Bowles is an active peer reviewer for several textbook publishers, the International Journal of Nursing Education Scholarship, Nursing Spectrum, and the Journal of the Scholarship of Teaching and Learning. STT, Academy of Medical Surgical Nurses, Delta Epsilon Honor Society, National League for Nursing, and National Gerontology Nurses Association. The author and publisher of this work have made every effort to use sources believed to be reliable in order to provide information that is accurate and compatible with standards generally accepted at the time of publication.
Kudos to Donna Bowles for conceptualizing this and for the creative way she has used cases to pique students' interest and motivate them to learn new information to help the cases in the chapters and the real patients they will encounter to manage. The narrative section of each case within the chapter provides numerous Internet references useful for the student to obtain additional information to answer the questions posed. The book is quite practical in the way it outlines content and topics.
For example, the section on HIV is placed in the chapter that also includes the management of cancer, chemotherapy and hospice care. Similarly, anemia is placed in the chapter with cardiovascular disease because of the impact of anemia on cardiac function. This revised edition adds a wonderful new component with an all-new Chapter 21, "Aging Issues Affecting the Family," and the incorporation throughout the text of 10 new case examples or focused topical areas on practical aspects of geriatrics, gerontology and care of older people adults.
The new cases address topics such as health care disparities and the elderly, spirituality and aging, decline in inpatient aging, aging in place, health promotion for older adults, challenges and solutions in leaving the farm, long-distance care, an overview of Medicare, catheter-associated urinary tract infections and the cultural issues associated with generational age as we face the aging of a large group of baby boomers.
The Process
The Outcome
Unlike available electronic, "interactive" case studies, students do not click the answer boxes of multiple-choice questions only. Gerontology Nursing Case Studies: 100+ Learning Narratives, Second Edition has a versatile use for undergraduate students. The text can easily be integrated across the curriculum, or serve as part of an assessment in a stand-alone gerontology course.
Cases can be assigned as an out-of-class learning experience, stimulate a small group discussion, or be presented by the instructor to introduce or reinforce a specific lecture topic. The design of the text allows great use of the Internet to explore answers and develop solutions for different customer situations. These stories are very different in terms of the problem at hand, the role of the nurse, and the unexpected events that occur from time to time.
This second edition has been fully revised, with updated links to relevant guides and resources. New case studies have been added, covering topics such as aging in place, healthcare disparities and the baby boom culture. A new chapter on aging and the family delves into the roles of family caregivers, coping and relationships.
It is with the sincere intention that these stories have been created to provide engaging learning, encourage thoughtful discussion, and provide students with a better understanding of the special needs of older people.
Suggested Resources
- Advance Directives
- Health Care Decision Making
- Physical Restraints
- Patient’s Bill of Rights (Long-Term Care)
- The Older Driver
- Iatrogenesis and the Elderly
During his orientation period, two members of the Hospital Ethics Committee spoke to the new employees about the role and importance of this service. Eads came to the clinical department with the hospital chaplain and provided emotional support during the crises. His son found him lying on the bathroom floor and he was transported to the local emergency department (ED).
Deikel felt the need to urinate and tried to get out of bed to go to the bathroom and fell (he had not been given a urinal). Newsom's daughter pulls the nurse aside and asks, "As his condition worsens, I don't want to come in and find him bound in a wheelchair." RN secures Martha. A conversation she had with him was very similar to the short video found at www.usatoday.com/story/money/cars.
In addition, he goes to the grocery store and church once a week, and to the local Walmart twice a month. If her mother were to go into the hospital, it would prevent Betty from being with her every day, which she is very afraid of. She was transported to the emergency room with her file, along with a report from the medical staff at the lTC facility.
Betty got a trip to the hospital the day her mother was to be discharged from the emergency department. It was explained to Betty that the plasma would "dilute" the amount of circulating Coumadin (warfarin). Upon her mother's return to the lTC facility, the staff physician explained to Betty that the cause of the dangerous increase in bleeding times was due to the combination of her particular antibiotic (a fluoroquinolone) and Coumadin (warfarin).
She was admitted to the local hospital for a cardiac examination and placed on a telemetry unit. The next morning, another nurse did the same before Phyllis was transferred back to the ITC facility. As Betty feared, the G-tube inserted shortly after her mother's stroke was completely blocked when she returned to the nursing home.
In relation to the elderly population, what primarily contributes to drug-drug interactions in this age group. Betty told a friend, "I have to go to the hospital with my mother for monitoring [of all health care], not just support [emotional reassurance]."
