Evidence-Based Geriatric Nursing Protocols for Best Practice

Front Cover
Elizabeth Capezuti, PhD, RN, FAAN, DeAnne Zwicker, DrNP, APRN, BC, Mathy Mezey, EdD, RN, FAAN, Terry T. Fulmer, PhD, RN, FAAN, Deanna Gray-Miceli, DSNSc, APRN, FAANP
Springer Publishing Company, Nov 16, 2007 - Medical - 736 pages

Designated a Doody's Core Title!

"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


"This third edition holds the promise of bringing yet another level of depth and sophistication to understanding the best practices for assessment, interventions, and anticipated outcomes in our care of older adultsÍ. Evidence-Based Geriatric Nursing Protocols for Best Practice is intended to bring the most current, evidence-based protocols known to experts in geriatric nursing to the audience of students, both graduate and undergraduate, practitioners at the staff level from novice to expert, clinicians in specialty roles (educators, care managers, and advanced practice nurses), and nursing leaders of all levelsÍ.We owe a debt of gratitude to the many authors and the editors for bringing this work to us."--from the preface by Susan Bowar-Ferres, PhD, RN, CNAA-BC, Senior Vice President & Chief Nursing Officer, New York University Hospitals Center

"The greatest beneficiaries of these new practice protocols, however, will be the older adults and their family members who stand to benefit from the greater consistency in care and improved outcomes from care based on the best evidence that is tempered with the expertise of advanced clinician-scholars."--from the foreword by Eleanor S. McConnell, RN, PhD, APRN, BC, Associate Professor and Director, Gerontological Nursing Specialty; Clinical Nurse Specialist, Durham Veterans Administration Medical Center; Geriatric Research, Education and Clinical Center

This is the third, thoroughly revised and updated edition of the book formerly entitled Geriatric Nursing Protocols for Best Practice. The protocols address key clinical conditions and circumstances likely to be encountered by a hospital nurse caring for older adults. They represent "best practices" for acute care of the elderly as developed by nursing experts around the country as part of the Hartford Foundation's Nurses Improving Care to the Hospitalized Elderly project (NICHE).

This third edition includes 17 revised and updated chapters and more than 15 new topics including critical care, diabetes, hydration, oral health care, palliative care, and substance abuse. Each chapter includes educational objectives, assessment of the problem, nursing intervention or care strategies, and references; most chapters have case studies.


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Selected pages


Developing and Evaluating Clinical Practice Guidelines A Systematic Approach
Measuring Performance Improving Quality
Assessment of Function
Assessing Cognitive Function
Delirium Prevention Early Recognition and Treatment
Family Caregiving Deborah C Messecar
Oral Health Care
Preventing Pressure Ulcers and Skin Tears
AgeRelated Changes in Health
Excessive Sleepiness
Sensory Changes
Physical Restraints and Side Rails in Acute and Critical Care Settings Legal Ethical and Practice Issues
Health Care Decision Making
Advance Directives

Preventing Falls in Acute Care
Pain Management
Iatrogenesis The Nurses Role in Preventing Patient Harm
Reducing Adverse Drug Events
Urinary Incontinence
Mealtime Difficulties
Managing Oral Hydration
Comprehensive Assessment and Management of the Critically Ill
Fluid Overload Identifying and Managing Heart Failure Patients at Risk for Hospital Readmission
Cancer Assessment and Intervention Strategies
Issues Regarding Sexuality Jacqueline M Arena Meredith Wallace
Substance Misuse and Alcohol Use Disorders

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About the author (2007)

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.

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.

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 BouvÚ 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 BouvÚ 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.

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