Nursing Home Care

McGraw-Hill authors represent the leading experts in their fields and are dedicated to improving the lives, careers, and interests of readers worldwide McGraw-Hill authors represent the leading experts in their fields and are dedicated to improving the lives, careers, and interests of readers worldwide

Part 1 Introduction to Nursing Home Life & Alternatives



My Experience of Nursing Homes: Voice of the Resident



Our Experience of Nursing Homes: Voices of Family and Friends



Working in a Nursing Home

Career choices and ambition

Preparation to practice in a nursing home

Creating a place called home

Rules and regulations



Diversity of Nursing Homes and long term care around the World



Nursing home practitioners-contributing disciplines, essential knowledge, skills and caring attributes



International NH Development & Research Agenda IAGG-WHO

Culture and Quality of Care

Nursing Home Design



Aging in Place: Other Approaches to Long Term Care



Part 2 Fundamentals of Nursing Home Practice

History of Nursing Homes Around the World

Principles of Nursing Home Care

Fundamental Rights & Ethical Considerations

Truth telling and information disclosure-dilemmas and solutions

From admission to end of life care

Shared decision making

Risks and safety-including medication administration and review (polypharmacy)

Restraint Free Environments

Core values

Protecting the vulnerable –elder abuse and unintentional neglect

Accidents happen-and what to do when they occur



Models of Care

Patient centered care

Transitions

Subacute care

Improving function

End of life/hospice care

Eden Alternative

Technology and care





Multi-Professional Teams: Working Together

An integrated model: a blend of clinical, nursing and social care

Inter professional communication

Valuing nursing home practitioners, assistant practitioners

Building a strong team based on reciprocity

Family involvement

Keeping the records in order



Nursing Home Leadership

Role of the administrator

Role of doctors and the medical director

Role of nurses and the nursing director

The wider multiprofessional team

Quality Improvement

Role of regulators and accreditation agencies

Governance and national standards

Preparing for the inspector

Role of Lay Assessors & Resident Advocates

Managing budgets and balancing the books

Keeping up to date with evidence



Part 3 Admission to a Nursing Home



Preparing for admission.-what individuals and families need to know

Types of admission & admission criteria.

Knowing the person and biographical histories

Minimum Data Sets

Assessment of clinical need & medications.

Assessment of frailty status and functional abilities.

Assessment of communication needs-enabling communication

Understanding preferences and personal priorities

Care Paradigms-enabling/rehabilitation/maintenance/palliative/end of life



Part 4 Managing Age Related Syndromes and Changes



Aches and Pains

Pain and function

Assessing pain

Pain management

Toolkits for Practice –what you will see, what you should say-what you should do

Toolkits for Practice- knowing when specialist referral is indicated



Low Mood, Anxiety and Depression

Adjustment to a nursing home

Dysphoria

Depression

Anxiety

Psychotic disorders

Toolkits for Practice –what you will see, what you should say-what you should do

Toolkits for Practice- knowing when specialist referral is indicated

Confusion, Agitation and Other Behavioral Disturbance

Delirium

Dementia - Causes

Dementia - Management

Wandering

Screaming

Sundowners- twilight agitation

Behavioral Disturbances

Toolkits for Practice –what you will see, what you should say-what you should do

Toolkits for Practice- knowing when specialist referral is indicated





Eating and Drinking

Nutritional screening and assessment

Managing weight loss

Therapeutic diets

Vitamin D and other vitamins and minerals

Choosing suitable food and drink

Meal times and snack provision

Special considerations for frail older people

Toolkits for Practice –what you will see, what you should say-what you should do





Urinary Continence

Managing Transient Functional Incontinence

Preventing urinary tract infections and catheter associated infections

Stress and Urge Incontinence

Overflow Incontinence

Lower Urinary Tract Infection

Achieving Continence and Social Continence- the does and don’ts of catheterization, pads and cleansers

Toolkits for Practice –what you will see, what you should say-what you should do

Toolkits for Practice-knowing when specialist referral is indicated





Bowel Changes

Managing constipation

Understanding and Managing fecal incontinence

Diarrhea

Hemorrhoids

Toolkits for Practice –what you will see, what you should say-what you should do

Toolkits for Practice- knowing when specialist referral is indicated

















Mobility and Falls Prevention

Walking, health and survival

Gait disturbances

Falls – Causes

Falls – Prevention

Hip fractures



Sleep Disturbance

Insomnia

Nocturia

Sleep apnea

Restless legs

Nightmares



Ulcers and Common Skin Disorders

Pressure Ulcers

Vascular ulcers

Skin disorders

Stomal care



Oral Health

Care of mouth and teeth/dentures

Xerostomia-Dry Mouth-Causes and Interventions

Common fungal infections-Causes and Prevention

Other problems related to oral mucosa-cancer

Swallowing difficulties

Toolkits for Practice –what you will see, what you should say-what you should do

Toolkits for practice-knowing when specialist referral is indicated



Vision and Hearing

Age related hearing loss

Simple tests for hearing and audiometry

Hearing Aids

Ear Care & Wax

Tinnitus

Age related vision loss

Simple tests of visual acuity

Dry Eye

Common diseases of the ageing eye

Toolkits for Practice –what you will see, what you should say-what you should do

Toolkits for practice-knowing when specialist referral is indicated



















Part 5 Disease Management



Hypertension, Hypotension and Heart Failure



Neurological Disorders--Stroke, Parkinson’s disease, Multiple Sclerosis, Locked-in Syndrome



Musculoskeletal Disorders--Arthritis, Osteoarthritis, Contractures



Infections and Their Control



Anemia



Endocrine Disorders



Gastrointestinal Disorders



Pulmonary Disorders



Cancer