LEADER 11014nam 2200625 a 450 001 9910821501903321 005 20240516114222.0 010 $a1-78268-184-1 010 $a1-280-12888-7 010 $a9786613532763 010 $a0-8261-7129-X 035 $a(MiAaPQ)EBC846169 035 $a(Au-PeEL)EBL846169 035 $a(CaPaEBR)ebr10530632 035 $a(CaONFJC)MIL353276 035 $a(OCoLC)779454295 035 $a(CKB)2550000000079422 035 $a(EXLCZ)992550000000079422 100 $a20110914d2012 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 00$aEvidence-based geriatric nursing protocols for best practice, 4th ed. /$f[edited by] Marie Boltz ... [et al.] 205 $a4th ed. 210 $aNew York $cSpringer$d2012 215 $axvii, 721 p 311 $a0-8261-7128-1 320 $aIncludes bibliographical references and index. 327 $aEvidence-Based Geriatric Nursing Protocols for Best Practice -- Half-Title -- About the Author -- Title Page -- Copyright -- Table of Contents -- Contributors -- Foreword -- Acknowledgments -- Introduction -- Chapter 1: Developing and Evaluating Clinical Practice Guidelines:A Systematic Approach -- Definition of Terms -- The Agree Instrument -- The Search for Evidence Process -- Search Strategies for Broad Topics -- Limits, Hedges, and Publication Types -- Precision and Recall -- Levels of Evidence -- Summary -- References -- Chapter 2: Measuring Performance, Improving Quality -- Educational Objectives -- Background and Statement of Problem -- Assessment of the Problem -- Quality Health Care Defined -- Clinical Outcomes and Publicly Reported Quality Measures -- Interventions and Care Strategies -- Measuring Quality of Care -- Addressing the Challenges -- Measuring Performance-Selecting Quality Indicators -- Implementing the Quality Assessment and Performance Improvement Program -- Resources -- References -- Additional Readings -- Chapter 3: Age-Related Changes in Health -- Educational Objectives -- 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 4: Sensory Changes -- Educational Objectives -- Background and Statement of Problem -- Normal Changes of Aging Senses -- Assessment of the Problem -- Vision -- Visual Function Questionnaire-25 -- Conditions of the Eye -- Interventions and Care Strategies -- Vision -- Hearing Impairment -- Hearing Changes Common in Older Adults -- Smell and Taste -- Changes in Smell and Taste Common to Older Adults. 327 $aDiseases That Alter Taste Seen More Frequently as People Age -- Peripheral Sensation -- Implications of Peripheral Sensation Changes -- Nursing Assessment and Care Strategies of Peripheral Sensation -- Individualized Sensory Enhancement of the Elderly -- Nursing Sensory Assessments -- History -- Physical Exam for All Systems -- Nursing Actions and Referrals -- Expected Outcomes -- Follow-up Monitoring -- Interprofessional Care of Sensory Changes -- Resources -- References -- Chapter 5: Excessive Sleepiness -- Educational Objectives -- Overview -- Background and Statement of Problem -- Consequences of Excessive Sleepiness -- Physiological Changes in Sleep that Accompany Aging -- Primary Causes of Excessive Daytime Sleepiness -- Obstructive Sleep Apnea -- Insomnia -- Restless Legs Syndrome -- Secondary Causes of Excessive Daytime Sleepiness -- Sleep Disturbance During Hospitalization -- Assessment of the Problem -- Interventions and Care Strategies -- Summary -- Resources -- References -- Chapter 6: Assessment of Physical Function -- Educational Objectives -- Overview -- Background and Statement of Problem -- Assessment of the Problem -- Assessment Instruments -- Direct Assessment of Patient -- Specific Functional Assessments -- Interventions and Care Strategies -- Use of Assessment Information -- Resources -- References -- Chapter 7: Interventions to Prevent Functional Decline in the Acute Care Setting -- Educational Objectives -- Overview -- Background and Statement of Problem -- Physical Function as a Clinical Measure -- Patient Risk Factors for Functional Decline -- Assessment of the Problem -- Hospital Care Systems and Processes -- Social Climate -- Policy and Procedure -- Physical Design -- Interventions and Care Strategies -- Support for Cognition -- Physical Therapy and Exercise -- Functional Mobility Programs. 327 $aCritical Care Initiatives to Prevent Functional Decline -- Function-Focused Care: A Multimodal Intervention -- Summary -- References -- Chapter 8: Assessing Cognitive Function -- Educational Objectives -- Overview -- Background and Statement of Problem -- Assessment of the Problem -- Reasons for Assessing Cognitive Functioning -- How to Assess Cognitive Functioning -- Interventions and Care Strategies -- When to Assess Cognitive Functioning -- Cautions for Assessing Cognitive Functioning -- Summary -- Resources -- References -- Chapter 9: Depression in Older Adults -- Educational Objectives -- Overview -- Background and Statement of Problem -- What is Depression? -- Major Depression -- Minor Depression -- Course of Depression -- Depression in Late Life is Serious -- Depression in Late Life Is Misunderstood -- Treatment for Late-Life Depression Works -- Cause and Risk Factors -- Depression Among Minority Older Adults -- Assessment of the Problem -- Depression Screening Tools -- Individualized Assessment and Interview -- Differentiation of Medical or Iatrogenic Causes of Depression -- Interventions and Care Strategies -- Clinical Decision Making and Treatment -- Biologic Therapies in Treatment of Late-Life Depression -- Electroconvulsive Therapy -- Exercise Interventions -- Psychosocial Approaches -- Interdisciplinary Team Models of Care -- Individualized Nursing Interventions for Depression -- Summary -- Acknowledgements -- Resourcse -- References -- Chapter 10: Dementia -- Educational Objectives -- Overview -- Background and Statement of Problem -- Assessment of the Problem -- Goals of Assessment -- History Taking -- Functional Assessment -- Cognitive Assessment -- Behavioral Assessment -- Physical Examination and Diagnostics -- Caregiver Assessment -- Interventions and Care Strategies -- Pharmacological Interventions. 327 $aPharmacological Therapy for Problematic Behaviors -- Supplemental Drugs -- Nonpharmacological Strategies -- Physical/Functional Interventions -- Environmental Interventions -- Psychosocial Interventions -- Behavioral Interventions -- Advance Planning and End-of-Life Care Interventions -- Summary -- Resources -- References -- Chapter 11: Delirium -- Educational Objectives -- Overview -- Background and Statement of Problem -- Definition -- Etiology and Epidemiology -- Assessment of the Problem -- Interventions and Care Strategies -- Resources -- References -- Chapter 12:Iatrogenesis: The Nurse's Role in Preventing Patient Harm -- Educational Objectives -- Overview -- Background and Statement of Problem -- Iatrogenesis in the Older Adult -- Endogenous Risk Factors for Iatrogenesis -- Exogenous Risk Factors for Iatrogenesis -- Assessment of the Problem -- Adverse Drug Events -- Adverse Effects of Diagnostic, Medical, Surgical, and Nursing Procedures -- Hospital-Acquired Infection -- Interventions and Care Strategies -- Nursing Strategies for Hospital-Acquired Infections -- Quality Improvement Initiatives to Minimize Infection -- Geriatric Syndromes -- Overview -- Nursing Management of Geriatric Syndromes -- Interventions Related to Changing Provider and Patient Knowledge, Beliefs, and Attitudes -- Nurses' Knowledge, Attitudes, and Beliefs -- Patient Knowledge, Attitudes, and Beliefs -- Interventions Related to National and Organizational Priorities -- Organizational Imperatives to Prevent Iatrogenesis -- Safety-Promoting Structures and Processes -- Partnering With Patients -- Summary -- Resources -- References -- Chapter 13: Physical Restraints and Side Rails in Acute and Critical Care Settings -- Educational Objectives -- Overview -- Background and Legal Issues -- Regulations and Accrediting Standards -- Risks of Liability. 327 $aProfessional Standards of Care -- Prevalence and Rationale of Staff -- Extent of Use -- Decision to Use Physical Restraint -- Ethical Issues in the use of Physical Restraint -- Administrative Responsibilities -- Interventions and Care Strategies -- General Medical and Surgical Units -- Critical Care Units -- Alternatives to Physical Restraint -- Overview -- Fall Prevention -- Protection of Medical Devices -- Side Rails -- Summary -- Resources -- References -- Chapter 14: Pain Management -- Educational Objectives -- Overview -- Background and Statement of Problem -- Assessment of Pain -- Self-Reported Pain -- Observed Pain Indicators -- Interventions and Care Strategies -- Pharmacological Pain Treatment -- Nonpharmacological Pain Treatment -- Improving Pain Management in Care Settings -- Summary -- Resources -- References -- Chapter 15:Fall Prevention:Assessment, Diagnoses, and Intervention Strategies -- Educational Objectives -- Overview -- Background and Statement of Problem -- The Importance of Fall and Injury Prevention in Acute Care -- Assessment of the Problem -- Deciding Risk for a Serious Fall-Related Injury -- Assess and Diagnose the Older Adult Patient's Risk for Serious Injury -- Best Practice Interventions for Suspected Serious Injury -- Why Do Older Adult Patients in an Acute Care Setting Fall and Who Is at Greatest Risk -- Patient-Specific Factors Linked to Fall Risk -- Physical Restraint Use Contributing to Fall Risk -- Medications Contributing to Fall Risk in Older Adults -- Postfall Assessment -- The Immediate Postfall Assessment -- Interim Postfall Assessment -- Longitudinal Postfall Assessment -- Overview of Effective Fall and Injury Prevention in Hospitals -- Fall Prevention Program -- Interventions for All Prevention and Management -- Instituting General Safety Measures -- Early Mobility for Older Patients Who Fall. 327 $aSome Best Practice Exemplars Used by Acute Care Hospitals. 606 $aGeriatric nursing$xMethodology 606 $aNursing 606 $aOlder people 606 $aEvidence-based nursing 606 $aNursing assessment 615 0$aGeriatric nursing$xMethodology. 615 0$aNursing. 615 0$aOlder people. 615 0$aEvidence-based nursing. 615 0$aNursing assessment. 676 $a618.97/0231 701 $aBoltz$b Marie$01665593 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910821501903321 996 $aEvidence-based geriatric nursing protocols for best practice, 4th ed$94024313 997 $aUNINA