Lori Martin Plank_ Laurie Kennedy-Malone_ Evelyn Groenke Duffy - Advanced practice nursing in the care of older adults (2019).

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Contents in Brief Unit I The Healthy Older Adult 1 1 Changes With Aging 2 2 Health Promotion 6 3 Exercise in Older Adults 19 Unit II Assessment 25 4 Comprehensive Geriatric Assessment 26 5 S... ymptoms and Syndromes 34 Unit III Treating Disorders 95 6 Skin and Lymphatic Disorders 96 7 Head, Neck, and Face Disorders 127 8 Chest Disorders 152 9 Peripheral Vascular Disorders 215 10 Abdominal Disorders 225 11 Urological and Gynecological Disorders 280 12 Musculoskeletal Disorders 305 13 Central and Peripheral Nervous System Disorders 328 14 Endocrine, Metabolic, and Nutritional Disorders 361 15 Hematological and Immune System Disorders 407 16 Psychosocial Disorders 428 Unit IV Complex Illness 469 17 Polypharmacy 470 18 Chronic Illness and the APRN 474 19 Palliative Care and End-of-Life Care 485 appendix A Physiological Infl uences of the Aging Process 499 appendix B Laboratory Values in the Older Adult 505 Index 507xxi Unit I The Healthy Older Adult 1 CHAPTER 1 Changes With Aging 2 Fundamental Considerations 2 Physiological Changes With Aging 2 Laboratory Values in Older Adults 3 Presenting Features of Illness/Disease in the Older Adult 3 Chronic Illness and Functional Capacity 5 Summary 5 CHAPTER 2 Health Promotion 6 Primary, Secondary, and Tertiary Prevention 7 Healthy Lifestyle Counseling 7 Screening and Prevention 9 Immunizations 12 Travel and Leisure 12 Summary 17 Case Study 17 CHAPTER 3 Exercise in Older Adults 19 Available Resources 19 Barriers and Facilitators to Exercise for Older Adults 20 Plan for Incorporating Exercise into Patient Encounter 20 Key Guidelines for Safe Physical Activity (Physical Activity Guidelines Advisory Committee, 2008) 21 Summary 22 Case Study 23 Unit II Assessment 25 CHAPTER 4 Comprehensive Geriatric Assessment 26 Physical Health 26 Functional Health 30 Psychological Health 31 Socioenvironmental Supports 32 Quality of Life Measures 32 Summary 32 CHAPTER 5 Symptoms and Syndromes 34 Assessment 34 Bowel Incontinence 34 Chest Pain 38 Constipation 41 Cough 43 Dehydration 46 Diarrhea 47 Dizziness 51 Dysphagia 53 Falls 55 Fatigue 57 Headache 59 Hematuria 63 Hemoptysis 65 Involuntary Weight Loss 67 Joint Pain 72 Peripheral Edema 74 Pruritus 77 Syncope 78 Tremor 81 Urinary Incontinence 83 Wandering 88 Case Study 90 Unit III Treating Disorders 95 CHAPTER 6 Skin and Lymphatic Disorders 96 Assessment 96 Burns 97 Cellulitis 103 Corns and Calluses 104xxii Contents Herpes Zoster 106 Pressure Injuries 109 Psoriasis 113 Skin Cancer 117 Superfi cial Fungal Infections 120 Case Study 125 CHAPTER 7 Head, Neck, and Face Disorders 127 Assessment 127 Cataract 128 Epistaxis 130 Glaucoma, Acute and Chronic 132 Glaucoma, Acute (Primary Angle-Closure) 132 Glaucoma, Chronic (Primary Open-Angle) 133 Hearing Loss 136 Hordeolum and Chalazion 138 Age-Related Macular Degeneration 139 Oral Cancer 141 Retinopathy 144 Rhinitis 146 Case Study 150 CHAPTER 8 Chest Disorders 152 Assessment of the Cardiovascular System 152 Assessment of Risk Factors for Coronary Artery Disease 152 Clinical Examination Features 153 Assessment of the Respiratory System 154 Asthma 155 Cardiac Arrhythmias 160 Chronic Obstructive Pulmonary Disease 164 Heart Failure 170 Hypertension 175 Ischemic Heart Disease 179 Lung Cancer 185 Myocardial Infarction 187 Pneumonia 191 Pulmonary Embolism 196 Pulmonary Tuberculosis 199 Restrictive Lung Disease 203 Upper Respiratory Tract Infection 205 Valvular Heart Disease 207 Case Study 211 CHAPTER 9 Peripheral Vascular Disorders 215 Assessment 215 Abdominal Aortic Aneurysm 216 Chronic Lymphedema 218 Peripheral Vascular Disease 219 Venous Disease (Chronic Venous Insuffi ciency) 221 Case Study 223 CHAPTER 10 Abdominal Disorders 225 Assessment 225 Acute Kidney Injury 226 Bladder Cancer 230 Bowel Obstruction 231 Cholecystitis 233 Chronic Kidney Disease 235 Cirrhosis of the Liver 239 Clostridium diffi cile 242 Colorectal Cancer 245 Diverticulitis 249 Esophagitis 251 Gastric Cancer 253 Gastritis 256 Gastroenteritis 258 Gastroesophageal Refl ux Disease 260 Hernia 263 Irritable Bowel Syndrome 265 Liver Cancer 268 Nephrolithiasis 270 Nonalcoholic Fatty Liver Disease 272 Peptic Ulcer Disease 274 Case Study 276 CHAPTER 11 Urological and Gynecological Disorders 280 Assessment 280 Atrophic Vaginitis 282 Breast Cancer 284 Cystitis 289 Endometrial Cancer 292 Ovarian Cancer 293 Benign Prostatic Hyperplasia (Benign Prostatic Hypertrophy) 295 Drug-Induced Erectile Dysfunction 297 Prostate Cancer 299 Prostatitis 301 Case Study 303 CHAPTER 12 Musculoskeletal Disorders 305 Assessment 305 Bursitis, Tendinitis, Soft Tissue Syndromes 307 Fractures 310 Gout 312Contents xxiii Osteoarthritis 315 Polymyalgia Rheumatica 319 Rheumatoid Arthritis 322 Case Study 325 CHAPTER 13 Central and Peripheral Nervous System Disorders 328 Assessment 328 Brain Tumor 331 Parkinson’s Disease 333 Peripheral Neuropathy 336 Restless Legs Syndrome 344 Seizure Disorders 346 Stroke 352 Case Study 359 CHAPTER 14 Endocrine, Metabolic, and Nutritional Disorders 361 Assessment 361 Acute Pancreatitis 362 Chronic Pancreatitis 366 Diabetes Mellitus, Types 1 and 2 369 Failure to Thrive 377 Hyperlipidemia 379 Hyperthyroidism 384 Hypothyroidism 387 Malnutrition 389 Obesity 392 Osteoporosis 396 Pancreatic Cancer 402 Case Study 404 CHAPTER 15 Hematological and Immune System Disorders 407 Assessment 407 Anemia of Chronic Disease 408 Anemia, Iron Defi ciency 410 Immune Thrombocytopenic Purpura (Idiopathic Thrombocytopenic Purpura) 413 Leukemias 414 Acute Lymphoblastic Leukemia 414 Acute Myeloid Leukemia 416 Chronic Lymphocytic Leukemia 419 Chronic Myeloid Leukemia 423 Case Study 426 CHAPTER 16 Psychosocial Disorders 428 Assessment 428 Agitation 429 Alcohol Misuse (Hazardous or Risky Drinkers) 431 Anxiety 434 Bipolar Disorder 436 Delirium 439 Dementia 443 Depression 451 Elder Abuse 456 Grief and Bereavement 459 Insomnia 461 Prescription Drug Misuse (Hazardous or Risky Users) 463 Case Study 466 Unit IV Complex Illness 469 CHAPTER 17 Polypharmacy 470 Pharmacokinetic/Pharmacodynamic Changes 470 Tools to Assist Providers to Avoid PIMs and Polypharmacy 472 Preventing Polypharmacy, Addressing Polypharmacy 472 CHAPTER 18 Chronic Illness and the APRN 474 Defi nitions of Chronic Disease and Chronic Illness 474 Demographics of Chronic Illness 474 Multiple Chronic Conditions 475 Economic Burden of Chronic Disease 477 Minorities and Chronic Disease 478 Function and Frailty 478 Evidence-Based Practice and Chronic Disease 479 Chronic Care Model of Quality Improvement 479 Legislation and Chronic Disease 480 Transitions of Care 480 Provider Reimbursement for Chronic Illness Care 482 The Role of APRNs in Chronic Disease 482 Case Study 483 CHAPTER 19 Palliative Care and End-of-Life Care 485 Overview of Palliative Care 485 Symptom Management 486 Delirium 486 Dyspnea 488 Pain 490 The Dying Patient 493 Grief and Bereavement 496 Case Study 497xxiv Contents appendix A Physiological Infl uences of the Aging Process 499 appendix B Laboratory Values in the Older Adult 505 Index 507 [Show More]

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