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Linda Deravin-Malone Judith Anderson
CHRONIC CARE NURSING A FRAMEWORK FOR PRACTICE
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Acquire the knowledge and skills essential to work in chronic care settings
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DATE PUBLISHED: September 2016 FORMAT: Paperback* ISBN: 9781316600740 *also available as an eBook
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*Subject to meeting course requirements ABN 28 508 204 178
CHRONIC CARE NURSING A FRAMEWORK FOR PRACTICE Chronic Care Nursing: a framework for practice provides a comprehensive and accessible overview of the role of the nurse in dealing with chronic conditions across a variety of healthcare settings in Australia and New Zealand.
COMPANION WEBSITE A comprehensive companion website is available at:
Chronic Care Nursing is an indispensable resource which enables students and registered nurses to acquire the knowledge and skills essential to work in chronic care settings.
KEY FEATURES • Provides a structured overview of the role of the nurse in dealing with chronic conditions • Uses the WHO Chronic Care Model and the Innovative Care for Chronic Conditions Framework as a model for the structure • Presents a narrative-style, person-centred approach to chronic care nursing • Includes case studies, reflection points and discussion questions to help students engage with and comprehend the content
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TABLE OF CONTENTS
EDITORS
PART ONE 1. Frameworks for Chronic Care Management 2. Implementing the Macro Level of ICCCF 3. Implementing the Meso Level of ICCCF 4. Implementing the Micro Level of ICCCF 5. The Australian and New Zealand healthcare systems
The first part of the book provides a road map for the implementation of chronic care, by outlining how two essential approaches to chronic care management – the Chronic Care Model and the World Health Organization’s Innovative Care for Chronic Conditions Framework – can help to improve patient outcomes at both national and international levels. The second part devotes separate chapters to key conditions within chronic care nursing – including dementia, disability, palliative care and mental health – and highlights the pressing contemporary considerations of each condition. Written by an expert author team of clinicians and academics, this book is full of helpful educational tools such as learning objectives, chapter summaries, national competencies, case studies and reflective questions.
PUBLICATION DATE: July 2016 FORMAT: Paperback* ISBN: 9781316600740 *also available as an eBook
www.cambridge.edu.au/academic/chronic Resources include: • Videos • Instructor resources • Helpful web-links • Additional activities Chapter 15 Dementia care Short-answer questions
Multiple-choice questions
1.
1.
Describe the difference between dementia and Alzheimer’s disease. Dementia is an umbrella term used to describe the loss of memory, intellect,
Which of the following are early symptoms of Alzheimer’s disease? a. Deterioration in communication
language, social skills, perception, rationality and physical functioning. Alzheimer’s
2.
b. Impaired judgement
disease is a type of dementia characterised by a shrinking outer layer cortex and a
c. Impaired communication
general decrease in brain weight.
d. Loss of mobility
What is thought to cause shrinking and atrophy in the brain of an Alzheimer’s 2. patient?
A 75-year-old man presents with general onset of cognitive impairment, which is fluctuating, together with falls, visual hallucinations and parkinsonism. What is the
The development of plaque and neurofibrillary tangles in the brain causes the
most likely diagnosis? shrinking seen in Alzheimer’s patients. Plaque interferes and blocks the transmission a. Multi-infarct dementia of electrical stimuli between neurons. The neurofibrillary tangles destroy brain cells b. Alzheimer’s disease
by preventing the transport of nutrients to the brain cells. A small protein called beta- c. Lewy body dementia amyloid, found in the plaque, is thought to initiate the development of Alzheimer’s. d. Parkinson’s disease 3.
Vascular dementia is a broad term associated with problems of circulation of blood 3. to Delirium could be caused by: the brain. What are two types of vascular dementia and how do they affect the brain? a. Pain
Two types of vascular dementia are Binswanger’s disease and multi-infarct dementia. b. Dehydration Binswanger’s disease is caused by high blood pressure, atherosclerosis and c. Urinary tract infection insufficient circulation in the brain. Multi-infarct dementia is associated with stroke d. All of the above damage to the cortex, resulting in impaired memory, learning and language. 4.
4.
Agitation can be reduced by:
The prevalence of dementia cases in Australia and New Zealand is expected to rise in a. Having a companion animal in the ward the next 35 years. By how much is it expected to increase? Explain the predicted
b. Multisensory rooms
trend.
c. Simulated presence therapy
The increase in people with dementia is predicted to rise by 327 per cent from 2015 to d. All of the above 2050. This increase is due to Australia and New Zealand’s rapidly increasing aging 5. The most accurate way to assess if the patient with dementia has pain is: population. Statistics show that one in nine people over the age of 65 have dementia, and this increases to one in three by the age of 85. 5.
Outline the World Health Organization’s goals for dementia care. Early diagnosis
Chronic Care Nursing Chapter 15 Dementia care Instructor resources © Cambridge University Press 2016
Optimising physical health, cognition, activity and wellbeing Chronic Care Nursing Chapter 15 Dementia care Instructor resources © Cambridge University Press 2016
1
These are sample resources to accompany ISBN 9781316600740. For more information, please contact academicmarketing@cambridge.org
4
These are sample resources to accompany ISBN 9781316600740. For more information, please contact academicmarketing@cambridge.org
PART TWO 6. Cancer Control 7. Chronic Cardiovascular Disease 8. Injury Prevention 9. Depression, Anxiety and Substance Misuse and Abuse 10. Mental Health Issues of a Psychotic Nature 11. Diabetes Mellitus 12. Chronic Respiratory Conditions (Asthma and COPD) 13. Arthritis and Musculoskeletal Conditions 14. Chronic Obesity 15. Dementia Care 16. Chronic kidney disease (CKD) 17. Disability 18. End of Life Care 19. Parkinson’s disease and Multiple Sclerosis
Linda Deravin-Malone is Lecturer in the School of Nursing, Midwifery and Indigenous Health at Charles Sturt University, Wagga Wagga, New South Wales. Linda has almost 30 years’ experience in the nursing profession and has a wide range of nursing expertise having worked in specialities such as aged care, primary health care, emergency care, peri-operative care, forensic nursing, leadership and nursing management. Linda has experience in both the public and private sector of the health industry. Judith Anderson is Lecturer in the School of Nursing, Midwifery and Indigenous Health at Charles Sturt University, Bathurst, New South Wales. Judith has a 17 year history of working as a registered nurse in rural areas, in both clinical and managerial roles. Her research interests are in aged care, emergency care and community development.