Verfügbarkeit: Nursing care of older adults

Nursing care of older adults: diagnoses, outcomes, and interventions

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Bibliographische Detailangaben
Weitere Verfasser:	Maas, Meridean L. (HerausgeberIn)
Format:	Buch
Sprache:	Undetermined
Veröffentlicht:	St. Louis [u.a.] Mosby 2001
Ausgabe:	1. ed.
Online-Zugang:	Inhaltsverzeichnis
Beschreibung:	XXVII, 834 S.
ISBN:	0323012590

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Datensatz im Suchindex

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adam_text	Contents Part I Health Perception-Health Management Pattern,; 1 Normal Changes With Aging, 3 Health Maintenance, 3 Health Promotion and Disease Prevention, 3 2 Altered Health Maintenance, 6 Related Factors/Etiologies, cS Assessment, 9 Nursing Diagnosis, 10 Nursing-Sensitive Outcomes, 12 Health Orientation, 12 Health Beliefs, 12 Knowledge Outcomes, 12 Health Behavior Outcomes, 12 Nursing Interventions, m Self-Awareness Enhancement, 17 Values Clarification, 17 Learning Readiness Enhancement, 17 Teaching: Individual, 18 Mutual Goal Setting, is Health System Guidance, 18 3 Risk for Injury: Falls, 23 Related Factors/Etiologies, 23 Risk Factors, 23 Intrinsic Factors, 23 Extrinsic Factors, 24 Assessment, 25 Nursing Diagnosis, 26 Nursing-Sensitive Outcomes, 26 Nursing Interventions, 27 Fall Prevention, 28 4 Risk for Poisoning: Drug Toxicity, 3-1 Prevalence, 34 Related Factors/Etiologies, 35 Effects of Aging on Pharmacodynamics and Pharmacokinetics, 35 Absorption of Drugs, 35 Distribution of Drugs, 35 Metabolism or Biotransformation of Drugs, 35 Excretion of Drugs, 36 Variables in Drug Administration, 36 Self-Administration, 36 Effects of Polypharmacy, 37 Assessment, 37 General Drug History, 38 A Tool to Monitor for Digitalis Toxicity, 38 Nursing Diagnosis, 39 Nursing-Sensitive Outcomes, 39 Nursing Interventions, 40 Medication Management: An Interdisciplinary Approach, 40 Clarifying Goals of Medication Administration, 40 Monitoring, 40 Practicing Client Advocacy, 42 Scheduling Drug Holidays, 43 5 Risk for Infection, 47 Related Factors/Etiologies, 47 Changes in the Immune System, 47 Changes in the Skin, 48 Changes in the Respiratory System, 48 Changes in the Genitourinary System, 49 Changes in the Eyes, 49 Factors Related to Gastrointestinal Infection, 49 Assessment, 5; Nursing Diagnosis, 5/ Nursing-Sensitive Outcomes, 52 Nursing Interventions, 52 Other Issues, 56 HIV/AIDS, 56 Tuberculosis, 58 Resistant Organisms, 59 Infection Control Programs in Long-Term Care Facilities, M) 6 Impaired Home Maintenance Management, m Prevalence, m Risk Factors, m Assessment, 65 Nursing Diagnosis, 65 Nursing-Sensitive Outcomes, 67 Nursing Interventions, 70 7 Health Seeking Behaviors, 5 Assessment, 76 Nursing Diagnosis, 76 Health Promotion and Nursing Diagnosis: A Mismatch of Concepts, 77 Wellness and Health Promotion Practice: A Taxonomy of Its Own, 77 XX Nursing-Sensitive Outcomes, 78 Nursing Interventions, 79 Exercise Promotion, 79 Nutrition Management, 79 Promotion of Well-Being, 80 Spiritual Support, 80 A Model for Promoting Healthy Lifestyle Changes, 81 8 Ineffective Management of Therapeutic Regimen, 86 Related Factors/Etiologies, 86 Assessment, 87 Nursing Diagnosis, 88 Nursing-Sensitive Outcomes, 89 Nursing Interventions, 90 9 Elder Mistreatment, 93 Prevalence, 94 Related Factors/Etiologies, 95 Risk Factors, 95 Sociocultural Factors, 96 Family Factors, 98 Caregiver Factors, 98 Individual Factors, 99 Assessment, 99 Nursing Diagnosis, 104 Nursing-Sensitive Outcomes, 104 Nursing Interventions, 106 Part II Nutritional-Metabolic Pattern, ns 10 Normal Changes With Aging, 117 Changes Related to Aging, 117 Challenges to Nutrition, us Medication and Nutritional Status, 119 11 Impaired Skin Integrity: Pressure Ulcer, 121 Prevalence, 121 Related Factors/Etiologies, 122 Assessment, 124 Nursing Diagnosis, 125 Nursing-Sensitive Outcomes, /_% Nursing Interventions, 129 Debridement and Cleansing, 130 Provision of a Moist Wound Environment, 1M Controlling Bacterial Levels, 131 Provide Essential Substrates, 131 Prevention of Further Injury, im 12 Impaired Skin Integrity: Dry Skin, ; j Prevalence, a? Related Factors/Etiologies, 137 Risk Factors, 137 Assessment, 137 Nursing Diagnosis, 137 Contents Nursing-Sensitive Outcomes, 138 Nursing Interventions, 141 Soaps, 141 Frequency of Bathing, 141 Mode of Bathing, 141 Emollient, 142 Water Temperature, 142 Humidity, 142 13 Altered Nutrition: Less Than Body Requirements, 145 Risk Factors, 145 Illness, 145 Medications, 145 Alcohol Use and Abuse, 146 Oral Health Problems, 146 Functional Limitations, 146 Financial Problems, 147 Assessment, 147 Clinical Measures, 147 Nutrient Intake, 148 Measures of Healing, Immunity, and Strength, 149 Anthropometric Measurements, 149 Laboratory Values and Biochemical Measures, 149 Nutritional Assessment Tools, 150 Nursing Diagnosis, 750 Nursing-Sensitive Outcomes, 152 Nursing Interventions, 152 Referral, 153 Socialization Enhancement, 153 Nutrition Education, 153 Nutrition Therapy, 153 14 Impaired Swallowing, iss Related Factors/Etiologies, 159 Assessment, 160 Nursing-Sensitive Outcomes, 162 Nursing Interventions, 162 Interventions for Anticipatory Phase Impairments, 166 Interventions for Oral Phase Impairments, 166 Interventions for Pharyngeal Phase Impairments, 167 Interventions for Esophageal Phase Impairments, 169 15 Altered Oral Mucous Membrane, m Teeth (Dentition, Hard Tissue), 172 Oral Mucosa (Soft Tissue), 172 Tongue, 173 Salivary Glands, 173 Oral Cavity Lesions, 173 Assessment, 174 Nursing Diagnosis, 174 Contents Nursing-Sensitive Outcomes, 176 Nursing Interventions, i7f 16 Fluid Volume Deficit—Dehydration; isotonic, hypotonic, and HYPERTONIC, i 83 Fluid Compartment Characteristics, 183 Assessment, 184 Nursing Diagnosis, 184 Nursing-Sensitive Outcomes, 186 Nursing Interventions, 186 Dehydration: Isotonic, 187 Dehydration: Hypotonic (Hyponatremia), 192 Dehydration: Hypertonic (Hypernatremia), 196 17 Risk for Altered Body Temperature, 201 Hypothermia, 201 Hyperthermia, 202 Fever, 202 Related Factors/Etiologies of Altered Body Temperature, 203 Control Mechanisms, 203 Ranges of Euthermia, 204 Thermoregulatory Responses, 204 Behavioral Responses to Sensed Temperature Change, 204 Risk Factors, 204 Assessment, 205 Nursing Diagnosis, 207 An Alternative Diagnosis: Risk for Altered Thermal Balance, 208 Nursing-Sensitive Outcomes, 210 Nursing Interventions, 211 Interventions to Affect Heat Exchange, 211 Combining Measures to Affect Heat Exchange in Perioperative Situations, 212 Interventions Affecting Thermal Comfort, 212 Providing Comfort and Preventing Sensory Responses, 212 Interventions Affecting the Thermoregulatory Set Point, 213 Part III Elimination Pattern, 217 18 Normal Changes With Aging, 2(« Urinary System, 218 Gastrointestinal System, 21 a Managing Alterations in Elimination, 219 19 Constipation, 220 Prevalence, 220 Risk Factors, 220 Assessment, 221 Nursing Diagnosis, 222 Nursing-Sensitive Outcomes, 222 xxi Nursing Interventions, 223 Diet, 223 ; Physical Exercise, 22} Development and Implementation of a Toileting Routine, 224 Pelvic Floor Exercises, 224 Instruction of Patient and Family, 224 Documentation, 224 20 Diarrhea, 227 Related Factors/Etiologies, 227 Acute Diarrhea, 227 Chronic Diarrhea, 230 Assessment, 2 31 Nursing Diagnosis, 231 Nursing-Sensitive Outcomes, 231 Nursing Interventions, 234 Enteral Tube-Feeding Interventions, 234 Teaching Interventions, 235 Other Suggested Interventions, 235 21 Bowel Incontinence, 2m Prevalence, 239 Related Factors/Etiologies, 239 Risk Factors, 240 Assessment, 244 Nursing Diagnosis, 246 Nursing-Sensitive Outcomes, 246 Nursing Interventions, 248 Bowel Training, 248 Environmental Management, 249 22 Urinary Incontinence: Functional, Iatrogenic, Overflow, Reflex, Stress, Total, and Urge, 252 Prevalence, 252 Related Factors/Etiologies, 253 Risk Factors, 257 Assessment, 257 Urge Incontinence, 261 Reflex Incontinence, 262 Stress Incontinence, 262 Mixed Incontinence, 263 Overflow Incontinence, 263 Total Incontinence, 263 Functional Incontinence, 264 Iatrogenic Incontinence, 264 Nursing-Sensitive Outcomes, 267 Nursing Interventions, 269 Pelvic Floor Exercises, 270 Bladder Training and Habit Training, 271 Increasing Fluids as an Adjunct to Bladder and Habit Training, 272 Intermittent Catheterization, 273 Other Treatment Options, 274 xxii Part IV Activity-Exercise Pattern, 279 23 Normal Changes With Aging, 2si Cardiovascular System, 281 Respiratory System, 281 Central Nervous System, 282 Musculoskeletal System, 282 24 Decreased Cardiac Output, 285 Related Factors/Etiologies, 286 Altered Heart Rate, 286 Altered Stroke Volume, 287 Assessment, 289 Nursing Diagnosis, 289 Nursing-Sensitive Outcomes, 294 Nursing Interventions, 294 25 Altered Tissue Perfusion, 299 Related Factors/Etiologies, 299 Interruption of Arterial Flow, 299 Interruption of Venous Flow, 304 Exchange Problems, 304 Hypovolemia, 304 Hypervolemia, 304 Assessment, 304 Nursing Diagnosis, m Nursing-Sensitive Outcomes, 306 Nursing Interventions, 308 Monitoring Interventions, 308 Management Interventions, 308 26 Ineffective Breathing Pattern, 313 Related Factors/Etiologies, 313 Physiologic Changes Associated With Aging, 313 Pulmonary Pathology in Aging, 315 Assessment, 315 Nursing Diagnosis, 315 Nursing-Sensitive Outcomes, 317 Nursing Interventions, 320 Education, 320 Breathing Exercises, 320 Exercise, 321 Medication Administration, 321 Energy Conservation, 321 17 Activity Intolerance, 324 Related Factors/Etiologies, 324 Assessment, 325 Nursing Diagnosis, 326 Defining Characteristics, 327 Nursing-Sensitive Outcomes, 32s Nursing Interventions, 329 Research on Exercise and Older Adults, 330 Principles and Guidelines for Exercise, 331 Use of the Nursing Interventions Classification (NIC), 332 Contents 28 Impaired Physical Mobility, 337 Falls, 337 Physiologic Consequences, 337 Psychologic Consequences, 342 Socioeconomic Consequences, 343 Prevalence, 343 Risk Factors/Etiologies, 343 Activity Intolerance, 344 Pain, 344 Cognitive and Perceptual Deficits, 344 Neuromusculature Impairment, 344 Musculoskeletal Disorders, 344 Psychologic Impairment, 345 Iatrogenic Factors, 345 Barriers in the Sociocultural or Physical Environment, 345 Lack of Knowledge, 345 Assessment, 345 Nursing Diagnosis, 348 Nursing-Sensitive Outcomes, 350 Nursing Interventions, 351 Exercise Prescriptions, 352 Exercise for Fitness and Endurance, 356 Exercise for Flexibility, 357 Isometric and Resistive Exercise for Strength, 358 29 Self-Care Deficit, 366 Assessment, 366 Nursing Diagnosis, 369 Validation of Bathing/Hygiene Self-Care Deficit, 370 Other Conceptualizations of Self-Care, 372 Nursing-Sensitive Outcomes, 374 Nursing Interventions, 376 Nursing Interventions Classification (NIC), 376 Other Strategies, 377 Population-Specific Interventions, 377 30 Diversional Activity Deficit, 385 Related Factors/Etiologies, 386 Assessment, 386 Nursing Diagnosis, 386 Nursing-Sensitive Outcomes, 389 Other Outcomes, 390 Establishing Goals to Meet the Outcomes, 390 Nursing Interventions, 390 Other Interventions, 393 Special Applications for Persons With Dementia, 393 Part V Sleep-Rest Pattern, 397 31 Normal Changes With Aging, 398 Sleep Cycle, 398 Sleep in Elders, 399 Contents 32 Sleep Pattern Disturbance, 401 Related Factors/Etiologies, 401 Internal Related Factors, 40! External Related Factors, 403 Assessment, 403 Subjective Measures, 403 Objective Measures, 404 Nursing Diagnosis, 405 Nursing-Sensitive Outcomes, 406 Nursing Interventions, 406 Intervention Research, 407 Diagnosis-Intervention-Outcome Linkages, 408 Part VI Cognitive-Perceptual Pattern, 4m 33 Normal Changes With Aging, 416 Cognition, 416 Sensory-Perceptual Changes, 417 34 Chronic Confusion, 421 Related Factors/Etiologies, 421 Assessment, 423 Home Assessment, 425 Chronic Confusion, 427 Alzheimer s Disease and Related Disorders, 427 Nursing-Sensitive Outcomes, 430 Nursing Interventions, 433 Dementia Management, 433 Interventions With Family Members, 434 Special Problems, 435 35 Acute Confusion, 442 Prevalence, 442 Related Factors/Etiologies, 442 Risk Factors, 443 Assessment, 443 Assessment Scales, 443 Nursing Diagnosis, 448 Nursing-Sensitive Outcomes, 448 Perception, 448 Memory, 449 Thinking, 449 Outcome Rating Scales, 450 Nursing Interventions, 450 36 Pain, 455 Prevalence, 455 Related Factors/Etiologies, 456 Biologic Agents, 456 Chemical Agents, 457 Physical Agents, 457 Psychologic Agents, 457 Assessment, 457 Complexities of Assessment, 458 Measurement of Pain in the Elderly, 459 Pain-Related Measurements, 461 Nursing Diagnosis, 46i xxiii Nursing-Sensitive Outcomes, 464 Subjective Evaluation, 464 Objective Evaluation, 464 Nursing Interventions, 465 Pharmacologic Interventions, 466 Nonpharmacologic Interventions, 46S Cognitive-Behavioral Interventions, 470 37 Sensory/Perceptual Alterations, 476 Prevalence, 476 Related Factors/Etiologies, 477 Assessment, 478 Vision, 478 Hearing, 479 Kinesthetic Sense, 479 Gustatory and Olfactory Senses, 481 Tactile Sense, 481 Nursing Diagnosis, 482 Nursing-Sensitive Outcomes, 483 Nursing Interventions, 483 Environmental Management Interventions, 483 Counseling Interventions, 485 38 Unilateral Neglect, 492 Related Factors/Etiologies, 493 Assessment, 493 Categories of Extent of Deficit, 495 Nursing Diagnosis, 495 Nursing-Sensitive Outcomes, 496 Nursing Interventions, 496 General Interventions, 497 Interventions Specific to Inattention, 499 Interventions Appropriate for Denial, 500 Interventions for Associated Deficits, 500 39 Knowledge Deficit, 503 Related Factors/Etiologies, 503 Assessment, 504 Nursing Diagnosis, 505 Nursing-Sensitive Outcomes, 505 Nursing Interventions, 506 Principles of Teaching and Learning, 507 Nursing Interventions for Learning Challenges Encountered by Older Adults, 508 Diverse Strategies to Enhance Learning Among Older Adults, 5/; Selecting and Preparing Written Materials for Teaching Older Adults, 5;; Other Interventions for Knowledge Deficit, 512 Part VII Self-Perception-Self-Concept Pattern, sie 40 Normal Changes With Aging, 51 s Self-Concept, sis Self-Esteem, 5J9 XXIV 41 Depression, 52; Related Factors/Etiologies, 521 Psychologic Theories, 521 Biologic Theories, 522 Assessment, 523 Assessment Tools, 523 Nursing Diagnosis, 524 Defining Characteristics, 524 Unique Characteristics of Depression in Elders, 527 Diagnostic and Statistical Manual IV Criteria, 528 Nursing-Sensitive Outcomes, 531 Nursing Interventions, 533 Suicide Prevention, 533 Teaching: Prescribed Medication, 533 Teaching: Disease Process, 534 Emotional Support, 535 Counseling, 535 Behavioral Therapy, 536 Cognitive Therapy, 536 Interpersonal Therapy, 536 Brief Dynamic Therapy, 536 Supportive Therapy, 537 Special Focus of Group Work With Elders, 537 Milieu Therapy, 537 Pharmacologic Interventions, 538 Electroconvulsant Therapy, 540 42 Body Image Disturbance, 543 Body Image: A Developmental Process, 543 Body Schema, 543 Body Self, 544 Body Fantasy, 545 Body Concept, 545 Prevalence, 545 Related Factors/Etiologies, 546 Assessment, 548 Clinical Interview and Observations, 548 Assessment Tools, 549 Nursing Diagnosis, 550 Nursing-Sensitive Outcomes, 552 Nursing Interventions, 555 Body Image Enhancement, 555 Grief Work Facilitation, 555 Cognitive Restructuring, 556 Teaching: Disease Process, 556 Exercise Therapy and Promotion, 557 43 POWERLESSNESS, 562 Related Factors/Etiologies, 563 Related Factors/Risk Factors, 563 Perceived Control, 563 Grief and Loss, 564 Disability, 564 CONTENTS Nursing Diagnosis, 565 Nursing-Sensitive Outcomes, 566 Nursing Interventions, 566 44 Anxiety and Fear, 571 Anxiety, 571 Prevalence, 571 Related Factors/Etiologies, 572 Assessment, 572 Nursing Diagnosis, 576 Nursing-Sensitive Outcomes, 577 Nursing Interventions, 577 Fear, 582 Related Factors/Etiologies, 583 Assessment, 583 Nursing Diagnosis, 584 Nursing-Sensitive Outcomes, 585 Nursing Interventions, 585 45 Self-Esteem Disturbance, 593 Related Factors/Etiologies, 593 Risk Factors, 595 Assessment, 595 Assessment Instruments, 595 Nursing Diagnosis, 597 Nursing-Sensitive Outcomes, 598 Nursing Interventions, 598 46 Hopelessness, m Assessment, 601 Measures of Hopelessness, 602 Measures of Hope, 602 Measures of Depression, 603 Measures of Suicidal Intent/Behaviors, 603 Nursing Diagnosis, 606 Relationship Between Hopelessness and Hope, 606 Levels of Hopelessness, 606 Attributes of Hopelessness, 606 Nursing Outcomes, 607 Nursing Interventions, 608 Experiential Process Interventions, 608 Transcendent or Spiritual Process, 608 Rational or Irrational Thought Process, 608 Part VIII Role-Relationship Pattern, 47 Normal Changes With Aging, 615 Role Changes, 615 Role Adaptations, 616 48 Relocation Stress Syndrome, 6J9 Nursing Diagnosis, 619 Risk Factors, 619 Assessment, 620 Depression and Anxiety, 620 Deterioration in Mental Status, Life Satisfaction, and Social Support, 620 i Contents Morbidity, 620 Assessment Tools, 621 Nursing-Sensitive Outcomes, 622 Life Satisfaction Index, 623 Herth Hope Index, 623 Rosenberg Self-Esteem Scale, 623 Nursing Interventions, 623 Preparing for Relocation, 624 Facilitating Older Adults Control in Relocation, 625 Interventions Tested Empirically But Not in Relocation Contexts, 626 49 Grieving, 63i Related Factors/Etiologies, 633 Support System, 633 History of Loss, 633 Emotional Maturity, 633 Centrality of the Loss, 633 Assessment, 634 Nursing Diagnosis, 636 Nursing-Sensitive Outcomes, 638 Nursing Interventions, 639 ENUF, 640 Future Directions, 646 50 Social Isolation, 65i Conceptual Framework, 651 Assessment, 652 Nursing Diagnosis, 654 Defining Characteristics, 655 Nursing-Sensitive Outcomes, 657 Nursing Interventions, 659 51 Impaired Communication, 664 Related Factors/Etiologies, 665 Nonfluent Aphasia, 668 Fluent Aphasia, 668 Conduction Aphasia, 669 Global Aphasia, 669 Anomic Aphasia, 669 Transcortical Aphasia, 669 Apraxia, 669 Dysarthria, 669 Right Hemisphere Deficits, 669 Alzheimer s Disease,67J Assessment, 671 Nursing Diagnosis, 673 Nursing-Sensitive Outcomes, 673 Nursing Interventions, 673 52 Caregiver Role Strain, 679 Related Factors/Etiologies, 679 Care Role Expectations, 679 Competing Role Demands, 679 Demands on Time, 680 Demands on Finances, 680 XXV Assistance With Care, 68; Caregiver Characteristics, 681 Care-Recipient Characteristics, 682 Family Relationships, 682 Living Arrangements, 683 Assessment, 683 Nursing Diagnosis, 685 Nursing-Sensitive Outcomes, 685 Nursing Interventions, 686 Mobilize and Maintain Resources and Support System Enhancement, 689 53 Risk For Violence: Self-Directed or Directed at Others, 696 Risk Factors, 696 Violence Directed at Others, 696 Self-Directed Violence, 697 Assessment, 698 Selected Assessment Scales, 698 Nursing Diagnosis, 699 Nursing-Sensitive Outcomes, 700 Nursing Interventions, 701 54 Self-Determination, 706 Living Will, 707 Durable Power of Attorney for Health Care, 708 Substitute Decision Making, 708 Nursing Diagnosis, 709 Norwood Hospital v. Munoz (1991), 709 Lane v. Candura (1978), 7U Bartling v. Superior Court (1984), 713 Cruzan v. Director, Missouri Department of Health (1990), 714 55 Altered Family Processes, 719 Assessment, 720 Family Assessment Measures, 720 Nursing Diagnosis, 721 Nursing-Sensitive Outcomes, 723 Nursing Interventions, 723 Family Support Interventions, 723 Skill Training Interventions, 723 Interventions That Promote Family Cohesion and Unity, 725 Part IX Sexuality-Reproductive Pattern, 72s 56 Normal Changes With Aging, 729 Older Persons and Their Sexual Partners, 729 Patterns of Sexuality in Older Persons, 730 Physiologic Changes With Aging Related to Sexuality, 731 57 Sexual Dysfunction, 733 Nursing Diagnosis, 733 Related Factors/Etiologies, 733 Altered Body Structure or Function: Diseases, 733 xxvi Altered Body Structure or Function: Surgery, Chemotherapy, and Radiation Treatment, 738 Altered Body Structure or Function: Medications, 739 Knowledge Deficit or Misinformation: Diseases, 739 Knowledge Deficit or Misinformation: Surgery, Chemotherapy, and Radiation Treatment, 740 Lack of Knowledge or Misinformation: Medications, 740 Nursing-Sensitive Outcomes, 740 Knowledge: Disease Process, Treatment Procedure(s), or Treatment Regimen, 740 Knowledge: Medication, 740 Symptom Control Behavior, 742 Safety Behavior: Personal, 742 Health Seeking Behavior: Adherence, 742 Caregiver Weil-Being, 743 Acceptance: Health Status, 743 Nursing Interventions, 743 Nursing Interventions for Sexual Dysfunction Related to Altered Body Structure and Function, 744 Nursing Interventions for Sexual Dysfunction Related to Knowledge Deficit/Misinformation, 745 58 Altered Sexuality Patterns, 750 Nursing Diagnosis, 750 Related Factors/Etiologies, 750 Altered Body Function or Structure, 750 Knowledge or Skill Deficit and Misinformation, 752 Impaired Relationship With a Significant Other, 753 Altered Sexuality Patterns Related to Lack of Significant Other, 753 Lack of Privacy, 753 Sexual Orientation or Variant Preferences,753 Values Conflict, 753 Fear of Acquiring a Sexually Transmitted Disease, 754 Nursing-Sensitive Outcomes, 754 Knowledge: Sexual Functioning, 754 Adjustment to Aging: Sexual Functioning, 754 Communication: Sexual Functioning, 754 Symptom Control: Menopausal Symptoms, 754 Knowledge: Medication (ERT/HRT), 756 Body Image: Sexual Attractiveness, 756 Grief Resolution: Sexual Partner, 756 Social Restructuring: Facilitation of Sexual Behaviors, 756 Conflict Resolution: Sexual Preferences/Variants and Values, 756 Contents Risk Control: Sexually Transmitted Diseases, 757 Nursing Interventions, 757 Altered Body Function and Structure, 757 Knowledge or Skill Deficit and Misinformation, 757 Impaired Relationship With Significant Other, 758 Lack of Significant Other, 758 Lack of Privacy, 758 Conflicts With Sexual Orientation/Variant, 759 Values Conflict, 759 Fear of Acquiring a Sexually Transmitted Disease, 759 Part X Coping-Stress Tolerance Pattern, 762 59 Normal Changes With Aging, 763 Stress in the Elder, 763 Coping Mechanisms, 763 60 Ineffective Individual Coping, 766 Related Factors/Etiologies, 770 Risk Factors, 770 Health and Energy, 770 Positive Beliefs About God and Control, 770 Commitments and Social Support, 770 Social Skills and Problem-Solving Skills, 770 Material Resources, 770 Personal Constraints, 771 Environmental Constraints, 771 Assessment, 771 Nursing Diagnosis, 771 Nursing-Sensitive Outcomes, 774 Nursing Interventions, 775 Part XI Value-Belief Pattern, -. 61 Normal Changes With Aging, 779 Spirituality, 779 Religiosity, 779 62 Spiritual Distress, 732 Related Factors/Etiologies, 782 Assessment, 783 Nursing Diagnosis, 784 Nursing-Sensitive Outcomes, 786 Nursing Interventions, 789 Therapeutic Use of Self, 789 Prayer, 790 Healing of Memories, 790 Reminiscence Therapy, 790 Future Directions for Research, Education, and Practice, 794 Epilogue: The Progression of Knowledge and the Nursing Profession, 797 Contents Evidence-Based Practice, 798 Advancing the Practice of Nursing, soo Appendix A: Website Resources, 803 Appendix B: Membership Application, sos Appendix C: Nursing-Sensitive Outcomes Classification Review Form, 806 A. General Comments About the Classification, 806 B. Feedback on a Particular Outcome, 806 C. Guidelines for Outcome Submission, 806 xxvii Appendix D: Guidelines for Submission of a New or Revised Intervention, 807 The Materials Needed, 807 The Review Process, 807 Principles for Intervention Development and Refinement, 807 Appendix E: Demographic Information Form, 809
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title	Nursing care of older adults diagnoses, outcomes, and interventions
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title_full	Nursing care of older adults diagnoses, outcomes, and interventions Meridean L. Maas ; Jackie Akins
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title_full_unstemmed	Nursing care of older adults diagnoses, outcomes, and interventions Meridean L. Maas ; Jackie Akins
title_short	Nursing care of older adults
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