Case Studies in Gerontological Nursing for the Advanced Practice Nurse

426 Pages·2014·28.92 MB·English

by  Meredith Wallace Kazer

Case Studies
in Gerontological
Nursing for
the Advanced
Practice Nurse

Case Studies
in Gerontological
Nursing for
the Advanced
Practice Nurse
Editors
Meredith Wallace Kazer,
PhD, APRN, A/GNP-BC, FAAN
Leslie Neal-Boylan,
PhD, RN, CRRN, APRN, FNP-BC
A John Wiley & Sons, Inc., Publication
This edition first published 2012 © 2012 by John Wiley & Sons, Inc.
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Library of Congress Cataloging-in-Publication Data
Case studies in gerontological nursing for the advanced practice nurse / editors,
Meredith Wallace Kazer, Leslie Neal-Boylan.
p. ; cm.
Includes bibliographical references and index.
ISBN-13: 978-0-8138-2378-2 (pbk.: alk. paper)
ISBN-10: 0-8138-2378-1 (pbk.: alk. paper)
1. Geriatric nursing–Case studies. I. Kazer, Meredith Wallace, PhD, RN.
II. Neal-Boylan, Leslie.
[DNLM: 1. Nursing Care–Case Reports. 2. Aged. WY 152]
RC954.c42 2012
618.97′0231–dc23
2011017809
A catalogue record for this book is available from the British Library.
Set in 10/12pt Palatino by Toppan Best-set Premedia Limited
1 2012
Contents
Contributors ix
Introduction xvii
Abbreviations and Acronyms xxi
Section 1 The Aging Population 1
Case 1.1 Recipe for Successful Aging 3
By Christine Tocchi, PhD(C), MSN, APRN, GNP-BC
Case 1.2 Cultural Competence Is a Journey 15
By Jina Ko, MSN, RN, ANP-C and Julie M. L. Lautner, MSW, MSN, RN
Case 1.3 The Ugly Face of Ageism 23
By Shelley Yerger Hawkins, DSN, APRN, FNP, GNP, FAANP
Case 1.4 If Only We Had National Health Insurance 31
By Philip A. Greiner, DNSc, RN
Section 2 Common Health Challenges of Aging 37
Case 2.1 The Heart of It All 39
By Jaclyn R. Jones, MSN, APRN, NP-C
Case 2.2 I Have This Thing on My Skin 47
By Everol M. Ennis, Jr., MSN, APRN, A/GNP-BC
Case 2.3 Why Is My Mother Wearing a Diaper? 57
By Annemarie Dowling-Castronovo, PhD(c), RN
Case 2.4 My Aching Back 65
By Anne Moore, DNP, RN
v
vi    Contents
Case 2.5 More Than Just Constipation 75
By Frieda R. Butler, PhD, MPH, FAAN, FGSA
Case 2.6 Are You in the Hospital Again? 85
By Kimberly O. Lacey, DNSc, MSN, CNS
Case 2.7 It Hurts When I Pee 93
By Rebecca Herter, MSN, RN
Case 2.8 The History Reveals All 101
By Devon Kwassman, MSN, RN
Case 2.9 Kneedless Pain 111
By Maureen E. O’Rourke, RN, PhD, and Kenneth S. O’Rourke, MD
Case 2.10 Life after a Right CVA 125
By Cynthia S. Jacelon, PhD, RN, CRRN, FAAN
Case 2.11 It Takes My Breath Away 135
By Kathy Murphy, RN, BA, DipN, RNT, MSc, PhD,
Dympna Casey, RGN, BA, MA, PhD,
and Bernard McCarthy, MSc
Case 2.12 What’s Shaking? 145
By Donna Packo Diaz, MS, RN, and Cathi A. Thomas, MS, RN, CNRN
Case 2.13 Too Much to Manage 153
By Melanie J. Holland, BSN, MS
Case 2.14 Them Bones, Them Bones 167
By Ivy M. Alexander, PhD, APRN, ANP-BC, FAAN
Section 3 Health Promotion 181
Case 3.1 Never Too Old to Quit 183
By Geraldine Marrocco, EdD, APRN, CNS, ANP-BC
and Amanda LaManna, MSN, RN, NP-C
Case 3.2 Protection by Prevention 189
By Kimberlee-Ann Bridges, MSN, RN-BC, CNL
Case 3.3 Is Being Careful Enough? 195
By Bonnie Cashin Farmer, PhD, RN
Case 3.4 Sick and Tired of Being Sick and Tired 203
By Kathleen Lovanio, MSN, APRN, F/ANP-BC,
Patricia C. Gantert, MSN, RN-BC,
and Susan A. Goncalves, DNP(c), MS, RN-BC
Case 3.5 To Screen or Not to Screen 213
By Meredith Wallace Kazer, PhD, APRN, A/GNP-BC, FAAN
Contents    vii
Section 4 Environments of Care 221
Case 4.1 Who Says I Can’t Go Home 223
By Antoinette Larkin, RGN, H. Dip. Gerontology,
and Claire Welford, RGN, DipNS, BNS–Hons., MSc, PGC–TLHE
Case 4.2 Regressing in Rehab 231
By Kendra M. Grimes, MSN, APRN, GNP-BC
Case 4.3 There’s No Place Like Home 239
By Nicholas R. Nicholson, Jr., PhD, MPH, RN, PHCNS-BC
Case 4.4 Caring for the Caregiver 245
By Evanne Juratovac, PhD, RN (GCNS-BC)
Case 4.5 Transitions 253
By Elizabeth McGann, DNSc, RN, and Lynn Price, JD, MSN, MPH, FNP-BC
Case 4.6 Shifting the Focus of Care 261
By Alison Kris, PhD, RN
Case 4.7 Without a Home 267
By Mary Shelkey, PhD, ARNP
Case 4.8 A Place Called Home 277
By Kelly Smith Papa, MSN, RN, and Eileen O’Connor Smith BSN, RN-C
Case 4.9 Aging in Place 285
By Karen Dick, PhD, GNP-BC, FAANP
Section 5 Cognitive and Psychological Issues in Aging 293
Case 5.1 The Diabolical Ds 295
By Kathleen Lovanio, MSN, APRN, F/ANP-BC,
Patricia C. Gantert, MSN, RN-BC,
and Susan A. Goncalves, DNP(c), MS, RN-BC
Case 5.2 What a Difference a Day Makes 305
By Cora D. Zembrzuski, PhD, APRN
Case 5.3 I Don’t Feel Good 313
By Evanne Juratovac, PhD, RN (GCNS-BC)
Case 5.4 Understanding Distress 323
By Eileen O’Connor Smith, BSN, RN-C, and Kelly Smith Papa, MSN, RN
Section 6 Issues of Aging and Independence 333
Case 6.1 Too Much of a Good Thing 335
By Susan C. Frazier, MS, NP-C, GNP-BC
viii    Contents
Case 6.2 Driving in My Car 343
By Valerie C. Sauda, RN-BC, MS
Case 6.3 Sex Does Not Stop with Seniority 351
By Ashley Domingue, MSN, RN, ANP-BC, GNP-C
Case 6.4 Hidden Pathology 359
By Marie Boltz, PhD, APRN, BC
Case 6.5 Taking Control of the Pain 367
By Alison Kris, PhD, RN
Case 6.6 The Road toward End-of-Life Decision Making:
Who Has the Right of Way? 373
By Barbara L. Kramer, MSN, RN, CHPN,
and Christine M. Goldstein, LCSW-R, OCW-C
Index 381