Nursing in Care Homes
About this book
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.
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Information
Table of contents
- Preface
- 1 The Legal Framework
- Introduction
- The Care Standards Act 2000
- National minimum standards
- Conclusion
- Further information
- References
- 2 Needs Assessment and Funding Care
- Introduction
- The Community Care Act
- The Royal Commission of the funding of long-term care
- The importance of assessment
- Funding care
- Conclusion
- References
- 3 Confusion and Dementia
- Introduction
- Causes and consequences of dementia
- Medical treatment of dementia
- Nursing care of the person with dementia
- Challenging behaviour
- Ethical issues
- Further reading and information
- References
- 4 Medication Management
- Introduction
- Ordering medication
- Choosing a pharmacist
- Homely remedies
- Nurse prescribing
- Storing medication
- Administration of drugs
- Drug audits
- Keeping records of medication entering the home
- Dealing with medication no longer required
- Medication review
- Dealing with drug errors
- Conclusion
- References
- 5 Infection Control
- Introduction
- Causes and effects of infection
- How ageing affects inflammatory response
- How infection affects older adults
- Infection risks in nursing homes
- Urinary tract infection
- Preventing wound infection
- Preventing infection
- Methicillin-resistant Staphylococcus aureus (MRSA)
- Setting up an infection control programme
- References
- 6 Wound Care
- Introduction
- How do wounds heal?
- Wound assessment
- Nutrition and wound healing
- Fluid intake
- Mobility
- Chronic diseases
- Intrinsic factors
- Principles of wound healing
- Choosing appropriate dressings
- Leg ulcers
- Problem wounds
- Where to get further information and help
- Conclusion
- Further reading
- References
- 7 Continence Promotion
- Introduction
- Continence and ageing
- Continence and disease
- Why incontinence occurs
- Continence assessment
- Continence promotion programmes
- Further information
- References
- 8 Management of Incontinence
- Introduction
- Choosing the right method to contain incontinence
- References
- 9 Risk Management
- Introduction
- Why identify and classify risk?
- Can we manage risk?
- Hazards
- Risk evaluation
- Control measures
- Legal aspects
- Moving and handling
- Falls
- Record keeping
- Ethical issues
- References
- 10 Preventing Pressure Sores
- Introduction
- What is a pressure sore?
- Risk factors
- Assessing and reducing risks
- Adopting a problem-solving approach
- Pressure relieving aids
- Changing position
- Assessing wounds
- Treatment of pressure sores
- Staff education
- References
- 11 Nutrition
- Introduction
- The nutritional needs of older people
- The incidence and consequences of malnutrition
- Meeting nutritional needs
- How illness affects the ability to eat a balanced diet
- Medication and nutrition
- Individuals with special dietary needs
- Assessing nutritional status
- General measures to reduce malnutrition
- Specific measures to reduce malnutrition
- Conclusion
- References
- 12 Stroke
- Introduction
- Causes and consequences of stroke
- Rehabilitation
- Fluids and diet
- Communication
- Bladder and bowel problems
- Ethical issues
- References
- 13 Accessing Community Services
- Introduction
- Creation of Care Trusts
- Chiropody services
- Specialist footwear and appliances
- Wigs
- Obtaining orthotic services
- Hairdressing
- Ophthalmic services
- Dental services
- Hearing aids services
- Reference
- 14 Palliative Care
- Introduction
- Offering effective palliative care
- Dealing with death and dying
- Further information
- References
- 15 Diabetes
- Causes of consequences of diabetes
- Medical treatment of diabetes
- Managing diabetes
- Skin problems
- Visual problems
- Further reading
- Further information
- References
- 16 Respite Care
- Introduction
- The older person's view of respite care
- The carer's view of respite care
- The nurse's view of respite care
- Social services' view of respite care
- Problems associated with respite care
- Innovative models of care
- Contracting with social services
- Funding for respite care
- Supporting carers
- Liaising with other professionals and organising services
- Arranging discharge
- Conclusion
- 17 Rehabilitation
- Introduction
- Why is rehabilitation necessary?
- What is intermediate care?
- Defining rehabilitation
- The benefits of rehabilitation
- Current rehabilitation policy
- Successful rehabilitation programmes
- Purchasing care
- Standards of care
- Conclusion
- References
- 18 Maximising Ability
- Introduction
- Assessing for rehabilitation
- Barriers to rehabilitation
- Enlisting the help of other professionals
- Physiotherapy
- Communication problems
- Obtaining aids
- Obtaining repairs
- Wheelchairs
- Exercise sessions
- Recreational activities
- Working with residents
- Celebrations and special occasions
- Conclusion
- 19 The Way Forward
- What does the future hold for nursing homes?
- Impact of political and legislative changes
- The growth of large homes
- Inspection
- Changes in medical care
- Changes in the education of registered nurses
- Role of staff with National Vocational Qualifications (NVQs)
- Growing inequalities
- Future growth?
- Reference
- Index
