By Susan Carmody, Sue Forster
Foreword - Len grey As lifestyles expectancy raises, extra humans will confront failing healthiness at a better age. sickness in past due lifestyles is frequently continual and observed via lack of independence, and this may suggest that relatives turn into chargeable for care. overview, administration, and care in those complicated occasions require enormous wisdom and talent, with contributions from quite a few specialist disciplines. Nursing is vital to the care of older humans. certainly, nurses usually take a lead position. Gerontic nursing is correct not just to these care domain names that experience frequently been considered as 'aged care'-such as nursing houses and group care-but additionally to acute health center and rehabilitation providers. there's accordingly a have to promulgate schooling in gerontic nursing throughout all care domain names. This publication deals key info to nurses who desire to replace their wisdom during this very important sector of care. it truly is such a lot accomplished in its insurance of the $64000 matters which are principal to gerontic nursing, and its structure and supplier allows effective entry to all appropriate matters. this isn't just a textual content for nurses who paintings solely in elderly care, but in addition a hugely important source for nurses in different roles who take care of older humans
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Extra info for Aged Care Nursing (Guide to Practice)
The guidelines refer to the frequency of bathing, the cleansers used, and the abrasiveness and drag of washcloths employed in hygienic practices. Specific recommendations are listed in the Box below. For more on evidence-based practice with respect to bathing, see ‘Best practice in bathing’, this chapter, page 27. Evidence-based guidelines for skin care Important evidence-based guidelines for good skin care include the following (AHCPR 1992): • skin cleansing should occur at the time of soiling, and at routine intervals; • frequency should be individualised according to patient needs and preferences; • hot water should be avoided; • mild cleansing agents that minimise irritation and dryness of the skin should be used; • the force and friction applied to the skin during bathing should be minimised; and • dry skin should be treated with moisturisers.
03 39 07/11/2003, 11:28 AM 40 Chapter 4 AGED CARE NURSING risk of developing pressure ulcers. Pressure ulcer risk-assessment scales have received some criticism for over-predicting risk and for a lack of valid research studies to support their use (Banks 1998). However, the use of risk-assessment tools has many benefits—including effective use of resources, facilitation of auditing, improvement in standards, minimisation of risk, and protection against litigation (Banks 1998). Prevention of pressure ulcers In addition to the systematic, regular assessment of risk, it is vital to ensure that evidence-based strategies are used that translate the risk score into practical nursing interventions (Maklebust & Sieggreen 2001).
04 31 07/11/2003, 11:24 AM 32 Chapter 3 AGED CARE NURSING lemon and glycerine in these products, cotton swabs are not designed for oral hygiene, offer no mechanical debridement, and should never be used as part of routine oral care. Evidence-based oral care Toothbrushes and alternatives Best practice in oral cleansing is achieved by using an ultra-soft toothbrush with toothpaste for at least two minutes. False teeth also require diligent cleansing, and should not merely be dipped or soaked in water.