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| Preface | |
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| About the Author | |
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| Acknowledgments | |
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| Contributors | |
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| Reviewers | |
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| How to Use This Book | |
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| An Overview of Aging Issues | |
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| Aging Yesterday, Today, and Tomorrow | |
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| Demographics | |
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| Definitions | |
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| Morbidity and Mortality | |
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| Issues and Problems | |
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| Ageism: Myths and Facts | |
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| Major Needs of Older Adults | |
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| The Aging Network | |
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| National Organizations | |
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| Gerontological Nursing | |
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| Historical Development | |
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| Educational Programs | |
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| Specialty Roles | |
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| Organizations | |
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| Standards | |
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| Case Management and Teaching | |
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| Special Issues | |
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| Future Projections and Visions | |
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| Changes in the Health Care Delivery System Affecting Older Adults | |
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| Problems Related to Geriatric Health Care | |
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| Financing Health Care | |
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| Effects of Health Care Delivery System Changes on Older Adults | |
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| Interdisciplinary Approach to Geriatric Health Care | |
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| Legislation Affecting Health Care Delivery | |
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| The Process of Aging | |
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| Developmental Aspects of Aging | |
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| Developmental Tasks | |
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| Theories | |
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| Biological and Physiological Aging | |
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| Theories of Biological Aging | |
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| Changes in Organ Systems | |
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| Nursing Implications | |
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| Psychological Aspects of Aging | |
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| The Life Span Developmental Approach to Aging | |
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| Perception | |
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| Learning and Memory | |
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| Intelligence | |
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| Personality | |
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| Psychological Interventions with Older Persons | |
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| Social Aging | |
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| Aging and Structural Lag | |
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| Cultural, Race, and Ethnic Issues | |
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| Social Roles | |
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| Spirituality | |
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| Successful Aging | |
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| Essential Components of Successful Aging | |
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| Activities Important to Successful Aging | |
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| Holistic Health Care | |
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| Geriatric Nutrition | |
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| Nutritional Considerations | |
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| Nutrient Standards and Food Guides for Health Promotion | |
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| Factors Influencing Nutritional Status of Older Adults | |
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| Suggestions for Feeding Clients | |
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| Nutrition Programs for Older Adults | |
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| Informal Support Systems | |
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| Informal Caregiving | |
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| Other Voluntary Community Resources | |
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| Nursing Roles and Responsibilities | |
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| Wellness and Health Promotion | |
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| Overview | |
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| Health Screening | |
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| Barriers to Health Promotion | |
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| Attitudes and Assertiveness | |
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| Role of the Nurse | |
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| Health Education | |
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| Shifts in the U.S. Population | |
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| Shifts in Policy and Practice | |
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| Health Education | |
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| Educational Settings | |
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| Age-Integrated Versus Age-Segregated Educational Programs | |
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| Educational Theories and Methods | |
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| From Pedagogy to Geragogy | |
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| Barriers to Learning for Older Adults | |
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| Educational Strategies | |
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| Technology in Older Adult Education | |
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| Evaluating Education for Older Adults | |
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| Health Needs and Care | |
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| Assessment, Diagnosis, and Planning | |
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| Techniques for Geriatric Assessment | |
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| Physiological Changes Associated with Aging | |
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| Age-Related Laboratory Values | |
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| Atypical Presentation of Disease in the Older Adult | |
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| Functional Assessment | |
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| Psychosociospiritual Assessment | |
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| Major Diseases: An Overview | |
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| General Indicators of Disease in Older Adults | |
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| Cardiovascular Diseases in Older Adults | |
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| Obstructive Airway Diseases | |
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| Parkinson's Disease | |
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| Cancer | |
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| Infectious Diseases | |
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| Acute Care Issues | |
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| Older Adults as Health Care Consumers | |
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| The Admission Process | |
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| Teaching and Discharge Planning | |
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| Care During Hospitalization | |
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| Chronic Illness | |
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| Demographics of Chronic Illness | |
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| Financial Issues | |
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| Major Chronic Illnesses | |
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| Effects of Chronic Illness on Health Status and Quality of Life | |
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| Approaches to Assessment | |
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| Approaches and Services Addressing Chronic Illnesses and Their Effects | |
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| Planning for the Future | |
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| Management of Medications | |
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| Polypharmacy | |
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| Pharmacodynamics | |
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| Pharmacokinetics | |
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| Drug Interactions | |
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| Generic Medications | |
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| Medication Administration | |
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| Effects of Medications Commonly Used by Older Adults | |
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| Geriatric Psychopharmacology | |
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| Mental Health Issues | |
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| Assessment and Diagnosis | |
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| Depression | |
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| Suicide | |
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| Organic Mental Disorders | |
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| Schizophrenia | |
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| Substance Abuse | |
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| The Dilemma of Long-Term Care | |
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| Nursing Facilities | |
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| Classification and Types of Services | |
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| Characteristics of Residents | |
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| Administration and Staffing | |
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| Payment Mechanisms | |
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| Regulations and Oversight | |
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| Nursing Issues and Concerns | |
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| Emerging Needs and Trends | |
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| Home Health Care | |
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| History of Home Health Care | |
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| Demographics | |
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| Living Arrangements | |
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| Home Health Personnel | |
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| Eligibility and Funding | |
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| The Nursing Process | |
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| Case Management | |
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| Community Resources | |
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| Discharging the Client | |
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| Ethical and Legal Issues | |
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| Future of Home Health Care | |
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| Hospice and Palliative Care | |
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| History of Hospice | |
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| Philosophy and Goals of Care | |
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| Services Provided | |
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| Interdisciplinary Team | |
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| Insurance Coverage | |
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| Nursing Interventions | |
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| End of Life Care in the Twenty-First Century | |
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| Community Health Care Resources | |
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| Primary Care Centers | |
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| Types of Primary Health Care Centers | |
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| Medicare Reimbursement for Nurse Practitioners | |
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| Developing a Primary Health Care Clinic/Center for Older Adults | |
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| Business Plan for Opening a Primary Health Care Clinic for Older Adults | |
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| Primary Health Care Clinic Services | |
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| Organizational Development | |
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| Professional Development | |
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| Hospital Outpatient Care and Services | |
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| The Need for Outpatient Services | |
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| Categories of Services | |
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| Ambulatory Care Centers | |
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| Implications for Nursing | |
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| Community Organizations and Services | |
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| The Need for Community Organizations and Services | |
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| National Aging Network | |
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| Eldercare Resources | |
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| Ethical, Legal, and Financial Issues | |
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| Ethical Theories and Principles | |
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| Ethical Dilemmas | |
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| Ethical Theories | |
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| Ethical Principles | |
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| End-of-Life Decisions and Choices | |
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| Autonomy | |
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| Constitutional Rights | |
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| State Legislative Actions | |
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| Societal Interests | |
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| The Patient Self Determination Act | |
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| Implications for Nurses | |
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| Legal and Financial Issues | |
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| Options Regarding Financial Issues Available for Adults with Decision-Making Capacity | |
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| Options Available for Financial Decisions after Loss of Decision-Making Capacity | |
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| Protective Statutes | |
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| Implications for Nurses | |
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| The Future | |
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| Trends and Future Needs | |
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| Evolving Demographics | |
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| Continuum of Care | |
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| Geriatric Health Care | |
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| Legislation and Public Policy | |
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| Research Needs | |
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| Trends | |
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| Predictions for the Future | |
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| Gerontological Nursing: Where to Go from Here | |
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| Glossary | |
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| Index | |