Care of Gastrointestinal Problems in the Older Adult (Springer Series on Geriatric Nursing) PDF
Preview Care of Gastrointestinal Problems in the Older Adult (Springer Series on Geriatric Nursing)
Springer Series on Geriatric Nursing Mathy D. Mezey, RN, EdD, FAAN, Series Editor New York University Division of Nursing Advisory Board: Margaret Dimond, PhD, RN, FAAN; Steven H. Ferris, PhD; TerryFulmer,RN,PhD,FAAN;LindaKaeser,PhD,RN,ACSW,FAAN;Virgene Kayser-Jones,PhD,RN,FAAN;EugeniaSiegler,MD;NevilleE.Strumpf,PhD, RN, FAAN; May Wykle, PhD, RN, FAAN; Mary K. Walker, PhD, RN, FAAN 2004 CareofGastrointestinalProblemsintheOlderAdult SueE.Meiner,EdD,APRN,BC,GNP 2003 GeriatricNursingProtocolsforBestPractice,2nded. MathyD.Mezey,EdD,RN,FAAN,TerryFulmer,PhD,RN,FAAN,IvoAbraham, PhD,RN,FAAN,DeArneZucker,ManagingEditor,MA,APRN,BC 2002 CareofArthritisintheOlderAdult AnnSchmidtLuggen,PhD,RN,MSN,CS,BC-ARNP,and SueE.Meiner,EdD,APRN,BC,GNP 2002 ProstateCancer:NursingAssessment,Management,andCare MeredithWallace,PhD,RN,CS-ANP,andLorrieL.Powel,PhD,RN 2002 BathingWithoutaBattle:PersonalCareofIndividualsWithDementia AnnLouiseBarrick,PhD,JoanneRader,RN,MN,FAAN,BeverlyHoeffer,DNSt, RN,FAAN,andPhilipD.Sloane,MD,MPH 2001 CriticalCareNursingoftheElderly,SecondEdition Terry Fulmer, PhD, RN, FAAN, Marquis D. Foreman, PhD, RN, FAAN, Mary Walker,PhD,RN,FAAN,andKristenS.Montgomery,PhD,RNC,IBCLC 1999 Geriatric Nursing Protocols for Best Practice Ivo Abraham, PhD, RN, FAAN, Melissa M. Bottrell, MPH, Terry T. Fulmer, PhD, RN, FAAN, and Mathy D. Mezey, EdD, RN, FAAN 1998 HomeCareforOlderAdults:AGuideforFamiliesandOtherCare- givers—Text and Instructor’s Manual/Lesson Plan Mary Ann Rosswurm, EdD, RN, CS, FAAN 1998 Restraint-Free Care: Individualized Approaches for Frail Elders NevilleE.Strumpf,PhD,RN,C,FAAN,JoannePattersonRobinson,PhD, RN, Joan Stockman Wagner, MSN, CRNP, and Lois K. Evans, DNSc, RN, FAAN 1996 Gerontology Review Guide for Nurses ElizabethChapmanShaid,RN,MSN,CRNP,andKayHuber,DEd,RN, CRNP 1995 Strengthening Geriatric Nursing Education Terry T. Fulmer, RN, PhD, FAAN, and Marianne Matzo, PhD, RN, CS 1994 Nurse-Physician Collaboration: Care of Adults and the Elderly Eugenia L. Siegler, MD, and Fay W. Whitney, PhD, RN, FAAN 1993 Health Assessment of the Older Individual, Second Edition Mathy Doval Mezey, RN, EdD, FAAN, Shirlee Ann Stokes, RN, EdD, FAAN, and Louise Hartnett Rauckhorst, RNC, ANP, EdD 1992 Critical Care Nursing of the Elderly TerryT.Fulmer,RN,PhD,FAAN,andMaryK.Walker,PhD,RN,FAAN This page intentionally left blank C are of Gastrointestinal Problems in Older Adult the Sue E. Meiner, EdD, APRN, BC, GNP Editor SPRINGER PUBLISHING COMPANY Copyright©2004bySpringerPublishingCompany,Inc. Allrightsreserved Nopartofthispublicationmaybereproduced,storedinaretrievalsystem,ortransmit- tedinanyformorbyanymeans,electronic,mechanical,photocopying,recording,or otherwise,withoutthepriorpermissionofSpringerPublishingCompany,Inc. SpringerPublishingCompany,Inc. 536Broadway NewYork,NY10012-3955 AcquisitionsEditor:RuthChasek ProductionEditor:JaniceStangel CoverdesignbyJoanneHonigman 0405060708/54321 LibraryofCongressCataloging-in-PublicationData Careofgastrointestinalproblemsintheolderadult/SueMeiner,editor. p.;cm.—(Springerseriesongeriatricnursing) Includesbibliographicalreferencesandindex. ISBN0-8261-1865-8 1. Geriatric gastroenterology. 2. Geriatric nursing. [DNLM: 1. Gastrointestinal Diseases—nursing—Aged. 2. Geriatric Nursing—methods. WY 156.5 C271 2004] I.Meiner,Sue.II.Series. RC802.4.A34C372004 618.97'633—dc22 2004004159 PrintedintheUnitedStatesofAmericabyIntegratedBookTechnology Contents Contributors ix Preface xi 1. Introduction and Demographic Data 1 Sue E. Meiner 2. General Disorders of the Upper Gastrointestinal System 7 Beverly Anderson Reno 3. Gastroesophageal Reflux Disease 23 Catherine Hill 4. Motor Dysfunctions of the Stomach 47 Susan D. Kowalski 5. Helicobacter Pylori and Ulcers 59 Phyllis J. Atkinson 6. Bacterial, Viral, and Parasitic Infections of the Colon 67 Sue E. Meiner 7. Vitamin B and Folate Deficiencies 81 12 Lori Candela 8. Cancers of the Gastrointestinal Tract 95 Ann Schmidt Luggen 9. Nutrition and Gastrointestinal Diseases 129 Barbara Resnick 10. Irritable Bowel Syndrome 157 Sue E. Meiner 11. Diverticular Disease 177 D. Sue Clarren 12. Constipation and Noninfectious Diarrhea 201 Lynn Ferebee and Sue E. Meiner 13. Hemorrhoids and Problems of the Anus and Rectum 215 Catherine Hill Index 245 vii Idedicatethisbooktomyfamily,friends,andcaringprofessionals in the fields of nursing, nursing education, and advanced practice nursing. I extend a very special thanks to Ruth Chasek, Nursing EditorwithSpringerPublishingCompany,forherhoursofsupport during the high, and sometimes low, road of writing and finishing a manuscript. And finally, in God I trust. Contributors Phyllis Atkinson, MSN, RN, CS, Susan Kowalski, PhD, MSN, RN GN Associate Professor St. Elizabeth Medical Center School of Nursing Family Practice Center University of Nevada, Las Vegas Edgewood, Kentucky Ann Schmidt Luggen, PhD, MSN, Lori Candela, EdD, MSN, RN APRN, GNP Interim Associate Director Professor of Nursing School of Nursing Northern Kentucky University University of Nevada, Las Vegas Highland Heights, Kentucky Donna Sue Clarren, ND, MSN, Beverly Reno, MSN, RNC RN Associate Professor of Nursing Assistant Professor Northern Kentucky University School of Nursing Highland Heights, Kentucky University of Nevada, Las Vegas Barbara Resnick, PhD, CRNP, Lynn Ferebee, MSN, RN, FNP FAAN, FAANP Family Nurse Practitioner Associate Professor Student Health Center University of Maryland School of University of Nevada, Las Vegas Nursing Las Vegas, Nevada Baltimore, Maryland Catherine Hill, MSN, RN, CS, ONC, CEN Medicine Associates of North Texas School of Nursing University of Texas at Arlington ix SueE.Meiner,EdD,APRN,BC,GNP,isan AssistantProfessorintheSchoolofNursing at the University of Nevada, Las Vegas, and a Gerontological Nurse Practitioner with HealthEssentials Home Care in Las Vegas. She received her BSN and MSN degrees at St. Louis University (Missouri), her EdD at SouthernIllinoisUniversityatEdwardsville, and her GNP from Jewish Hospital College ofNursingandAlliedHealthatWashington UniversityMedicalCenterinSt.Louis,Mis- souri. She holds two national certifications from the American Nurses Credentialing Center. Dr. Meiner is certified as a Gerontological Clinical Nurse Specialist and as a Gerontological Nurse Practitioner. Prior to her current position, she was Project Director for an NIH and NIA grant at Washington University School of Medicine (St. Louis). Dr. Meiner has authored the book, Nursing Documentation: Legal Focus Across Practice Settings.Sheisco-authorofseveralotherbooks,includingCareofArthritis in the Older Adult, NGNA Core Curricula for both gerontological nurses and gerontological advanced practice nurses, and Handbook for the Care of Older Adults with Cancer. She is also the author of numerous book chaptersandjournalarticles.Dr.Meinerheldanelectedpoliticalofficein St.LouisCountyforfiveyearsinthe1980sandremainsactiveincommu- nity service. For over 15 years, she has served nationally as an expert witness on nursing standards of care. Preface Asagerontologicalnursepractitioner,Iseemanyolderadultswithgastro- intestinal disorders that have been troubling them for decades. Even my personal experience with family and friends has brought home the preva- lence of gastrointestinal problems in older adulthood. This book was developed to provide greater information on a variety of gastrointestinal disorders and problems than can be found in general nursingtextbooks.Whiletheinformationinthisbookrangesfromgeneral toscientific,itisintendedforusebyawidevarietyofnursingprofessionals from hospital nurses, to home care nurses, to nurse practitioners. Each clinician should choose the aspects of the text that are relevant to his or herpractice.However,theoverallcontentwilladdmorespecificknowledge to caring for the most common gastrointestinal problems of older adults. Most of the chapters follow a pattern that includes discussion of a specific gastrointestinal problem followed by its cause, noted normal and abnormal physiology, nursing care with attention to nursing diagnoses, interventions, medications, and alternative therapies, where appropriate. Topics such as health promotion and quality of life issues were added as an essential part of any plan of care for older adults. Home management and self-care issues are addressed. Ihopethatyouwilllearnmuchfromthisbookandwillusetheinforma- tion to make the life of the older adults you care for more comfortable during their remaining life. Sue E. Meiner, EdD, APRN, BC, GNP xi
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