BOOK
Facilitating Aging in Place: Safe, Sound, and Secure, An Issue of Nursing Clinics, E-Book
(2014)
Additional Information
Book Details
Abstract
The articles appearing in this geriatrics-focused issue are consistent with the collaborative and translational concepts held by a life course perspective. Each supports interprofessional collaboration and some are either authored or coauthored by interdisciplinary colleagues. Three goals are reflected in these articles: keeping community-dwelling older adults safe, sensible, and secure with solutions that will enable them to stay healthy, wise, and aware. Topics include maintaining physical functions, benefits and consequences of weight-bearing exercise on foot health; cancer prevention; managing nocturia’s effect on sleep quality and safety; protection from financial exploitation; and providing safe and affordable living environments. Several articles address physical or cognitive challenges that include monitoring medication adherence, threat of anxiety and stigma in dementia, and approaches to managing self-care in the home for persons with dementia. These evidence-based articles address emerging and best practices to support targeted interventions for persons in community-dwelling home settings. They provide a frame-work of person-centered approaches that foster good health in older age, a central tenet of aging in place and the global response to population aging.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Facilitating Aging in\rPlace: Safe, Sound,and Secure | i | ||
| copyright\r | ii | ||
| Contributors | iii | ||
| Contents | vii | ||
| Nursing Clinics Of\rNorth America\r | x | ||
| Foreword\r | xi | ||
| References | xii | ||
| Preface\r | xiii | ||
| Introduction | xiii | ||
| References | xiv | ||
| Aging in Place | 123 | ||
| Key points | 123 | ||
| Introduction | 123 | ||
| Aging in Place Defined | 123 | ||
| Realities of aging environments | 124 | ||
| Local crises in a global context | 125 | ||
| Life course perspective to address person-centered realities | 126 | ||
| Principles and Key Actions | 126 | ||
| Implementing a Life Course Model | 127 | ||
| Inclusion of the consumer/older person decision making | 127 | ||
| Technology as a core support structure | 128 | ||
| Interdisciplinary involvement | 128 | ||
| Placement of care coordination | 129 | ||
| Summary | 129 | ||
| Acknowledgments | 129 | ||
| References | 129 | ||
| Further readings | 131 | ||
| Improving Unsafe Environments to Support Aging Independence with Limited Resources | 133 | ||
| Key points | 133 | ||
| Unsafe exterior environments pose barriers to aging with independence | 134 | ||
| Neighborhood | 134 | ||
| House Exterior | 134 | ||
| Unsafe home interiors can pose even greater threats to aging with independence | 134 | ||
| Fall Risk and the Home Environment | 135 | ||
| Activities of Daily Living/Instrumental Activities of Daily Living and Environmental Factors | 135 | ||
| An innovative model for promoting aging with independence: the CAPABLE intervention | 136 | ||
| Three innovations of the CAPABLE model in action: a case example | 138 | ||
| The Client | 138 | ||
| The Client’s Functional Goals | 138 | ||
| Issues Affecting Goal Achievement and Resulting Interventions | 138 | ||
| Medication side effects | 138 | ||
| Pain and low mood | 139 | ||
| Lower extremity weakness | 139 | ||
| Lack of railings on stairways | 139 | ||
| Value Added by the CAPABLE Approach | 139 | ||
| Innovation 1: client-directed care | 139 | ||
| Innovation 2: addressing medical/functional issues through an RN/OT team | 139 | ||
| Innovation 3: treating housing as health | 143 | ||
| Lessons learned while implementing the CAPABLE model | 143 | ||
| Summary | 143 | ||
| References | 144 | ||
| Maintenance of Physical Function in Frail Older Adults | 147 | ||
| Key points | 147 | ||
| Background | 148 | ||
| Management | 149 | ||
| Evaluation/diagnosis | 149 | ||
| Recommendations for PA | 150 | ||
| Patient considerations to initiating and maintaining a routine of PA | 150 | ||
| Barriers | 150 | ||
| Facilitators | 151 | ||
| Summary of Recommendations | 152 | ||
| Summary | 153 | ||
| References | 153 | ||
| Maximizing ADL Performance to Facilitate Aging in Place for People with Dementia | 157 | ||
| Key points | 157 | ||
| Introduction | 157 | ||
| Evaluation of ADL | 159 | ||
| ADL Screening | 159 | ||
| ADL Assessment | 160 | ||
| Intervention | 161 | ||
| Therapeutic Relationship | 162 | ||
| Repetitive, Errorless Training | 162 | ||
| Cognitive Strategies | 164 | ||
| Assistive Technology | 164 | ||
| Caregiver Training | 164 | ||
| Future directions | 166 | ||
| Summary | 166 | ||
| References | 166 | ||
| The Older Adult with Diabetes | 171 | ||
| Key points | 171 | ||
| Introduction | 171 | ||
| How does PN develop? | 172 | ||
| How does neuropathy lead to diabetic foot ulcers? | 172 | ||
| How does neuropathy lead to a risk for falls? | 175 | ||
| What do I need to know about examining the foot and assessing the risk for falls? | 176 | ||
| What should I tell the client about prevention of foot ulcers and falling? | 177 | ||
| Summary | 178 | ||
| References | 178 | ||
| Medication Adherence in Older Adults | 183 | ||
| Key points | 183 | ||
| Nonadherence as a prevalent and costly problem | 184 | ||
| Definitions | 184 | ||
| Intentional versus unintentional nonadherence | 184 | ||
| What interventions have proved effective? | 185 | ||
| What about older adults specifically? | 185 | ||
| Are these studies meaningful? | 186 | ||
| How to measure adherence | 186 | ||
| Seeing the big picture—the World Health Organization framework | 187 | ||
| New directions: innovations in technology | 188 | ||
| Will older adults use the newer technology? | 189 | ||
| New directions: policy | 193 | ||
| New directions: creative solutions, unique populations | 194 | ||
| Implications for practice | 195 | ||
| References | 196 | ||
| Keeping Older Adults Safe, Protected, and Healthy by Preventing Financial Exploitation | 201 | ||
| Key points | 201 | ||
| Introduction | 201 | ||
| FE as an older adult health problem | 203 | ||
| FE Victims Are Health Care Clients in Need of Specific Types of Care | 203 | ||
| Health Caregivers and Employees as FE Offenders | 204 | ||
| Health Problems Arise as a Result of FE | 205 | ||
| FE Victimization Often Occurs Within the Health Care Context or Setting | 205 | ||
| FE Risks Are Tied to Older Adult Health | 205 | ||
| FE of minorities: African American elders | 205 | ||
| Underdetecting and underreporting FE | 206 | ||
| FE prevention intervention strategies | 207 | ||
| Summary | 209 | ||
| References | 210 | ||
| Anxiety and Stigma in Dementia | 213 | ||
| Key points | 214 | ||
| Dementia-related anxiety | 214 | ||
| Definition | 214 | ||
| Prevalence | 214 | ||
| Symptoms and Related Outcomes | 215 | ||
| Association with Other Behaviors | 215 | ||
| Causes | 215 | ||
| Insight and Anxiety | 216 | ||
| Relationship Between Stigma and Anxiety in Persons with Early-Stage Dementia | 216 | ||
| Research Findings on Anxiety and Stigma in Dementia | 217 | ||
| Case study—part 1 | 218 | ||
| Clinical Implications for Health Care Professionals | 218 | ||
| Assessment | 218 | ||
| Stigma Impact Scale | 219 | ||
| Anxiety Level | 219 | ||
| Treatment | 220 | ||
| Educating Health Care Professionals | 221 | ||
| Caregiver Education and Support | 221 | ||
| Anxiety Interventions for PwD | 221 | ||
| Pharmacologic interventions | 221 | ||
| Psychosocial interventions | 222 | ||
| Cognitive behavioral therapy | 222 | ||
| Interventions for stigma | 223 | ||
| Public education about dementia | 223 | ||
| Educating Health Care Professionals/Providers | 224 | ||
| Case study: part 2 | 225 | ||
| Interventions to Promote Aging in Place in Persons with Dementia Experiencing Anxiety | 226 | ||
| Special considerations for aging in place: transitional care and “live alones” | 226 | ||
| Summary | 227 | ||
| References | 227 | ||
| Nocturia in Older Adults | 233 | ||
| Key points | 233 | ||
| Introduction | 233 | ||
| Epidemiology of nocturia | 234 | ||
| Pathophysiology of nocturia | 234 | ||
| Diminished or Nocturnal Reduction in Bladder Capacity | 234 | ||
| Twenty-Four-Hour Polyuria | 236 | ||
| Nocturnal Polyuria | 236 | ||
| Altered Diurnal Variation in Renal Function | 237 | ||
| Alterations in Sodium and Water Reabsorption | 238 | ||
| Sleep disorders and nocturia | 239 | ||
| Less studied correlate of nocturia: disrupted sleep and circadian rhythm disorders | 239 | ||
| Clinical assessment | 241 | ||
| Treatment options | 243 | ||
| Which clinical end points are important? | 244 | ||
| Summary | 245 | ||
| References | 245 | ||
| Cancer Screening in the Older Adult | 251 | ||
| Key points | 251 | ||
| Population predictions | 252 | ||
| Decision making about cancer screening | 252 | ||
| Practice guidelines | 252 | ||
| Life expectancy and comorbidity | 253 | ||
| Biology of cancer related to life expectancy | 253 | ||
| Risks and benefits of cancer screening | 256 | ||
| Individual wishes and beliefs | 258 | ||
| To screen or not to screen | 258 | ||
| References | 259 | ||
| Index | 263 |