Evelyn G. Kennedy-Malone Laurie - Advanced Practice Nursing in the Care of Older Adults

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Copyright 2023 by F. A. Davis Company

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Cataloging-in-Publication data is available from the Library of Congress.

Names: Kennedy-Malone, Laurie, 1957- author. | Duffy, Evelyn Groenke, author.

Title: Advanced practice nursing in the care of older adults / Laurie Kennedy-Malone, Evelyn Groenke Duffy.

Description: Third edition. | Philadelphia, PA : F.A. Davis Company, [2023] | Includes bibliographical references and index.

Identifiers: LCCN 2022010436 (print) | LCCN 2022010437 (ebook) | ISBN 9781719645256 (paperback) | ISBN 9781719648356 (ebook)

Subjects: MESH: Geriatric Nursing--methods | Advanced Practice Nursing | Palliative Care | Geriatric Assessment

Classification: LCC RC954 (print) | LCC RC954 (ebook) | NLM WY 152 | DDC 618.97/0231--dc23/eng/20220727

LC record available at https://lccn.loc.gov/2022010436

LC ebook record available at https://lccn.loc.gov/2022010437

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I dedicate this book to my husband Chris, my son Brendan, and Clover for their unwavering support during the writing of this book. To my parents, Nancy and Edward Kennedy, you continue to be models of successful aging that motivate me to continue to be passionate about advanced practice gerontological nursing. To graduates that I have worked with over the years, your continued dedication and expertise in working with older adults is appreciated and admired; thanks especially to those who also served as contributors to this edition.

L.K.-M.

To my husband Mark who supported me as I worked on this book during the COVID-19 pandemic. To my children, Patrick, Colin, and Caitlin, you bless me every day. To my in-laws, Shirley and Art Duffy, who continue to live vital lives in their 90s. To my aunt, Karleen Groenke Sime who inspired me to become a nurse. Finally, to all my patients who challenge me to be the best provider I can be and my students who motivate me to constantly be better.

E. G. D.

With the continued rapid growth of the older adult population, there remains an increased demand for health-care providers to deliver age-specific care and direct disease management. Advanced Practice Nursing in the Care of Older Adults will serve as a guide for advanced practice nurses who are privileged to provide care to older adults. Designed as a text for students, as well as a reliable source of evidence-based practice for advanced practice nurses, this book contains information on healthy aging, comprehensive geriatric assessment, and common symptoms and illnesses that present in older adults. Given the complexity of prescribing for older adults taking multiple medications, a chapter on polypharmacy is included. The book concludes with a chapter on care delivery for patients with chronic illnesses who face end-of-life care.

Throughout the book, case studies are included to provide further practice and review. An important feature of this book is the use of the Strength of Recommendation Taxonomy (SORT) (Ebell et al., 2004). which provides a direct reference to evidence-based practice recommendations for clinicians to consider in the care of older adults.

In Unit I, The Healthy Older Adult, the first chapter, Changes With Aging, addresses the normal changes of aging, expected laboratory values in older adults, presentation of illness, atypical disease presentation, bimodal conditions, and the impact of chronic illness on functional capacity. In the second chapter, Health Promotion, updated information pertaining to health promotion and disease prevention strategies for older adults from Healthy People 2030 and the U.S. Preventive Services Task Force (USPSTF) is provided, including information on immunizations and the Welcome to Medicare and Medicare Annual Wellness Visits. Also covered is an overview of physical activity, sexual behavior, dental health, and substance use, as well as a section pertaining to the older traveler. Recommendations for exercise, safe physical activity, and nutrition are provided in this unit. New to the book in this edition is , Settings of Care, which addresses the special needs older adults require if the setting is acute or primary, in the community or in an institutional setting.

Unit II, Assessment, opens with a detailed chapter on comprehensive geriatric assessment. Information on physical, functional, and psychological health is delineated, and information on social determinants of health is included. The chapter on assessment also includes an introduction to the Age-Friendly Healthcare Systems and the 4Ms Framework. , Symptoms and Syndromes, provides the clinician with a concise description of more than 20 symptoms prevalent in older adults. New topics in this edition include muscle cramps and weakness, two very frequent chief concerns. A rapid reference detailing common contributing factors and associated symptoms and clinical signs that should be worked up for each presenting condition is included. Recommendations for diagnostic tests with accompanying results are used to form a differential diagnosis.