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Gerontology Nursing Case Studies, Second Edition

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Gerontology Nursing Case Studies, Second Edition

SKU# 9780826194046

100+ Narratives for Learning

Author: Donna J. Bowles MSN, EdD, RN, CNE

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Praise for the first edition:

"This is an excellent teaching guide and resource manual for instructors, gerontological nursing students, and practicing nurses and social workers who wish to learn more about geriatric concerns and care. It will be kept by nursing students long after they graduate as a guide to resources that will be valuable throughout their nursing careers. As a home care nurse working mainly with the geriatric community, I found the resources helpful in my practice. As an instructor, I found the book to be a very useful guide for teaching geriatrics." Score: 90, 4 Stars

óDoody's Medical Reviews

"[This] is a unique volume that effectively addresses the lack of gerontology case studies for use with undergraduate nursing students. Case studies are a pedagogically powerful approach to active learning that offer opportunities to apply content to clinical practice."

óThe Gerontologist

"The case narrative approach of this book promotes active learning that is more meaningful to students (and practicing nurses) and more likely to increase the transfer of evidence into practice. An excellent resource for faculty (staff educators) to facilitate critical learning skills."

óLiz Capezuti, PhD, RN, FAAN

Dr. John W. Rowe Professor in Successful Aging

Co-Director, Hartford Institute for Geriatric Nursing

New York University College of Nursing

Vivid case examples help guide nurses in developing appropriate interventions that include complementary and alternative health therapies and provide a basis for evaluating outcomes. Exercises interspersed throughout each case study include numerous open-ended and multiple-choice questions to facilitate learning and critical thinking. The text is unique in that some of the presented cases focus on psychosocial issues such as gambling addiction, hoarding behavior, emergency preparedness, and long-distance caregiving. Cases also depict geriatric clients who are living healthy, productive lives to counter myths and negative attitudes about older adults. Scenarios demonstrating ethical dilemmas prepare students to appropriately respond to "gray area" situations. The text is geared for AACN and NLN accreditation and is organized according to the needs of actual clinical settings. With cases that take place in the home and community or within primary, acute, and long-term care facilities, this book will be useful for courses specific to gerontology nursing or across any nursing curriculum.

New to the Second Edition:

  • A completely new section of Aging Issues Affecting the Family
  • New cases addressing health care disparities, aging in place, and prevention of catheter-associated urinary tract infection
  • Additional contemporary case studies
  • The addition of Quality for Safety in Nursing Education (QSEN) initiatives
  • A greater focus on prioritization and delegation of client's needs infused throughout exercises

Product Details 

  • Publication Date April 08, 2015
  • Page Count 290
  • Product Form Paperback / softback
  • ISBN 13 9780826194046
  • EISBN 9780826194053

Table of Contents 

Donna J. Bowles, MSN, EdD, RN, CNE, is a professor at the School of Nursing at Indiana University Southeast in New Albany, Indiana. Dr. Bowles coordinates and teaches the didactic courses in Alterations in Health I and II, with the corresponding Practicums, the Senior Capstone Practicum, and an NCLEX-RN© preparation class. Dr. Bowles has written three chapters for the textbook Medical–Surgical Nursing, Second Edition, edited by Daniels and Nicoll (2011) and “The Adult Client” chapter in Daniels’s Nursing Fundamentals: Caring and Clinical Decision Making, second edition (2008). She was a coeditor with Mary Ann Hogan for Nursing Fundamentals: Review and Rationales (2002). She has published several peer-reviewed articles, including “Active Learning Strategies . . . Not for the Birds!” (International Journal of Nursing Education Scholarship, 2006), and “The Wizard of Oz: A Metaphor for Teaching Excellence” (The Teaching Professor, 2005), among others. Dr. Bowles is an active peer reviewer for several textbook publishers, the International Journal of Nursing Education Scholarship, Nursing Spectrum, and the Journal of the Scholarship of Teaching and Learning. She is the recipient of many teaching awards and fellowships and is a member of the following professional societies: STT, the Academy of Medical Surgical Nurses, Delta Epsilon Honor Society, the National League for Nursing, and the National Gerontology Nurses Association.


Foreword Barbara Resnick, PhD, CRNP, FAAN, FAANP


Chapter 1. Political, Ethical, and Legal Issues of Older Adults

Case 1.1 Advance Directives

Case 1.2 Health Care Decision Making

Case 1.3 Physical Restraints

Case 1.4 Patient’s Bill of Rights (Long-Term Care)

Case 1.5 The Older Driver

Case 1.6 Iatrogenesis and the Elderly

Chapter 2. Loss and End-of-Life Issues

Case 2.1 Death of a Spouse

Case 2.2 Prolonged Grief

Case 2.3 Death With Dignity

Chapter 3. Mistreatment of Older Adults

Case 3.1 Physical Abuse

Case 3.2 Physical Neglect

Case 3.3 Consumer Fraud and the Elderly

Case 3.4 Financial Mistreatment

Case 3.5 Health Care Disparities and the Elderly

Chapter 4. Depression, Addiction, and Suicide

Case 4.1 Alcoholism

Case 4.2 Prescription Pain Medication Misuse

Case 4.3 Depression

Case 4.4 Gambling Disorder

Case 4.5 Risk for Suicide

Chapter 5. Assessment and Management of Individual Issues

Case 5.1 Spirituality and Aging

Case 5.2 Frailty

Case 5.3 Functional Decline in the Hospitalized Elderly

Case 5.4 Aging in Place

Case 5.5 Hoarding Behavior

Case 5.6 Health Promotion for the Elderly Client

Case 5.7 Overview of Medicare Services

Chapter 6. Sexuality

Case 6.1 Erectile Dysfunction

Case 6.2 Vaginal Dryness and Dyspareunia

Case 6.3 Sexual Problems Due to Physical Limitations

Case 6.4 Sexual Expression for Institutionalized Older Adults

Chapter 7. The Aging Sensory System

Case 7.1 Gustatory and Olfactory Disturbance

Case 7.2 Hearing Loss

Case 7.3 Somatosensory Disturbance

Case 7.4 Macular Degeneration

Case 7.5 Visual Alterations

Chapter 8. Integumentary Disorders and Infectious Diseases of the Elderly

Case 8.1 Venous Insufficiency in a Homebound Elder

Case 8.2 Pressure Ulcer in an Acute Care Setting

Case 8.3 Burns and the Elderly

Case 8.4 Dermatologic Drug Reaction

Case 8.5 Postoperative Infection (Clostridium difficile)

Case 8.6 Herpes Zoster (Shingles)

Chapter 9. The Aging Musculoskeletal System

Case 9.1 Osteoarthritis

Case 9.2 Hip Fracture

Case 9.3 Falls: Home Environment

Case 9.4 Fall Prevention in a Hospital Setting

Case 9.5 Immobility

Case 9.6 Osteoporosis

Case 9.7 Foot Problems in the Elderly

Chapter 10. The Aging Neurologic System

Case 10.1 Cerebrovascular Accident (CVA) (Acute Phase)

Case 10.2 CVA Rehabilitation Phase

Case 10.3 Parkinson’s Disease

Case 10.4 Alzheimer’s Disease

Case 10.5 Dizziness/Vertigo

Chapter 11. The Aging Cardiovascular System

Case 11.1 Coronary Artery Disease: Living With Chronic Stable Angina

Case 11.2 Congestive Heart Failure

Case 11.3 Chronic Atrial Fibrillation

Case 11.4 Peripheral Vascular Disease

Case 11.5 Hyperlipidemia

Case 11.6 Abdominal Aortic Aneurysm

Case 11.7 Anemia

Case 11.8 Pacemaker Implantation

Chapter 12. The Aging Pulmonary System

Case 12.1 Pneumonia

Case 12.2 Lung Cancer

Case 12.3 Chronic Obstructive Pulmonary Disease

Case 12.4 Tuberculosis

Case 12.5 Pulmonary Embolism

Case 12.6 Influenza Prevention in the Elderly

Chapter 13. The Aging Endocrine System

Case 13.1 Diabetes Mellitus (Screening)

Case 13.2 Diabetes Mellitus and Medication

Case 13.3 Diabetes Mellitus and Nutrition

Chapter 14. The Aging Genitourinary System

Case 14.1 Transient Urinary Incontinence

Case 14.2 Benign Prostatic Hypertrophy

Case 14.3 Functional Incontinence

Case 14.4 Acute Renal Insufficiency

Case 14.5 Pelvic Organ Prolapse

Case 14.6 Catheter-Associated Urinary Tract Infections

Chapter 15. Nutrition and the Aging Gastrointestinal System

Case 15.1 Mealtime Difficulties

Case 15.2 Oral Health

Case 15.3 Diverticular Disease

Case 15.4 Chronic Constipation

Case 15.5 Hiatal Hernia

Case 15.6 Hydration Management

Chapter 16. Cancer in the Older Adult

Case 16.1 Chemotherapy and the Aged

Case 16.2 Colorectal Cancer

Case 16.3 HIV/AIDS

Case 16.4 Hospice Care

Chapter 17. Cognitive Impairment in the Older Adult

Case 17.1 Acute Confusion (Delirium)

Case 17.2 Early Dementia

Case 17.3 Dementia (Late Stage)

Case 17.4 Wandering/Need for Movement

Case 17.5 Agitation and Aggression

Chapter 18. Cultural Diversity

Case 18.1 Culturally Specific Care—Part I

Case 18.2 Culturally Specific Care—Part II

Case 18.3 The Homeless Aging

Case 18.4 The Baby Boomer Culture

Chapter 19. Pain Management in the Older Adult

Case 19.1 Undertreatment of Pain

Case 19.2 Side Effects of Opioids

Case 19.3 Adjuvants for Pain Control

Case 19.4 Noninvasive Interventions for Pain

Chapter 20. Sleep Disturbances in the Older Adult

Case 20.1 Restless Legs Syndrome

Case 20.2 Insomnia

Case 20.3 Hypersomnia

Chapter 21. Aging Issues Affecting the Family

Case 21.1 Caregiver Burden

Case 21.2 Ineffective Family Coping

Case 21.3 Emergency Preparedness for the Elderly and Their Families

Case 21.4 Leaving the Homestead: Challenges and Solutions

Case 21.5 Long-Distance Caregiving

Case 21.6 Relationships and Aging

Case 21.7 Geriatric Specialists for the Family