By Marquis D. Foreman PhD RN FAAN, Dr. Koen Milisen PhD RN, Terry T. Fulmer PhD RN FAAN
"This evidence-based publication is a wonderful reference for making sure fine quality administration of the aged and in their specific wishes within the severe care setting." --AJN Winner of an AJN publication of the yr Award for 2010! "[This] book's contents run the gamut of elder difficulties and care: body structure, pharmacology, foodstuff, restraints, substance abuse....it is a compendium that may be used as a textual content or a resource." --Claire M. Fagin, PhD, RN, FAAN (From the Foreword) This publication is an evidence-based, best-practices advisor that directs the bedside care of severely in poor health elders. The booklet serves as a reference on significant medical concerns for nurses operating on the vanguard of care-from nurses in serious care and step-down devices to these in trauma and emergency departments. Nurse educators in any respect measure degrees also will locate this publication to be precious as a textbook and source for college kids. The authors supply evidence-based, useful directions for either the complicated scientific and administration elements of care. The ebook deals accomplished assurance of all of the matters caregivers have to be brand new on, together with the criteria of perform for geriatric care, new applied sciences, pharmacotherapy, ache administration matters, moral matters, and masses extra. Key issues mentioned: ideas for sufferer security for older sufferers within the extensive care surroundings relations responses to serious care of the older grownup an infection, sepsis, and immune functionality knowing and coping with sleep problems in older sufferers within the ICU center failure within the seriously unwell older sufferer Substance abuse and withdrawal in aged sufferers
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Extra info for Critical Care Nursing of Older Adults: Best Practices, Third Edition
Measurement Criteria 1. Outcomes are derived from actual or potential diagnoses. 2. Outcomes are mutually formulated with the patient, family, and other health care providers, when possible and appropriate. 3. Outcomes are individualized in that they are culturally appropriate and realistic in relation to the patient’s age and present and potential capabilities. 4. Outcomes are attainable in relation to resources available to the patient. 5. Outcomes are measurable and should include a time estimate for attainment, if possible.
Evaluation is systematic, ongoing, and criterion-based. 2. The team consisting of patient, family, and health care providers is involved in the evaluation process as appropriate. 3. Evaluation occurs within an appropriate time frame after interventions are initiated. 4. Ongoing assessment data are used to revise the diagnoses, outcomes, and plan of care as needed. 5. Revisions in diagnoses, outcomes, and plan of care are documented. 6. The effectiveness of interventions is evaluated in relation to outcomes.
Many times, the effect of the hospital environment, no matter what the modifications, can be detrimental to the physical and psychological well-being of a patient. The inclusion of families in patient care, as discussed previously, can be an invaluable asset to the treatment plan and can enhance positive psychosocial as well as physical outcomes (see chapter 2: Standards of Practice for Gerontological and Critical Care Nursing). Geriatric Resource and Consultation Services Comprehensive Geriatric Assessment One of the hallmarks of geriatrics, a subspecialty of internal medicine, is its recognition that functional ability and quality of life are essential and fundamental components of medical care, not simply accessories to it.