The new fifth 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. Several new expert contributors present current guidelines about hip fractures, frailty, perioperative and postoperative care, palliative care, and senior-friendly emergency departments.

Table of Contents

• About the Authors
• Contributors
• Foreword - J. Taylor Harden, PhD, RN, FGSA, FAAN
• Preface
• Acknowledgments
• PART I. Incorporating Evidence Into Practice
• 1. Developing and Evaluating Clinical Practice Guidelines: A Systematic Approach - Rona F. Levin and Susan Kaplan Jacobs
• Educational Objectives
• Overview
• Definition of Terms
• 2. Measuring Performance and Improving Quality - Lenard L. Parisi
• Educational Objectives
• Overview
• Quality Health Care Defined
• Clinical Outcomes and Publicly Reported Quality Measures
• Measuring Quality of Care
• Addressing the Challenges
• Measuring Performance-Selecting Quality Indicators
• Implementing the Quality-Assessment and Performance-Improvement Program
• PART II. Assessment and Management Principles
• 3. Age-Related Changes in Health - Constance M. Smith and Valerie T. Cotter
• Educational Objectives
• Overview
• Cardiovascular System
• Pulmonary System
• Renal and Genitourinary Systems
• Oropharyngeal and Gastrointestinal Systems
• Musculoskeletal System
• Nervous System and Cognition
• Immune System and Vaccination
• Atypical Presentation of Disease
• 4. Health Care Decision Making - Linda Farber Post and Marie Boltz
• Educational Objectives
• Overview
• Background and Statement of Problem
• Decision Aids
• Assessment of the Problem
• Interventions and Care Strategies
• 5. Sensory Changes - Pamela Z. Cacchione
• Educational Objectives
• Overview
• Background and Statement of Problem
• Normal Changes of Aging Senses
• Assessment of the Problem
• Interventions and Care Strategies
• 6. Assessing Cognitive Function - Pieter Heeren, Johan Flamaing, Jos Tournoy, Marquis D. Foreman, and Koen Milisen
• Educational Objectives
• Overview
• Background and Statement of Problem
• Assessment of the Problem
• 7. Assessment of Physical Function - Denise M. Kresevic
• Educational Objectives
• Overview
• Background and Statement of Problem
• Assessment of the Problem
• Interventions and Care Strategies
• 8. Oral Health Care - Linda J. O'Connor
• Educational Objectives
• Overview
• Background and Statement of Problem
• Assessment of the Problem
• Intervention and Care Strategies
• 9. Managing Oral Hydration - Janet C. Mentes
• Educational Objectives
• Overview
• Background and Statement of Problem
• Definitions
• Assessment of the Problem
• 10. Nutrition - Rose Ann DiMaria-Ghalili
• Educational Objectives
• Overview
• Background and Statement of Problem
• Assessment of the Problem
• Interventions and Care Strategies
• 11. Family Caregiving - Deborah C. Messecar
• Educational Objectives
• Overview
• Background and Statement of Problem
• Assessment of the Problem
• Interventions and Care Strategies
• 12. Issues Regarding Sexuality - Elaine E. Steinke
• Educational Objectives
• Overview
• Background and Statement of Problem
• Assessment of the Problem
• Interventions and Care Strategies
• 13. Mistreatment Detection - Billy A. Caceres and Terry Fulmer
• Educational Objectives
• Overview
• Background and Statement of Problem
• Assessment of the Problem
• Interventions and Care Strategies
• PART III. Clinical Interventions
• 14. Preventing Functional Decline in the Acute Care Setting - Marie Boltz, Barbara Resnick, and Elizabeth Galik
• Educational Objectives
• Overview
• Physical Function as a Clinical Measure
• Patient Risk Factors for Functional Decline
• The Care Environment and Function
• Interventions to Promote Physical Function
• 15. Late-Life Depression - Glenise L. McKenzie and Theresa A. Harvath
• Educational Objectives
• Overview
• Background and Statement of Problem
• Cause and Risk Factors
• Assessment of the Problem
• Differentiation of Medical or Iatrogenic Causes of Depression
• Interventions and Care Strategies
• Psychosocial Approaches
• 16. Dementia: A Neurocognitive Disorder - Kathleen Fletcher
• Educational Objectives
• Overview
• Background and Statement of Problem
• Assessment of the Problem
• Interventions and Care Strategies
• 17. Delirium: Prevention, Early Recognition, and Treatment - Dorothy F. Tullmann, Cheri Blevins, and Kathleen Fletcher
• Educational Objectives
• Overview
• Background and Statement of Problem
• Assessment of the Problem
• 18. Pain Management - Ann L. Horgas, Mindy S. Grall, and Saunjoo L. Yoon
• Educational Objectives
• Overview
• Assessment of Pain
• Interventions and Care Strategies
• Improving Pain Management in Care Settings
• 19. Preventing Falls in Acute Care - Deanna Gray-Miceli and Patricia A. Quigley
• Educational Objectives
• Overview
• Background and Statement of Problem
• Falls and Injury Risk Assessment
• Interventions for Fall Prevention and Management
• 20. Reducing Adverse Drug Events - DeAnne Zwicker and Terry Fulmer
• Educational Objectives
• Overview
• Background and Statement of Problem
• Evaluation of the Problem
• Assessment Strategies
• Interventions and Care Strategies
• 21. Urinary Incontinence - Annemarie Dowling-Castronovo and Christine Bradway
• Educational Objectives
• Overview
• Background and Statement of Problem
• Assessment of the Problem
• Assessment Parameters
• Interventions and Care Strategies
• 22. Prevention of Catheter-Associated Urinary Tract Infection - Heidi L. Wald, Regina M. Fink, Mary Beth Flynn Makic, and Kathleen S. Oman
• Educational Objectives
• Overview
• Background and Statement of Problem
• Assessment of the Problem
• Interventions and Care Strategies
• 23. Physical Restraints and Side Rails in Acute and Critical Care Settings - Cheryl M. Bradas, Satinderpal K. Sandhu, and Lorraine C. Mion
• Educational Objectives
• Overview
• Background and Legal Issues
• Prevalence and Rationale of Staff
• Ethical Issues in the Use of Physical Restraint
• Administrative Responsibilities
• Interventions and Care Strategies
• Alternatives to Physical Restraints
• 24. Preventing Pressure Ulcers and Skin Tears - Elizabeth A. Ayello and R. Gary Sibbald
• Educational Objectives
• Overview
• Background and Statement of Problem
• Assessment of the Problem
• Does Race Make a Difference?
• Interventions and Care Strategies
• Skin Tears
• 25. Mealtime Difficulties in Dementia - Melissa Batchelor-Murphy and Sarah Crowgey
• Educational Objectives
• Overview
• Background and Statement of Problem
• C3P Model for Assessment and Care Strategies
• 26. Excessive Sleepiness - Grace E. Dean, Michelle L. Klimpt, Jonna Lee Morris, and Eileen R. Chasens
• Educational Objectives
• Overview
• Background and Statement of Problem
• Consequences of Excessive Sleepiness
• Physiological Changes in Sleep That Accompany Aging
• Primary Causes of Excessive Daytime Sleepiness
• Secondary Causes of Excessive Daytime Sleepiness
• Assessment of the Problem
• Interventions and Care Strategies
• 27. The Frail Hospitalized Older Adult - Stewart M. Bond, Rebecca Bolton, and Marie Boltz
• Educational Objectives
• Overview
• Background and Statement of Problem
• Assessment of the Problem
• PART IV. Interventions in Specialty Practice
• 28. Substance Misuse and Alcohol Use Disorders - Madeline A. Naegle and Donna McCabe
• Educational Objectives
• Overview
• Background and Statement of Problem
• Assessment of Substance Use Disorders
• Assessment of Substance Use
• Interventions and Care Strategies
• 29. Comprehensive Assessment and Management of the Critically Ill - Michele C. Balas, Colleen M. Casey, Lauren Crozier, and Mary Beth Happ
• Educational Objectives
• Overview
• Background and Statement of Problem
• Assessment of Problem and Nursing Care Strategies
• 30. Fluid Overload: Identifying and Managing Heart Failure Patients at Risk of Hospital Readmission - Judith E. Schipper
• Educational Objectives
• Overview
• Background and Statement of Problem
• Assessment of the Problem
• Interventions and Care Strategies
• 31. Cancer Assessment and Intervention Strategies - Janine Overcash
• Educational Objectives
• Overview
• Assessment of the Older Hospitalized Patient
• Developing a Comprehensive Geriatric Assessment for Hospitalized Patients
• Medical Emergencies Associated With Cancer and Cancer Treatment
• 32. Perioperative Care of the Older Adult - Fidelindo Lim and Larry Z. Slater
• Educational Objectives
• Overview
• Background and Statement of Problem
• Assessment of Problem and Nursing Care Strategies
• Postanesthesia Care Unit Considerations
• General Perioperative Considerations
• 33. General Surgical Care of the Older Adult - Larry Z. Slater and Fidelindo Lim
• Educational Objectives
• Overview
• Background and Statement of Problem
• Assessment of the Problem and Nursing Care Strategies
• 34. Care of the Older Adult With Fragility Hip Fracture - Anita J. Meehan, Ami Hommel, Karen Hertz, Valerie MacDonald, and Ann Butler Maher
• Educational Objectives
• Overview
• Background and Statement of Problem
• Definition of Fragility Hip Fracture
• Surgical Repair of Hip Fracture
• Pathophysiology
• Common Complications and Evidence-Based Nursing Care Strategies
• Pain: Significance in Hip-Fracture Patients
• Delirium: Significance in Hip-Fracture Patients
• Malnutrition: Significance in Hip-Fracture Patients
• Fluid and Electrolyte Imbalance: Significance in Hip-Fracture Patients
• Pressure Ulcer: Significance in Hip-Fracture Patients
• VTE: Significance in Hip-Fracture Patients
• Catheter-Associated Urinary Tract Infection: Significance in Hip-Fracture Patients
• Loss, Grief, and Depression: Significance in Hip-Fracture Patients
• Functional Decline: Significance in Hip-Fracture Patients
• Care Transitions: Significance in Hip-Fracture Patients
• Secondary Prevention: Significance in Hip-Fracture Patients
• PART V. Models of Care
• 35. Acute Care Models - Elizabeth Capezuti, Ana Julia Parks, Marie Boltz, Michael L. Malone, and Robert M. Palmer
• Educational Objectives
• Overview
• Objectives of Geriatric Acute Care Models
• Types of Acute Care Models
• 36. Transitional Care - Fidelindo Lim, Janice B. Foust, and Janet H. Van Cleave
• Educational Objectives
• Overview
• Background and Statement of Problem
• Assessment of the Problem
• Interventions and Care Strategies
• 37. Palliative Care Models - Constance Dahlin
• Educational Objectives
• Overview
• Current State of Palliative Care
• Quality and Palliative Care
• Outcomes
• Models Across Health Care Venues
• Appendix
• 38. Care of the Older Adult in the Emergency Department - Marie Boltz and Amala Sooklal
• Educational Objectives
• Overview
• Background and Statement of Problem
• Assessment of the Older Adult in the ED
• Nursing Interventions
• Transitions From the ED
• 39. Advance Care Planning - Linda Farber Post and Marie Boltz
• Educational Objectives
• Overview
• Background
• Types of Advance Directives
• Advance Directives and Decision Making
• Other Types of ACP
• Decisional Capacity to Engage in ACP
• Cultural Perspectives on ACP
• Nurses’ Roles in ACP
• ACP Interventions and Strategies