老年護(hù)理學(xué)

內(nèi)容概要

郭桂芳主編的《老年護(hù)理學(xué)》針對(duì)老年護(hù)理涉及面廣的特點(diǎn)，從老年人帶病生存、功能狀態(tài)、精神健康以及社會(huì)經(jīng)濟(jì)體制、醫(yī)療體制、養(yǎng)老政策法規(guī)保障、社會(huì)文化和倫理對(duì)老年護(hù)理的影響等角度探討老年護(hù)理中的重點(diǎn)問(wèn)題。全書(shū)分為上、下兩篇，共20章。上篇共8章，為老年護(hù)理學(xué)基礎(chǔ)篇，主要介紹老年護(hù)理過(guò)程中的基礎(chǔ)知識(shí)和共性問(wèn)題；下篇共12章，為老年護(hù)理學(xué)實(shí)踐篇，主要介紹臨床常見(jiàn)的護(hù)理問(wèn)題。每章安排有學(xué)習(xí)目標(biāo)、主要內(nèi)容、章節(jié)要點(diǎn)、評(píng)判性思維練習(xí)和參考文獻(xiàn)。本書(shū)還通過(guò)提供參考文獻(xiàn)和網(wǎng)絡(luò)網(wǎng)址鏈接為學(xué)生進(jìn)一步學(xué)習(xí)提供幫助。本書(shū)以英文為主，中文部分只對(duì)英文的部分內(nèi)容作簡(jiǎn)要介紹，以幫助學(xué)生學(xué)習(xí)。

書(shū)籍目錄

上篇  老年護(hù)理學(xué)基礎(chǔ)
下篇  老年護(hù)理學(xué)實(shí)踐

章節(jié)摘錄

版權(quán)頁(yè)：   The clinical cardinal symptoms for frailty have evolved over time with the current evidence supporting five phenotypes: low strength, low energy, slowed motor performance, low physical activity, and unintentional weight loss. Findings from the Women's Health and Aging Study II suggest that the onset of frailty can be initiated by insults to any of the five phenotypes. Weakness tends to occur first, which is followed by slowness and low physical activity, which in turn precedes exhaustion. Furthermore,early development of weight loss or exhaustion has been found to predict more rapid onset of frailty. The five phenotypes of frailty are often evaluated during the history taking and physical examination of organ systems and geriatric syndromes. However, a focused evaluation for frailty is needed to increase the detection of frailty at an early stage when interventions are most likely to be effective. 12. Substance Abuse. Older adults are at risk for substance abuse just like the younger populations; however, the medications that are abused are largely sedative-hypnotics like benzodiazepines and alcohol which are often used to manage the prevalent sleep disturbances. Older adults are particularly prone to alcoholism and alcoholic complications because of their decreased lean body mass, diminished efficiency of hepatic metabolism, increased brain sensitivity to alcohol, high incidence of alcohol-medication interactions due to polypharmacy, high prevalence of medical and psychosocial disorders. Hence, alcohol screening is important in older adults. Health care professionals are at a unique position to detect subtle or confusing symptoms of alcoholism, especially in those who live alone. In evaluating the risk for medication abuse, questions about medications that can be potentially abused should be asked such as indications, dose, and duration of taking the medication. When evaluating an older adult's risk of alcoholism, questions should be asked to understand the frequency of drinking, volume consumed each time, and consequences of drinking.

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