Case Studies in Gerontological Nursing for the Advanced Practice Nurse

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DESCRIPTION

As the fastest growing population sector worldwide, older adults are seen in almost every care setting in which clinicians practice. Developed as a resource for advanced practice nurses in any setting, Case Studies in Gerontological Nursing for the Advanced Practice Nurse presents readers with a range of both typical and atypical cases from real clinical scenarios.

The book is organized into six units covering cases related to ageism, common health challenges, health promotion, environments of care, cognitive and psychological issues, and issues relating to aging and independence. Each case follows a similar format including the patient's presentation, critical thinking questions, and a thorough discussion of the case resolution through which students and clinicians can enhance their clinical reasoning skills.

Designed to promote geriatric clinical education through self-assessment or classroom use, Case Studies in Gerontological Nursing for the Advanced Practice Nurse is a key resource for all those dedicated to improving care for older adults.

TABLE OF CONTENTS

• Contributors ix
• Introduction xvii
• Abbreviations and Acronyms xxi

1. The Aging Population 1
1. Recipe for Successful Aging 3
   By Christine Tocchi, PhD(C), MSN, APRN, GNP-BC
2. Cultural Competence Is a Journey 15
   By Jina Ko, MSN, RN, ANP-C and Julie M. L. Lautner, MSW, MSN, RN
3. The Ugly Face of Ageism 23
   By Shelley Yerger Hawkins, DSN, APRN, FNP, GNP, FAANP
   Case 1.4 If Only We Had National Health Insurance 31 By Philip A. Greiner, DNSc, RN
2. Common Health Challenges of Aging 37
1. The Heart of It All 39
   By Jaclyn R. Jones, MSN, APRN, NP-C
2. I Have This Thing on My Skin 47
   By Everol M. Ennis, Jr., MSN, APRN, A/GNP-BC
3. Why Is My Mother Wearing a Diaper? 57
   By Annemarie Dowling-Castronovo, PhD(c), RN
4. My Aching Back 65
   By Anne Moore, DNP, RN
5. More Than Just Constipation 75
   By Frieda R. Butler, PhD, MPH, FAAN, FGSA
6. Are You in the Hospital Again? 85
   By Kimberly O. Lacey, DNSc, MSN, CNS
7. It Hurts When I Pee 93
   By Rebecca Herter, MSN, RN
8. The History Reveals All 101
   By Devon Kwassman, MSN, RN
9. Kneedless Pain 111
   By Maureen E. O’Rourke, RN, PhD, and Kenneth S. O’Rourke, MD
10. Life after a Right CVA 125
    By Cynthia S. Jacelon, PhD, RN, CRRN, FAAN
11. It Takes My Breath Away 135
    By Kathy Murphy, RN, BA, DipN, RNT, MSc, PhD, Dympna Casey, RGN, BA, MA, PhD, and Bernard McCarthy, MSc
12. What’s Shaking? 145
    By Donna Packo Diaz, MS, RN, and Cathi A. Thomas, MS, RN, CNRN
13. Too Much to Manage 153
    By Melanie J. Holland, BSN, MS
14. Them Bones, Them Bones 167
    By Ivy M. Alexander, PhD, APRN, ANP-BC, FAAN
3. Health Promotion 181
1. Never Too Old to Quit 183
   By Geraldine Marrocco, EdD, APRN, CNS, ANP-BC and Amanda LaManna, MSN, RN, NP-C
2. Protection by Prevention 189
   By Kimberlee-Ann Bridges, MSN, RN-BC, CNL
3. Is Being Careful Enough? 195
   By Bonnie Cashin Farmer, PhD, RN
4. Sick and Tired of Being Sick and Tired 203
   By Kathleen Lovanio, MSN, APRN, F/ANP-BC, Patricia C. Gantert, MSN, RN-BC, and Susan A. Goncalves, DNP(c), MS, RN-BC
5. To Screen or Not to Screen 213
   By Meredith Wallace Kazer, PhD, APRN, A/GNP-BC, FAAN
4. Environments of Care 221
1. Who Says I Can’t Go Home 223
   By Antoinette Larkin, RGN, H. Dip. Gerontology, and Claire Welford, RGN, DipNS, BNS–Hons., MSc, PGC–TLHE
2. Regressing in Rehab 231
   By Kendra M. Grimes, MSN, APRN, GNP-BC
3. There’s No Place Like Home 239
   By Nicholas R. Nicholson, Jr., PhD, MPH, RN, PHCNS-BC
4. Caring for the Caregiver 245
   By Evanne Juratovac, PhD, RN (GCNS-BC)
5. Transitions 253
   By Elizabeth McGann, DNSc, RN, and Lynn Price, JD, MSN, MPH, FNP-BC
6. Shifting the Focus of Care 261
   By Alison Kris, PhD, RN
7. Without a Home 267
   By Mary Shelkey, PhD, ARNP
8. A Place Called Home 277
   By Kelly Smith Papa, MSN, RN, and Eileen O’Connor Smith BSN, RN-C
9. Aging in Place 285
   By Karen Dick, PhD, GNP-BC, FAANP
5. Cognitive and Psychological Issues in Aging 293
1. The Diabolical Ds 295
   By Kathleen Lovanio, MSN, APRN, F/ANP-BC, Patricia C. Gantert, MSN, RN-BC, and Susan A. Goncalves, DNP(c), MS, RN-BC
2. What a Difference a Day Makes 305
   By Cora D. Zembrzuski, PhD, APRN
3. Don’t Feel Good 313
   By Evanne Juratovac, PhD, RN (GCNS-BC)
4. Understanding Distress 323
   By Eileen O’Connor Smith, BSN, RN-C, and Kelly Smith Papa, MSN, RN
6. Issues of Aging and Independence 333
1. Too Much of a Good Thing 335
   By Susan C. Frazier, MS, NP-C, GNP-BC
2. Driving in My Car 343
   By Valerie C. Sauda, RN-BC, MS
3. Sex Does Not Stop with Seniority 351
   By Ashley Domingue, MSN, RN, ANP-BC, GNP-C
4. Hidden Pathology 359
   By Marie Boltz, PhD, APRN, BC
5. Taking Control of the Pain 367
   By Alison Kris, PhD, RN
6. The Road toward End-of-Life Decision Making: Who Has the Right of Way? 373
   By Barbara L. Kramer, MSN, RN, CHPN, and Christine M. Goldstein, LCSW-R, OCW-C

• Index 381

AUTHOR

Meredith Wallace Kazer, PhD, APRN, A/GNP- BC is Associate Professor at Fairfield University School of Nursing. Dr. Kazer has authored or edited numerous books, two of which received the American Journal of Nursing Book of the Year Award. She has authored over 50 peer-reviewed journal publications, and 22 book chapters. Dr. Kazer maintains a clinical practice with a focus on chronic illness in older persons.

Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP is Professor and Graduate Coordinator at Southern Connecticut State University. Dr. Neal-Boylan has extensive experience in academia as well as family practice, chronic care, and internal medicine. She has edited or co-edited four books including one which won the American Journal of Nursing Award in the medical-surgical division in 2005. Additionally Dr. Neal-Boylan has published over 90 articles in peer-reviewed journals.