Evidence-Based Geriatric Nursing Protocols for Best Practice

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

Overview

This new edition of one of the premier references for geriatric nurses in hospital, long-term, and community settings delivers current guidelines, real-life case studies, and evidence-based protocols developed by master educators and practitioners. With a focus on improving quality of care, cost-effectiveness, and outcome, the fifth edition is updated to provide the most current information about care of common clinical conditions and issues in older patients. Several new expert contributors present current guidelines about hip fractures, frailty, perioperative and postoperative care, palliative care, and senior-friendly emergency departments. Additionally, chapters have been reorganized to enhance logical flow of content and easy information retrieval.

Protocols, systematically tested by more than 300 participating NICHE (Nurses Improving Care for Health system Elders) hospitals‚ are organized in a consistent format and include an overview, evidence-based assessment and intervention strategies, and an illustrative case study with discussion. Additionally, protocols are embedded within chapter text, providing the context and detailed evidence for each. Chapter objectives, annotated references,and evidence ratings for each protocol are provided along with resources for additional study.

New to the Fifth Edition:

• Reorganized to enhance logical flow of information and ease of use
• Updated and revised
• Includes new contributions from expert educators and practitioners
• Provides new chapters on perioperative and postoperative care, general surgical care, care of hip fracture, palliative care, and the senior-friendly emergency department

Key Features:

• Includes PowerPoints and a test bank for instructors
• Delivers evidence-based, current guidelines and protocols for care of common clinical conditions in the older person
• Illustrates the application of clinical protocols to real-life practice through case studies and discussion
• Edited by nationally known geriatric leaders who are endorsed by the Hartford Institute for Geriatric Nursing and NICHE
• Written for nursing students, nurse leaders, and practitioners at all levels, including those in specialty roles

Product Details

ISBN-13:	9780826171672
Publisher:	Springer Publishing Company
Publication date:	03/28/2016
Sold by:	Barnes & Noble
Format:	eBook
Pages:	752
File size:	6 MB

About the Author

Marie Boltz, PhD, RN, GNP-BC, FGSA, FAAN, is associate professor at the Boston College William F. Connell School of Nursing, where she teaches both advanced practice nursing and doctoral students. Also, she is currently a senior nurse scientist at the Munn Center for Nursing Research, Massachusetts General Hospital, and a gerontological nurse consultant at the Hospital of the University of Pennsylvania, the Office of Inspector General, and the Department of Justice. She served as director of practice at the Hartford Institute for Geriatric Nursing from 2003 to 2013. Her areas of research are the geriatric care environment including measures of quality, dementia-capable and family-centered interventions, the prevention of functional decline in hospitalized older adults, and the functional recovery of older adults during post-acute care. She has presented nationally and internationally, and authored and coauthored numerous journal publications, organizational tools, and book chapters in these areas, and has coedited five books. She is the lead editor for Evidence-Based Geriatric Nursing Protocols for Best Practice.

Dr. Boltz is a former John A. Hartford Foundation Claire Fagin fellow (2009–2011), recipient of the American Nurses Credentialing Center (ANCC) Margretta Madden Styles Credentialing Scholar Award, and Eastern Nursing Research Society John A. Hartford Geriatric 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 nurse practitioner from the University of Pennsylvania, and her doctoral degree from New York University. She participated in postdoctoral study at the University of Maryland.

Elizabeth (Liz) Capezuti, PhD, RN, FAAN,

is the William Randolph Hearst chair in gerontology and assistant dean for research at the Hunter-Bellevue School of Nursing of Hunter College of the City University of New York (CUNY). Dr. Capezuti teaches in the graduate doctor of nursing practice (DNP) program and is a professor in the Graduate Center and the PhD program in nursing science of CUNY. She is known for her work in improving the care of older adults by interventions and models that positively influence health care providers’ knowledge and work environment. Dr. Capezuti’s research interests include fall prevention, restraint and side-rail elimination, APN-facilitated models, palliative care, the geriatric nursing work environment, and the design of the “built environment” to facilitate function. Dr. Capezuti has disseminated the findings of 35 funded projects in five coedited books and more than 100 peer-reviewed articles and book chapters. She is the recipient of the Otsuka/American Geriatrics Society Outstanding Scientific Achievement for Clinical Investigation Award in 2001 and received the American Academy of Nursing Nurse Leader in Aging Award in 2013. Dr. Capezuti received her bachelor’s degree in nursing at the 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.

Terry Fulmer, PhD, RN, FAAN,

is president of the John A. Hartford Foundation and leads its work to improve the health of older adults in the United States. Dr. Fulmer was previously university distinguished professor and dean of the Bouvé College of Health Sciences at Northeastern University where she was also professor of Public Policy and Urban Affairs in the College of Social Sciences and Humanities. Previous to her role as dean of the Bouvé College of Health Sciences, Dr. Fulmer served as the Erline Perkins McGriff Professor of Nursing and founding dean of the New York University (NYU) College of Nursing. Dr. Fulmer is nationally and internationally recognized as a leading expert in geriatrics, and is best known for her research on elder abuse and neglect, which has been funded by the National Institute on Aging and the National Institute for Nursing Research. Dr. Fulmer is an elected member of the Institute of Medicine and serves as the chair of the National Advisory Committee for the Robert Wood Johnson Foundation Executive Nurse Fellows program. She has served as the first nurse on the board of the American Geriatrics Society and as the first nurse to serve as president of the Gerontological Society of America. For 15 years, Dr. Fulmer served as the codirector of the Hartford Institute for Geriatric Nursing at NYU, which the foundation began supporting in 1996. She has also held faculty appointments at Boston College, Columbia University, Yale University, and the Harvard Division on Aging. Dr. Fulmer received her bachelor’s degree from Skidmore College, her master’s and doctoral degrees from Boston College, and her geriatric nurse practitioner postmaster’s certificate from NYU. 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.

DeAnne Zwicker, DrNP, AGNP-BC,

is an American Nurses Credentialing Center (ANCC)-certified adult nurse practitioner and geriatric nurse practitioner. She is currently working as an independent geriatric consultant. She completed her doctor of nursing practice degree in 2010 with a primary focus as a clinical scientist and secondary in nursing education at Drexel University in Philadelphia. Her dissertation was a mixed-method study titled, “Preparedness, Appraisal of Behaviors, and Role Strain in Dementia Family Caregivers and the Caregiver Perspective of Preparedness.” She has been a coeditor and chapter author for many versions of the

Evidence-Based Geriatric Nursing Protocols for Best Practice

book, as well as a content editor for ConsultGeriRN.org since its inception. She has been a registered nurse for 32 years with clinical practice experience as a geriatric nurse practitioner since 1992 in primary care, subacute, long-term care, and recently palliative care and a clinical expert consultant in many domains in geriatrics. She has also taught nursing at the graduate level at New York University, Drexel University, and George Mason University. Her areas of interest in geriatrics include proactive intervention in older adults to prevent adverse drug events, pain control to aid in maintaining function and quality of life, and preventing hospital iatrogenesis particularly in persons with dementia.

Table of Contents

Incorporating Evidence into Practice

Developing and Evaluating Clinical Practice Guidelines: A Systematic Approach
Rona F. Levin and Susan Kaplan Jacobs

Measuring Performance, Improving Quality Leonard L. Parisi

1. Assessment and Management Principles

   Age-Related Changes in Health Constance M. Smith and Valerie T. Cotter

   Health Care Decision Making (Marie to edit this one) Linda Farber Post

   Sensory Changes Pamela Z. Cacchione

   Assessing Cognitive Function Pieter Heeren, Koen Milisen, and Marquis D. Foreman

   Assessment of Physical Function Denise M. Kresevic

   Oral Health Care Linda J. O’Connor

   Managing Oral Hydration Janet Mentes
   
   

   Nutrition Rose Ann DiMaria-Ghalili

   Family Caregiving Deborah C. Messecar

   Issues Regarding Sexuality Elaine Steinke

   Mistreatment Detection Billy Caceres and Terry Fulmer

2. geriatric syndromes

   Preventing Functional Decline in the Acute Care Setting
   Marie Boltz, Barbara Resnick, and Elizabeth Galik
   
   

   Depression Glenise McKenzie and Theresa A. Harvath

   Delirium: Prevention, Early Recognition, and Treatment Dorothy F. Tullmann, Kathleen

   Fletcher, and Marquis D. Foreman

   Pain Management Ann L. Horgas, Saunjoo L. Yoon, and Mindy Grall

   Preventing Falls in Acute Care Deanna Gray-Miceli and Patricia Quigley

   Reducing Adverse Drug Events DeAnne Zwicker and Terry Fulmer

   Urinary Incontinence Annemarie Dowling-Castronovo and Christine Bradway

   Catheter-Associated Urinary Tract Infection Prevention

   Heidi Wald, Regina Fink, MaryBeth Flynn Makic, and Kathy Oman

   Physical Restraints and Side Rails in Acute and Critical Care Settings
   Cheryl M. Bradas, Satinderpal K. Sandhu, and Lorraine C. Mion

   Preventing Pressure Ulcers and Skin Tears Elizabeth A. Ayello and R. Gary Sibbald

   Mealtime Difficulties Melissa Aselage and Sarah Crowgey

   Excessive Sleepiness Eileen R. Chasens and Mary Grace Umlauf

   New chapter Frailty Rebecca Bolton, Marie Boltz

3. Specialty Practice

   Chapter 26 Substance Misuse and Alcohol Use Disorders Madeline Naegle

   Chapter 30 Comprehensive Assessment and Management of the Critically Ill
   Michele C. Balas, Colleen M. Casey, and Mary Beth Happ

   Chapter 31 Fluid Overload: Identifying and Managing Heart Failure Patients Judith Schipper

   Chapter 32 Cancer Assessment and Intervention Strategies Janine Overcash

   New chapter : Perioperative Care of the Older Adult Larry Slater and Fidel Lim

   New chapter : General Surgical Care of the Older Adult Larry Slater and Fidel Lim

   New chapter Care of the Older Adult with Hip fracture Anita Meehan, Ami Hommel, Karen Hertz, Valerie MacDonald and Ann Maher

4. Models of Care

   Chapter 33 Acute Care Models Elizabeth Capezuti, Marie Boltz, and Cynthia J. Nigolian

   Chapter 34 Transitional Care Fidelindo Lim, Janice Foust, and Janet Van Cleave

   New chapter Palliative Care Connie Dahlin

   New chapter The Senior friendly Emergency Department Marie Boltz