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Overview

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

Product Details

ISBN-13: 9780826171672
Publisher: Springer Publishing Company
Publication date: 03/28/2016
Sold by: Barnes & Noble
Format: eBook
Pages: 752
File size: 6 MB

About the Author

Marie Boltz, PhD, RN, GNP-BC, FGSA, FAAN, is the Elouise Ross Eberly and Robert Eberly Endowed Chair Professor, Penn State College of Nursing, where she teaches both gerontological nursing and PhD courses. She is a gerontological nurse consultant at the Hospital of the University of Pennsylvania, the Office of Inspector General, and the Department of Justice, and a senior nurse scientist at the Munn Center for Nursing Research, Massachusetts General Hospital.


Elizabeth A. Capezuti, PhD, RN, FAAN, is the William Randolph Hearst Foundation Chair in gerontology at the Hunter-Bellevue School of Nursing 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 PhD program in nursing science and social welfare at the Graduate Center, CUNY.


Terry Fulmer, PhD, RN, FAAN, is the president of The John A. Hartford Foundation in New York City (NYC), a foundation dedicated to improving the care of older adults. Established in 1929, the Foundation has a current endowment of more than half a billion dollars. She previously served as distinguished professor and dean of Bouvé College of Health Sciences at Northeastern University. Before that, she served as the Erline Perkins McGriff Professor and dean of New York University (NYU) College of Nursing.


DeAnne Zwicker, DrNP, AGNP-BC, is a certified adult nurse practitioner and geriatric nurse practitioner. She is currently working as an independent geriatric consultant.

Table of Contents

Incorporating Evidence into Practice

Developing and Evaluating Clinical Practice Guidelines: A Systematic Approach
Rona F. Levin and Susan Kaplan Jacobs

Measuring Performance, Improving Quality Leonard L. Parisi

  1. Assessment and Management Principles

    Age-Related Changes in Health Constance M. Smith and Valerie T. Cotter

    Health Care Decision Making (Marie to edit this one) Linda Farber Post

    Sensory Changes Pamela Z. Cacchione

    Assessing Cognitive Function Pieter Heeren, Koen Milisen, and Marquis D. Foreman

    Assessment of Physical Function Denise M. Kresevic

    Oral Health Care Linda J. O’Connor

    Managing Oral Hydration Janet Mentes

    Nutrition Rose Ann DiMaria-Ghalili

    Family Caregiving Deborah C. Messecar

    Issues Regarding Sexuality Elaine Steinke

    Mistreatment Detection Billy Caceres and Terry Fulmer

  2. geriatric syndromes

    Preventing Functional Decline in the Acute Care Setting
    Marie Boltz, Barbara Resnick, and Elizabeth Galik

    Depression Glenise McKenzie and Theresa A. Harvath

    Delirium: Prevention, Early Recognition, and Treatment Dorothy F. Tullmann, Kathleen

    Fletcher, and Marquis D. Foreman

    Pain Management Ann L. Horgas, Saunjoo L. Yoon, and Mindy Grall

    Preventing Falls in Acute Care Deanna Gray-Miceli and Patricia Quigley

    Reducing Adverse Drug Events DeAnne Zwicker and Terry Fulmer

    Urinary Incontinence Annemarie Dowling-Castronovo and Christine Bradway

    Catheter-Associated Urinary Tract Infection Prevention

    Heidi Wald, Regina Fink, MaryBeth Flynn Makic, and Kathy Oman

    Physical Restraints and Side Rails in Acute and Critical Care Settings
    Cheryl M. Bradas, Satinderpal K. Sandhu, and Lorraine C. Mion

    Preventing Pressure Ulcers and Skin Tears Elizabeth A. Ayello and R. Gary Sibbald

    Mealtime Difficulties Melissa Aselage and Sarah Crowgey

    Excessive Sleepiness Eileen R. Chasens and Mary Grace Umlauf

    New chapter Frailty Rebecca Bolton, Marie Boltz

  3. Specialty Practice

    Chapter 26 Substance Misuse and Alcohol Use Disorders Madeline Naegle

    Chapter 30 Comprehensive Assessment and Management of the Critically Ill
    Michele C. Balas, Colleen M. Casey, and Mary Beth Happ

    Chapter 31 Fluid Overload: Identifying and Managing Heart Failure Patients Judith Schipper

    Chapter 32 Cancer Assessment and Intervention Strategies Janine Overcash

    New chapter : Perioperative Care of the Older Adult Larry Slater and Fidel Lim

    New chapter : General Surgical Care of the Older Adult Larry Slater and Fidel Lim

    New chapter Care of the Older Adult with Hip fracture Anita Meehan, Ami Hommel, Karen Hertz, Valerie MacDonald and Ann Maher

  4. Models of Care

    Chapter 33 Acute Care Models Elizabeth Capezuti, Marie Boltz, and Cynthia J. Nigolian

    Chapter 34 Transitional Care Fidelindo Lim, Janice Foust, and Janet Van Cleave

    New chapter Palliative Care Connie Dahlin

    New chapter The Senior friendly Emergency Department Marie Boltz

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