Evidence-based geriatric nursing protocols for best practice

Description

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