Case Studies in Gerontological Nursing for the Advanced Practice Nurse

Meredith Wallace Kazer, PhD, APRN, A/GNP- BC, FAAN is Associate Professor at Fairfield University School of Nursing. Dr. Kazer has authored or edited numerous books, two of which received the American Journal of Nursing Book of the Year Award. She has authored over 50 peer-reviewed journal publications, and 22 book chapters. Dr. Kazer maintains a clinical practice with a focus on chronic illness in older persons. Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP is Professor and Graduate Coordinator at Southern Connecticut State University. Dr. Neal-Boylan has extensive experience in academia as well as family practice, chronic care, and internal medicine. She has edited or co-edited four books including one which won the American Journal of Nursing Award in the medical-surgical division in 2005. Additionally Dr. Neal-Boylan has published over 90 articles in peer-reviewed journals.

• Contributors ix Introduction xviiAbbreviations and Acronyms xxiSection 1 The Aging Population 1Case 1.1 Recipe for Successful Aging 3By Christine Tocchi, PhD(C), MSN, APRN, GNP-BCCase 1.2 Cultural Competence Is a Journey 15By Jina Ko, MSN, RN, ANP-C and Julie M. L. Lautner, MSW, MSN, RNCase 1.3 The Ugly Face of Ageism 23By Shelley Yerger Hawkins, DSN, APRN, FNP, GNP, FAANPCase 1.4 If Only We Had National Health Insurance 31By Philip A. Greiner, DNSc, RNSection 2 Common Health Challenges of Aging 37Case 2.1 The Heart of It All 39By Jaclyn R. Jones, MSN, APRN, NP-CCase 2.2 I Have This Thing on My Skin 47By Everol M. Ennis, Jr., MSN, APRN, A/GNP-BCCase 2.3 Why Is My Mother Wearing a Diaper? 57By Annemarie Dowling-Castronovo, PhD(c), RNCase 2.4 My Aching Back 65By Anne Moore, DNP, RNCase 2.5 More Than Just Constipation 75By Frieda R. Butler, PhD, MPH, FAAN, FGSACase 2.6 Are You in the Hospital Again? 85By Kimberly O. Lacey, DNSc, MSN, CNSCase 2.7 It Hurts When I Pee 93By Rebecca Herter, MSN, RNCase 2.8 The History Reveals All 101By Devon Kwassman, MSN, RNCase 2.9 Kneedless Pain 111By Maureen E. O’Rourke, RN, PhD, and Kenneth S. O’Rourke, MDCase 2.10 Life after a Right CVA 125By Cynthia S. Jacelon, PhD, RN, CRRN, FAANCase 2.11 It Takes My Breath Away 135By Kathy Murphy, RN, BA, DipN, RNT, MSc, PhD, Dympna Casey, RGN, BA, MA, PhD, and Bernard McCarthy, MScCase 2.12 What’s Shaking? 145By Donna Packo Diaz, MS, RN, and Cathi A. Thomas, MS, RN, CNRNCase 2.13 Too Much to Manage 153By Melanie J. Holland, BSN, MSCase 2.14 Them Bones, Them Bones 167By Ivy M. Alexander, PhD, APRN, ANP-BC, FAANSection 3 Health Promotion 181Case 3.1 Never Too Old to Quit 183By Geraldine Marrocco, EdD, APRN, CNS, ANP-BC and Amanda LaManna, MSN, RN, NP-CCase 3.2 Protection by Prevention 189By Kimberlee-Ann Bridges, MSN, RN-BC, CNLCase 3.3 Is Being Careful Enough? 195By Bonnie Cashin Farmer, PhD, RNCase 3.4 Sick and Tired of Being Sick and Tired 203By Kathleen Lovanio, MSN, APRN, F/ANP-BC, Patricia C. Gantert, MSN, RN-BC, and Susan A. Goncalves, DNP(c), MS, RN-BCCase 3.5 To Screen or Not to Screen 213By Meredith Wallace Kazer, PhD, APRN, A/GNP-BC, FAANSection 4 Environments of Care 221Case 4.1 Who Says I Can’t Go Home 223By Antoinette Larkin, RGN, H. Dip. Gerontology, and Claire Welford, RGN, DipNS, BNS–Hons., MSc, PGC–TLHECase 4.2 Regressing in Rehab 231By Kendra M. Grimes, MSN, APRN, GNP-BCCase 4.3 There’s No Place Like Home 239By Nicholas R. Nicholson, Jr., PhD, MPH, RN, PHCNS-BCCase 4.4 Caring for the Caregiver 245By Evanne Juratovac, PhD, RN (GCNS-BC)Case 4.5 Transitions 253By Elizabeth McGann, DNSc, RN, and Lynn Price, JD, MSN, MPH, FNP-BCCase 4.6 Shifting the Focus of Care 261By Alison Kris, PhD, RNCase 4.7 Without a Home 267By Mary Shelkey, PhD, ARNPCase 4.8 A Place Called Home 277By Kelly Smith Papa, MSN, RN, and Eileen O’Connor Smith BSN, RN-CCase 4.9 Aging in Place 285By Karen Dick, PhD, GNP-BC, FAANPSection 5 Cognitive and Psychological Issues in Aging 293Case 5.1 The Diabolical Ds 295By Kathleen Lovanio, MSN, APRN, F/ANP-BC, Patricia C. Gantert, MSN, RN-BC, and Susan A. Goncalves, DNP(c), MS, RN-BCCase 5.2 What a Difference a Day Makes 305By Cora D. Zembrzuski, PhD, APRNCase 5.3 I Don’t Feel Good 313By Evanne Juratovac, PhD, RN (GCNS-BC)Case 5.4 Understanding Distress 323By Eileen O’Connor Smith, BSN, RN-C, and Kelly Smith Papa, MSN, RNSection 6 Issues of Aging and Independence 333Case 6.1 Too Much of a Good Thing 335By Susan C. Frazier, MS, NP-C, GNP-BCCase 6.2 Driving in My Car 343By Valerie C. Sauda, RN-BC, MSCase 6.3 Sex Does Not Stop with Seniority 351By Ashley Domingue, MSN, RN, ANP-BC, GNP-CCase 6.4 Hidden Pathology 359By Marie Boltz, PhD, APRN, BCCase 6.5 Taking Control of the Pain 367By Alison Kris, PhD, RNCase 6.6 The Road toward End-of-Life Decision Making: Who Has the Right of Way? 373By Barbara L. Kramer, MSN, RN, CHPN, and Christine M. Goldstein, LCSW-R, OCW-CIndex 381