Evidence-Based Geriatric Nursing Protocols for Best Practice

by Elizabeth Capezuti PhD, RN, FAAN (Editor), DeAnne Zwicker DrNP, APRN, BC (Editor), Terry T. Fulmer PhD, RN, FAAN (Editor), Marie Boltz PhD, RN, GNP-BC, FGSA, FAAN (Editor)

Overview

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

Product Details

ISBN-13:	9780826171290
Publisher:	Springer Publishing Company
Publication date:	11/18/2011
Sold by:	Barnes & Noble
Format:	eBook
Pages:	744
File size:	7 MB

About the Author

Elizabeth A. Capezuti, PhD, RN, FAAN, is the William Randolph Hearst Foundation Chair in Gerontology at the Hunter-Bellevue School of Nursing of the City University of New York (CUNY), where she directs the PhD in Nursing program. She is known for her work in improving the care of older adults by interventions and models that positively influence healthcare providers' knowledge and work environment. Dr. Capezuti's research interests include fall prevention, nonpharmacological approaches to improve sleep, palliative care, the geriatric nursing work environment, and the design of the "built environment" to facilitate older persons' health outcomes. Dr. Capezuti has disseminated the findings of 40 funded projects in five co-edited books and more than 150 peer-reviewed articles and book chapters. She is the recipient of the Otsuka/American Geriatrics Society Outstanding Scientific Achievement for Clinical Investigation Award and the American Academy of Nursing Nurse Leader in Aging Award. She is an international speaker and consultant, including a Fulbright Specialist to Lithuanian University of Health Sciences. Dr. Capezuti received her bachelor's degree in nursing from Lehman College (CUNY), her master's degree as a geriatric advanced practice nurse from Hunter College, and her doctoral degree in nursing from the University of Pennsylvania.

DeAnne Zwicker, DrNP, AGNP-BC, is a certified adult nurse practitioner and geriatric nurse practitioner. She is currently working as an independent geriatric consultant.

Terry Fulmer, PhD, 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 McGriff 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 Nursing, the Gerontological Society of America, and the New York Academy of Medicine, where she served as vice-chair. She has authored more than 150 peer-reviewed papers and edited 23 books.

Marie Boltz, PhD, 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 PhD 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 LaSalle 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.

Read an Excerpt

chapter

Table of Contents

"

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

"

What People are Saying About This

From the Publisher

Praise for a past edition: "...a comprehensive reference for everyone concerned with safe, high-quality, compassionate care of our elderly patients. This book should be required reading for every clinician interested in making a positive difference in the quality of life of our geriatric population."—Jeanette Ives Erickson, RN, MS, Sr. Vice President for Patient Care and Chief Nurse, Massachusetts General Hospital, on the first edition

Editorial Reviews

Reviewer: Donna Marie Minner, BSN, RN (University of Missouri)
Description: This is an evidence-based handbook for the care of elderly hospitalized individuals. Information in each section has been gathered by the chapter authors, synthesized, and used to develop standard of practice protocols. Strength of evidence is rated. This book is a revision of the previous edition published in 2003.
Purpose: The intent is to make the most current evidence-based guidelines available to all who practice in the geriatric realm. This includes nursing students and a wide variety of practitioners at all levels of expertise from management and specialty roles to bedside care. With ever increasing evidence that gerontology is a true specialty we have an obligation to keep current in practice. This book offers the most current guidelines and allows readers to see the strength of the evidence as the guidelines are being recommended. It also teaches the importance of evidence when making practice decisions.
Audience: The book is well organized and easy to use. Supporting references that might be used for further study end each chapter. Case studies help users see the application of the recommended protocols. This book could be used as either a text for teaching or a reference for those in practice. Although the book is primarily meant for a hospital setting, much of this information is also applicable in other venues such as long-term care. The editors and authors are a who's who in gerontology. Many are well known and respected names in the field with countless publications in their areas of expertise.
Features: Of the book's 29 chapters, 13 are new. Several of the original chapters have been revised with more current evidence. A section in the introduction explains how to best use the book. The first chapter explains developing and evaluating clinical practice guidelines and the use of evidence in the development of this book. All chapters contain educational objectives and a section on overview and background that leads into the assessment and treatment protocols.
Assessment: 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. The 13 new chapters on topics such as dementia, nutrition in aging, and sensory changes make this a worthwhile replacement for the previous edition.

Doody's Review Service