Nursing Older Adults

323 Pages·2012·1.71 MB·English

by  Jan Reed

EDITED BY
Nursing Older Adults Jan Reed, Charlotte Clarke and Ann Macfarlane
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“Never was a book like this more urgently needed. Its combination of authority and
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experience makes it especially valuable ... This book makes a good case for encouraging
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older people to enjoy as much autonomy as possible and to collaborate with their carers in i
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keeping well.” Nursing
Broadcaster and writer Joan Bakewell g

“I am delighted to commend this book ... At a time when the number of older people in our O
society is growing and, when their care is often unfavourable under the spotlight, this
publication will provide an invaluable resource for nurses.” l
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Dame Christine Beasley, DBE, Chief Nursing Officer for England
e Older Adults
“This text makes an extraordinary contribution to scholarship and practice and is sure to be
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on most undergraduate and postgraduate nursing students’ ‘must have’ list of texts.”
A
Wendy Moyle, PhD, RN, Director, Research Centre for Community Practice Innovation,
GriffithUniversity, Australia d
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This timely textbook aims to provide adult nurses with the principles and practice insights needed to lt
deliver exceptional care in partnership with older adults. Written by a world renowned author team, s
each chapter includes contributions by older people to ensure their needs and concerns about nursing
care are reflected across the book.
This important book:
• Considers social perspectives, wider issues and themes such as ageism, policy,
services anddemographics
• Evaluates daily activities and needs including: mobility, nutrition,
communication, sexuality andleisure
• Features scenarios based on real situations and narratives from older people
• Examines the use of affirmative language to promote wellbeing and dignity RE
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when nursing olderadults eIT
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Nursing Older Adultswill help nurses to better appreciate the experiences and strengths of older dD B
people. The book emphasises the importance of undertaking a collaborative approach when shaping · CY
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thecare that older people receive in a variety of healthcare settings. a
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Jan Reedis Emeritus Professor of Healthcare for Older People at Northumbria University, UK. e

Charlotte L. Clarkeis Professor of Health in Social Science and Head of the School of Health in · M
SocialScience at the University of Edinburgh, UK. a
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Ann MacfarlaneOBE is an Independent Living and Equalities Consultant focusing on health and f
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socialcare, UK. r
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Cover design Hybert Design (cid:129)www.hybertdesign.com
www.openup.co.uk
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Nursing Older Adults
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Nursing Older Adults
Edited by Jan Reed, Charlotte L. Clarke,
Ann Macfarlane
OpenUniversityPress
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OpenUniversityPress
McGraw-HillEducation
McGraw-HillHouse
ShoppenhangersRoad
Maidenhead
Berkshire
England
SL62QL
email:[email protected]
worldwideweb:www.openup.co.uk
and
TwoPennPlaza,NewYork,NY10121-2289,USA
Firstpublished2012
Copyright©Reed,Clarke,MacFarlane2012
Allrightsreserved.Exceptforthequotationofshortpassagesforthepurposesofcriticismandreview,
nopartofthispublicationmaybereproduced,storedinaretrievalsystem,ortransmitted,inanyform
orbyanymeans,electronic,mechanical,photocopying,recordingorotherwise,withouttheprior
writtenpermissionofthepublisheroralicencefromtheCopyrightLicensingAgencyLimited.Details
ofsuchlicences(forreprographicreproduction)maybeobtainedfromtheCopyrightLicensingAgency
LtdofSaffronHouse,6-10KirbyStreet,London,EC1N8TS.
AcataloguerecordofthisbookisavailablefromtheBritishLibrary
ISBN-13:978-0-335-24084-5
ISBN-10:0-335-24084-4
eISBN:978-0-335-24085-2
LibraryofCongressCataloging-in-PublicationData
CIPdataappliedfor
TypesetbyAptaraInc.,India
PrintedintheUKbyBellandBainLtd,Glasgow.
Fictitiousnamesofcompanies,products,people,charactersand/ordatathatmaybeusedherein(in
casestudiesorinexamples)arenotintendedtorepresentanyrealindividual,company,productor
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Praise for this book
“Neverwasabooklikethismoreurgentlyneeded.Itscombinationofauthorityandexperiencemakes
itespeciallyvaluable.Itswisdomisbasedontheknowledgeandunderstandingofhowgrowingfrail
really afflicts older people. We who have known independence and freedom need to have our lives
respected.Thisbookmakesagoodcaseforencouragingolderpeopletoenjoyasmuchautonomyas
possibleandtocollaboratewiththeircarersinkeepingwell.Thosewhonurseolderpeoplewillfind
muchsoundhelpwithinthesepages.”
BroadcasterandwriterDameJoanBakewell
“I am delighted to commend this book to you. Putting older people at the centre of their care and
supportiscentralinallgoodnursingcare.However,thispublicationclearlydemonstratesthechanges
tonursingpracticethatareneededtomakethisarealityforindividualolderpeople.Atatimewhen
thenumberofolderpeopleinoursocietyisgrowingand,whentheircareisoftenunfavourableunder
thespotlight,thispublicationwillprovideaninvaluableresourcefornurses.”
DameChristineBeasley,DBE,ChiefNursingOfficerforEngland
“Nurseshavealwaysknowntheimportanceofincludingtheconsumer’svoiceintopractice;however,
this text takes this view to additional heights and incorporates the voice of the older person in true
partnershipasabookeditor.Thistextmakesanextraordinarycontributiontoscholarshipandpractice
andissuretobeonmostundergraduateandpostgraduatenursingstudents‘musthave’listoftexts.”
WendyMoyle,PhD,RNDirector,ResearchCentrefor
CommunityPracticeInnovation,GriffithUniversity,Australia
“Nursing Older Adults’ edited by Jan Reed, Charlotte Clarke and Ann Macfarlane is a great book:
giving a comprehensive insight in the fundamentals of working with older people and key issues in
nursingolderpeople.Iverymuchlikedtheempoweringnursingapproach,puttingtheperspectivesand
resourcesofolderpeopleconsequentlyintothefocusofthenursingprocess.Thevoiceofolderpeople
isvividlywritteninmanyexamplesandscenariosgiven.Irecommendthisbooktonurses,carestaff,
allwhoareintheeducationandqualificationsectorandotherstakeholdersineldercareandhopeit
willbeadoptedinabroadinternationalcontext.Ienjoyedreadingit:verywellstructuredandawork
ofreferencefortheissuesinnursingolderadults.”
ProfessorDr.BarbaraKlein,FachhochschuleFrankfurtamMain–
UniversityofAppliedSciences,Germany
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Contents
Contributors ix
Foreword xv
Acknowledgements xvii
PART1 Thefundamentalsofworkingwitholderpeople 1
1 Introductiontonursingolderpeople 3
JanReed,CharlotteL.ClarkeandAnnMacFarlane
2 Independenceandautonomy–thefoundationofcare 9
JanReedandBrendanMcCormack
3 Theaimsandgoalsofcare:aframeworkpromotingpartnershipsbetweenolder
people,familycarersandnurses 23
MikeNolan,SerenaAllan,PatriciaMcGeever,IsabellReidandNinaSzmaites
4 Demographicchangeandpopulationageing 43
AssumptaRyan
5 Workingtogether:participationwitholderpeople 61
ChristineBrownWilson
PART2 Keyissuesinnursingolderpeople 77
6 Fundamentalsofnursing 79
CharlotteL.Clarke
7 Mobility 91
BhanuRamaswamyandDianaJones
8 Nutrition,includingfoodpreparationandplanning 110
AngelaDickinson
vii
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viii CONTENTS
9 Continencemanagement 137
JoBooth
10 Communication 159
DebbieTolsonandChristineBrownWilson
11 Spirituality,religiouspractice,beliefsandvalues 176
KarenS.Dunn
12 Sexualityandintimacy 191
LindaMcAuliffe,RhondaNayandMichaelBauer
13 Riskandsafetyinnursingolderpeople 204
AlisonSteven,SheenaBlairandGabrielTelfordSteven
14 Socialparticipationandsocialnetworks 220
Soong-nangJang
15 Dying 231
AmandaClarkeandPaulaSmith
16 Mentalhealthissuesforolderpeople 251
MimaCattan
17 Reflectionsandviewsfromolderpeopleonhealthandsocialcare 273
AnnMacfarlane
Index 291