Nursing Diagnoses and Interventions for the Elderly Maas M, Buckwalter KC, Hardy M. Redwood City: California, Addison-Wesley, 1991; 736 pages, $44.25, softcover.
Nursing Diagnoses and Interventions for the Elderly is a reference book for all nurses who plan and deliver care to dependent elders. Each of the book's 11 units represents a functional health pattern. The authors' selections of nursing diagnoses are based on existing research of prevalence and those they believed most needed to be developed and shared with nurses who care for the elderly. Most of the 43 diagnoses discussed in the book are accepted by the North American Nursing Diagnosis Association, although the authors include some that are not.
The Activity-Exercise Pattern unit contains a total of eight chapters. The first chapter discusses the normal aging changes of the respiratory, cardiovascular, and musculoskeletal systems. The authors base the remaining seven chapters on different diagnoses related to this pattern, including decreased cardiac output, altered tissue perfusion, ineffective breathing pattern, activity intolerance, impaired physical mobility, self-care deficit, and diversional activity deficit.
The chapter devoted to impaired physical mobility begins with a conceptual definition and theoretical discussion. The significance of this particular nursing diagnosis is discussed along with the research base for the diagnosis, prevalence, consequences if not treated, and risk factors. Assessment tools for evaluating mobility are critiqued. In addition, the authors have included a specific assessment guide at the end of the chapter.
Two case studies are presented with assessment data, significant signs and symptoms, and tentative nursing diagnoses. The desired outcomes for exercise intervention are included, in addition to the evaluation process to be used. The chapter concludes with a summary, recommendations for future development and testing of the diagnosis, interventions, and an excellent set of references.
Nursing Diagnoses and interventions for the Elderly is an indispensable reference for nursing homes, hospital units admitting elderly patients during an acute crisis, home health agencies, and nurses who care for dependent elders.