Geriatric Nursing Protocols for Best Practice

by Mezey, Mathy Doval; Fulmer, Terry; Abraham, Ivo Luc; Zwicker, Deanne

• ISBN13: 9780826118349
• ISBN10: 0826118348
• Edition: 2nd
• Format: Hardcover
• Copyright: 2003-07-01
• Publisher: Springer Pub Co

Summary

The protocols in this thoroughly updated new edition 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). New to this edition are chapters on evaluating practice guidelines and measuring quality and outcome of care. Although the protocols were developed for acute care, they can be easily modified to work in other practice settings, such as the nursing home or home care.

Table of Contents

Foreword	ix
Donna Regenstreif
Preface	xiii
Susan Bower-Ferres
Contributors	xv
Introduction	xix
Mathy D. Mezey and DeAnne Zwicker
1 Evaluating Clinical Practice Guidelines: A Best Practice	1	(14)
Judith A. Lucas and Terry Fulmer
2 Measuring Performance, Improving Quality	15	(16)
Deborah M. Nadzam and Ivo L. Abraham
3 Assessment of Function	31	(16)
Denise M. Kresevic and Mathy Mezey
4 Excessive Sleepiness	47	(19)
Mary Grace Umlaut, Eileen R. Chasens, and Terri E. Weaver
5 Mealtime Difficulties	66	(17)
Elaine J. Amelia
6 Urinary Incontinence	83	(16)
Annemarie Dowling-Castronovo and Christine Wanich Bradway
7 Assessing Cognitive Function	99	(17)
Marquis D. Foreman, Kathleen Fletcher, Lorraine C. Mion, and Lark Trygstad
8 Delirium: Strategies for Assessing and Treating	116	(25)
Marquis D. Foreman, Lorraine C. Mion, Lark Trygstad, and Kathleen Fletcher
9 Preventing Falls in Acute Care	141	(24)
Barbara Resnick
10 Preventing Pressure Ulcers and Skin Tears	165	(20)
Elizabeth A. Ayello
11 Depression in Older Adults	185	(22)
Lenore H. Kurlowicz
12 Medication in Older Adults	207	(22)
Terry Fulmer, Marquis D. Foreman, and DeAnne Zwicker
13 Pain Management	229	(22)
Ann L. Horgas and Susan M. McLennon
14 Use of Physical Restraints in the Acute Care Setting	251	(14)
Anne M. O'Connell and Lorraine C. Mion
15 Advance Directives: Protecting Patient's Rights	265	(27)
Gloria Ramsey and Ethel L. Mitry
16 Discharge Planning for the Older Adult	292	(25)
DeAnne Zwicker and Gloria Picariello
17 Clinical Practice Protocols: Translating Knowledge into Practice	317	(20)
Deborah C. Francis and Melissa M. Bottrell
Appendix	337	(2)
Index	339