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AJN Book of the Year 2016 First-Place Winner in Gerontological Nursing!
“The evidence-based protocols are designed as a primary reference and are useful, substantive, and timely….The broader contributions of useful format and succinct review of the evidence make it likely that this text will continue to be the leading resource in nursing education and practice.”
—The Gerontologist
“As a gerontological clinical educator/research nurse, I will often use this as a reference. The format and the content are good, and the explanations of how to best use the evidence simplify the process of sifting through mountains of information to figure the best practice.”
Score: 97, ****
—Doody’s
The newest edition of this distinguished reference in geriatric nursing delivers updated guidelines, new illustrative case studies, and the latest evidence-based protocols developed by leading researchers, educators, and practitioners in each topic area. The sixth edition includes new approaches devoted to supporting LGBTQ+ elders, persons living with dementia and their families, and older adults living with HIV. New operational strategies provide guidance in using the electronic health record, implementing improved person-centered care approaches, and maintaining age-friendly atmospheres.
Using evidence derived from all levels of care, this text offers developed guidelines for improving both quality and outcomes when caring for older adults in multiple disciplines, including interprofessional team members, long-term care and other staff educators, social workers, dietitians, and physicians. Chapters provide assessment and management principles, clinical interventions, specialty practice, and models of care. They consistently feature chapter objectives, annotated references, evidence ratings for each protocol, and resources for further investigation. Each protocol is embedded within the chapter content to provide context and detailed evidence. The protocols consistently include an overview, evidence-based assessment, intervention strategies, and a supporting case study with discussion. Power Point presentations and a test bank are available as instructor’s resources.
- Informational Technology: Embedding CPGs
- Organizational Approaches to Promote Person-Centered Care
- Environmental Approaches to Support Aging-Friendly Care
- HIV Prevention and Care for the Older Adult
- LGBTQ+ Perspectives
New Chapters:
- Best practices for in-patient, in-home, and long-term care settings
- Case studies with discussions in each chapter to illustrate application of clinical practice and related Nursing Standard of Practice Protocol
- The AGREE systematic method was used to evaluate each protocol and validate this book’s content
- Instructor’s resources including Power Points and a Test Bank
- Purchase includes digital access for use on most mobile devices and computers
Key Features:
Table of Content
Contributors
Foreword
Preface
Acknowledgments
I. INCORPORATING EVIDENCE INTO PRACTICE
1. Developing and Evaluating Clinical Practice Guidelines: A Systematic Approach
2. Measuring Performance and Improving Quality
3. Informational Technology: Embedding Geriatric Clinical Practice Guidelines
4. Organizational Approaches to Promote Person-Centered Care
5. Environmental Approaches to Support Aging-Friendly Care
II. ASSESSMENT AND MANAGEMENT PRINCIPLES
6. Age-Related Changes in Health
7. Healthcare Decision-Making
8. Sensory Changes in the Older Adult
9. Assessing Cognitive Function in the Older Adult
10. Assessment of Physical Function in the Older Adult
11. Oral Healthcare in the Older Adult
12. Managing Oral Hydration in the Older Adult
13. Nutrition in the Older Adult
14. Family Caregiving
15. Issues Regarding Sexuality in Older Adults
16. Elder Mistreatment Detection
17. Advance Care Planning
III. CLINICAL INTERVENTIONS
18. Preventing Functional Decline in the Acute Care Setting
19. Late-Life Depression
20. Delirium: Prevention, Early Recognition, and Treatment
21. Dementia: Assessment and Care Strategies
22. Pain Management in the Older Adult
23. Assessing, Managing, and Preventing Falls in Acute Care
24. Reducing Adverse Drug Events in the Older Adult
25. Urinary Incontinence in the Older Adult
26. Prevention of Catheter-Associated Urinary Tract Infection
27. Physical Restraints and Side Rails in Acute and Critical Care Settings
28. Preventing Pressure Injuries and Skin Tears
29. Optimizing Mealtimes for Persons Living With Dementia
30. Disorders of Sleep in the Older Adult
31. The Frail Hospitalized Older Adult
32. HIV Prevention and Care for the Older Adult
33. LGBTQ Perspectives for Older Adult Care
IV. INTERVENTIONS IN SPECIALTY PRACTICE
34. Substance Misuse and Alcohol Use Disorder in the Older Adult
35. Comprehensive Assessment and Management of the Critically Ill Older Adult
36. Fluid Overload: Identifying and Managing Heart Failure Patients at Risk for Hospital Readmission
37. Cancer Assessment and Intervention Strategies in the Older Adult
38. Perioperative Care of the Older Adult
39. General Surgical Care of the Older Adult
40. Care of the Older Adult With Fragility Hip Fracture
V. MODELS OF CARE
41. Acute Care Models
42. Transitional Care
43. Palliative Care Models
44. Care of the Older Adult in the Emergency Department
Index
About the author
Terry Fulmer, Ph D, RN, FAAN, is the President of the John A. Hartford Foundation in New York City, a foundation dedicated to improving the care of older adults. Established in 1929, the Foundation has a current endowment of more than half a billion dollars. She serves as the chief strategist for the Foundation, and her vision for better care of older adults is catalyzing the Age-Friendly Health Systems social movement. She is an elected member of the National Academy of Medicine and served on the independent Coronavirus Commission for Safety and Quality in Nursing Homes established to advise the Centers for Medicare and Medicaid Services. She previously served as Distinguished Professor and Dean of Health Sciences at Northeastern University. Prior, she served as the Erline Perkins Mc Griff Professor and Founding Dean of the New York University College of Nursing. She received her bachelor’s degree from Skidmore College, her master’s and doctoral degrees from Boston College, and her Geriatric Nurse Practitioner Post-Master’s Certificate from New York University. She completed a Brookdale National Fellowship and is the first nurse to have served on the board of the American Geriatrics Society. She is also the first nurse to have served as President of the Gerontological Society of America, which awarded her the 2019 Donald P. Kent Award for exemplifying the highest standards for professional leadership in the field of aging. Dr. Fulmer is nationally and internationally recognized as a leading expert in geriatrics. She is known for conceptualization and development of the Age-Friendly Health Systems movement and the national Nurses Improving Care for Healthsystem Elders (NICHE) program, as well as for her research on the topic of elder abuse and neglect, which has been funded by the National Institute on Aging and the National Institute of Nursing Research. She is a Trustee for the Josiah Macy Jr. Foundation, Springer Publishing Company, and the Bassett Healthcare System and is a Member of the Reimagining Long-Term Care Task Force in New York State and a member of the National Academy of Medicine’s Forum on Aging, Disability, and Independence. Dr. Fulmer also serves as Vice Chair of the Department of Veterans Affairs Special Medical Advisory Group. She was the Chair of the National Advisory Committee for the Robert Wood Johnson Foundation Executive Nurse Fellows Program and held board positions at Skidmore College, the Institute for Healthcare Improvement, the Geriatrics and Gerontology Advisory Committee for the U.S. Department of Veterans Affairs, and the Advisory Board for Hong Kong Polytechnic University School of Nursing. She is one of the top 50 Influencers in Aging by PBS’s Next Avenue, the premier digital publication dedicated to covering issues for older Americans. Dr. Fulmer is the recipient of prestigious awards, including the American Society on Aging’s 2017 Rosalie S. Wolf Award for her body of work on elder abuse. In 2016, she received the 2016 Award for Exceptional Service to The New York Academy of Medicine for her distinguished service on the Academy’s Board of Trustees, including as vice-chair, and for her active engagement in the policy work of the Academy, especially its Age-Friendly NYC initiative. She has been honored with invitations for named lectureships from noted universities. She has held faculty appointments at Columbia University, where she was the Anna C. Maxwell Chair in Nursing, and she has also held appointments at Boston College, Yale University, and the Harvard Division on Aging at Harvard Medical School. She has served as a visiting professor of nursing at the University of Pennsylvania and Case Western Reserve University. She is a Distinguished Practitioner of the National Academies of Practice and is currently an attending nurse at Mount Sinai Medical Center in New York City. Her clinical appointments have included the Beth Israel Hospital in Boston, the Massachusetts General Hospital, and the NYU Langone Medical Center. She is a Fellow of the American Academy of Nur
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