Critical Care Nursing of the Elderly: Second Edition / Edition 2

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This volume, like the first edition, is an important milestone in the field of gerontological nursing, reflecting the growing number of nurses actively involved in geriatric care and clinical research in hospitals.

Thoroughly revised and updated, the second edition provides the collective thinking of experts who strive to ask and answer such key questions as: Who should receive advanced technological care? When should care stop? and Who determines vitality? The comprehensive coverage includes sound guidelines for nursing assessment and management; basic clinical issues with elderly populations; specialized practice prools and advances; and lively discussion of social and policy issues. Essential reading for students, educators, and practitioners committed to quality care for the hospitalized elderly.

Goals of nursing care; physiological implications for care; specialty practice; legal, ethical, family issues.

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Editorial Reviews

This inaugural volume in a new Springer series integrates acute and critical care with geriatric nursing. The 20 chapters, contributed by nurses actively involved in geriatric care and clinical research in hospitals, are grouped within three sections: foundations for critical care nursing of the elderly; speciality practice in critical care nursing of the elderly; and the elderly patient in social context. Annotation c. Book News, Inc., Portland, OR (
American Journal of Nursing
The authors have done a fine job of launching the literature in this area. . . The result is a well-written, practical book full of current facts.
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Product Details

  • ISBN-13: 9780826114099
  • Publisher: Springer Publishing Company, Incorporated
  • Publication date: 8/17/2001
  • Series: Springer Series on Geriatric Nursing
  • Edition description: REV
  • Edition number: 2
  • Pages: 448
  • Product dimensions: 6.00 (w) x 9.44 (h) x 1.11 (d)

Meet the Author

Kristen S. Montgomery, PhD, RNC, IBCLC, is an Assistant Professor of Nursing at The University of Texas at Austin School of Nursing. She received her doctorate in nursing at the Frances Payne Bolton School of Nursing, Case Western Reserve University in Cleveland, OH. She earned her MSN from The University of Pennsylvania, in Philadelphia, and her BSN from Oakland University. Dr. Montgomery is Co-Editor of Maternal Child Health Nursing Research Digest and Internet resources for Nurses, both of which received American Journal of Nursing Book of the Year Awards.

Marquis D. Foreman, PhD, RN, FAAN is Professor and Chair, Department of Adult Health and Gerontological Nursing, Rush University College of Nursing. Dr. Foreman was formerly Professor and Associate Dean for Nursing Science Studies at the University of Illinois at Chicago College of Nursing. He has been actively engaged in efforts to improve the care of hospitalized older people for more than 30 years. He earned a diploma in nursing from the St. Vincent Hospital School of Nursing, Toledo, OH, a BSN from the University of Toledo, a MSN from the Medical College of Ohio at Toledo, and PhD in nursing science from the University of Illinois at Chicago (UIC). Foreman also completed a postdoctoral fellowship at UIC before joining the faculty. Foreman is known best for his research about delirium in hospitalized older people. He is a fellow of the American Academy of Nursing, and the Institute of Medicine-Chicago, and has received numerous awards for his work including the Mary Opal Wolanin Award for Excellence in Gerontological Clinical Nursing Research, the Harriet H. Werley New Investigator Award, and the Mosby-Cameo Nursing Research Award all for his work on delirium in hospitalized older people.

Mary F. Walker, PhD, RN, FAAN, is Dean and Professor at the School of Nursing, Seattle University.

Terry Fulmer, PhD, RN, FAAN, is The Erline Perkins McGriff Professor and Dean of the College of Nursing at New York University. 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. Dr. Fulmer joined the faculty of New York University in 1995 and is currently a member of the Executive Committee for the new Medical School curriculum and also serves as an attending in nursing at the NYU Langone Medical center. Her annual honors colloquium entitled "Comfort and Suffering," an interdisciplinary course in the College of Arts and Sciences as well as the College of Nursing, is highly subscribed. Dr. Fulmer's program of research focuses on acute care of the elderly and specifically, elder abuse and neglect. She served on the National Research Council's panel to review risk and prevalence of elder abuse and neglect and has published widely on this topic. She has received the status of Fellow in the American Academy of Nursing, the Gerontological Society of America ,and the New York Academy of Medicine. She has served as a member of the National Committee for Quality Assurance geriatric measurement assessment panel and is currently on the Veteran's Administration Geriatrics and gerontology Advisory Committee. She completed a Brookdale National Fellowship and is a Distinguished Practitioner of the National Academies of Practice. Dr. Fulmer was the first nurse elected to the board of the American Geriatrics Society and the first nurse to serve as the president of the Gerontological Society of America. She is a trustee of Skidmore College, Bassett Hospital, and the New York Academy of Medicine.

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Table of Contents

1 Standards of Practice: Gerontological and Critical Care Nursing 1
Pt. I Basic Clinical Issues with Elderly Populations
2 Common Geriatric Problems 11
3 Becoming Frail: Failure to Thrive 30
4 Delirium 41
5 Comorbidity: Assessment and Impact 53
6 Pain 63
7 Nutrition 88
8 Injury Prevention in the Elderly 107
Pt. II Nursing Assessment and Management
9 The Clinical Approach 133
10 Pharmacological Therapy 145
11 Patient Education 162
12 Evaluating Outcomes 179
13 Discharge Planning: Design and Implementation 197
14 Family Responses to Critical Care 213
Pt. III Specialized Practice in Critical Care Nursing
15 Trauma Care 239
16 Medical Intensive Care 252
17 The Coronary Care Unit 262
Pt. IV Social and Policy Issues
18 Ethical Decision Making 303
19 End-of-Life Care 315
20 Spiritual and Religious Care 326
21 Ethnogeriatric Issues in Critical Care 353
22 Legal Issues 378
23 Policy Issues 398
Index 413
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