There are many age-specific factors that increase the risk of adverse reactions to medications in the elderly and medication?related illness among the elderly is rising. In this chapter, learn how to ...safely use medication in aged care...
Enteral Feeding in Aged Care
Nurses and carers must ensure that nutritional requirements are met for patients who are unable to eat or swallow oral foods. In these cases, it is likely that such persons will have an enteral feedin...g tube of some type. This chapter covers the skills required to ensure the necessary nutritional needs of a person requiring enteral feeding are met.
Nutrition in Aged Care
Eating and drinking is basic to sustaining life. Withdrawing food and fluid leads to starvation and dehydration, and even death. The provision of sufficient nutrients and energy will improve a person'...s health and general quality of life, and this has a significant impact upon their overall sense of wellbeing and quality of life. This chapter explores these issues, and provides guidance on how to ensure the elderly in your care receive optimal nutrition.
Contemporary aged care is a multicultural environment. Staff, the people they care for and visitors to their facilities often have varied cultural backgrounds. The aim of this chapter is to assist the... nurse to appreciate the issues faced by such people and provide guidelines for interacting with them in a sensitive and caring manner.
Memory loss is a common complaint as people grow older. Memory function involves the ability to perceive something, the ability to register this perception, the ability to encode and store the memory ...and the ability to retrieve this information at a later date. In this chapter, the reader will learn about memory loss; its causes, assessment, treatment and more.
Assessments are an essential prerequisite to caring for frail and elderly people. Conducting a proper assessment is a complex and important task, and it must be undertaken with a complete understandin...g of the components involved. This chapter reviews the elements of best practice for conducting an assessment in an aged care environment.
Incontinence in Aged Care Environments
Incontinence is a problem frequently encountered by nurses and personal carers, particularly in aged care, and it is frequently misunderstood. This chapter tackles the importance of understanding what... incontinence is, who it affects, why it happens and what can be done about it.
Aged Care Nursing
This chapter provides a basic overview of aged care nursing, including the skills needed by nurses who are routinely required to undertake assessment of residents and other elderly people. It also exa...mines the skills needed to assess, analyse and plan care.
Falls in Aged Care
Falls among people over 65 are common. However, recent developments in research and practice indicate that a range of actions can be effective in reducing falls-related injuries among older people. Th...is chapter explores these developments, and suggests a range of options that can be implemented to reduce this risk in aged care.
The care of the dying is a challenging, rewarding and often inevitable aspect of aged care. However, maintaining dignity and respecting the wishes of those that are dying can be a complex and difficul...t task in a busy and demanding environment, and their are many pitfalls that can lead to a less than dignified death. The aim of this chapter is to introduce a broad understanding of palliative care and its application in aged care.
Wandering Behaviour in Aged Care Setting...s
Nurses who work with the elderly are familiar with those in residential care who are described as ‘wanderers.’ Episodes of wandering can cause significant stress to staff and families, and can eve...n lead to unnecessary injury to the wanderer themself. This chapter provides a basic insight into this complex phenomenon.
Skin and Oral Hygiene in Aged Care
Adequate skin and oral care is of extreme importance to the comfort, health and wellbeing of the elderly. Understanding how to deliver this care will ensure good patient care outcomes and prevent unne...cessary discomfort. This chapter provides evidence based guidelines to ensure that appropriate oral and skin care is undertaken.
Dysfunctional Behaviour in Aged Care Set...tings
Dysfunctional behavior of various forms can present significant challenges to nurses who care for the aged, and has a flow on effect upon patient outcomes and staff retention. This chapter deals with ...the reasons for dysfunctional behavior, what the common causes might be and provides different strategies for managing it.
History and Issues
This chapter focuses on the history of aged care. It explores its problems and benefits and suggests ways of improving the aged care system. With diagrams and sub-headings this chapter is accessible a...nd easy to understand...
Delirium and Dementia
Cognitive impairment is common in older people living in aged care. With the percentage of the population surviving into old age and requiring aged care expected to rise significantly in the next half... century, the percentage of those with delirium or dementia in care is also going to increase. This chapter describes how to identify cognitive deficits and to manage the resulting symptoms using the nursing process.
The abuse of elderly people occurs both in the community and in healthcare institutions. To be able to identify and act on possible abuse, nurses need specific education, training and guidance to heig...hten their awareness. This chapter explores the causes of abuse and provides advice on early prevention.
This chapter provides a preliminary introduction to Aged Care Nursing: A Guide to Practice. Emphasising the concepts of caring and dignity, the authors outline the themes, motivation and need for the ...book, and list the biographies of contributing authors.
The Whole Person
The dramatic increase in the longevity of older adults in our global society has brought an expansion in their numbers and in their potential for trauma and dementing illness, the most common of which... is Alzheimer's disease. Dementia is one of the major health problems of our ageing society. It is the nightmare the elderly pray to avoid. This chapter sets forth a holistic model for exploring the complexities of dementia.
Enriching the Environment
This chapter begins with an exposé of the everyday environments of care units as experienced by many people with dementia, and follows with a discussion of how and why such inappropriate and inadequa...te environments continue to exist. The chapter then discusses how practice can be transformed, how environments can be enriched, and how meaning can be restored to the lives of people with dementia.