Caring for the Older Person

The number of older people in our society is increasing rapidly and
as they age, the demand for safe, effective care is growing. This
book offers readers the knowledge and skill to provide all aspects
of care.

Caring for the Older Person is written in six sections,
covering the fundamental needs of an older person:

• Assistance with personal cleansing

• Assistance with movement

• Assistance to maintain nutrition and fluid intake

• Assistance with toilet needs

• Assistance with the need for observation and monitoring

• Care of the person immediately following death

Each section starts with an explanation and includes care
procedures in a step-by-step format. Written by two experienced
nurses, the book is systematic and evidence-based, using up-to-date
knowledge and government policy. It is intended to be a practical
aid to improve care for the older person, whether in hospital, care
home or at home and to give the reader the confidence that the care
they provide is safe and effective.

Caring for the Older Person is an essential resource for
health care professionals, trainees, care assistants, or paid
carers, whose work involves caring for an older person; or a lay
person - someone who needs to acquire skill and confidence to
care for an older friend, neighbour or relative.

Autorentext

Ann Bradshaw - Oxford Brookes University, School of Health
and Social Care and Oxford Radcliffe Hospitals NHS Trust,
Department of Clinical Geratology

Ann Bradshaw has worked as a clinical nurse in medicine and
surgery, in palliative care, as a district nurse in the community,
and in the care of older people. She has had numerous articles and
papers published in nursing journals as well as medical and
sociological journals, and has also spoken at many conferences. She
has contributed chapters to several edited books.

Clair Merriman - Senior Lecturer in Clinical Skills,
School of Health and Social Care, Oxford Brookes University

Clair has a background in neuroscience nursing and first came
interested as to how nurses gain and maintain competence in
clinical skills when she was a clinical development nurse. She has
developed clinical skills teaching and assessing amongst student
and post registration nurses at Oxford Brookes University in a
project that has been original and innovative and recognises the
importance of teaching and assessing the clinical skill of the
nurse in order to be a competent practitioner. Clair is a member of
an international multi professional clinical skills network, whose
purpose is to provide a network for those who teach and assess
clinical skills. They have a biannual conference where Clair has
presented.

Zusammenfassung
The number of older people in our society is increasing rapidly and as they age, the demand for safe, effective care is growing. This book offers readers the knowledge and skill to provide all aspects of care. Caring for the Older Person is written in six sections, covering the fundamental needs of an older person:

• Assistance with personal cleansing
• Assistance with movement
• Assistance to maintain nutrition and fluid intake
• Assistance with toilet needs
• Assistance with the need for observation and monitoring
• Care of the person immediately following death
  Each section starts with an explanation and includes care procedures in a step-by-step format. Written by two experienced nurses, the book is systematic and evidence-based, using up-to-date knowledge and government policy. It is intended to be a practical aid to improve care for the older person, whether in hospital, care home or at home and to give the reader the confidence that the care they provide is safe and effective.

Caring for the Older Person is an essential resource for health care professionals, trainees, care assistants, or paid carers, whose work involves caring for an older person; or a lay person someone who needs to acquire skill and confidence to care for an older friend, neighbour or relative.

Inhalt

Acknowledgements.

Introduction: reason for the book.

1 Preliminary considerations and symbols.

2 Care for the older person requiring assistance withpersonal cleansing.

Procedure One: Making or changing the older person'sbed with the person still in bed.

Procedure Two: Assisting the older person requiring a wash inbed or chair, including care of hands and feet.

Procedure Three: Assisting the older person to wash in thebath or shower, including care of hands and feet.

Procedure Four: Assisting the bed-bound older person to washhis or her hair.

Procedure Five: Assisting the older person with cleansing ofthe mouth, including care of dentures.

Procedure Six: Assisting the older person requiring eyecare.

3 Care for the older person requiring assistance withmovement (Vicky MacArthur RGN, BSc (hons), MSc, PGDipHPE).

Procedure Seven: Assisting the older person to move up thebed.

Procedure Eight: Assisting the older person to move from alying to a sitting position.

Procedure Nine: Assisting the older person with a lateraltransfer while they are in a lying position.

Procedure Ten: Assisting the older person to sit back in thechair.

Procedure Eleven: Assisting the older person from a sittingto a standing position.

Procedure Twelve: Assisting the older person to walk.

4 Care for the older person requiring assistance to maintainnutrition and fluid intake.

Procedure Thirteen: Assisting the older person to eat anddrink.

Procedure Fourteen: Nasogastric tube insertion and positionchecking.

Procedure Fifteen: Assisting the older person with nutritionand fluid intake via a nasogastric tube.

Procedure Sixteen: Care of percutaneous endoscopically guidedgastrostomy (PEG) tube site until stoma well established(1-14 days).

Procedure Seventeen: Care of percutaneous endoscopicallyguided gastrostomy (PEG) tube site when stoma wellestablished.

Procedure Eighteen: Assisting the older person with nutritionand fluid intake via a percutaneous endoscopically guidedgastrostomy (PEG) tube.

5 Care for the older person requiring assistance with toiletneeds.

Procedure Nineteen: Assisting the older person to use toilet,commode or bedpan.

Procedure Twenty: Assisting the older person requiring bowelcare: administration of suppositories.

Procedure Twenty-one: Assisting the older person requiringbowel care: administration of an evacuant enema.

Procedure Twenty-two: Obtaining a specimen of faeces forobservation, assessment and analysis.

Procedure Twenty-three: Obtaining a specimen of urine forobservation, assessment and analysis.

Procedure Twenty-four: Assisting the older person withcatheter care.

Procedure Twenty-five: Assisting the older person to empty acatheter bag.

Procedure Twenty-six: Obtaining a catheter specimen of urinefor observation, assessment and analysis.

6 Care for the older person requiring observation andmonitoring.

Procedure Twenty-seven: Measuring and recordingtemperature.

Procedure Twenty-eight: Measuring and recording temperatureusing a tympanic thermometer.

Procedure Twenty-nine: Measuring and recording bloodpressure.

Procedure Thirty: Measuring and recording pulse.

Procedure Thirty-one: Measuring and recording respiratoryrate.

7 Care for the older person at the end of his or herlife.

Procedure Thirty-two: Caring for the body of the older personfollowing death.

References and further reading.

Index.