Evidence-based geriatric nursing protocols for best practice, 4th ed [[electronic resource] /] / [edited by] Marie Boltz ... [et al.]

• Pubblicazione: New York, : Springer, 2012
• Edizione: 4th ed.
• Descrizione fisica: xvii, 721 p
• Disciplina: 618.97/0231
• Soggetto topico: Geriatric nursing - Methodology; Nursing; Older people; Evidence-based nursing; Nursing assessment
• Altri autori: BoltzMarie
• Nota di bibliografia: Includes bibliographical references and index.
• Nota di contenuto: Evidence-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. ; Diseases 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. ; Critical 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. ; Pharmacological 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. ; Professional 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. ; Some Best Practice Exemplars Used by Acute Care Hospitals.
• Titolo autorizzato: Evidence-based geriatric nursing protocols for best practice, 4th ed
• ISBN: 1-78268-184-1; 1-280-12888-7; 9786613532763; 0-8261-7129-X
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9910821501903321
• Lo trovi qui: Univ. Federico II