Gerontological Nursing: Competencies for Care, Third Edition by Kristen L. Mauk, PhD, CRRN, GCNS-BC, GNP- PC, FAAN, is a comprehensive text that offers a holistic and interdisciplinary approach to caring for the elderly. Readers will gain the skills and understand the theory needed to provide outstanding care for the growing elderly population.
The text follows the framework of the Core Competencies of the American Association of Colleges of Nursing (AACN) and the John A. Hartford Foundation Institute for Geriatric Nursing. This framework allows readers to learn and develop all aspects of nursing care in a familiar and structured learning platform.
The Third Edition contains 16 new chapters, including a unit on the management of geriatric syndromes. The book features ancillary tools and exercises designed to help students process and retain course concepts more efficiently and effectively.
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KEY FEATURES • Learning Objectives
• Key Concepts
• Tables and boxes
• Key concept highlights in text
• Pictures, diagrams, and drawings
• Research Highlights
• Critical Thinking Exercises
• Personal Reflection exercises
• Case Studies with questions
• List of resources and references
Student Resources: Each new copy of the text includes access to the Navigate Companion Website that features bonus chapters not found in the printed text. Additional resources to enhance the learning experience include 8 bonus eChapters, an interactive glossary, interactive flashcards, learning objectives, case studies, critical thinking exercises, and personal reflections.
Instructor Resources:
• PowerPoint Presentations
• Test Bank
• Sample Syllabi
• instructor’s Manual featuring critical thinking questions, suggested activities, and chapter outlines
Table of Contents
Preface • Foreword • Contributors • Reviewers
UNIT I: Foundations for Gerontological Nursing • (Competencies 1, 9, 19)
Chapter 1: Introduction to Gerontological Nursing(Deborah Conley, Jeanne St. Pierre) • (Competencies 1, 19) • The History of Gerontological Nursing • Landmarks in the Development of Gerontological Nursing • Attitudes Toward Aging and Older Adults • Definitions • Roles of the Gerontological Nurse • Certification • Scope and Standards of Practice • Core Competencies • Research in Gerontological Nursing • Summary • References
Chapter 2: The Aging Population (Cheryl A. Lehman, Andrea Wirt) • (Competency 19) • The Numbers • Mortality and Morbidity • The History of Aging in the United State: • Summary • References
Chapter 3: Theories of Aging(Jean Lange, Sheila Grossman) • (Competency 19) • Psychosocial Theories of Aging • Biological Theories of Aging • Implications for Nursing • Summary • References
UNIT II: Communication and Assessment • (Competencies 2-6, 13, 15)
Chapter 4: Therapeutic Communication with Older Adults, Families, and Caregivers (Kristine Williams, Kerry Mees) • (Competencies 2, 5, 15) • Communication Basics • Communication and Older Adults • Strategies to Aid Communication with Individuals with Communication Impairments • Summary • References
Chapter 5: Teaching Older Adults and Their Families (Kathleen Blais, Nora Bollinger) • (Competencies 2, 15) • Changing Demographics • Health Promotion and Illness/Injury Prevention • Principles of Adult Learning • Older Adults and Lifelong Learning • Barriers to Older Adults’ Learning • Technology for Older Adults’ Lifelong Learning • Cultural Diversity and Health Disparities Among Older Adults • Implications for Gerontological Educators • Strategies for Teaching Older Adults and Their Caregivers • Summary ‘ • References
Chapter 6: Comprehensive Assessment of the Older Adult (Lorna Guse) • (Competencies 3, 4, 6) • Functional Assessment • Physical Assessment • Cognitive Assessment • Psychological Assessment • Social Assessment • Spiritual Assessment • Other Assessment: Obesity • Developing an Individualized Plan of Care • Summary • References
UNIT III: Health Promotion, Risk Reduction, and Disease Prevention • (Competencies 3-5, 9, 17, 18)
Chapter 7: Promoting Healthy Aging (David Haber) • (Competencies 4, 5, 9, 17, 18) • Healthy People Initiatives • Medicare Prevention • Health Behavior Change • Nutrition • Mental Health • Model Health Promotion Programs for Older Adults • Re-Engagement Instead of Retirement • Green House • Summary • References
Chapter 8: Identifying and Preventing Common Risk Factors in the Elderly (Joan M. Nelson) • (Competencies 3, 4, 9, 17) • Introduction • Health Promotion and Disease Prevention Definitions • Screening • The Focus of Health Promotion Efforts • Self-Management • Physical Activity • Nutrition • Tobacco Use • Safety • Polypharmacy and Medication Errors • Immunizations • Mental Health Screening • Alcohol Abuse • Elder Abuse and Neglect • Heart and Vascular Disease • Stroke • Thyroid Disease • Osteoporosis • Vision and Hearing • Prostate Cancer • Breast Cancer • Colorectal Cancer Screening • Summary • References
UNIT IV: Illness and Disease Management • (Competencies 9, 15-18)
Chapter 9: Management of Common Illnesses, Diseases, and Health Conditions (Kristen L. Mauk, Patricia Hanson and Debra Hain) • (Competencies 9, 5, 17, 18) • Cardiovascular Problems • Respiratory Problems • Gastrointestinal Disorders • Genitourinary Problems • Neurological Disorders • Musculoskeletal Disorders • Sensory Impairments • Integumentary Problems • Endocrine/Metabolic Disorders • Summary • References
Chapter 10: Nursing Management of Dementia (Christine E. Schwartzkopf, Prudence Twigg) • (Competencies 9, 15) • Dementia • Delirium • Depression • Caring for the Person with Dementia • Settings for Care: Focus on Adult Day Services • Hospice/Palliative Care • Legislative Action • Summary • References
UNIT V: Management of Geriatric Syndromes • (Competencies 3, 7, 12, 17)
Chapter 11: Polypharmacy (Demetra Antimisiaris, Dennis J. Cheek) • (Competencies 7, 17) • Background • Significance of the Problem • Risk Factors • Summary • References
Chapter 12: Falls in Older Adults(Marge Dean, Barbara Harrison and DeAnne Zwicker) • (Competencies 3, 7, 12, 17) • Introduction • Falls in the Hospital Setting • Falls in the Community Setting • Summary • References
Chapter 13: Delirium (Susan Saboe Rose) • (Competencies 7, 17) • Definition and Etiology • Background • Significance of the Problem • Risk Factors • Warning Signs • Assessment • Standardized Tests for Delirium • Diagnosis • Interventions • Summary • References
Chapter 14: Anxiety & Depression in the Older Adult (Mary Lochner, Lisa Byrd) • (Competencies 7, 17) • Behavioral Changes Associated with Aging ‘ • Anxiety • Depression • Summary • References
Chapter 15: Urinary Incontinence (B. Renee Dugger, Audrey Cochran) • (Competencies 7, 17) • Prevalence • Implications of Urinary Incontinence • Assessment • Summary • References
Chapter 16: Sleep Disorders(Carol Enderlin, Melodee Harris, Karen M. Rose and Lisa Hutchins) • (Competencies 7, 17) • Introduction • Sleep and Quality of Life • Common Sources of Geriatric Sleep Disturbance • Summary • References
Chapter 17: Dysphagia and Malnutrition (Neva L. Crogan) • (Competency 7) • Dysphagia • Malnutrition • Summary • References
Chapter 18: Pressure Ulcers (Sandra Higelin) • (Competencies 7, 17) • Introduction • Etiology • Implications/Prelevance of Pressure Ulcers • Pressure Ulcer Prevention • Pressure Ulcer Management • Summary • References
UNIT VI: Leadership and Responsibility • (Competencies, 1, 11, 12, 13)
Chapter 19: The Gerontological Nurse as Manager and Leader (Brenda Tyczkowski, Kristen L. Mauk, Dawna S. Fish and Marilyn Ter Maat) • (Competencies 1, 11, 13) • The Nurse Manager • The Nurse Leader • Leadership Qualities and Theories • Effective Communication • Nursing Leadership Roles in Caring for Older Adults • Multigenerational Workforce Issues • Professional Associations • Summary • References
Chapter 20: Ethical/Legal Principles and Issues (Janice Edelstein) • (Competencies 1, 11, 12) • Conflict and Dilemma • Moral Principles • Patient Rights • Ethics in Practice • Summary • References
UNIT VII: Gerontological Care Issues • (Competencies 3-6, 8-11, 13-16, 18)
Chapter 21: Culture and Spirituality(MaryAnne Pietraniec Shannon, Linda J. Hassler) • (Competencies,) • Culture and Cultural Awareness • Spirituality and Religiosity • Summary • References
Chapter 22: Sexuality (Donald D. Kautz, LaShonda Barnett) • (Competencies 8, 18) • Enhancing Sexual Intimacy • Summary • References
Chapter 23: Abuse and Mistreatment of Older Adults (Kristen L. Mauk, Kathleen Urban) • (Competencie 3, 4, 6, 15) • Background • Types of Elder Abuse • Case Studies • Characteristics of Victims • Characteristics of Perpetrators of Elder Abuse • Prevention of Abuse or Mistreatment • Assessment and Screening • Summary • References
Chapter 24: Alternative Health Modalities (Carole A. Pepa) • (Competencies 8, 9, 18) • What Is Complementary and Alternative Medicine? • Classifications of Complementary and Alternative Medicine • Reasons for Complementary and Alternative Medicine Use • Nursing Interventions • Summary • References
Chapter 25: Caring Across the Continuum (Carol Ann Amann, Raeann G. LeBlanc) • (Competencies 4, 5, 8, 10, 14) • Continuum of Care • Managing Long-Term Needs • Maintaining Independence: Living Options for Older Adults • A Shift in Living Arrangements • End-of-Life Care Options • Nursing Responsibility in Transitioning Care • Caring for the Caregiver • Summary • References
Chapter 26: End-of-Life Care(Patricia Warring, Luana S. Krieger-Blake) • (Competencies 11, 16) • Historical Attitudes Toward Death and Dying • Communication About End of Life • Options for End-of-Life Care • End-of-Life Hospice Care • Focus on Symptoms • Components of Peaceful Dying • Postmortem Care • Summary • References
Chapter 27: Global Models of Health Care (Carole A. Pepa) • (Competencies 8, 13) • International Models of Health Care • U.S. Health Care System and Policies • Summary • References
Chapter 28: Using Current System Models to Guide Care (Valerie Gruss, Deborah Strickland) • (Competencies 4, 5, 8, 10, 14) • Acute Care Models and Programs • Transitional Care Models and Programs • Transitional Care Electronic Resources • Care Coordination • Community Care Models and Programs • Nursing Home Care Models • Summary • References • Glossary • Index
UNIT VIII: eChapters • Use the access code at the front of your book to view these additional chapters online.
Chapter 29: Review of the Aging of Physiological Systems(Janice Heineman, Jennifer Hamrick-King and Beth Scaglione Sewell) • (Competencies 9, 19)
Chapter 30: Care of the Older Adult with Cancer (Ashley Leak, Stephanie Lucas) • (Competencies 9, 16)
Chapter 31: Interdisciplinary Collaboration and Teams (Deborah Dunn, Teresa L. Cervantez Thompson) • (Competency 13)
Chapter 32: Legal Aspects of Gerontological Nursing (Mary Alice Kothe) • (Competencies 1, 11, 13)
Chapter 33: Technology and Care of Older Adults (Linda L. Pierce, Victoria Steiner) • (Competencies 5, 18)
Chapter 34: Pain Management (Karion Gray Waites, Kathy Stevens) • (Competencies 8, 9)
Chapter 35: Emergent Care of the Older Adult (Michelle Moccia, David John Cheesebrow) • (Competencies 10, 11, 14)
Chapter 36: Health Policy (Cheryl Kruschke, Annette Kelly and Patrick Luib) • (Competencies 3, 13, 16)
About the Author
Kristen L. Mauk, PhD, DNP, CRRN, GCNS-BC, GNP-BC, FAAN- Professor of Nursing and Kreft Endowed Chair for the Advancement of Nursing Science, Valparaiso University, Valparaiso, Indiana, Health Care Consultant, Mauk Financial Solutions, LLC, Valparaiso, Indiana
Dr. Mauk is a certified gerontological clinical nurse specialist and gerontological nurse practitioner, as well as a Hartford Geriatric Scholar and Fellow of the American Academy of Nursing. With nearly 30 years of experience in rehabilitation and gerontology, she is the author or editor of six books and has contributed to numerous others. Her professional contributions have been recognized with several awards including: Associate of Rehabilitation Nurses’s (ARN) Educator Role Award (2007), Valparaiso University Caterpillar Award for Excellence in Teaching (2007), CASE/Carnegie Foundation Indiana Professor of the Year Award (2007), ARN’s Distinguished Service Award (2005), and two American Journal of Nursing (AJN) Book of the Year Awards (1999, 2010) for Gerontological Rehabilitation Nursing and Gerontological Nursing: Competencies for Care (second edition). Currently a Professor of Nursing at Valparaiso University, she holds the Kreft Endowed Chair for the Advancement of Nursing Science, a position dedicated to gerontological nursing.
