Adult-Gerontology Practice Guidelines [Team-IRA]

Cover
Half Title: ADULT-GERONTOLOGY  PRACTICE GUIDELINES
EDITOR
Book Title: Adult-Gerontology Practice Guidelines
Copyright
Dedication
Contents
List of Client Teaching Guides
CONTRIBUTORS
ACKNOWLEDGMENTS
	INSTRUCTOR Resource
Section 1
	GUIDELINES
Chapter 1: Normal Physiologic Changes in the Aging Adult
	Introduction
	Brain and Nervous System
	EARS
	SMELL AND TASTE
	CARDIOVASCULAR SYSTEM
	RESPIRATORY SYSTEM
	GASTROINTESTINAL SYSTEM
	METABOLISM AND BODY WEIGHT
	ENDOCRINE SYSTEM
	MUSCULOSKELETAL
	GENITOURINARY SYSTEM
	REPRODUCTION AND SEXUALITY
	BLOOD AND BLOOD COMPONENTS
	SKIN, HAIR, AND NAILS
Chapter 2: Healthy Living for  the Adult-Geriatric Client
	HEALTH MAINTENANCE DURING THE LIFE SPAN
	ADULT RISK ASSESSMENT FORM
	ADULT PREVENTIVE HEALTHCARE
	ADULT-GERIATRIC SCREENING RECOMMENDATIONS
	ABDOMINAL AORTIC ANEURYSM
	BONE MASS DENSITY MEASUREMENT FOR OSTEOPOROSIS
	CARDIOVASCULAR DISEASE AND CARDIAC SCREENING (CARDIAC CALCIUM SCORE)
	COLORECTAL SCREENING
	DENTAL CARE
	DEPRESSION SCREENING
	DIABETES SCREENING
	HEPATITIS C SCREENING
	HIV SCREENING
	IMMUNIZATIONS
	MAMMOGRAPHY
	PAP SMEAR/PELVIC EXAMINATION
	PROSTATE CANCER SCREENING
	SEXUALLY TRANSMITTED INFECTION SCREENING
	VISION SCREENS
	PRETRAVEL HEALTH SCREENINGS
Chapter 3: ADULT-GERIATRIC ASSESSMENTS
	COMPREHENSIVE ASSESSMENT IN GERONTOLOGY
	POLYPHARMACY
	FUNCTIONAL ABILITY
	PSYCHOLOGICAL WELL-BEING
	SOCIOENVIRONMENTAL STATUS
	ADVANCED CARE PLANNING
	CLIENT TEACHING GUIDES
	CLIENT TEACHING GUIDE
	SAFETY ISSUES: FALL PREVENTION
	SAFETY ISSUES: MEDICATION SAFETY
Chapter 4: Caregiver and End-of-Life Issues
	CAREGIVER SUPPORT ISSUES
	FORMAL AND INFORMAL CAREGIVERS
	INFORMAL CAREGIVER DEMOGRAPHICS
	CARE RECIPIENT DEMOGRAPHICS
	INFORMAL CAREGIVER CONCERNS
	Providers’ Assistance With the Caregiver
	CAREGIVER RESOURCES
	ADVANCE DIRECTIVES
	PALLIATIVE CARE
	SPECIAL CONSIDERATIONS: HOSPICE CARE
	KEY FACTORS OF CARE IN THE ELDERLY CLIENT AT THE END OF LIFE
	PHYSICAL ASPECTS OF CARE
	SYMPTOM MANAGEMENT
	SOCIAL ASPECTS OF CARE
	SPIRITUAL, RELIGIOUS, CULTURAL, AND EXISTENTIAL ASPECTS
	ETHICS
	APPENDIX 4.1 Hospice Criteria Card
Chapter 5: GERIATRIC SYNDROMES
	INTRODUCTION
	FRAILTY AND SARCOPENIA
	FUNCTIONAL DEPENDENCE
	FALL
	DEMENTIA, DEPRESSION, AND DELIRIUM
	POOR APPETITE AND UNINTENTIONAL WEIGHT LOSS
	PAIN
	INCONTINENCE
	CONCLUSION
Chapter 6: PAIN MANAGEMENT GUIDELINES
	ACUTE PAIN
	CHRONIC PAIN
	PAIN ASSESSMENT AND MANAGEMENT IN THE AGING POPULATION
	LOW BACK PAIN
	CLIENT TEACHING GUIDES
	CLIENT TEACHING GUIDE
	Chronic Pain
Chapter 7: DERMATOLOGY GUIDELINES
	ACNE ROSACEA
	ACNE VULGARIS
	ATOPIC DERMATITIS
	BENIGN SKIN LESIONS
	CANDIDIASIS
	CELLULITIS AND ABSCESS
	CONTACT DERMATITIS
	FOLLICULITIS
	HERPES SIMPLEX VIRUS TYPE 1
	HERPES ZOSTER (SHINGLES)
	LICE (PEDICULOSIS)
	LICHEN PLANUS
	PITYRIASIS ROSEA
	PRECANCEROUS OR CANCEROUS SKIN LESIONS
	PSORIASIS
	SCABIES
	SEBORRHEIC DERMATITIS
	TINEA
	WOUND CARE: LOWER EXTREMITY ULCER
	WOUND CARE: PRESSURE INJURIES/ULCERS
	WOUNDS OF THE SKIN
	WOUND HEALING: HIGH-PROTEIN NUTRITION
	XEROSIS (WINTER ITCH)
	CLIENT TEACHING GUIDES
	Client Teaching Guide
	ACNE ROSACEA
	ACNE VULGARIS
	DERMATITIS
	ECZEMA
	ERYTHEMA MULTIFORME
	FOLLICULITIS
	HERPES ZOSTER (SHINGLES)
	INSECT BITES AND STINGS
	LICE (PEDICULOSIS)
	LICHEN PLANUS
	PITYRIASIS ROSEA
	PSORIASIS
	SCABIES
	SEBORRHEIC DERMATITIS
	SKIN CARE ASSESSMENT
	TINEA
	TINEA VERSICOLOR
	WARTS
	WOUND CARE: LOWER EXTREMITY ULCERS
	WOUND CARE: PRESSURE INJURIES/ULCERS
	WOUNDS OF THE SKIN
	XEROSIS (WINTER ITCH)
Chapter 8: Eye Guidelines
	BLEPHARITIS
	CATARACTS
	CHALAZION
	CORNEAL ABRASION
	DACRYOCYSTITIS
	DRY EYES
	EXCESSIVE TEARS
	EYE PAIN
	GLAUCOMA, ACUTE ANGLE CLOSURE
	HORDEOLUM (STYE)
	Bookmark 12
	REFRACTIVE DISORDERS
	RETINOPATHY
	SUBCONJUNCTIVAL HEMORRHAGE
	UVEITIS
	CLIENT TEACHING GUIDES
	CLIENT TEACHING GUIDE
	CONJUNCTIVITIS
	HOW TO ADMINISTER EYE MEDICATIONS
Chapter 9: Ear Guidelines
	ACUTE OTITIS MEDIA
	CERUMEN IMPACTION (EARWAX)
	HEARING LOSS
	OTITIS EXTERNA
	OTITIS MEDIA WITH EFFUSION
	PRESBYCUSIS
	TINNITUS
	CLIENT TEACHING GUIDES
	CLIENT TEACHING GUIDE
	CERUMEN IMPACTION (EARWAX)
	OTITIS EXTERNA
	OTITIS MEDIA WITH EFFUSION
	TINNITUS
Chapter 10: NASAL GUIDELINES
	ALLERGIC RHINITIS
	EPISTAXIS
	NONALLERGIC RHINITIS
	SINUSITIS
	CLIENT TEACHING GUIDES
	CLIENT TEACHING GUIDE
	ALLERGIC RHINITIS
	NOSEBLEEDS
	SINUSITIS
Chapter 11: Throat and Mouth Guidelines
	DENTAL ABSCESS
	DYSPHAGIA
	EPIGLOTTITIS
	ORAL CANCER, LEUKOPLAKIA
	PHARYNGITIS
	STOMATITIS, RECURRENT APHTHOUS STOMATITIS
	THRUSH
	CLIENT TEACHING GUIDES
	CLIENT TEACHING GUIDE
	APHTHOUS STOMATITIS
	PHARYNGITIS
	THRUSH
Chapter 12: Respiratory Guidelines
	ASTHMA
	BRONCHITIS, ACUTE
	BRONCHITIS, CHRONIC
	CHRONIC OBSTRUCTIVE PULMONARY DISEASE
	COMMON COLD/UPPER RESPIRATORY INFECTION
	COUGH
	DYSPNEA
	EMPHYSEMA
	INFLUENZA (FLU)
	OBSTRUCTIVE SLEEP APNEA
	BACTERIAL COMMUNITY-ACQUIRED PNEUMONIA
	PNEUMONIA (VIRAL)
	TUBERCULOSIS
	CLIENT TEACHING GUIDES
Chapter 13: CARDIOVASCULAR GUIDELINES
	ACUTE MYOCARDIAL INFARCTION
	ARRHYTHMIAS
	ATHEROSCLEROSIS AND HYPERLIPIDEMIA
	ATRIAL FIBRILLATION
	Carotid Artery Stenosis
	Chest Pain
	Chronic Venous Insufficiency and Varicose Veins
	Deep Vein Thrombosis
	Heart Failure
	HYPERTENSION
	LYMPHEDEMA
	Murmurs
	Palpitations
	Peripheral Arterial Disease
	SUPERFICIAL THROMBOPHLEBITIS
	Syncope
	CLIENT TEACHING GUIDES
	CLIENT TEACHING GUIDE
	ATHEROSCLEROSIS AND HYPERLIPIDEMIA
	ATRIAL FIBRILLATION
	ATRIAL FIBRILLATION (continued)
	CHRONIC VENOUS INSUFFICIENCY
	DEEP VEIN THROMBOSIS
	LYMPHEDEMA
	PERIPHERAL ARTERIAL DISEASE
	SUPERFICIAL THROMBOPHLEBITIS
	VARICOSE VEINS
Chapter 14: Gastrointestinal Guidelines
	ABDOMINAL PAIN
	APPENDICITIS
	BOWEL OBSTRUCTION
	CHOLECYSTITIS
	CIRRHOSIS OF THE LIVER
	COLORECTAL CANCER SCREENING
	CONSTIPATION
	CROHN’S DISEASE
	CYCLOSPORIASIS
	DIARRHEA
	DIVERTICULOSIS AND DIVERTICULITIS
	ELEVATED LIVER ENZYMES
	FECAL INCONTINENCE
	GASTROENTERITIS, BACTERIAL AND VIRAL
	GASTROESOPHAGEAL REFLUX DISEASE AND DYSPEPSIA
	GIARDIA INTESTINALIS
	HEMORRHOIDS
	HEPATITIS A
	HEPATITIS B
	HEPATITIS C
	HERNIAS, ABDOMINAL
	HERNIAS, PELVIC
	HIATAL HERNIA
	IRRITABLE BOWEL SYNDROME
	JAUNDICE
	MALABSORPTION
	NAUSEA AND VOMITING
	PANCREATITIS
	PEPTIC ULCER DISEASE
	POSTBARIATRIC SURGERY LONG-TERM FOLLOW-UP
	ULCERATIVE COLITIS
	CLIENT TEACHING GUIDES
	CLIENT TEACHING GUIDE
	ABDOMINAL PAIN
	CROHN’S DISEASE AND ULCERATIVE COLITIS
	CROHN’S DISEASE AND ULCERATIVE COLITIS (Continued )
	DIARRHEA
	FECAL INCONTINENCE
	GASTROESOPHAGEAL REFLUX DISEASE (GERD)
	HEMORRHOIDS
	IRRITABLE BOWEL SYNDROME (IBS)
	JAUNDICE AND HEPATITIS
	LACTOSE INTOLERANCE AND MALABSORPTION
	MANAGEMENT OF ULCERS
	TIPS TO RELIEVE CONSTIPATION
Chapter 15: GENITOURINARY GUIDELINES
	BENIGN PROSTATIC HYPERPLASIA
	CHRONIC KIDNEY DISEASE
	EPIDIDYMITIS
	HEMATURIA
	INTERSTITIAL CYSTITIS
	NOCTURIA
	PROSTATITIS
	PROTEINURIA
	PYELONEPHRITIS
	RENAL CALCULI, OR KIDNEY STONES (NEPHROLITHIASIS)
	SEXUAL DYSFUNCTION, MALE: ERECTILE DYSFUNCTION
	SEXUAL DYSFUNCTION, MALE: PREMATURE EJACULATION
	SEXUAL HEALTH ISSUES IN THE AGING POPULATION
	SEXUALITY AND CHRONIC HEALTH CONDITIONS
	SEXUALITY AND END OF LIFE
	SEXUALITY AND PHYSICAL DISABILITIES
	TESTICULAR TORSION
	URINARY INCONTINENCE
	URINARY RETENTION
	URINARY TRACT INFECTION (ACUTE CYSTITIS)
	VARICOCELE
	CLIENT TEACHING GUIDES
	CLIENT TEACHING GUIDE
	BENIGN PROSTATIC HYPERPLASIA
	CHRONIC KIDNEY DISEASE
	EPIDIDYMITIS
	NOCTURIA
Chapter 16: Obstetrics Guidelines
	PREPREGNANCY COUNSELING: IDENTIFYING CLIENTS AT RISK
	PRENATAL CARE: INITIAL PRENATAL VISIT
	PRENATAL CARE: FIRST TRIMESTER OVERVIEW
	PRENATAL CARE: SECOND TRIMESTER OVERVIEW
	PRENATAL CARE: THIRD TRIMESTER OVERVIEW
	POSTPARTUM OVERVIEW
	ANEMIA, IRON-DEFICIENCY
	GESTATIONAL DIABETES MELLITUS
	HYPERTENSIVE DISORDERS
	PYELONEPHRITIS IN PREGNANCY
	VAGINAL BLEEDING: FIRST TRIMESTER
	VAGINAL BLEEDING: SECOND AND THIRD TRIMESTERS
	POSTPARTUM BREAST ENGORGEMENT
	ENDOMETRITIS
	MASTITIS
	POSTPARTUM DEPRESSION
	SECONDARY POSTPARTUM HEMORRHAGE
	WOUND INFECTION
	POSTPARTUM EXAM
	CLIENT TEACHING GUIDES
	CLIENT TEACHING GUIDE
	ANTEPARTUM: FIRST-TRIMESTER VAGINAL BLEEDING
	ENDOMETRITIS
	GESTATIONAL DIABETES
	INSULIN THERAPY DURING PREGNANCY
	IRON-DEFICIENCY ANEMIA (PREGNANCY)
	MASTITIS
	POSTPARTUM: BREAST ENGORGEMENT AND SORE NIPPLES
	PRETERM LABOR
	URINARY TRACT INFECTION DURING PREGNANCY: PYELONEPHRITIS
	VAGINAL BLEEDING: SECOND AND THIRD TRIMESTERS
	WOUND INFECTION: EPISIOTOMY AND CESAREAN SECTION
Chapter 17: Gynecologic Guidelines
	AMENORRHEA
	BACTERIAL VAGINOSIS (GARDNERELLA)
	BARTHOLIN CYST OR ABSCESS
	BREAST PAIN
	CERVICAL CANCER SCREENING GUIDELINES AND INTERPRETATION
	CERVICITIS
	CONTRACEPTION
	DYSMENORRHEA
	EMERGENCY CONTRACEPTION
	ENDOMETRIOSIS
	GENITO-PELVIC PAIN/PENETRATION DISORDER (DYSPAREUNIA)
	GENITOURINARY SYNDROME OF MENOPAUSE
	IMPAIRED FERTILITY
	PELVIC ORGAN PROLAPSE
	PREMENSTRUAL SYNDROME AND PREMENSTRUAL DYSPHORIC DISORDER
	PREVENTIVE CARE FOR ADULT SURVIVORS OF SEXUAL VIOLENCE
	VULVOVAGINAL CANDIDIASIS
	CLIENT TEACHING GUIDES
	CLIENT TEACHING GUIDE
	AMENORRHEA
	BACTERIAL VAGINOSIS
	CERVICITIS
	CONTRACEPTION: HOW TO TAKE BIRTH CONTROL PILLS  (FOR A 28-DAY CYCLE)
	DYSMENORRHEA (PAINFUL MENSTRUAL CRAMPS OR
	DYSPAREUNIA (PAIN WITH INTERCOURSE)
	EMERGENCY CONTRACEPTION PILLS
	FIBROCYSTIC BREAST CHANGES AND BREAST PAIN
	Genitourinary Syndrome (Atrophic vaginitis)
	Genitourinary Syndrome (Atrophic vaginitis)
	MENOPAUSE
	PELVIC INFLAMMATORY DISEASE
	PREMENSTRUAL SYNDROME AND PREMENSTRUAL DYSPHORIC DISORDER
	VAGINAL YEAST INFECTION
Chapter 18: Sexually Transmitted Infections Guidelines
	CHLAMYDIA
	HERPES SIMPLEX VIRUS: GENITAL HERPES
	HUMAN PAPILLOMAVIRUS
	SYPHILIS
	TRICHOMONIASIS
	CLIENT TEACHING GUIDES
	CLIENT TEACHING GUIDE
	CHLAMYDIA
	GONORRHEA
	HERPES SIMPLEX VIRUS
	HUMAN PAPILLOMAVIRUS
	SYPHILIS
	TRICHOMONIASIS
Chapter 19: Infectious Disease Guidelines
	CYTOMEGALOVIRUS
	ENCEPHALITIS
	LYME DISEASE
	MENINGITIS
	MONONUCLEOSIS (EPSTEIN-BARR)
	RHEUMATIC FEVER
	ROCKY MOUNTAIN SPOTTED FEVER
	TOXOPLASMOSIS
	VARICELLA (CHICKENPOX)
	WEST NILE VIRUS
	CLIENT TEACHING GUIDES
	CLIENT TEACHING GUIDE
	LYME DISEASE AND REMOVAL OF A TICK
	MONONUCLEOSIS
	ROCKY MOUNTAIN SPOTTED FEVER AND REMOVAL OF A TICK
	TOXOPLASMOSIS
Chapter 20: Systemic Disorders Guidelines
	CANCER MANAGEMENT
	FEVERS OF UNKNOWN ORIGIN
	HUMAN IMMUNODEFICIENCY VIRUS
	IMMUNE THROMBOCYTOPENIA
	IRON-DEFICIENCY ANEMIA (MICROCYTIC, HYPOCHROMIC)
	LYMPHADENOPATHY
	MALNUTRITION
	MYALGIC ENCEPHALOMYELITIS/CHRONIC FATIGUE SYNDROME
	CLIENT TEACHING GUIDES
	CLIENT TEACHING GUIDE
	IRON-DEFICIENCY ANEMIA
	LYMPHEDEMA
	REFERENCE RESOURCES REGARDING HIV/AIDS
	VITAMIN B12 INCLUDING PERNICIOUS ANEMIA
Chapter 21: Musculoskeletal Guidelines
	AGING KNEE/KNEE PAIN
	BUNION
	DEGENERATIVE DISC DISEASE (NECK/LUMBAR)
	HAMMER TOE
	MORTON NEUROMA
	NECK AND UPPER BACK DISORDERS
	PLANTAR FASCIITIS AND BONE SPURS
	SCIATICA
	SHOULDER PAIN
	SPINAL STENOSIS
	SPRAINS: ANKLE AND KNEE
	CLIENT TEACHING GUIDES
	CLIENT TEACHING GUIDE
	ANKLE EXERCISES
	BACK STRETCHES
	back stretches (continued)
	KNEE EXERCISES
	KNEE EXERCISES (continued)
	NECK EXERCISES
	RICE THERAPY AND EXERCISE THERAPY
Chapter 22: Rheumatologic Guidelines
	ANKYLOSING SPONDYLITIS
	FIBROMYALGIA
	GOUT
	OSTEOARTHRITIS
	OSTEOPOROSIS/KYPHOSIS/FRACTURE
	POLYMYALGIA RHEUMATICA
	PSEUDOGOUT
	Psoriatic Arthritis
	RAYNAUD PHENOMENON
	Rheumatoid Arthritis
	SYSTEMIC LUPUS ERYTHEMATOSUS
	TEMPORAL ARTERITIS/GIANT CELL ARTERITIS
	VITAMIN D DEFICIENCY
	CLIENT TEACHING GUIDES
	CLIENT TEACHING GUIDE
	FIBROMYALGIA
	GOUT
	OSTEOARTHRITIS
	OSTEOPOROSIS
	POLYMYALGIA RHEUMATICA
	SYSTEMIC LUPUS ERYTHEMATOSUS
Chapter 23: Neurologic Guidelines
	ALZHEIMER DISEASE
	BELL’S PALSY
	CARPAL TUNNEL SYNDROME
	GUILLAIN-BARRé SYNDROME
	HEADACHE
	MIGRAINE HEADACHE
	MILD TRAUMATIC BRAIN INJURY
	MULTIPLE SCLEROSIS
	MYASTHENIA GRAVIS
	NEUROCOGNITIVE DISORDERS (DEMENTIA)
	NORMAL PRESSURE HYDROCEPHALUS
	PARKINSON DISEASE
	RESTLESS LEGS SYNDROME
	SEIZURES
	STROKE
	TRANSIENT GLOBAL AMNESIA
	TRANSIENT ISCHEMIC ATTACK
	TRIGEMINAL NEURALGIA
	VERTIGO
	CLIENT TEACHING GUIDES
Chapter 24: Endocrine Guidelines
	ADDISON DISEASE
	CUSHING SYNDROME
	DIABETES MELLITUS
	GALACTORRHEA
	GYNECOMASTIA
	HYPOGONADISM
	METABOLIC SYNDROME/INSULIN RESISTANCE SYNDROME
	OBESITY
	POLYCYSTIC OVARIAN SYNDROME
	THYROID DISEASE
	THYROTOXICOSIS/THYROID STORM
	CLIENT TEACHING GUIDES
	CLIENT TEACHING GUIDE
	ADDISON DISEASE
	CUSHING SYNDROME
	DIABETES
Chapter 25: Psychiatric Guidelines
	ANXIETY
	ATTENTION DEFICIT HYPERACTIVITY DISORDER
	BIPOLAR DISORDER
	DEPRESSION
	FAILURE TO THRIVE
	GRIEF
	INTIMATE PARTNER VIOLENCE
	SLEEP DISORDERS
	SUBSTANCE USE DISORDERS
	VIOLENCE AGAINST THE OLDER ADULT
	CLIENT TEACHING GUIDES
	CLIENT TEACHING GUIDE
	ADHD: COPING STRATEGIES FOR TEENS AND ADULTS
	ALCOHOL AND DRUG DEPENDENCE
	GRIEF
	NICOTINE DEPENDENCE
	SLEEP DISORDERS/INSOMNIA
Section 2: Procedures
	BIMANUAL EXAMINATION: CERVICAL EVALUATION DURING PREGNANCY
	CANALITH REPOSITIONING (EPLEY) PROCEDURE FOR VERTIGO
	CLOCK-DRAW TEST
	CYSTOMETRY
	ESTABLISHING THE ESTIMATED DATE OF DELIVERY
	EVALUATION OF SPRAINS
	HERNIA REDUCTION (INGUINAL/GROIN)
	INSERTING AN ORAL AIRWAY
	INTRAUTERINE DEVICE INSERTION
	NEUROLOGIC EXAMINATION
	PESSARY INSERTION AND MANAGEMENT
	PROSTATIC MASSAGE TECHNIQUE: TWO-GLASS TEST
	RECTAL PROLAPSE REDUCTION
	REMOVAL OF A FOREIGN BODY FROM THE NOSE
	REMOVAL OF A TICK
	TRICHLOROACETIC ACID/PODOPHYLLIN THERAPY
	WET MOUNT/CERVICAL CULTURES
Section 3: APPENDICES
Appendix A: Normal Laboratory Values
Appendix B: Dietary Recommendations
	FOODS TO AVOID WHILE TAKING WARFARIN (COUMADIN, JANTOVEN)
	FERMENTABLE OLIGOSACCHARIDES, DISACCHARIDES, MONOSACCHARIDES, AND POLYOLS (FODMAP) DIET
	GLUTEN-FREE DIET
	HIGH-FIBER DIET
	LACTOSE-INTOLERANCE DIET
	LOW-FAT/LOW-CHOLESTEROL DIET
	NAUSEA AND VOMITING DIET SUGGESTIONS
	NUTRITION FOR WOUND HEALING
	FOOD SOURCES AND RECOMMENDATIONS FOR COMMON VITAMIN AND MINERAL DEFICIENCIES
	FOOD SOURCES AND RECOMMENDATIONS FOR VITAMIN D AND CALCIUM
Appendix C: Beers Criteria
Appendix D: Deprescribing Algorithms
Index