Evidence-Based Geriatric Nursing Protocols for Best Practice

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Sample Chapter: Chapter 1

Evidence-Based Geriatric Nursing Protocols for Best Practice

SKU# 9780826171283

Fourth Edition


  • Marie Boltz PhD, RN, GNP-BC, FGSA, FAAN
  • Elizabeth Capezuti PhD, RN, FAAN
  • Terry T. Fulmer PhD, RN, FAAN
  • DeAnne Zwicker DrNP, APRN, BC
  • Ardis O'Meara MA
Also see: the Fifth Edition

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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

Product Details 

  • Publication Date November 18, 2011
  • Page Count 744
  • Product Form Hardback
  • ISBN 13 9780826171283
  • EISBN 9780826171290

About The Author(s) 

Marie Boltz, PhD, RN, GNP-BC, FGSA, FAAN, is Associate Professor, Boston College Connell School of Nursing and Senior Nurse Scientist, Munn Center for Nursing Research, Massachusetts General Hospital. Her areas of research are the geriatric care environment, family-centered dementia care, and interventions that promote functional recovery in acute and post-acute care. She is a Fellow in the American Academy of Nursing and the Gerontological Society of America and has served on several national and international expert panels and work groups. Dr. Boltz has co-edited five books, and authored/ co-authored numerous journal publications, organizational tools, and book chapters.

Elizabeth A. Capezuti, PhD, RN, FAAN, is William Randoph Hearst Foundation Chair in Gerontology and Professor, Hunter-Bellevue School of Nursing. She is an internationally recognized geriatric nurse researcher, known for her work in improving the care of older adults by interventions and models that positively influence health care provider’s knowledge and work environment. The recipient of more than $8M in research and training grants, she has disseminated the findings of 35 funded projects in four co-edited books and more than 100 peer-reviewed articles and book chapters.

Terry Fulmer, PhD, RN, FAAN is President of the John A. Hartford Foundation and leads its work to improve the health of older adults in the United States. Her research focuses on acute care of older adults and, specifically, elder abuse and neglect. Dr. Fulmer served on the National Research Council’s panel to review risk and prevalence of elder abuse and neglect and has published widely on this topic. She is a Fellow in the American Academy of Nursing, the Gerontological Society of America, and the New York Academy of Medicine. Dr. Fulmer is a member of the National Committee for Quality Assurance Geriatric Measurement Assessment Panel and the Veteran’s Administration Geriatrics and Gerontology Advisory Committee. She completed a Brookdale National Fellowship and is a distinguished Practitioner of the National Academies of Practice. Dr. Fulmer was the first nurse to be elected to the Board of the American Geriatrics Society and to serve as the President of the Gerontological Society of America.

C. DeAnne Zwicker, DrNP©, APRN, BC,

has been working in gerontology and geriatrics since 1993. She was an ANCC-certified adult and geriatric nurse practitioner in adult primary care, geriatric primary care, as well as subacute, rehabilitation, and long term (LTC). Dr. Zwicker has also taught nursing at the graduate level at New York University, Drexel University, and George Mason University, and served as faculty and consultant for over 10 years with the Hartford Institute of Geriatric Nursing, New York University. Likewise, she has consulted with George Washington University on evaluating risk of falls for various hospital and LTC settings across the DC metro area, as well as in many other arenas. Dr. Zwicker helped build the ConsultGeriRN (www.consultgerirn.org) website with the NYU team from the ground up and has continued to be involved in updates. Her areas of interest include adverse drug events in older adults, caregivers of persons with dementia, and multimorbidity.

Table of Contents 

Chapter 1 Developing and Evaluating Clinical Practice Guidelines: A Systematic Approach

Chapter 2 Measuring Performance, Improving Quality

The Older Person

Chapter 3 Age-Related Changes in Health

Chapter 4 Sensory Changes

Chapter 5 Excessive Sleepiness

Physical and Mental Function

Chapter 6 Assessment of Function

Chapter 7 Function Focused Care focus on interventions to prevent functional decline in the acute care setting

Chapter 8 Assessing Cognitive Function

Chapter 9 Depression

Chapter 10 Dementia

Chapter 11 Delirium: Prevention, Early Recognition, and Treatment

Prevention of Potential Complications

Chapter 12 Iatrogenesis: The Nurse's Role in Preventing Patient Harm

Chapter 13 Physical Restraints and Side Rails in Acute and Critical Care Settings: Legal, Ethical, and Practice Issues

Chapter 14 Pain Management

Chapter 15 Preventing Falls in Acute Care

Chapter 16 Preventing Pressure Ulcers and Skin Tears

Chapter 17 Reducing Adverse Drug Events

Chapter 18 Urinary Incontinence

Chapter 19 Catheter-Associated Urinary Tract Infection Prevention

Chapter 20 Oral Health Care

Chapter 21 Managing Oral Hydration

Chapter 22 Nutrition

Chapter 23 Mealtime Difficulties

Chapter 24 Dysphagia

Psychosocial and Legal Aspects

Chapter 25 Family Caregiving

Chapter 26 Issues Regarding Sexuality

Chapter 27 Substance Misuse and Alcohol Use Disorders

Chapter 28 Mistreatment Detection

Chapter 29 Health Care Decision Making

Chapter 30 Advance Directives

Critical, Cardiac, and Oncologic Care Considerations

Chapter 31 Comprehensive Assessment and Management of the Critically Ill

Chapter 32 Fluid Overload: Identifying and Managing Heart Failure Patients at Risk for Hospital Readmission

Chapter 33 Cancer Assessment and Intervention Strategies

Geriatric Models of Care

Chapter 34 Acute Care Models

Chapter 35 Transitional Care