Evidence-Based Geriatric Nursing Protocols for Best Practice

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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 at the Boston College William F. Connell School of Nursing, where she teaches both advanced practice nursing and doctoral students. Also, she is currently a senior nurse scientist at the Munn Center for Nursing Research, Massachusetts General Hospital, and a gerontological nurse consultant at the Hospital of the University of Pennsylvania, the Office of Inspector General, and the Department of Justice. She served as director of practice at the Hartford Institute for Geriatric Nursing from 2003 to 2013. Her areas of research are the geriatric care environment including measures of quality, dementia-capable and family-centered interventions, the prevention of functional decline in hospitalized older adults, and the functional recovery of older adults during post-acute care. She has presented nationally and internationally, and authored and coauthored numerous journal publications, organizational tools, and book chapters in these areas, and has coedited five books. She is the lead editor for Evidence-Based Geriatric Nursing Protocols for Best Practice.

Dr. Boltz is a former John A. Hartford Foundation Claire Fagin fellow (2009–2011), recipient of the American Nurses Credentialing Center (ANCC) Margretta Madden Styles Credentialing Scholar Award, and Eastern Nursing Research Society John A. Hartford Geriatric Nursing Research Award. She is a fellow in the American Academy of Nursing and the Gerontological Society of America. Dr. Boltz received her bachelor’s degree in nursing from LaSalle University, her master’s degree as a geriatric nurse practitioner from the University of Pennsylvania, and her doctoral degree from New York University. She participated in postdoctoral study at the University of Maryland.

Elizabeth (Liz) Capezuti, PhD, RN, FAAN,

is the William Randolph Hearst chair in gerontology and assistant dean for research at the Hunter-Bellevue School of Nursing of Hunter College 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 Graduate Center and the PhD program in nursing science of CUNY. She is known for her work in improving the care of older adults by interventions and models that positively influence health care providers’ knowledge and work environment. Dr. Capezuti’s research interests include fall prevention, restraint and side-rail elimination, APN-facilitated models, palliative care, the geriatric nursing work environment, and the design of the “built environment” to facilitate function. Dr. Capezuti has disseminated the findings of 35 funded projects in five coedited books and more than 100 peer-reviewed articles and book chapters. She is the recipient of the Otsuka/American Geriatrics Society Outstanding Scientific Achievement for Clinical Investigation Award in 2001 and received the American Academy of Nursing Nurse Leader in Aging Award in 2013. Dr. Capezuti received her bachelor’s degree in nursing at the Lehman College (CUNY), her master’s degree as a geriatric advanced practice nurse from Hunter College, and her doctoral degree in nursing from the University of Pennsylvania.

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. Dr. Fulmer was previously university distinguished professor and dean of the Bouvé College of Health Sciences at Northeastern University where she was also professor of Public Policy and Urban Affairs in the College of Social Sciences and Humanities. Previous to her role as dean of the Bouvé College of Health Sciences, Dr. Fulmer served as the Erline Perkins McGriff Professor of Nursing and founding dean of the New York University (NYU) College of Nursing. Dr. Fulmer is nationally and internationally recognized as a leading expert in geriatrics, and is best known for her research on elder abuse and neglect, which has been funded by the National Institute on Aging and the National Institute for Nursing Research. Dr. Fulmer is an elected member of the Institute of Medicine and serves as the chair of the National Advisory Committee for the Robert Wood Johnson Foundation Executive Nurse Fellows program. She has served as the first nurse on the board of the American Geriatrics Society and as the first nurse to serve as president of the Gerontological Society of America. For 15 years, Dr. Fulmer served as the codirector of the Hartford Institute for Geriatric Nursing at NYU, which the foundation began supporting in 1996. She has also held faculty appointments at Boston College, Columbia University, Yale University, and the Harvard Division on Aging. Dr. Fulmer received her bachelor’s degree from Skidmore College, her master’s and doctoral degrees from Boston College, and her geriatric nurse practitioner postmaster’s certificate from NYU. She has received the status of fellow in the American Academy of Nursing, the Gerontological Society of America, and the New York Academy of Medicine.

DeAnne Zwicker, DrNP, AGNP-BC,

is an American Nurses Credentialing Center (ANCC)-certified adult nurse practitioner and geriatric nurse practitioner. She is currently working as an independent geriatric consultant. She completed her doctor of nursing practice degree in 2010 with a primary focus as a clinical scientist and secondary in nursing education at Drexel University in Philadelphia. Her dissertation was a mixed-method study titled, “Preparedness, Appraisal of Behaviors, and Role Strain in Dementia Family Caregivers and the Caregiver Perspective of Preparedness.” She has been a coeditor and chapter author for many versions of the

Evidence-Based Geriatric Nursing Protocols for Best Practice

book, as well as a content editor for ConsultGeriRN.org since its inception. She has been a registered nurse for 32 years with clinical practice experience as a geriatric nurse practitioner since 1992 in primary care, subacute, long-term care, and recently palliative care and a clinical expert consultant in many domains in geriatrics. She has also taught nursing at the graduate level at New York University, Drexel University, and George Mason University. Her areas of interest in geriatrics include proactive intervention in older adults to prevent adverse drug events, pain control to aid in maintaining function and quality of life, and preventing hospital iatrogenesis particularly in persons with dementia.

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