By Marie Boltz PhD RN GNP-BC FGSA FAAN, Elizabeth Capezuti PhD RN FAAN, Terry T. Fulmer PhD RN FAAN, DeAnne Zwicker DrNP APRN BC
Now greater than ever, nurses are known as upon to steer efforts to embed evidence-based perform in day-by-day operations. because the IOM file states, 'nurses have key roles to play as crew contributors and leaders for a reformed and better-integrated, patient-centered health and wellbeing care system.' the method of imposing sweeping switch in overall healthiness care will most probably take years; notwithstanding, nurses needs to begin pragmatically and concentrate on those severely very important protocols that experience validated superior results for older adults. easily said, 'Pick this e-book up and use it.'
From the Foreword, Susan L. Carlson, MSN, APRN, ACNS-BC, GNP-BC,
nationwide Gerontological Nursing Association
As a gerontological medical educator/research nurse, i'll usually use this as a reference. The structure and the content material are sturdy, and the reasons of ways to most sensible use the proof simplify the method of sifting via mountains of knowledge to determine the easiest practice. rating: ninety seven, five stars
One of the ideal reference books for geriatric nurses in clinic, long term, and group settings, this 4th variation has been completely up to date to supply the most up-tp-date, evidence-based protocols for care of universal scientific stipulations and concerns in aged sufferers. Designed to enhance the standard, results, and cost-effectiveness of future health care, those directions are the results of collaboration among top practitioners and educators in geriatric nursing and big apple collage university of Nursing.
Protocols for every medical were built by way of specialists in that individual quarter, and so much were systematically verified by means of over three hundred partaking hospitals in Nurses bettering take care of health and wellbeing process Elders (NICHE). facts is derived from all degrees of care, together with neighborhood, basic, and long term care. a scientific procedure in compliance with the AGREE appraisal approach was once used to cost the degrees of proof for every protocol. Protocols are equipped in a constant layout for ease of use, and every comprises an summary, evidence-based overview and intervention ideas, and an illustrative case learn with dialogue. also, every one protocol is embedded inside bankruptcy textual content, which supplies the context and specific proof for the protocol. each one bankruptcy comprises assets for extra study.
Key beneficial properties:
- Updated to supply a variety of evidence-based geriatric protocols for top practices
- Contains new chapters on function-focused care, catheter-associated urinary tract infections, mistreatment detection, acute care versions, and transitional care
- Illustrates software of scientific protocols to real-life perform via case stories and dialogue
- Edited by means of nationally recognized leaders in geriatric nursing schooling and perform, who're recommended through the Hartford Institute for Geriatric Nursing and area of interest
- Encompasses the contributions of fifty eight prime practitioners of geriatric care
- Written for nursing scholars, nurse leaders, and practitioners in any respect degrees, together with these in forte roles
Read or Download Evidence-Based Geriatric Nursing Protocols for Best Practice PDF
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Additional resources for Evidence-Based Geriatric Nursing Protocols for Best Practice
Instead, the measure needs to inform us about current quality levels and relate them to previous and future quality levels. It needs to be able to compute improvements or declines in quality over time so that we can plan for the future. For example, to have a measure that only tells the number of medication errors in the past month would not be helpful. Instead, a measure that tells what types of medication errors were made, perhaps even with a severity rating indicated, compares this to medication errors made during the previous months, and shows in numbers and graphs the changes over time that will enable us to do the necessary root-cause analysis to prevent more medication errors in the future.
Clinical implications of these alterations, including associated disease risks, are then discussed followed by nursing assessment and care strategies related to these changes. CARDIOVASCULAR SYSTEM Cardiac reserve declines in normal aging. This alteration does not affect cardiac function at rest and resting heart rate, ejection fraction, and cardiac output remain virtually unchanged with age. However, under physiological stress, the ability of the older adult’s heart to increase both rate and cardiac output, in response to increased cardiac demand, such as physical activity or infection, is compromised (Lakatta, 2000).
It would not be fair to the health care team if the patients on the unit are a lot sicker than those on the unit a floor above. The team is at greater risk for having lower quality outcomes, not because they provide inferior care, but because the patients are a lot more sick and are at greater risk for a compromised response to the care provided. The more sick patients are more demanding in terms of care and ultimately are less likely to achieve the same outcomes as less ill patients. Performance measures must be easy to collect.