Solution Manual For Gerontological Nursing, 8th Edition

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Assignments, Chapter 1, The Aging PopulationWritten AssignmentLearning ObjectiveInterview an older adult that fits within the baby boomer or traditionalgeneration, and answer the following questions:1.What is the “age identity” of the person youinterviewed?2.How have the contributions of these generations allowed us to enjoyour lives today?3.What do you see as differences and similarities compared with yourgeneration?4.How will these differences and similarities impact how you delivercare?5.What do you think future generations will offer to our history?1, 3Group AssignmentLearning ObjectiveReview information related to the baby boomer generation.1.What can weas nurses expect from this cohort as they seek medicalcare?2.What are their beliefs?3.What are some ways we can best prepare to care for them?Share your findings with the group in a discussion format.2Clinical AssignmentLearning ObjectiveEach student will choose one area (listed below) related to the older adultpopulation to report on. This verbal report is to include the significance ofthe issue, current trends, and interventions that can be utilized by the nurseto address specific needs and how we can assist the older adult through thetransitions.Life expectancyMarital statusLiving arrangementsGeographic distributionIncome and employmentEducationHealth issues2Web AssignmentLearning ObjectiveAs our population ages, many ofour older adults will find themselves in afinancial quandary. Research a program on the Internet related to economicassistance or revenue-producing programs available for older adults.Provide the web site used for your information and answer the followingquestions:Provide a brief description of the program...is it local, county, state,or federal?What are the requirements to enroll in the programs?How is this program funded?3

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How will this support the older adult throughout their “goldenyears”?How might this affect health care for the future?Note:Unless noted, references are from text chapter.

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Assignments,Chapter 2,Theories of AgingWritten AssignmentLearning ObjectiveReview the chapter. Upon completion, each student is to write a brief paperhighlighting the following areas:1.What are your personal beliefs on aging?2.Whatfactorsdo youpersonallybelieve influencehow we age?3.How do you believe we, as a profession,incorporate the theories ofaging into our practice...patient teaching?4.Do you agree more withnonstochastic theories of aging orstochastictheories of aging, andwhy?1Group AssignmentLearningObjectivesStudents will break intofourgroups. Each group will focus on theories ofaging. Upon investigation of the varioustheories of aging:Each group willprovidea briefsynopsisofeachtheoryin a givencategory.Each group will then choose one of the theories investigated andpresent the implications for nursing.Group 1: Discussstochastictheories, and the implication in nursingGroup 2:Discussnonstochastictheories, and the implication in nursingGroup 3:Discusssociologicaltheories, and the implication in nursingGroup 4:Discussphysiologicaltheories, and the implication in nursing2,3Clinical AssignmentLearningObjectivesDevelop a wellness seminar for an older adult population. Consider thetopic of“healthyaging.”What will you include as part of this topic?Describe in each presentation factors that promote healthy aging.Using a biological and psychosocialtheory, incorporate at least oneof each type in your presentation.2,3,4Web AssignmentLearningObjectivesStudents will complete aGoogleInternet search utilizingthetermantiaging.Answer the following questions:1.What topicsdid youfind on the first page ofyoursearch?2.What items are listed topurport aging?3.What factual information did you find?4.What fallacies did you find?5.How can we protect our patients from false claims?1,4Note:Unless noted, references are fromtext chapter.

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Assignments,Chapter3,DiversityWritten AssignmentsLearningObjectiveThe older population in the United States is becoming more ethnically andracially diverse.In addition to racial and ethnic diversity, there will be growingnumbers of lesbian, gay, bisexual, and transgender persons entering their senioryears who will present a unique set of challenges. The growing diversity of theolder population presents challenges for gerontological nursing in providingculturally competent care.Essential to the provision of culturally competent care is an understanding of:Theexperiences of individuals of similarethnic or racial backgroundBeliefs, values, traditions, and practices of various ethnic and racialgroupsUnique health-related needs, experiences, and risks of various ethnic andracial groups and persons of similar sexual orientationOne’s own attitudes and beliefs toward people of various ethnic and racialgroups and persons of similar sexual orientation, as well as those attitudesofco-practitionersLanguage barriers that can affect the ability of patients to communicatehealth-related information, understand instructions, provide informedconsent, and fully participate in their careYour assignment is to write a paper choosing one of the following groups of olderadults and address how you will provide cultural care for this group ortheindividual.Hispanic AmericansBlack AmericansAsian AmericansJewish AmericansNative AmericansGay,lesbian,bisexual,transgenderOlderprisoners1Group AssignmentLearningObjectiveComplete a windshield assessment of your community.Choose one ethnic groupand complete an assessment of the following:Physical environmentEducationSafety and transportation2

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Politics and governmentHealth and social servicesCommunicationEconomicsRecreationSpecialethnic-specific amenitiesDid you find services to be adequate for the group you were assessing?What can your community do toimprove accessibility to required services?What can we do to provide the appropriate services to the community?Report your findings to your class.Clinical AssignmentLearningObjectiveReview your clinical site’s cultural assessment for the patients they serve. If yourfacility does not have one, utilize the following tool to assist you in learningaboutyour clients’needs:TransCultural Nursing AssessmentDate _______ Time ______Pt Initials________ Age ______MFMedical diagnosis:_____________________________________________________________________________________________________________Communication:Language, voice quality, pronunciation, use of silence and nonverbals.Subjective-Can you speak English?YESNOCan you read English?YESNOAre you able to read lips?YESNONative Language? ____________________Do you speak or read any otherlanguage?______________________________How do you want to be addressed?Mr.Mrs.MsFirst NameNick Name__________________Objective-How would you characterize the nonverbal communication style?_______________________________________________________________Eye contact-DirectPeripheral gaze or no eye contactUse of interpreterFamilyFriendProfessionalOtherNoneVerbally loud and expressive.Quiet, reserveduse of silenceMeaning of common signs: List and describe:3

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________________________________________________________________Determine any familial colloquialisms used byindividuals or families thatmay impact on assessment, treatment or other interventions.________________________________________________________________________________________________________________________________Social Orientation-cultural,ethnicity, family role function, work leisure,church, and friends.Subjective-Countryof birth? ____________________Years in this country___________What setting did you grow up in--urbansuburbanruralWhat is your ethnic identity?________________________________________Who are the majorsupport people:0family members0friends0other_________________________________Who are the dominant family members?_______________________________Who makesmajor decisions for the family?____________________________Occupation in native country____________PresentOccupation____________________Education_______________________________________________________Is religion important to you?________________________________________What is your religion affiliation? __________ would you like a Chaplainvisit?YNAny cultural/religious practices/restrictions?If yes describe_____________________________________________________________________________Objective-Interaction with family\significant other-describe_______________________________________________________________________________________Age and life cycle factors must be considered in interactions with individualsand families( e.g. high value placed on the decision of elders, the role ofeldest male or female in families, or roles andexpectation of children withinthe family).

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_______________________________________________________________________________________________________________________Religious icons on person or in room ?________________________________Space-comfort in conversation, proximity to others, body movement,perception of space.Subjective-Do you have any plans for the future?_________________________________What do you consider a proper greeting?______________________________Objective-Tactile relationships, affectionate & embracing.Non-contactPersonal space?__________________________________________________Biological Variations-skin color, body structure, genetic and enzymaticpatterns, nutritional preferences and deficiencies.Subjective-What type of food do you prefer?____________________________________What type of food to youdislike?____________________________________What do you believe promoteshealth?________________________________Family historyof disease?__________________________________________Objective-Skin color ______________________Hair type _______________________Environmental Control-health practices, values, definitions of health andillness.Subjective-What do you think caused your problem?______________________________Do you have an explanation for why it started when itdid? _____ _____

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_____What does your sickness do to you; how does itwork? __________________How severe is your sickness? How long do you expect it to last?_______________________________________________________________What problems has your sickness causedyou?__________________________What do you fear about yoursickness?________________________________What kind of treatment do you think you shouldreceive?__________________What are the most important results you hope to receive from thistreatment?_______________________________________________________________________________________________________________________What are the health and illness beliefs and practices of the family?__________________________________________________________________________What are the most important things you do to keephealthy?_______________________________________________________________________________Any concerns about health and illness?________________________________________________________________________________________________What types of healing practices do you engage in (hot tea and lemon for cold,copper bracelet for arthritis, magnets)?________________________________________________________________________________________________Objective-Described patients appearance and surroundings_______________________________________________________________What diseases/disorders are endemic to the culture or country of origin?_______________________________________________________________What are the customs and beliefs concerning major life events?_______________________________________________________________

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Time-use of measures, definitions, social and work time, time orientation--past, present, and future.Subjective-Preventive health measures ?YNObjective-Time orientationPresentPastReference:Fernandez, V. & Fernandez, K.TransCulturalNursingAssessment.(2012).Retrieved October 7, 2012 fromhttp://www.culturediversity.org/assmtform.htmWebAssignmentLearningObjectiveThe older population in the United States is becoming more ethnically andracially diverse. In review of the profession of nursing, the question remains...Arewe, as a profession,keeping up with ethnic and racial diversity to best care for thepopulations we serve?Review the article:Eliminating Racial and Ethnic Disparities in Health:A Nursing Student’sPerspectivehttp://www.nsna.org/Portals/0/Skins/NSNA/pdf/Imprint_AprMay09_BTN.PDFThe authors definefiveways in whichstudents can "motivate, encourage anddemand change in the very communities that we live."Utilizing each aspectfound,please list methods in which you can improve thedisparities found in your community.3Note:Referencesarefrom course text unless otherwise noted.

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Assignments,Chapter4,Life Transitions and StoryWritten AssignmentLearningObjectivesAgeism is a concept introduced decades ago and defined as “the prejudicesand stereotypes that are applied to older people sheerly on the basis of theirage …”(Butler, Lewis, & Sutherland, 1991).1.What are some common misconceptions you have heard orbelieved about older adults?2.What can you do to dispel these myths?3.What are some of the consequences of ageism?1, 7Group AssignmentLearningObjectivesForm small groups. Each group will review a family role and/or relationshipand interact and role-play before the remaining groups related to their topic.Each group is to assess the dynamics and identify the role or relationship.Uponconclusion the groups will share their feelings and nursingimplications of each role.Randomly select from the following:ParentingGrandparentingLoss of spouseRetirement2, 3, 4Clinical AssignmentsLearning Objective1.Utilize the nursing diagnosis of ineffective role performance foryour client who has been recently retired. Ineffectiveness in roleperformance exists when there is a change in the perception orperformance of a role. This can be associated with a physical,emotional, intellectual, motivational, educational, or socioeconomiclimitation in the ability to fill the role, or restrictions in roleperformance imposed by others. There can be considerable distress,depression, or anger at not fulfilling the accustomed role and itsassociated responsibilities.List some nursing interventions that can be utilized for thisdiagnosis.42.To assist your patient with life transitions, complete a project basedon life review/life story. Gain permission from the patient and assisthim or her in to recordinghis or her storyfor future generations.This can be accomplished through video, story book, or a writtendocument.6Web AssignmentLearning Objective

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Many of the changes associated with aging result in loss of socialconnections and increasing risk of loneliness. What facilities can you find inyour local area to offer to yourclients to improve socialization and decreasethe risk of loneliness?Your assignment is to investigate on the Internet alternatives for lonelinesssuch as senior centers. Provide information regarding the site name, webaddress, cost, type of facility, and benefit to your patient.5

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Assignments,Chapter5,Common Aging ChangesWritten AssignmentLearningObjectivesEach student is to prepare a pamphlet on one aspect of the normal change ofaging. Inclusive in the design will be:1.What is considered normal.2.What constitutes anabnormal change and when to seek healthcareprovider care.3.Interventions to improve/reducetherisk of adverse effects.1, 2, 3Group AssignmentLearningObjectivesAn understanding of common aging changes is essential to ensurecompetent gerontological nursing practice.Break into small groups. Inviteolder adultsandmiddle age adults and assure there are“traditional”studentsin the class. Compare and contrast the changes of aging within each cohort.What are your findings?What are some ways that you canprevent or delay the consequencesof aging?Share your observations and interventions for healthful aging with yourclass.2,3Clinical AssignmentLearning ObjectiveEach student will develop a concept map to use as a study guide andreference sheet that highlights the normal changes of aging.The concept map will address the following:CellularchangesPhysicalappearanceNeurological (nervous)systemRespiratorysystemCardiovascularsystemGastrointestinalsystemUrinarysystemReproductivesystemMusculoskeletalsystemSensoryorgansEndocrinesystemIntegumentarysystem1Web AssignmentLearningObjectivesStudents will access theTry this Serieshttp://consultgerirn.org/Search the term“respiratory.”1.What resources are available to you as ageriatricnurse?1,2,3

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2.Report to your class on one of your findings on the site, toincludethe applicability of your findings in practice.

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Assignments,Chapter6,TheSpecialty of Gerontological NursingWritten AssignmentLearningObjectivesIn the past few decades, the specialty of gerontological nursing hasexperienced profound growth. Along with the growth of the specialty, therehas been a heightened awareness of the complexity of gerontologicalnursing utilizing the nursing metaparadigm shown below. Investigate yourown personal philosophy of older adult nursing exploring the followingconcepts:1.Person2.Environment3.Health4.NursingReference: Metapradigm inNursing.(2012).Nursingtheories:Theoreticalmodels andframeworks ofnursing.Retrieved October 8, 2012 fromhttp://nursingtheories.info/metaparadigm-in-nursing/3, 4, 5Group AssignmentLearningObjectives

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Complete a timeline of significant strides taken in gerontologicalnursing.Identify key points/achievements in our history.Projectthe future gerontological nursing, including newopportunities forour profession.Discuss your work withthe class.1,5Clinical AssignmentLearning ObjectiveEach student will present to the clinical group a research report relatedto gerontological care/best practiceGuidelines for Research Report: “Evidence-Based Practice”Each student will report on current nursing or allied health research (withinthe past 2 years) that is applicable to the older adult. Evidence-basedpractice is an approach to health care that allows clinicians to utilize soundresearch data and incorporate findings into clinical practice.This is an ORALreport to be presented in a post clinical conference as pertheclinical schedule. Each report is to be notmore than a 5-minutepresentation.The referenced article you use is to be turned (with yourname) to your clinical faculty.The following areas are to be addressed in your presentation:1.What was the clinical problem that was studied?2.What was the purpose of the study?3.What was the research design and method?2

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