Evidence-based geriatric nursing protocols for best practice

Cover
Title Page
Contents
Contributors
Foreword
Preface
Acknowledgments
Evidence-Based Geriatric Nursing Protocols for Best Practice
Part I: Incorporating Evidence Into Practice
	Chapter 1: Developing and Evaluating Clinical Practice Guidelines: A Systematic Approach
		Overview
		Definition of Terms
		Summary
		Acknowledgements
		References
	Chapter 2: Measuring Performance and Improving Quality
		Overview
		Quality Healthcare Defined
		Clinical Outcomes and Publicly Reported Quality Measures
		Addressing the Challenges
		Summary
		References
	Chapter 3: Informational Technology: Embedding Geriatric Clinical Practice Guidelines
		Overview
		Case Example 3.1: Creating a Comprehensive Geriatric Nutrition Dashboard
		Protocol for Creating a Dashboard
		Summary
		References
	Chapter 4: Organizational Approaches to Promote Person-Centered Care
		Overview
		Definition and Attributes
		Origin and History
		Federal and State Initiatives
		Nursing Startegies
		Setting-Specific Approaches
		Measurement of Person-Centered Care in Parctice and Research
		Summary
		References
	Chapter 5: Environmental Approaches to Support Aging-Friendly Care
		Overview
		Backround and Statement of Problem
		Aging-Friendly Physical Environment of Care
		Application of Research on the Physical Environment into Practice for Aging-Friendly Care
		Summary
		Acknowledgments
		Note
		References
Part II:Assessment and Management
	Chapter 6: Age-Related Changes in Health
		Overview
		Cardiovascular System
		Pulmonary System
		Renal and Genitourinary Systems
		Oropharyngeal and Gastrointestinal Systems
		Musculoskeletal System
		Nervous System and Cognition
		Immune System and Vaccination
		Atypical Presentation of Disease
		Summary
		Resources
		References
	Chapter 7: Healthcare Decision-Making
		Overview
		Background and Statement of Problem
		Decision Aids
		Assessment of the Problem
		Interventions and Care Strategies
		Summary
		Acknowledgments
		Resources
		References
	Chapter 8: Sensory Changes in the Older Adult
		Overview
		Background and Statement of Problem
		Normal Changes of Aging Senses
		Assessment of the Problem
		Interventions and Care Strategies
		Summary
		Resources
		References
	Chapter 9: Assessing Cognitive Function in the Older Adult
		Overview
		Background and Statement of Problem
		Assessment of the Problem
		Summary
		Resources
		References
	Chapter 10: Assessment of Physical Function in the Older Adult
		Overview
		Background and Statement of Problem
		Assessment of the Problem
		Interventions and Care Strategies
		Summary
		Resources
		References
	Chapter 11: Oral Healthcare in the Older Adult
		Overview
		Background and Statement of Problem
		Assessment of the Problem
		Intervention and Care Strategies
		Summary
		Resources
		References
	Chapter 12: Managing Oral Hydration in the Older Adult
		Overview
		Background and Statement of Problem
		Definitions
		Assessment of the Problem
		Summary
		Note
		Resources
		References
	Chapter 13: Nutrition in the Older Adult
		Overview
		Background and Statement of Problem
		Assessment of the Problem
		Interventions and Care Strategies
		Summary
		Resources
		References
	Chapter 14: Family Caregiving
		Overview
		Background and Statement of Problem
		Assessment of the problem
		Interventions and Care Strategies
		Summary
		Acknowledgments
		Resources
		References
	Chapter 15: Issues Regarding Sexuality in Older Adults
		Overview
		Background and Statement of Problem
		Assessment of the Problem
		Interventions and Care Strategies
		Summary
		Resources
		References
	Chapter 16: Elder Mistreatment Detection
		Overview
		Background and Statement of Problem
		Assessment of the Problem
		Interventions and Care Strategies
		Summary
		Resources
		References
	Chapter 17: Advance Care Planning
		Overview
		Background
		Types of Advance Directives
		Advance Directives and Decision-Making
		Other Types of ACP
		Decisional Capacity to Engage in ACP
		Cultural Perspectives on ACP
		Nurses’ Roles in ACP
		ACP Interventions and Strategies
		Summary
		Acknowledgment
		Resources
		References
Part III: Clinical Interventions
	Chapter 18: Preventing Functional Decline in the Acute Care Setting
		Overview
		Physical Function as a Clinical Measure
		Patient Risk Factors for Functional Decline
		The Care Environment and Function
		Interventions to Promote Physical Function
		Summary
		References
	Chapter 19: Late-Life Depression
		Overview
		Background
		Major and Minor Depression
		Depression in Late Life is Serious
		Depression in Late Life is Misunderstood
		Depression among Diverse Populations of Older Adults
		Assessment of the Problem
		Depression Screening Tools
		Individualized Assessment and Interview
		Differentiation of Medical or Iatrogenic Causes of Depression
		Interventions and Care
		Treatment for Late-Life Depression
		Summary
		Acknowledgments
		Resources
		References
	Chapter 20: Delirium: Prevention, Early Recognition, and Treatment
		Overview
		Background and Statement of Problem
		Assessment of the Problem
		Summary
		Acknowledgment
		Resources
		References
	Chapter 21: Dementia: Assessment and Care Strategies
		Overview
		Background and Statement of Problem
		Assessment of the Problem
		Promoting Health, Function, and Well-Being in the Person Living with Dementia
		Pharmacological Approaches to Dementia
		Advance Planning and End-of-Life Care interventions
		Summary
		Resources
		References
	Chapter 22: Pain Management in the Older Adult
		Overview
		Assessment of Pain
		Summary
		Interventions and Care Strategies
		Improving Pain Management in Healthcare Settings
		Summary
		Resources
		References
	Chapter 23: Assessing, Managing, and Preventing Falls in Acute Care
		Overview
		Background and Statement of Problem
		Nursing Assessment of the Falling Patient
		Falls and Injury Risk Assessment
		Interventions for Fall Prevention and Management
		Summary
		Resources
		References
	Chapter 24: Reducing Adverse Drug Events in the Older Adult
		Overview
		Background and Statement of the Problem
		Assessment Tools and Innovative Strategies
		Innovative Assessment Strategies
		Summary
		Acknowledgment
		Resources
		References
	Chapter 25: Urinary Incontinence in the Older Adult
		Overview
		Background and Statement of Problem
		Assessment of UI
		Assessment Parameters
		Comprehensive Physical Assessment
		Interventions and Care Strategies
		Summary
		Resources
		References
	Chapter 26: Prevention of Catheter-Associated Urinary Tract Infection
		Overview
		Background and Statement of Problem
		Assessment of the Problem
		Interventions and Care Strategies
		Summary
		Acknowledgments
		Resources
		References
	Chapter 27: Physical Restraints and Side Rails in Acute and Critical Care Settings
		Overview
		Background and Legal Issues
		Prevalence and Rationale of Staff
		Ethical Issues in the Use of Physical Restraint
		Administrative Responsibilities
		Interventions and Care Strategies
		Alternatives to Physical Restraints
		Summary
		Resources
		References
	Chapter 28: Preventing Pressure Injuries and Skin Tears
		Overview
		Background and Statement of Problem
		Assessment of the Problem
		Does Race Make a Difference?
		Interventions and Care Strategies
		Skin Tears
		Summary
		Resources
		References
	Chapter 29: Optimizing Mealtimes for Persons Living with Dementia
		Overview
		Background and Statement of Problem
		Approach to Care
		Care Strategies
		Problem-Solving Framework: The C3P Model
		Summary
		Acknowledgments
		References
	Chapter 30: Disorders of Sleep in the Older Adult
		Overview
		Physiological Changes in Sleep that Accompany Aging
		Background and Statement of the Problem
		Consequences of Sleep Disorders
		Primary Sleep Disorders
		Secondary Causes of Impaired Sleep
		Assessment of Sleep Problems
		Sleep Hygiene
		CBTI
		Summary
		Resources
		References
	Chapter 31: The Frail Hospitalized Older Adult
		Overview
		Background and Statement of Problem
		Assessment of the Problem
		Care of the Hospitalized Frail Older Adult
		Summary
		References
	Chapter 32: HIV Prevention and Care for the Older Adult
		Overview
		Prevention in the Older Adult
		Community-Based Care and Acute Care Considerations
		Care for the Older Adult and Aging Successfully with HIV Infection
		The Case to Support Palliative Care in HIV and Aging
		Summary
		References
	Chapter 33: LGBTQ Perspectives for Older Adult Care
		Overview
		Creating a Culturally Sensitive environment
		Obtaining a Sexual History
		Preventive Screenings
		Hormone Therapy
		Psychosocial Needs of the Aging LGBT population
		Summary
		Resources
		References
Part IV: Interventions in Specialty Practice
	Chapter 34: Substance Misuse and Alcohol Use Disorder in the Older Adult
		Overview
		Background and Statement of Problem
		Assessment of Substance Use Disorders
		Assessment of Substance Use
		Intervention and Care
		Summary
		Resources
		References
	Chapter 35: Comprehensive Assessment and Management of the Critically Ill Older Adult
		Overview
		Background and Statement of Problem
		Assessment of Problem and Nursing Care Strategies
		Summary
		Note
		Acknowledgments
		Resources
		References
	Chapter 36: Fluid Overload: Identifying and Managing Heart Failure Patients at Risk for Hospital Readmission
		Overview
		Background and Statement of Problem
		Interventions and Care Strategies
		Summary
		Note
		Resources
		References
	Chapter 37: Cancer Assessment and Intervention Strategies in the Older Adult
		Overview
		Assessment of the Older Hospitalized Patient
		Developing a Comprehensive Geriatric Assessment for Hospitalized Patients
		Medical Emergencies Associated with Cancer and Cancer Treatment
		Summary
		Resources
		References
	Chapter38: Perioperative Care of the Older Adult
		Overview
		Background and Statement of Problem
		Assessment of Problem and Nursing Care Strategies
		Postanesthesia Care Unit Considerations
		General Perioperative Considerations
		Summary
		Resources
		References
	Chapter 39: General Surgical Care of the Older Adult
		Overview
		Background and Statement of Problem
		Assessment of the Problem and Nursing care Strategies
		Summary
		Resources
		References
	Chapter 40: Care of the Older Adult With Fragility Hip Fracture
		Overview
		Background and Statement of Problem
		Definition of Fragility Hip Fracture
		Surgical Repair of Hip Fracture
		Pathophysiology
		Common Complications and Evidence-Based Nursing Care Strategies
		Pain: Significance in Hip-Fracture Patients
		Delirium: Significance in Hip-Fracture Patients
		Malnutrition: Significance in Hip-Fracturepatients
		Fluid and Electrolyte Imbalance: Significance in Hip-Fracture Patients
		Pressure Injury: Significance in Hip-Fracture Patients
		Venous Thromboembolism (VTE): Significance in Hip-Fracture Patients
		Catheter-Associated Urinary Tractinfection: Significance in Hip-Fracture patients
		Functional Decline: Significance in Hip-Fracture Patients
		Loss, Grief, Depression: Significance in Hip-Fracture Patients
		Care Transitions: Significance in Hip-Fracture Patients
		Secondary Prevention: Significance in Hip-Fracture Patients
		Summary
		Acknowledgments
		References
Part V: Models of Care
	Chapter 41: Acute Care Models
		Overview
		Objectives of Geriatric Acute Care Models
		Types of Acute Care Models
		Collaborative Approaches
		Combination/Specialty Geriatric Models
		The Age-Friendly Hospital
		Summary
		References
	Chapter 42: Transitional Care
		Overview
		Background and Statement of Problem
		Assessment of the Problem
		Interventions and Care Strategies
		Summary
		Resources
		References
	Chapter 43: Palliative Care Models
		Overview
		Current State of Palliative Care
		Quality and Palliative Care
		Outcomes
		Models Across Healthcare Venues
		Summary
		Resources
		References
	Chapter 44: Care of the Older Adult in the Emergency Department
		Overview
		Background and Statement of Problem
		Assessment of the Older Adult in the ED
		Nursing Interventions
		Transitions from the ED
		Summary
		Resources
		References
	Index