Nursing Care of Older Adults: Diagnoses, Outcomes & Interventions

by ; ; ; ; ;
Format: Paperback
Pub. Date: 2001-01-01
Publisher(s): Elsevier Science Health Science div
List Price: $64.95

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Summary

Here is the first geriatric nursing book to incorporate standardized nursing diagnoses (NANDA), nursing sensitive out-comes (NOC), and nursing interventions (NIC) systems that are rapidly becoming universal standards. Readers will learn why the use and documentation of nurse's decisions and actions using these standardized languages is essential in the development of evidence-based practice, and to influence health policy decisions affecting older adults.

Table of Contents

Part I Health Perception-Health Management Pattern 1(114)
Normal Changes With Aging
3(3)
Health Maintenance
3(1)
Health Promotion and Disease Prevention
3(3)
Altered Health Maintenance
6(17)
Related Factors/Etiologies
8(1)
Assessment
9(1)
Nursing Diagnosis
10(2)
Nursing-Sensitive Outcomes
12(4)
Health Orientation
12(1)
Health Beliefs
12(1)
Knowledge Outcomes
12(1)
Health Behavior Outcomes
12(4)
Nursing Interventions
16(7)
Self-Awareness Enhancement
17(1)
Values Clarification
17(1)
Learning Readiness Enhancement
17(1)
Teaching: Individual
18(1)
Mutual Goal Setting
18(1)
Health System Guidance
18(5)
Risk for Injury: Falls
23(11)
Related Factors/Etiologies
23(1)
Risk Factors
23(2)
Intrinsic Factors
23(1)
Extrinsic Factors
24(1)
Assessment
25(1)
Nursing Diagnosis
26(1)
Nursing-Sensitive Outcomes
26(1)
Nursing Interventions
27(7)
Fall Prevention
28(6)
Risk for Poisoning: Drug Toxicity
34(13)
Prevalence
34(1)
Related Factors/Etiologies
35(2)
Effects of Aging on Pharmacodynamics and Pharmacokinetics
35(1)
Absorption of Drugs
35(1)
Distribution of Drugs
35(1)
Metabolism or Biotransformation of Drugs
35(1)
Excretion of Drugs
36(1)
Variables in Drug Administration
36(1)
Self-Administration
36(1)
Effects of Polypharmacy
37(1)
Assessment
37(2)
General Drug History
38(1)
A Tool to Monitor for Digitalis Toxicity
38(1)
Nursing Diagnosis
39(1)
Nursing-Sensitive Outcomes
39(1)
Nursing Interventions
40(7)
Medication Management: An Interdisciplinary Approach
40(1)
Clarifying Goals of Medication Administration
40(1)
Monitoring
40(2)
Practicing Client Advocacy
42(1)
Scheduling Drug Holidays
43(4)
Risk for Infection
47(17)
Related Factors/Etiologies
47(4)
Changes in the Immune System
47(1)
Changes in the Skin
48(1)
Changes in the Respiratory System
48(1)
Changes in the Genitourinary System
49(1)
Changes in the Eyes
49(1)
Factors Related to Gastrointestinal Infection
49(2)
Assessment
51(1)
Nursing Diagnosis
51(1)
Nursing-Sensitive Outcomes
52(1)
Nursing Interventions
52(4)
Other Issues
56(8)
HIV/AIDS
56(2)
Tuberculosis
58(1)
Resistant Organisms
59(1)
Infection Control Programs in Long-Term Care Facilities
60(4)
Impaired Home Maintenance Management
64(11)
Prevalence
64(1)
Risk Factors
64(1)
Assessment
65(1)
Nursing Diagnosis
65(2)
Nursing-Sensitive Outcomes
67(3)
Nursing Interventions
70(5)
Health Seeking Behaviours
75(11)
Assessment
76(1)
Nursing Diagnosis
76(2)
Health Promotion and Nursing Diagnosis: A Mismatch of Concepts
77(1)
Wellness and Health Promotion Practice: A Taxonomy of Its Own
77(1)
Nursing-Sensitive Outcomes
78(1)
Nursing Interventions
79(7)
Exercise Promotion
79(1)
Nutrition Management
79(1)
Promotion of Well-Being
80(1)
Spiritual Support
80(1)
A Model for Promoting Healthy Lifestyle Changes
81(5)
Ineffective Management of Therapeutic Regimen
86(7)
Related Factors/Etiologies
86(1)
Assessment
87(1)
Nursing Diagnosis
88(1)
Nursing-Sensitive Outcomes
89(1)
Nursing Interventions
90(3)
Elder Mistreatment
93(22)
Prevalence
94(1)
Related Factors/Etiologies
95(1)
Risk Factors
95(4)
Sociocultural Factors
96(2)
Family Factors
98(1)
Caregiver Factors
98(1)
Individual Factors
99(1)
Assessment
99(5)
Nursing Diagnosis
104(1)
Nursing-Sensitive Outcomes
104(2)
Nursing Interventions
106(9)
Part II Nutritional-Metabolic Pattern 115(102)
Normal Changes With Aging
117(4)
Changes Related to Aging
117(1)
Challenges to Nutrition
118(1)
Medication and Nutritional Status
119(2)
Impaired Skin Integrity: Pressure Ulcer
121(16)
Prevalence
121(1)
Related Factors/Etiologies
122(2)
Assessment
124(1)
Nursing Diagnosis
125(1)
Nursing-Sensitive Outcomes
126(3)
Nursing Interventions
129(8)
Debridement and Cleansing
130(1)
Provision of a Moist Wound Environment
130(1)
Controlling Bacterial Levels
131(1)
Provide Essential Substrates
131(1)
Prevention of Further Injury
131(6)
Impaired Skin Integrity: Dry Skin
137(8)
Prevalence
137(1)
Related Factors/Etiologies
137(1)
Risk Factors
137(1)
Assessment
137(1)
Nursing Diagnosis
137(1)
Nursing-Sensitive Outcomes
138(3)
Nursing Interventions
141(4)
Soaps
141(1)
Frequency of Bathing
141(1)
Mode of Bathing
141(1)
Emollient
142(1)
Water Temperature
142(1)
Humidity
142(3)
Altered Nutrition: Less Than Body Requirements
145(13)
Risk Factors
145(2)
Illness
145(1)
Medications
145(1)
Alcohol Use and Abuse
146(1)
Oral Health Problems
146(1)
Functional Limitations
146(1)
Financial Problems
147(1)
Assessment
147(3)
Clinical Measures
147(1)
Nutrient Intake
148(1)
Measures of Healing, Immunity, and Strength
149(1)
Anthropometric Measurements
149(1)
Laboratory Values and Biochemical Measures
149(1)
Nutritional Assessment Tools
150(1)
Nursing Diagnosis
150(2)
Nursing-Sensitive Outcomes
152(1)
Nursing Interventions
152(6)
Referral
153(1)
Socialization Enhancement
153(1)
Nutrition Education
153(1)
Nutrition Therapy
153(5)
Impaired Swallowing
158(14)
Related Factors/Etiologies
159(1)
Assessment
160(2)
Nursing-Sensitive Outcomes
162(1)
Nursing Interventions
162(10)
Interventions for Anticipatory Phase Impairments
166(1)
Interventions for Oral Phase Impairments
166(1)
Interventions for Pharyngeal Phase Impairments
167(2)
Interventions for Esophageal Phase Impairments
169(3)
Altered Oral Mucous Membrane
172(11)
Teeth (Dentition, Hard Tissue)
172(1)
Oral Mucosa (Soft Tissue)
172(1)
Tongue
173(1)
Salivary Glands
173(1)
Oral Cavity Lesions
173(1)
Assessment
174(1)
Nursing Diagnosis
174(2)
Nursing-Sensitive Outcomes
176(1)
Nursing Interventions
176(7)
Fluid Volume Deficit---Dehydration: Isotonic, Hypotonic, and Hypertonic
183(18)
Fluid Compartment Characteristics
183(1)
Assessment
184(2)
Nursing Diagnosis
186(1)
Nursing-Sensitive Outcomes
186(1)
Nursing Interventions
186(15)
Dehydration: Isotonic
187(5)
Dehydration: Hypotonic (Hyponatremia)
192(4)
Dehydration: Hypertonic (Hypernatremia)
196(5)
Risk for Altered Body Temperature
201(16)
Hypothermia
201(1)
Hyperthermia
202(1)
Fever
202(1)
Related Factors/Etiologies of Altered Body Temperature
203(1)
Control Mechanisms
203(1)
Ranges of Euthermia
204(1)
Thermoregulatory Responses
204(1)
Behavioral Responses to Sensed Temperature Change
204(1)
Risk Factors
204(1)
Assessment
205(2)
Nursing Diagnosis
207(3)
An Alternative Diagnosis: Risk for Altered Thermal Balance
208(2)
Nursing-Sensitive Outcomes
210(1)
Nursing Interventions
211(6)
Interventions to Affect Heat Exchange
211(1)
Combining Measures to Affect Heat Exchange in Perioperative Situations
212(1)
Interventions Affecting Thermal Comfort
212(1)
Providing Comfort and Preventing Sensory Responses
212(1)
Interventions Affecting the Thermoregulatory Set Point
213(4)
Part III Elimination Pattern 217(62)
Normal Changes With Aging
218(2)
Urinary System
218(1)
Gastrointestinal System
218(1)
Managing Alterations in Elimination
219(1)
Constipation
220(7)
Prevalence
220(1)
Risk Factors
220(1)
Assessment
221(1)
Nursing Diagnosis
222(1)
Nursing-Sensitive Outcomes
222(1)
Nursing Interventions
223(4)
Diet
223(1)
Physical Exercise
223(1)
Development and Implementation of a Toileting Routine
224(1)
Pelvic Floor Exercises
224(1)
Instruction of Patient and Family
224(1)
Documentation
224(3)
Diarrhea
227(11)
Related Factors/Etiologies
227(4)
Acute Diarrhea
227(3)
Chronic Diarrhea
230(1)
Assessment
231(1)
Nursing Diagnosis
231(1)
Nursing-Sensitive Outcomes
231(3)
Nursing Interventions
234(4)
Enternal Tube-Feeding Interventions
234(1)
Teaching Interventions
235(1)
Other Suggested Interventions
235(3)
Bowel Incontinence
238(14)
Prevalence
239(1)
Related Factors/Etiologies
239(1)
Risk Factors
240(4)
Assessment
244(2)
Nursing Diagnosis
246(1)
Nursing-Sensitive Outcomes
246(2)
Nursing Interventions
248(4)
Bowel Training
248(1)
Environmental Management
249(3)
Urinary Incontinence: Functional, Iatrogenic, Overflow, Reflex, Stress, Total, and Urge
252(27)
Prevalence
252(1)
Related Factors/Etiologies
253(4)
Risk Factors
257(1)
Assessment
257(10)
Urge Incontinence
261(1)
Reflex Incontinence
262(1)
Stress Incontinence
262(1)
Mixed Incontinence
263(1)
Overflow Incontinence
263(1)
Total Incontinence
263(1)
Functional Incontinence
264(1)
Iatrogenic Incontinence
264(3)
Nursing-Sensitive Outcomes
267(2)
Nursing Interventions
269(10)
Pelvic Floor Exercises
270(1)
Bladder Training and Habit Training
271(1)
Increasing Fluids as an Adjunct to Bladder and Habit Training
272(1)
Intermittent Catheterization
273(1)
Other Treatment Options
274(5)
Part IV Activity-Exercise Pattern 279(118)
Normal Changes With Aging
281(4)
Cardiovascular System
281(1)
Respiratory System
281(1)
Central Nervous System
282(1)
Musculoskeletal System
282(3)
Decreased Cardiac Output
285(14)
Related Factors/Etiologies
286(3)
Altered Heart Rate
286(1)
Altered Stroke Volume
287(2)
Assessment
289(1)
Nursing Diagnosis
289(5)
Nursing-Sensitive Outcomes
294(1)
Nursing Interventions
294(5)
Altered Tissue Perfusion
299(14)
Related Factors/Etiologies
299(5)
Interruption of Arterial Flow
299(5)
Interruption of Venous Flow
304(1)
Exchange Problems
304(1)
Hypovolemia
304(1)
Hypervolemia
304(1)
Assessment
304(2)
Nursing Diagnosis
306(1)
Nursing-Sensitive Outcomes
306(2)
Nursing Interventions
308(5)
Monitoring Interventions
308(1)
Management Interventions
308(5)
Ineffective Breathing Pattern
313(11)
Related Factors/Etiologies
313(2)
Physiologic Changes Associated With Aging
313(2)
Pulmonary Pathology in Aging
315(1)
Assessment
315(1)
Nursing Diagnosis
315(2)
Nursing-Sensitive Outcomes
317(3)
Nursing Interventions
320(4)
Education
320(1)
Breathing Exercises
320(1)
Exercise
321(1)
Medication Administration
321(1)
Energy Conservation
321(3)
Activity Intolerance
324(13)
Related Factors/Etiologies
324(1)
Assessment
325(1)
Nursing Diagnosis
326(2)
Defining Characteristics
327(1)
Nursing-Sensitive Outcomes
328(1)
Nursing Interventions
329(8)
Research on Exercise and Older Adults
330(1)
Principles and Guidelines for Exercise
331(1)
Use of the Nursing Interventions Classification (NIC)
332(5)
Impaired Physical Mobility
337(29)
Falls
337(1)
Physiologic Consequences
337(5)
Psychologic Consequences
342(1)
Socioeconomic Consequences
343(1)
Prevalence
343(1)
Risk Factors/Etiologies
343(2)
Activity Intolerance
344(1)
Pain
344(1)
Cognitive and Perceptual Deficits
344(1)
Neuromusculature Impairment
344(1)
Musculoskeletal Disorders
344(1)
Psychologic Impairment
345(1)
Iatrogenic Factors
345(1)
Barriers in the Sociocultural or Physical Environment
345(1)
Lack of Knowledge
345(1)
Assessment
345(3)
Nursing Diagnosis
348(2)
Nursing-Sensitive Outcomes
350(1)
Nursing Interventions
351(15)
Exercise Prescriptions
352(4)
Exercise for Fitness and Endurance
356(1)
Exercise for Flexibility
357(1)
Isometric and Resistive Exercise for Strength
358(8)
Self-Care Deficit
366(19)
Assessment
366(3)
Nursing Diagnosis
369(5)
Validation of Bathing/Hygiene Self-Care Deficit
370(2)
Other Conceptualizations of Self-Care
372(2)
Nursing-Sensitive Outcomes
374(2)
Nursing Interventions
376(9)
Nursing Interventions Classification (NIC)
376(1)
Other Strategies
377(1)
Population-Specific Interventions
377(8)
Diversional Activity Deficit
385(12)
Related Factors/Etiologies
386(1)
Assessment
386(1)
Nursing Diagnosis
386(3)
Nursing-Sensitive Outcomes
389(1)
Other Outcomes
390(1)
Establishing Goals to Meet the Outcomes
390(1)
Nursing Interventions
390(7)
Other Interventions
393(1)
Special Applications for Persons With Dementia
393(4)
Part V Sleep-Rest Pattern 397(17)
Normal Changes With Aging
398(3)
Sleep Cycle
398(1)
Sleep in Elders
399(2)
Sleep Pattern Disturbance
401(13)
Related Factors/Etiologies
401(2)
Internal Related Factors
401(2)
External Related Factors
403(1)
Assessment
403(2)
Subjective Measures
403(1)
Objective Measures
404(1)
Nursing Diagnosis
405(1)
Nursing-Sensitive Outcomes
406(1)
Nursing Interventions
406(8)
Intervention Research
407(1)
Diagnosis-Intervention-Outcome Linkages
408(6)
Part VI Cognitive-Perceptual Pattern 414(102)
Normal Changes With Aging
416(5)
Cognition
416(1)
Sensory-Perceptual Changes
417(4)
Chronic Confusion
421(21)
Related Factors/Etiologies
421(2)
Assessment
423(4)
Home Assessment
425(2)
Chronic Confusion
427(3)
Alzheimer's Disease and Related Disorders
427(3)
Nursing-Sensitive Outcomes
430(3)
Nursing Interventions
433(9)
Dementia Management
433(1)
Interventions With Family Members
434(1)
Special Problems
435(7)
Acute Confusion
442(13)
Prevalence
442(1)
Related Factors/Etiologies
442(1)
Risk Factors
443(1)
Assessment
443(5)
Assessment Scales
443(5)
Nursing Diagnosis
448(1)
Nursing-Sensitive Outcomes
448(2)
Perception
448(1)
Memory
449(1)
Thinking
449(1)
Outcome Rating Scales
450(1)
Nursing Interventions
450(5)
Pain
455(21)
Prevalence
455(1)
Related Factors/Etiologies
456(1)
Biologic Agents
456(1)
Chemical Agents
457(1)
Physical Agents
457(1)
Psychologic Agents
457(1)
Assessment
457(4)
Complexities of Assessment
458(1)
Measurement of Pain in the Elderly
459(2)
Pain-Related Measurements
461(1)
Nursing Diagnosis
461(3)
Nursing-Sensitive Outcomes
464(1)
Subjective Evaluation
464(1)
Objective Evaluation
464(1)
Nursing Interventions
465(11)
Pharmacologic Interventions
466(2)
Nonpharmacologic Interventions
468(2)
Cognitive-Behavioral Interventions
470(6)
Sensory/Perceptual Alterations
476(16)
Prevalence
476(1)
Related Factors/Etiologies
477(1)
Assessment
478(4)
Vision
478(1)
Hearing
479(1)
Kinesthetic Sense
479(2)
Gustatory and Olfactory Sense
481(1)
Tactile Sense
481(1)
Nursing Diagnosis
482(1)
Nursing-Sensitive Outcomes
483(1)
Nursing Interventions
483(9)
Environmental Management Interventions
483(2)
Counseling Interventions
485(7)
Unilateral Neglect
492(11)
Related Factors/Etiologies
493(1)
Assessment
493(2)
Categories of Extent of Deficit
495(1)
Nursing Diagnosis
495(1)
Nursing-Sensitive Outcomes
496(1)
Nursing Interventions
496(7)
General Interventions
497(2)
Interventions Specific to Inattention
499(1)
Interventions Appropriate for Denial
500(1)
Interventions for Associated Deficits
500(3)
Knowledge Deficit
503(13)
Related Factors/Etiologies
503(1)
Assessment
504(1)
Nursing Diagnosis
505(1)
Nursing-Sensitive Outcomes
505(1)
Nursing Interventions
506(10)
Principles of Teaching and Learning
507(1)
Nursing Interventions for Learning Challenges Encountered by Older Adults
508(3)
Diverse Strategies to Enhance Learning Among Older Adults
511(1)
Selecting and Preparing Written Materials for Teaching Older Adults
511(1)
Other Interventions for Knowledge Deficit
512(4)
Part VII Self-Perception-Self-Concept Pattern 516(97)
Normal Changes With Aging
518(3)
Self-Concept
518(1)
Self-Esteem
519(2)
Depression
521(22)
Related Factors/Etiologies
521(2)
Psychologic Theories
521(1)
Biologic Theories
522(1)
Assessment
523(1)
Assessment Tools
523(1)
Nursing Diagnosis
524(7)
Defining Characteristics
524(3)
Unique Characteristics of Depression in Elders
527(1)
Diagnostic and Statistical Manual IV Criteria
528(3)
Nursing-Sensitive Outcomes
531(2)
Nursing Interventions
533(10)
Suicide Prevention
533(1)
Teaching: Prescribed Medication
533(1)
Teaching: Disease Process
534(1)
Emotional Support
535(1)
Counseling
535(1)
Behavioral Therapy
536(1)
Cognitive Therapy
536(1)
Interpersonal Therapy
536(1)
Brief Dynamic Therapy
536(1)
Supportive Therapy
537(1)
Special Focus of Group Work With Elders
537(1)
Milieu Therapy
537(1)
Pharmacologic Interventions
538(2)
Electroconvulsant Therapy
540(3)
Body Image Disturbance
543(19)
Body Image: A Developmental Process
543(2)
Body Schema
543(1)
Body Self
544(1)
Body Fantasy
545(1)
Body Concept
545(1)
Prevalence
545(1)
Related Factors/Etiologies
546(2)
Assessment
548(2)
Clinical Interview and Observations
548(1)
Assessment Tools
549(1)
Nursing Diagnosis
550(2)
Nursing-Sensitive Outcomes
552(3)
Nursing Interventions
555(7)
Body Image Enhancement
555(1)
Grief Work Facilitation
555(1)
Cognitive Restructuring
556(1)
Teaching: Disease Process
556(1)
Exercise Therapy and Promotion
557(5)
Powerlessness
562(9)
Related Factors/Etiologies
563(1)
Related Factors/Risk Factors
563(2)
Perceived Control
563(1)
Grief and Loss
564(1)
Disability
564(1)
Nursing Diagnosis
565(1)
Nursing-Sensitive Outcomes
566(1)
Nursing Interventions
566(5)
Anxiety and Fear
571(22)
Anxiety
571(11)
Prevalence
571(1)
Related Factors/Etiologies
572(1)
Assessment
572(4)
Nursing Diagnosis
576(1)
Nursing-Sensitive Outcomes
577(1)
Nursing Interventions
577(5)
Fear
582(11)
Related Factors/Etiologies
583(1)
Assessment
583(1)
Nursing Diagnosis
584(1)
Nursing-Sensitive Outcomes
585(1)
Nursing Interventions
585(8)
Self-Esteem Disturbance
593(8)
Related Factors/Etiologies
593(2)
Risk Factors
595(1)
Assessment
595(2)
Assessment Instruments
595(2)
Nursing Diagnosis
597(1)
Nursing-Sensitive Outcomes
598(1)
Nursing Interventions
598(3)
Hopelessness
601(12)
Assessment
601(5)
Measures of Hopelessness
602(1)
Measures of Hope
602(1)
Measures of Depression
603(1)
Measures of Suicidal Intent/Behaviors
603(3)
Nursing Diagnosis
606(1)
Relationship Between Hopelessness and Hope
606(1)
Levels of Hopelessness
606(1)
Attributes of Hopelessness
606(1)
Nursing Outcomes
607(1)
Nursing Interventions
608(5)
Experiential Process Interventions
608(1)
Transcendent or Spiritual Process
608(1)
Rational or Irrational Thought Process
608(5)
Part VIII Role-Relationship Pattern 613(115)
Normal Changes With Aging
615(4)
Role Changes
615(1)
Role Adaptations
616(3)
Relocation Stress Syndrome
619(12)
Nursing Diagnosis
619(1)
Risk Factors
619(1)
Assessment
620(2)
Depression and Anxiety
620(1)
Deterioration in Mental Status, Life Satisfaction, and Social Support
620(1)
Morbidity
620(1)
Assessment Tools
621(1)
Nursing-Sensitive Outcomes
622(1)
Life Satisfaction Index
623(1)
Herth Hope Index
623(1)
Rosenberg Self-Esteem Scale
623(1)
Nursing Interventions
623(8)
Preparing for Relocation
624(1)
Facilitasting Older Adults' Control in Relocation
625(1)
Interventions Tested Empirically But Not in Relocation Contexts
626(5)
Grieving
631(20)
Related Factors/Etiologies
633(1)
Support System
633(1)
History of Loss
633(1)
Emotional Maturity
633(1)
Centrality of the Loss
633(1)
Assessment
634(2)
Nursing Diagnosis
636(2)
Nursing-Sensitive Outcomes
638(1)
Nursing Interventions
639(7)
ENUF
640(6)
Future Directions
646(5)
Social Isolation
651(13)
Conceptual Framework
651(1)
Assessment
652(2)
Nursing Diagnosis
654(3)
Defining Characteristics
655(2)
Nursing-Sensitive Outcomes
657(2)
Nursing Interventions
659(5)
Impaired Communication
664(15)
Related Factors/Etiologies
665(6)
Nonfluent Aphasia
668(1)
Fluent Aphasia
668(1)
Conduction Aphasia
669(1)
Global Aphasia
669(1)
Anomic Aphasia
669(1)
Transcortical Aphasia
669(1)
Apraxia
669(1)
Dysarthria
669(1)
Right Hemisphere Deficits
669(2)
Alzheimer's Disease
671(1)
Assessment
671(2)
Nursing Diagnosis
673(1)
Nursing-Sensitive Outcomes
673(1)
Nursing Interventions
673(6)
Caregiver Role Strain
679(17)
Related Factors/Etiologies
679(4)
Care Role Expectations
679(1)
Competing Role Demands
679(1)
Demands on Time
680(1)
Demands on Finances
680(1)
Assistance With Care
681(1)
Caregiver Characteristics
681(1)
Care-Recipient Characteristics
682(1)
Family Relationships
682(1)
Living Arrangements
683(1)
Assessment
683(2)
Nursing Diagnosis
685(1)
Nursing-Sensitive Outcomes
685(1)
Nursing Interventions
686(10)
Mobilize and Maintain Resources and Support System Enhancement
689(7)
Risk for Violence: Self-Directed or Directed at Others
696(10)
Risk Factors
696(2)
Violence Directed at Others
696(1)
Self-Directed Violence
697(1)
Assessment
698(1)
Selected Assessment Scales
698(1)
Nursing Diagnosis
699(1)
Nursing-Sensitive Outcomes
700(1)
Nursing Interventions
701(5)
Self-Determination
706(13)
Living Will
707(1)
Durable Power of Attorney for Health Care
708(1)
Substitute Decision Making
708(1)
Nursing Diagnosis
709(10)
Norwood Hospital v. Munoz (1991)
709(2)
Lane v. Candura (1978)
711(2)
Bartling v. Superior Court (1984)
713(1)
Cruzan v. Director, Missouri Department of Health (1990)
714(5)
Altered Family Processes
719(9)
Assessment
720(1)
Family Assessment Measures
720(1)
Nursing Diagnosis
721(2)
Nursing-Sensitive Outcomes
723(1)
Nursing Interventions
723(5)
Family Support Interventions
723(1)
Skill Training Interventions
723(2)
Interventions That Promote Family Cohesion and Unity
725(3)
Part IX Sexuality-Reproductive Pattern 728(34)
Normal Changes With Aging
729(4)
Older Persons and Their Sexual Partners
729(1)
Patterns of Sexuality in Older Persons
730(1)
Physiologic Changes With Aging Related to Sexuality
731(2)
Sexual Dysfunction
733(17)
Nursing Diagnosis
733(1)
Related Factors/Etiologies
733(7)
Altered Body Structure or Function: Diseases
733(5)
Altered Body Structure or Function: Surgery, Chemotherapy, and Radiation Treatment
738(1)
Altered Body Structure or Function: Medications
739(1)
Knowledge Deficit or Misinformation: Diseases
739(1)
Knowledge Deficit or Misinformation: Surgery, Chemotherapy, and Radiation Treatment
740(1)
Lack of Knowledge or Misinformation: Medications
740(1)
Nursing-Sensitive Outcomes
740(3)
Knowledge: Disease Process, Treatment Procedure(s), or Treatment Regimen
740(1)
Knowledge: Medication
740(2)
Symptom Control Behavior
742(1)
Safety Behavior: Personal
742(1)
Health Seeking Behavior: Adherence
742(1)
Caregiver Well-Being
743(1)
Acceptance: Health Status
743(1)
Nursing Interventions
743(7)
Nursing Interventions for Sexual Dysfunction Related to Altered Body Structure and Function
744(1)
Nursing Interventions for Sexual Dysfunction Related to Knowledge Deficit/Misinformation
745(5)
Altered Sexuality Patterns
750(12)
Nursing Diagnosis
750(1)
Related Factors/Etiologies
750(4)
Altered Body Function or Structure
750(2)
Knowledge or Skill Deficit and Misinformation
752(1)
Impaired Relationship With a Significant Other
753(1)
Altered Sexuality Patterns Related to Lack of Significant Other
753(1)
Lack of Privacy
753(1)
Sexual Orientation or Variant Preferences
753(1)
Values Conflict
753(1)
Fear of Acquiring a Sexually Transmitted Disease
754(1)
Nursing-Sensitive Outcomes
754(3)
Knowledge: Sexual Functioning
754(1)
Adjustment to Aging: Sexual Functioning
754(1)
Communication: Sexual Functioning
754(1)
Symptom Control: Menopausal Symptoms
754(2)
Knowledge: Medication (ERT/HRT)
756(1)
Body Image: Sexual Attractiveness
756(1)
Grief Resolution: Sexual Partner
756(1)
Social Restructuring: Facilitation of Sexual Behaviors
756(1)
Conflict Resolution: Sexual Preferences/Variants and Values
756(1)
Risk Control: Sexually Transmitted Diseases
757(1)
Nursing Interventions
757(5)
Altered Body Function and Structure
757(1)
Knowledge or Skill Deficit and Misinformation
757(1)
Impaired Relationship With Significant Other
758(1)
Lack of Significant Other
758(1)
Lack of Privacy
758(1)
Conflicts With Sexual Orientation/Variant
759(1)
Values Conflict
759(1)
Fear of Acquiring a Sexually Transmitted Disease
759(3)
Part X Coping-Stress Tolerance Pattern 762(16)
Normal Changes With Aging
763(3)
Stress in the Elder
763(1)
Coping Mechanisms
763(3)
Ineffective Individual Coping
766(12)
Related Factors/Etiologies
770(1)
Risk Factors
770(1)
Health and Energy
770(1)
Positive Beliefs About God and Control
770(1)
Commitments and Social Support
770(1)
Social Skills and Problem-Solving Skills
770(1)
Material Resources
770(1)
Personal Constraints
771(1)
Environmental Constraints
771(1)
Assessment
771(1)
Nursing Diagnosis
771(3)
Nursing-Sensitive Outcomes
774(1)
Nursing Interventions
775(3)
Part XI Value-Belief Pattern 778(16)
Normal Changes With Aging
779(3)
Spirituality
779(1)
Religiosity
779(3)
Spiritual Distress
782(12)
Related Factors/Etiologies
782(1)
Assessment
783(1)
Nursing Diagnosis
784(2)
Nursing-Sensitive Outcomes
786(3)
Nursing Interventions
789(5)
Therapeutic Use of Self
789(1)
Prayer
790(1)
Healing of Memories
790(1)
Reminiscence Therapy
790(4)
Future Directions for Research, Education, and Practice 794(3)
Epilogue: The Progression of Knowledge and the Nursing Profession 797(6)
Evidence-Based Practice
798(2)
Advancing the Practice of Nursing
800(3)
Appendix A: Website Resources 803(2)
Appendix B: Membership Application 805(1)
Appendix C: Nursing-Sensitive Outcomes Classification Review Form 806(1)
A. General Comments About the Classification
806(1)
B. Feedback on a Particular Outcome
806(1)
C. Guidelines for Outcome Submission
806(1)
Appendix D: Guidelines for Submission of a New or Revised Intervention 807(2)
The Materials Needed
807(1)
The Review Process
807(1)
Principles for Intervention Development and Refinement
807(2)
Appendix E: Demographic Information Form 809

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