Named a 2013 Doody’s Core Title!
‘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
‘Now more than ever, nurses are called upon to lead efforts to embed evidence-based practice in daily operations. As the IOM report states, ‘nurses have key roles to play as team members and leaders for a reformed and better-integrated, patient-centered health care system.’ The process of implementing sweeping change in health care will likely take years; however, nurses must start pragmatically and focus on these critically important protocols that have demonstrated improved outcomes for older adults. Simply stated, ‘Pick this book up and use it.”
From the Foreword, Susan L. Carlson , MSN, APRN, ACNS-BC, GNP-BC, FNGNA
President, National Gerontological Nursing Association
‘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, 5 Stars. –Doody’s
One of the premier reference books for geriatric nurses in hospital, long-term, and community settings, this 4th edition has been thoroughly updated to provide the most current, evidence-based protocols for care of common clinical conditions and issues in elderly patients. Designed to improve the quality, outcomes, and cost-effectiveness of health care, these guidelines are the result of collaboration between leading practitioners and educators in geriatric nursing and New York University College of Nursing.
Protocols for each clinical condition have been developed by experts in that particular area, and most have been systematically tested by over 300 participating hospitals in ‘Nurses Improving Care for Health System Elders’ (NICHE). Evidence is derived from all levels of care, including community, primary, and long-term care. A systematic method in compliance with the AGREE appraisal process was used to rate the levels of evidence for each protocol. Protocols are organized in a consistent format for ease of use, and each includes an overview, evidence-based assessment and intervention strategies, and an illustrative case study with discussion. Additionally, each protocol is embedded within chapter text, which provides the context and detailed evidence for the protocol. Each chapter contains resources for further study.
Key Features:- Updated to provide a wide range of evidence-based geriatric protocols for best practices
- Contains new chapters on function-focused care, catheter-associated urinary tract infections, mistreatment detection, acute care models, and transitional care
- Illustrates application of clinical protocols to real-life practice through case studies and discussion
- Edited by nationally known leaders in geriatric nursing education and practice, who are endorsed by the Hartford Institute for Geriatric Nursing and NICHE
- Encompasses the contributions of 58 leading practitioners of geriatric care
- Written for nursing students, nurse leaders, and practitioners at all levels, including those in specialty roles
Mục lục
‘
Chapter 1 Developing and Evaluating Clinical Practice Guidelines: A Systematic Approach
Chapter 2 Measuring Performance, Improving Quality
The Older Person
Chapter 3 Age-Related Changes in Health
Chapter 4 Sensory Changes
Chapter 5 Excessive Sleepiness
Physical and Mental Function
Chapter 6 Assessment of Function
Chapter 7 Function Focused Care focus on interventions to prevent functional decline in the acute care setting
Chapter 8 Assessing Cognitive Function
Chapter 9 Depression
Chapter 10 Dementia
Chapter 11 Delirium: Prevention, Early Recognition, and Treatment
Prevention of Potential Complications
Chapter 12 Iatrogenesis: The Nurse’s Role in Preventing Patient Harm
Chapter 13 Physical Restraints and Side Rails in Acute and Critical Care Settings: Legal, Ethical, and Practice Issues
Chapter 14 Pain Management
Chapter 15 Preventing Falls in Acute Care
Chapter 16 Preventing Pressure Ulcers and Skin Tears
Chapter 17 Reducing Adverse Drug Events
Chapter 18 Urinary Incontinence
Chapter 19 Catheter-Associated Urinary Tract Infection Prevention
Chapter 20 Oral Health Care
Chapter 21 Managing Oral Hydration
Chapter 22 Nutrition
Chapter 23 Mealtime Difficulties
Chapter 24 Dysphagia
Psychosocial and Legal Aspects
Chapter 25 Family Caregiving
Chapter 26 Issues Regarding Sexuality
Chapter 27 Substance Misuse and Alcohol Use Disorders
Chapter 28 Mistreatment Detection
Chapter 29 Health Care Decision Making
Chapter 30 Advance Directives
Critical, Cardiac, and Oncologic Care Considerations
Chapter 31 Comprehensive Assessment and Managementof the Critically Ill
Chapter 32 Fluid Overload: Identifying and Managing Heart Failure Patientsat Risk for Hospital Readmission
Chapter 33 Cancer Assessment and Intervention Strategies
Geriatric Models of Care
Chapter 34 Acute Care Models
Chapter 35 Transitional Care
‘Giới thiệu về tác giả
Marie Boltz, Ph D, RN, GNP-BC, FGSA, FAAN, is the Elouise Ross Eberly and Robert Eberly Endowed Professor, Penn State College of Nursing, where she teaches both gerontological nursing and Ph D research courses. In addition to teaching students, she has had a significant influence on the education of nurses, physicians, and clinicians in other disciplines through the generation, synthesis, and dissemination of gerontological knowledge. She has provided leadership training and ongoing consultation to hundreds of nurse clinicians and administrators who are leading systemwide geriatric programs. Dr. Boltz has developed more than 40 evidence-based, field-tested teaching tools and resources for clinicians, administrators, patients, and families. She has authored and coauthored more than 200 journal publications and 40 book chapters and has co-edited six books. Dr. Boltz’s areas of research are geriatric models of care, including dementia-capable and family-centered interventions that support function, and nonpharmacological approaches to support well-being of older adults with dementia. Her multiple research studies have been funded by the National Institute on Aging, the National Institute on Nursing Research, and multiple foundations. Her scholarship has been recognized with writing, teaching, and research awards, including the ENRS Geriatric Practice Research Award and the Gerontological Society of America Doris Schwartz Gerontological Nursing Research Award. She is a fellow in the American Academy of Nursing and the Gerontological Society of America. Dr. Boltz received her bachelor’s degree in nursing from La Salle University, her master’s degree as a geriatric advanced practice nurse from the University of Pennsylvania, and her doctoral degree from New York University. She participated in postdoctoral study at the University of Maryland.
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