Description
Nursing in Care Homes is a practical guide for nurses of all levels working in care homes. It is directly relevant to everyday practice and covers clinical issues such as continence care, wound care, infection control, and nutrition, as well as information on a wide range of issues including legal requirements, care home standards, and liasing with social and health care services. The revised and updated second edition includes new chapters on maximising abilities, risk management, stroke, and diabetes and calls upon the recommendations of the National Service Framework for Older People and the requirements of the Care Standards Act (2002).
Concise and easy to follow, Nursing in Care Homes is an essential guide to skilled professional care for all nurses in care homes. It will also be invaluable to nursing students undertaking their placements in care homes.
Chapter
Funding care
pp.：
31 – 33
3 Confusion and Dementia
pp.：
43 – 44
Medical treatment of dementia
pp.：
44 – 52
Causes and consequences of dementia
pp.：
44 – 44
Introduction
pp.：
44 – 44
Nursing care of the person with dementia
pp.：
52 – 55
Challenging behaviour
pp.：
55 – 62
Ethical issues
pp.：
62 – 65
Further reading and information
pp.：
65 – 67
4 Medication Management
pp.：
67 – 70
Ordering medication
pp.：
70 – 70
Choosing a pharmacist
pp.：
70 – 71
Introduction
pp.：
70 – 70
Homely remedies
pp.：
71 – 72
Storing medication
pp.：
72 – 73
Nurse prescribing
pp.：
72 – 72
Administration of drugs
pp.：
73 – 73
Keeping records of medication entering the home
pp.：
76 – 78
Dealing with medication no longer required
pp.：
78 – 78
Medication review
pp.：
78 – 79
Dealing with drug errors
pp.：
79 – 82
5 Infection Control
pp.：
82 – 84
How ageing affects inflammatory response
pp.：
84 – 86
Introduction
pp.：
84 – 84
Causes and effects of infection
pp.：
84 – 84
How infection affects older adults
pp.：
86 – 87
Infection risks in nursing homes
pp.：
87 – 88
Urinary tract infection
pp.：
88 – 93
Preventing wound infection
pp.：
93 – 98
Preventing infection
pp.：
98 – 106
Methicillin-resistant Staphylococcus aureus (MRSA)
pp.：
106 – 108
Setting up an infection control programme
pp.：
108 – 114
References
pp.：
114 – 118
6 Wound Care
pp.：
118 – 125
How do wounds heal?
pp.：
125 – 126
Introduction
pp.：
125 – 125
Wound assessment
pp.：
126 – 127
Nutrition and wound healing
pp.：
127 – 129
Fluid intake
pp.：
129 – 130
Chronic diseases
pp.：
130 – 130
Intrinsic factors
pp.：
130 – 130
Principles of wound healing
pp.：
130 – 131
Choosing appropriate dressings
pp.：
131 – 132
Leg ulcers
pp.：
132 – 136
Problem wounds
pp.：
136 – 142
Conclusion
pp.：
142 – 143
Where to get further information and help
pp.：
142 – 142
Further reading
pp.：
143 – 144
References
pp.：
144 – 144
7 Continence Promotion
pp.：
144 – 147
Continence and ageing
pp.：
147 – 147
Introduction
pp.：
147 – 147
Continence and disease
pp.：
147 – 153
Why incontinence occurs
pp.：
153 – 159
Continence assessment
pp.：
159 – 168
Continence promotion programmes
pp.：
168 – 178
Further information
pp.：
178 – 181
References
pp.：
181 – 182
8 Management of Incontinence
pp.：
182 – 186
Introduction
pp.：
186 – 186
References
pp.：
186 – 192
Choosing the right method to contain incontinence
pp.：
186 – 186
9 Risk Management
pp.：
192 – 193
Why identify and classify risk?
pp.：
193 – 193
Introduction
pp.：
193 – 193
Can we manage risk?
pp.：
193 – 194
Control measures
pp.：
194 – 197
Risk evaluation
pp.：
194 – 194
Legal aspects
pp.：
197 – 197
Moving and handling
pp.：
197 – 202
Record keeping
pp.：
207 – 211
Ethical issues
pp.：
211 – 216
References
pp.：
216 – 219
10 Preventing Pressure Sores
pp.：
219 – 225
Risk factors
pp.：
225 – 226
What is a pressure sore?
pp.：
225 – 225
Introduction
pp.：
225 – 225
Assessing and reducing risks
pp.：
226 – 228
Adopting a problem-solving approach
pp.：
228 – 229
Pressure relieving aids
pp.：
229 – 230
Changing position
pp.：
230 – 233
Staff education
pp.：
233 – 234
Assessing wounds
pp.：
233 – 233
Treatment of pressure sores
pp.：
233 – 233
References
pp.：
234 – 235
11 Nutrition
pp.：
235 – 237
The incidence and consequences of malnutrition
pp.：
237 – 237
Introduction
pp.：
237 – 237
Meeting nutritional needs
pp.：
237 – 238
The nutritional needs of older people
pp.：
237 – 237
How illness affects the ability to eat a balanced diet
pp.：
238 – 240
Medication and nutrition
pp.：
240 – 242
Individuals with special dietary needs
pp.：
242 – 242
Assessing nutritional status
pp.：
242 – 245
General measures to reduce malnutrition
pp.：
245 – 246
Specific measures to reduce malnutrition
pp.：
246 – 247
Conclusion
pp.：
247 – 249
References
pp.：
249 – 249
Causes and consequences of stroke
pp.：
251 – 251
Introduction
pp.：
251 – 251
Rehabilitation
pp.：
251 – 257
Fluids and diet
pp.：
257 – 264
Communication
pp.：
264 – 267
Bladder and bowel problems
pp.：
267 – 274
Ethical issues
pp.：
274 – 282
References
pp.：
282 – 284
13 Accessing Community Services
pp.：
284 – 293
Creation of Care Trusts
pp.：
293 – 293
Chiropody services
pp.：
293 – 294
Introduction
pp.：
293 – 293
Specialist footwear and appliances
pp.：
294 – 296
Hairdressing
pp.：
298 – 299
Obtaining orthotic services
pp.：
298 – 298
Ophthalmic services
pp.：
299 – 299
Dental services
pp.：
299 – 302
Hearing aids services
pp.：
302 – 304
14 Palliative Care
pp.：
306 – 307
Offering effective palliative care
pp.：
307 – 307
Dealing with death and dying
pp.：
307 – 319
Introduction
pp.：
307 – 307
Further information
pp.：
319 – 332
References
pp.：
332 – 332
15 Diabetes
pp.：
332 – 335
Causes of consequences of diabetes
pp.：
335 – 335
Medical treatment of diabetes
pp.：
335 – 340
Managing diabetes
pp.：
340 – 347
Skin problems
pp.：
347 – 355
Visual problems
pp.：
355 – 360
Further reading
pp.：
360 – 363
References
pp.：
363 – 363
16 Respite Care
pp.：
363 – 368
Further information
pp.：
363 – 363
Introduction
pp.：
368 – 368
The older person's view of respite care
pp.：
368 – 369
The nurse's view of respite care
pp.：
369 – 370
The carer's view of respite care
pp.：
369 – 369
Social services' view of respite care
pp.：
370 – 371
Innovative models of care
pp.：
371 – 372
Problems associated with respite care
pp.：
371 – 371
Contracting with social services
pp.：
372 – 373
Funding for respite care
pp.：
373 – 373
Supporting carers
pp.：
373 – 374
Liaising with other professionals and organising services
pp.：
374 – 375
Arranging discharge
pp.：
375 – 375
Conclusion
pp.：
375 – 376
17 Rehabilitation
pp.：
376 – 377
Why is rehabilitation necessary?
pp.：
377 – 377
What is intermediate care?
pp.：
377 – 378
Introduction
pp.：
377 – 377
Defining rehabilitation
pp.：
378 – 378
The benefits of rehabilitation
pp.：
378 – 379
Current rehabilitation policy
pp.：
379 – 380
Successful rehabilitation programmes
pp.：
380 – 381
Purchasing care
pp.：
381 – 382
Standards of care
pp.：
382 – 384
Conclusion
pp.：
384 – 388
18 Maximising Ability
pp.：
388 – 390
References
pp.：
388 – 388
Assessing for rehabilitation
pp.：
390 – 390
Introduction
pp.：
390 – 390
Barriers to rehabilitation
pp.：
390 – 391
Enlisting the help of other professionals
pp.：
391 – 392
Physiotherapy
pp.：
392 – 393
Communication problems
pp.：
393 – 394
Obtaining aids
pp.：
394 – 395
Obtaining repairs
pp.：
395 – 396
Wheelchairs
pp.：
396 – 397
Exercise sessions
pp.：
397 – 398
Recreational activities
pp.：
398 – 399
Working with residents
pp.：
399 – 401
Celebrations and special occasions
pp.：
401 – 402
19 The Way Forward
pp.：
402 – 403
Conclusion
pp.：
402 – 402
What does the future hold for nursing homes?
pp.：
403 – 403
Impact of political and legislative changes
pp.：
403 – 403
Inspection
pp.：
403 – 404
The growth of large homes
pp.：
403 – 403
Growing inequalities
pp.：
404 – 405
Changes in medical care
pp.：
404 – 404
Role of staff with National Vocational Qualifications (NVQs)
pp.：
404 – 404
Changes in the education of registered nurses
pp.：
404 – 404
Future growth?
pp.：
405 – 405
Nursing in Care Homes
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