NICHE

NICHE

Author: Terry T. Fulmer, PhD, RN, FAAN

Publisher: Springer Publishing Company

Published: 2019-05-11

Total Pages: 430

ISBN-13: 082617082X

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The NICHE model demonstrates improved clinical outcomes, positive fiscal results, enhanced nursing competencies, community recognition, and greater patient, family, and staff satisfaction. This official guidebook to the NICHE model of care provides nurses with the knowledge and skills for delivering best practice in the care of older adults. Primarily hospital-based, NICHE currently has a network of over 600 national and international healthcare organizations. The NICHE model ensures that every adult age 65 and over receives care that promotes dignity, autonomy and function. Written by world-leading experts in gerontological nursing, this distinguished publication serves as the gold standard manual for nurses and all clinical care providers looking to provide optimal, evidence-based care to their older patients. As the leading nurse-driven program designed to address the complex needs of older adults, the NICHE model emphasizes the role of the nurse as a change agent and leader for effective program development, implementation of best practices, and formulation of healthcare policy. This model engages frontline practicing nurses and staff, providing the requisite knowledge and skills to work autonomously with full responsibility and authority in complex healthcare systems. Key Features Reflects the best practices of the over 600 NICHE hospitals Features multiple case studies and exemplars Uses an interprofessional approach to care Draws on leading gerontological nursing experts nationally and internationally Highly relevant to a global audience This publication also serves as the policy, planning and implementation companion to Evidence-Based Geriatric Nursing Protocols for Best Practice, edited by Marie Boltz, PhD, RN, GNP-BC, FGSA, FFAN et al


Age-Friendly Health Systems

Age-Friendly Health Systems

Author: Terry Fulmer

Publisher: Institute for Healthcare Improvement (Ihi)

Published: 2022-02

Total Pages: 0

ISBN-13: 9781544527505

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According to the US Census Bureau, the US population aged 65+ years is expected to nearly double over the next 30 years, from 43.1 million in 2012 to an estimated 83.7 million in 2050. These demographic advances, however extraordinary, have left our health systems behind as they struggle to reliably provide evidence-based practice to every older adult at every care interaction. Age-Friendly Health Systems is an initiative of The John A. Hartford Foundation and the Institute for Healthcare Improvement (IHI), in partnership with the American Hospital Association (AHA) and the Catholic Health Association of the United States (CHA), designed Age-Friendly Health Systems to meet this challenge head on. Age-Friendly Health Systems aim to: Follow an essential set of evidence-based practices; Cause no harm; and Align with What Matters to the older adult and their family caregivers.


Evidence-Based Geriatric Nursing Protocols for Best Practice

Evidence-Based Geriatric Nursing Protocols for Best Practice

Author: Marie Boltz, PhD, RN, GNP-BC, FGSA, FAAN

Publisher: Springer Publishing Company

Published: 2016-03-28

Total Pages: 751

ISBN-13: 0826171672

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This new edition of one of the premier references for geriatric nurses in hospital, long-term, and community settings delivers current guidelines, real-life case studies, and evidence-based protocols developed by master educators and practitioners. With a focus on improving quality of care, cost-effectiveness, and outcome, the fifth edition is updated to provide the most current information about care of common clinical conditions and issues in older patients. Several new expert contributors present current guidelines about hip fractures, frailty, perioperative and postoperative care, palliative care, and senior-friendly emergency departments. Additionally, chapters have been reorganized to enhance logical flow of content and easy information retrieval. Protocols, systematically tested by more than 300 participating NICHE (Nurses Improving Care for Health system Elders) hospitals‚ are organized in a consistent format and include an overview, evidence-based assessment and intervention strategies, and an illustrative case study with discussion. Additionally, protocols are embedded within chapter text, providing the context and detailed evidence for each. Chapter objectives, annotated references,and evidence ratings for each protocol are provided along with resources for additional study. New to the Fifth Edition: Reorganized to enhance logical flow of information and ease of use Updated and revised Includes new contributions from expert educators and practitioners Provides new chapters on perioperative and postoperative care, general surgical care, care of hip fracture, palliative care, and the senior-friendly emergency department Key Features: Includes PowerPoints and a test bank for instructors Delivers evidence-based, current guidelines and protocols for care of common clinical conditions in the older person Illustrates the application of clinical protocols to real-life practice through case studies and discussion Edited by nationally known geriatric leaders who are endorsed by the Hartford Institute for Geriatric Nursing and NICHE Written for nursing students, nurse leaders, and practitioners at all levels, including those in specialty roles


Evidence-Based Geriatric Nursing Protocols for Best Practice

Evidence-Based Geriatric Nursing Protocols for Best Practice

Author: Elizabeth Capezuti, PhD, RN, FAAN

Publisher: Springer Publishing Company

Published: 2011-11-18

Total Pages: 740

ISBN-13: 082617129X

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Named a 2013 Doody's Core Title! "The evidence-based protocols are designed as a primary reference and are useful, substantive, and timely...The broader contributions of useful format and succinct review of the evidence make it likely that this text will continue to be the leading resource in nursing education and practice."--The Gerontologist "Now more than ever, nurses are called upon to lead efforts to embed evidence-based practice in daily operations. As the IOM report states, 'nurses have key roles to play as team members and leaders for a reformed and better-integrated, patient-centered health care system.' The process of implementing sweeping change in health care will likely take years; however, nurses must start pragmatically and focus on these critically important protocols that have demonstrated improved outcomes for older adults. Simply stated, 'Pick this book up and use it.'" From the Foreword, Susan L. Carlson, MSN, APRN, ACNS-BC, GNP-BC, FNGNA President, National Gerontological Nursing Association "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. --Doody's One of the premier reference books for geriatric nurses in hospital, long-term, and community settings, this 4th edition has been thoroughly updated to provide the most current, evidence-based protocols for care of common clinical conditions and issues in elderly patients. Designed to improve the quality, outcomes, and cost-effectiveness of health care, these guidelines are the result of collaboration between leading practitioners and educators in geriatric nursing and New York University College of Nursing. Protocols for each clinical condition have been developed by experts in that particular area, and most have been systematically tested by over 300 participating hospitals in "Nurses Improving Care for Health System Elders" (NICHE). Evidence is derived from all levels of care, including community, primary, and long-term care. A systematic method in compliance with the AGREE appraisal process was used to rate the levels of evidence for each protocol. Protocols are organized in a consistent format for ease of use, and each includes an overview, evidence-based assessment and intervention strategies, and an illustrative case study with discussion. Additionally, each protocol is embedded within chapter text, which provides the context and detailed evidence for the protocol. Each chapter contains resources for further study. Key Features: Updated to provide a wide range of evidence-based geriatric protocols for best practices Contains new chapters on function-focused care, catheter-associated urinary tract infections, mistreatment detection, acute care models, and transitional care Illustrates application of clinical protocols to real-life practice through case studies and discussion Edited by nationally known leaders in geriatric nursing education and practice, who are endorsed by the Hartford Institute for Geriatric Nursing and NICHE Encompasses the contributions of 58 leading practitioners of geriatric care Written for nursing students, nurse leaders, and practitioners at all levels, including those in specialty roles


Acute Care for Elders

Acute Care for Elders

Author: Michael L. Malone

Publisher: Springer

Published: 2014-07-21

Total Pages: 276

ISBN-13: 1493910256

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Acute Care for Elders (ACE) is a model of care designed to improve functional outcomes and to improve the processes for the care of older patients. This model includes: an environment of care designed to promote improved function for older patients; an interdisciplinary team that works together to identify/address the vulnerabilities of the older patients; nursing care plans for prevention of disability; early planning to help prepare the patient to return home and a review of medical care to prevent iatrogenic illness. Acute Care for Elders: A Model for Interdisciplinary Care is an essential new resource aimed at assisting providers in developing and sustaining an ACE program. The interdisciplinary approach provides an introduction to the key vulnerabilities of older adults and defines the lessons learned from the Acute Care for Elders model. Expertly written chapters describe critical aspects of ACE: the interdisciplinary approach and the focus on function. The fundamental principles of ACE described in this book will further assist hospital leaders to develop, implement, sustain and disseminate the Acute Care for Elders model of care. Acute Care for Elders: A Model for Interdisciplinary Care is of great value to geriatricians, hospitalists, advance practice nurses, social workers and all others who provide high quality care to older patients.


Pharmacological Considerations in Gerontology

Pharmacological Considerations in Gerontology

Author: Abimbola Farinde, PhD, PharmD

Publisher: Springer Publishing Company

Published: 2019-12-04

Total Pages: 335

ISBN-13: 082612772X

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Underscores the complexity of prescribing drugs for older adults while providing state-of-the-art guidelines for safe patient care An evidence-based, quick-access reference for adult gerontology nurse practitioners and related healthcare providers, this text describes a holistic, patient-centered approach to prescribing drugs to older adults. Comprehensive yet concise writing distills timely guidance on the complexities of safely prescribing to this unique population. This book opens with physiologic changes and assessment considerations for older adults, followed by a discussion of pharmacokinetics and pharmacodynamics, then a final section on guidelines for drug selection, drug interactions, and multimorbidities. Each chapter presents information in a consistent, easy-to-read template. Patient Care Pearls alert readers to crucial information and relevant case studies with examples of inappropriate medical prescribing provide context for drug delivery. Key points and chapter summaries help reinforce information. Additional features include the provision of guidelines for psychotropic medications in LTC facilities, special considerations for frail older adults, and the role of pharmacists as a resource for other practitioners. Key Features: Decision-making guidance on prescribing practices in varied settings Discusses in depth physiological considerations including multimorbidity and polypharmacy Presents Beer’s Criteria and its implications Guidelines for psychotropic medications in LTC facilities Special considerations for frail older adults Patient Care Pearls, case studies, key points, and chapter summaries


Critical Care Nursing of Older Adults

Critical Care Nursing of Older Adults

Author: Marquis D. Foreman PhD, RN, FAAN

Publisher: Springer Publishing Company

Published: 2009-11-16

Total Pages: 456

ISBN-13: 9780826114099

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2010 AJN Book of the Year Award Winner in Critical Care--Emergency Nursing! Designated a Doody's Core Title! "This evidence-based book is an excellent reference for ensuring high-quality management of the elderly and of their particular needs in the critical care setting." --AJN "[This] book's contents run the gamut of elder problems and care: physiology, pharmacology, nutrition, restraints, substance abuse....it is a compendium that can be used as a text or a resource." --Claire M. Fagin, PhD, RN, FAAN (From the Foreword) This book is an evidence-based, best-practices guide that directs the bedside care of critically ill elders. The book serves as a reference on major clinical issues for nurses working at the forefront of care-from nurses in critical care and step-down units to those in trauma and emergency departments. Nurse educators at all degree levels will also find this book to be useful as a textbook and resource for students. The authors provide evidence-based, practical guidelines for both the complex clinical and management aspects of care. The book offers comprehensive coverage of all the issues caregivers need to be up to date on, including the standards of practice for geriatric care, new technologies, pharmacotherapy, pain management issues, ethical issues, and much more. Key topics discussed: Strategies for patient safety for older patients in the intensive care setting Family responses to critical care of the older adult Infection, sepsis, and immune function Understanding and managing sleep disorders in older patients in the ICU Heart failure in the critically ill older patient Substance abuse and withdrawal in elderly patients


Geriatrics Models of Care

Geriatrics Models of Care

Author: Michael L. Malone

Publisher: Springer Nature

Published: 2024

Total Pages: 403

ISBN-13: 3031562046

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Following the success of the previous edition, the second edition of Geriatrics Models of Care is the definitive resource for systems-based practice improvement for the care of older adults. Several new models of care have been published in the last eight years, new outcomes have emerged to better understand the impact of existing models, and with the rise of the Age-Friendly Health Systems movement, promoting organized efforts to prepare our health care settings for older individuals is of more importance than ever. The second edition is organized based on the practice setting along a continuum of care: hospital, transitions from hospital to home, outpatient settings, and the emergency department. This book also highlights long-term care models, which is an important part of the continuum of care for older Americans. Further, this edition features models that address the needs of vulnerable populations. This new section will describe a spectrum of programs for older adults who have Alzheimer’s disease or Parkinson’s disease. Other models describe best practices for older adults undergoing surgery or those who want to remain functioning independently in their home. A defining feature of this book is that each chapter follows a standard template: 1) the challenge which led to the model; 2) the patient population served; 3) core components of the intervention; 4) the role of interdisciplinary health professionals; 5) evidence to support the intervention; 6) lessons learned in the implementation and dissemination of the model; 7) implications for family caregivers, and communities (particularly underserved and diverse communities); and 8) how each model will provide care across the continuum during an entire episode of care. In addition, each chapter features a “call out” box with practical tips for implementing the model.


Geriatric Rehabilitation Manual

Geriatric Rehabilitation Manual

Author: Timothy L. Kauffman

Publisher: Elsevier Health Sciences

Published: 2007-01-01

Total Pages: 583

ISBN-13: 0443102333

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This manual gives step-by-step guidance on the evaluation and treatment of geriatric diseases and disorders. It covers incidence of disorders, diagnostic tests, associated diagnoses, clinical implications for mobility, and rehabilitation techniques. It offers a broad overview of the effects of aging on all body systems. Special geriatric considerations for laboratory assessment, thermoregulations, and pharmacology are also discussed. This manual is a resource for all training clinicians in geriatric care and is a quick-reference guide for students and practitioners in this field.


Toward Healthy Aging - E-Book

Toward Healthy Aging - E-Book

Author: Theris A. Touhy

Publisher: Elsevier Health Sciences

Published: 2022-07-10

Total Pages: 538

ISBN-13: 0323811663

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**American Journal of Nursing (AJN) Book of the Year Awards, 1st Place in Gerontologic Nursing, 2023** **Selected for Doody's Core Titles® 2024 in Geriatrics** Provide holistic, compassionate nursing care for older adults! Based on evidence-based protocols, Toward Healthy Aging, 11th Edition helps you master gerontological nursing skills with an approach that focuses on health, wholeness, and the potential in aging. In promoting healthy aging, the text emphasizes caring and respect for the person. Special sections provide an honest look at the universal experience of aging. Written by gerontological nursing experts Theris A. Touhy and Kathleen F. Jett, this classic text helps you learn to apply scientific research, build critical thinking skills, and prepare for success on the NCLEX® exam and in clinical practice. - Promoting Healthy Aging: Implications for Gerontological Nursing sections help you apply concepts to assessments and interventions. - A Student Speaks and An Elder Speaks sections at the beginning of every chapter provide perspectives of older people and nursing students. - Nursing Studies provide practice examples designed to assist you in assessment, planning, interventions, and outcomes to promote healthy aging. - Learning objectives in every chapter introduce important content and define learning goals and expectations. - Key concepts provide a concise review of the most important points found in each chapter. - Critical Thinking Questions and Activities help you apply concepts and build clinical judgment skills. - Safety Alerts emphasize QSEN competencies and safety issues related to care of older adults. - Tips for Best Practice boxes summarize evidence-based nursing interventions for practice. - Research Highlights boxes summarize important research studies in the field of gerontology - Research Questions include suggestions and ideas for pursuing nursing research. - Healthy People boxes reference the goals cited in Healthy People 2020. - NEW! Next Generation NCLEX® (NGN) examination-style case studies at the end of chapters include questions to help you prepare for the NGN exam. - NEW! Completely updated content helps you develop clinical judgment skills, identified by the NCSBN and the AACN as a key attribute of professional nursing. - NEW! Updated topics include COPD guidelines, theories of aging, medication use and misuse, palliative care, wound care guidelines, genomic research, and LGBT family relationships and sexualty in older adults.