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Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
Abstracts of dissertations available on microfilm or as xerographic reproductions.
Self-care deficits and a slowly dwindling course to death, which usually results from frailty or dementia. Effective and reliable care for persons coming to the end of life will require changes in the organization and financing of care to match these trajectories, as well as compassionate and skillful clinicians. (Available from the publisher or libraries holding the journal.).
This text is the definitive resource for practicing palliative social work clinicians. It is designed to meet the needs of professionals who seek to provide culturally sensitive biopsychosocial-spiritual care for patients and families living with life-threatening illness.
Spirituality in Nursing: Standing on Holy Ground, Fifth Edition explores the relationship between spirituality and the practice of nursing from a variety of perspectives, including: * Nursing assessment of patients' spiritual needs * The nurse's role in the provision of spiritual care * The spiritual nature of the nurse-patient relationship * The spiritual history of the nursing profession * Contemporary interest in spirituality within the nursing profession This Fifth Edition includes a new chapter titled, "Prayer in Nursing" which includes information on topics such as the history of prayer in nursing, finding time for prayer in nursing, prayer and nursing practice, and the ethics of praying with patients. A second new chapter titled, "The Spirituality of Caring: A Sacred Covenant Model of Caring for Nursing Practice," explores the history of spirituality in nurse caregiving and spiritual concepts in nursing theories of caring. A concept analysis of nurses' caring as a sacred covenant includes the "Sacred Covenant Model of Caring for Nursing Practice," a model for clinical practice developed by the author.
This issue brings the geriatrician up to date on topics in Longer-Term-Care such as: Doing Dementia Better: Anthropological Insights, Update on teaching in the Long-Term Care Setting, Pneumonia in the Long-Term Resident, Palliative Care for Patients with Dementia in Long Term Care, Urinary Tract Infections in Long-Term Care Residents, and Nausea and Other Non-Pain Symptoms in Long-term Care.
Covering both disorders and wellness, Gerontologic Nursing provides the essential information you need to provide the best nursing care to older adults. A body-system organization makes information easy to find, and discussions include health promotion, psychologic and sociocultural issues, and the common medical-surgical problems associated with aging adults. Written by expert educator and clinician Sue Meiner, EdD, RN, CS, GNP, this book also emphasizes topics such as nutrition, chronic illness, emergency treatment, patient teaching, home care, and end-of-life care. Comprehensive assessment guidelines identify findings that are normal, deviate from normal, and abnormal. A separate Health Promotion chapter and specialty boxes provide information related to promoting healthy lifestyles and preventing disease. Detailed coverage of pain, infection, cancer, chronic illness, loss, death and dying, and substance abuse explains the complex aspects of aging and related care. Cultural Influences chapter and Cultural Awareness boxes focus on clients' specific customs and how they affect your nursing care. Client/Family Teaching boxes help you communicate effectively on self-care. Home Care Tips boxes promote practical, effective care for the homebound older client. Emergency Treatment boxes highlight critical care in emergency situations. Nutrition boxes discuss the special nutritional needs and concerns of an aging population. Key points help you remember what you've read, and critical thinking activities help expand learned concepts. Up-to-date content includes the latest on hip and knee replacement, Lyme disease, lactose intolerance, upper respiratory infections, current arthritis therapies and treatments, and expanded information on abuse of older adults. Unique! Nursing Care Plans link NANDA-I nursing diagnoses, NIC priority interventions for specific conditions, and NOC suggested outcomes for guidance in providing appropriate care. Unique! Evidence-Based Practice boxes help you apply the research leading to better outcomes of nursing care. Unique! Nursing Process boxes provide quick and easy access to care information.
As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.
The Second Edition of this A-to-Z guide covers a wide range of areas of concern pertaining to the growing geriatric population. Completely reviewed, updated and expanded, it includes more than 150 illustrations and charts. This text invites readers to investigate more than 200 disorders and age-oriented issues, such as lab value changes, sexuality, grief and loss, alternative therapies and cultural influences on compliance, self-care and recovery. Comprehensive and easy-to-use, this manual covers Alzheimer's, cataract removal treatments, and many other new and expanded topics.
Geriatric Palliative Care is a practical guide for diagnosing and managing end-of-life illnesses, and communicating this information to patients, relatives and clinical team members.