All Resources (eChapter)
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.
Pressure Ulcers and Leg Ulcers
Wound management involves caring for the person with a wound, not only the wound. Each person with a wound should be treated in a holistic manner that includes the physical, psychological, emotional a...nd social effects of the injury upon that person. This chapter explores the issues of contemporary wound management from the perspective of the benefits to the person as a whole.
Foot Care in Aged Care
Foot problems are a common accompaniment of advancing age and are associated with impaired mobility, limited independence and diminished quality of life. This chapter examines the prevalence and treat...ment of foot disease, and suggests contemporary options for effective treatment that can have a significant impact upon the wellbeing of older persons in care.
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.
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.
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.
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.
Manual Handling and Mobility in Aged Car...e
The mobility and manual handling of people is an important aspect of aged care and an integral part of occupational health and safety practices. Correct technique will ensure staff safety and patient ...comfort. This chapter outlines essential skills in manual handling and mobility to ensure quality 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.
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.
Pain Management in Aged Care
Pain is most often poorly managed in those who are most defenseless against it: the elderly. In particular, those of the elderly who are unable to express their discomfort and ask for help in a clear ...and coherent manner. The focal point of this chapter provides nurses with an insight into pain as it might be experienced and manifest by older persons, and how it can be effectively managed.
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.
Planning and documenting care are two fundamental components of nursing practice. Care plans should always focus on care provision that emphasizes the concepts of dignity and caring, and need to meet ...the legal and ethical standards that will ensure continuity of care to the patient. This chapter updates readers on contemporary care plans and how they are now formulated with the person, for the person.
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.
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...
Complementary therapies are becoming an increasingly popular adjunct to patient care. There are a variety of strategies that nurses can offer their patients to improve the maintenance of personal heal...th. In this chapter you will learn about popular forms of complementary therapy and how they promote wellbeing in the elderly.
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.
Occupational Health and Safety
Elderly people are highly vulnerable to hazards and risks because they are often unable to protect themselves. Aged care nurses therefore must be responsible for safety issues within their own workpla...ces to protect themselves and those within their care. This chapter explores the issues around occupational health and safety in aged care, especially from the perspective of self-regulation.
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.
Communicating in Frustrating Situations
This chapter explores issues of communication in less than ideal circumstances. Frustrating situations experienced by nurses can usually be directly attributed to difficulties associated with communic...ation. In providing care for elderly persons, nurses can experience feelings of anger and helplessness as they attempt to manage challenging behavior. However, these feelings can be responded to in a healthy manner, which will assist in the prevention of recurring frustration, abuse, burnout, depression and discontentment.