Homes: Voices of Family and Friends
Working in a Nursing Home
Career choices and ambition
Preparation to practice in a nursing home
Creating a place called home
Rules and regulations
Diversity of Nursing Homes and long term care around the World
Nursing home practitioners-contributing disciplines, essential knowledge, skills and caring attributes
International NH Development & Research Agenda IAGG-WHO
Culture and Quality of Care
Nursing Home Design
Aging in Place: Other Approaches to Long Term Care

Part 2 Fundamentals of Nursing Home Practice
History of Nursing Homes Around the World
Principles of Nursing Home Care
Fundamental Rights & Ethical Considerations
Truth telling and information disclosure-dilemmas and solutions
From admission to end of life care
Shared decision making
Risks and safety-including medication administration and review (polypharmacy)
Restraint Free Environments
Core values
Protecting the vulnerable –elder abuse and unintentional neglect
Accidents happen-and what to do when they occur
Models of Care
Patient centered care
Transitions
Subacute care
Improving function
End of life/hospice care
Eden Alternative
Technology and care
Multi-Professional Teams: Working Together
An integrated model: a blend of clinical, nursing and social care
Inter professional communication
Valuing nursing home practitioners, assistant practitioners
Building a strong team based on reciprocity
Family involvement
Keeping the records in order
Nursing Home Leadership
Role of the administrator
Role of doctors and the medical director
Role of nurses and the nursing director
The wider multiprofessional team
Quality Improvement
Role of regulators and accreditation agencies
Governance and national standards
Preparing for the inspector
Role of Lay Assessors & Resident Advocates
Managing budgets and balancing the books
Keeping up to date with evidence

Part 3 Admission to a Nursing Home
Preparing for admission.-what individuals and families need to know
Types of admission & admission criteria.
Knowing the person and biographical histories
Minimum Data Sets
Assessment of clinical need & medications.
Assessment of frailty status and functional abilities.
Assessment of communication needs-enabling communication
Understanding preferences and personal priorities
Care Paradigms-enabling/rehabilitation/maintenance/palliative/end of life

Part 4 Managing Age Related Syndromes and Changes
Aches and Pains
Pain and function
Assessing pain
Pain management
Toolkits for Practice –what you will see, what you should say-what you should do
Toolkits for Practice- knowing when specialist referral is indicated
Low Mood, Anxiety and Depression
Adjustment to a nursing home
Dysphoria
Depression
Anxiety
Psychotic disorders
Toolkits for Practice –what you will see, what you should say-what you should do
Toolkits for Practice- knowing when specialist referral is indicated
Confusion, Agitation and Other Behavioral Disturbance
Delirium
Dementia - Causes
Dementia - Management
Wandering
Screaming
Sundowners- twilight agitation
Behavioral Disturbances
Toolkits for Practice –what you will see, what you should say-what you should do
Toolkits for Practice- knowing when specialist referral is indicated
Eating and Drinking
Nutritional screening and assessment
Managing weight loss
Therapeutic diets
Vitamin D and other vitamins and minerals
Choosing suitable food and drink
Meal times and snack provision
Special considerations for frail older people
Toolkits for Practice –what you will see, what you should say-what you should do
Urinary Continence
Managing Transient Functional Incontinence
Preventing urinary tract infections and catheter associated infections
Stress and Urge Incontinence
Overflow Incontinence
Lower Urinary Tract Infection
Achieving Continence and Social Continence- the does and don’ts of catheterization, pads and cleansers
Toolkits for Practice –what you will see, what you should say-what you should do
Toolkits for Practice-knowing when specialist referral is indicated
Bowel Changes
Managing constipation
Understanding and Managing fecal incontinence
Diarrhea
Hemorrhoids
Toolkits for Practice –what you will see, what you should say-what you should do
Toolkits for Practice- knowing when specialist referral is indicated
Mobility and Falls Prevention
Walking, health and survival
Gait disturbances
Falls – Causes
Falls – Prevention
Hip fractures
Sleep Disturbance
Insomnia
Nocturia
Sleep apnea
Restless legs
Nightmares
Ulcers and Common Skin Disorders
Pressure Ulcers
Vascular ulcers
Skin disorders
Stomal care
Oral Health
Care of mouth and teeth/dentures
Xerostomia-Dry Mouth-Causes and Interventions
Common fungal infections-Causes and Prevention
Other problems related to oral mucosa-cancer
Swallowing difficulties
Toolkits for Practice –what you will see, what you should say-what you should do
Toolkits for practice-knowing when specialist referral is indicated
Vision and Hearing
Age related hearing loss
Simple tests for hearing and audiometry
Hearing Aids
Ear Care & Wax
Tinnitus
Age related vision loss
Simple tests of visual acuity
Dry Eye
Common diseases of the ageing eye
Toolkits for Practice –what you will see, what you should say-what you should do
Toolkits for practice-knowing when specialist referral is indicated

Part 5 Disease Management
Hypertension, Hypotension and Heart Failure
Neurological Disorders--Stroke, Parkinson’s disease, Multiple Sclerosis, Locked-in Syndrome
Musculoskeletal Disorders--Arthritis, Osteoarthritis, Contractures
Infections and Their Control
Anemia
Endocrine Disorders
Gastrointestinal Disorders
Pulmonary Disorders
Cancer