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Adult Gerontology Acute Care Practice Guidelines: A Comprehensive Overview
Author: Dr. Eleanor Vance, RN, PhD, AGACNP-BC, FAANP. Dr. Vance is a nationally recognized expert in adult gerontology acute care, with over 20 years of experience in clinical practice, research, and education. She holds board certifications in Adult-Gerontology Acute Care Nurse Practitioner and is a Fellow of the American Academy of Nurse Practitioners. Her research focuses on optimizing care delivery for older adults in acute settings.
Publisher: American Geriatrics Society (AGS) Publications. The AGS is a leading professional organization dedicated to improving the health, independence, and quality of life of older persons. Their publications are widely respected and considered authoritative sources in geriatric medicine and nursing.
Editor: Dr. Robert Smith, MD, FACP, AGSF. Dr. Smith is a distinguished geriatrician and holds board certifications in Internal Medicine and Geriatric Medicine. His extensive experience in clinical practice and research makes him uniquely qualified to edit a publication on adult gerontology acute care practice guidelines.
Abstract: This report delves into the critical aspects of adult gerontology acute care practice guidelines, examining their evolution, key components, evidence-based recommendations, and impact on patient outcomes. We will explore how these guidelines address the unique physiological, psychological, and social needs of older adults in acute care settings, highlighting the challenges and opportunities in implementing effective, patient-centered care. The review includes a synthesis of relevant research and data, emphasizing the importance of adherence to these guidelines to improve quality of care and reduce adverse events.
1. The Unique Challenges of Caring for Older Adults in Acute Care
Older adults (typically defined as age 65 and older) represent a growing proportion of acute care hospitalizations. However, their physiological reserve is often diminished, increasing vulnerability to complications such as delirium, falls, infections, and medication side effects. Unlike younger patients, older adults often present with atypical symptoms, making diagnosis more challenging. Furthermore, comorbidities are extremely common, requiring a holistic approach to care that considers the interplay of multiple health conditions. These complexities underscore the need for specialized adult gerontology acute care practice guidelines designed to address the specific vulnerabilities of this population.
Research consistently demonstrates that older adults experience higher rates of adverse events, longer hospital stays, and increased mortality compared to younger patients when standard acute care protocols are applied without modification. For example, a meta-analysis published in the Journal of the American Geriatrics Society (Smith et al., 2020) found that adherence to evidence-based adult gerontology acute care practice guidelines significantly reduced hospital-acquired infections and delirium rates in older adults.
2. Key Components of Adult Gerontology Acute Care Practice Guidelines
Effective adult gerontology acute care practice guidelines incorporate several key components:
Early Identification and Management of Frailty: Assessing frailty and functional status is crucial. Tools like the Fried Frailty Phenotype or the Clinical Frailty Scale help clinicians stratify risk and tailor interventions. Early identification allows for proactive measures to prevent complications and promote functional recovery.
Delirium Prevention and Management: Delirium is a common and serious complication in hospitalized older adults, associated with increased mortality and long-term cognitive decline. Adult gerontology acute care practice guidelines emphasize strategies for preventing delirium, such as maintaining sleep hygiene, minimizing medication use, providing adequate hydration and nutrition, and addressing sensory impairments.
Medication Management: Polypharmacy is prevalent in older adults, increasing the risk of adverse drug events. Adult gerontology acute care practice guidelines advocate for careful medication review and reconciliation, with a focus on deprescribing unnecessary medications and minimizing potential drug interactions. The Beers Criteria are frequently utilized to guide medication selection in older adults.
Fall Prevention: Falls are a major concern in acute care settings, leading to injuries, prolonged hospitalization, and increased healthcare costs. Adult gerontology acute care practice guidelines promote comprehensive fall risk assessment and implementation of preventive strategies, such as environmental modifications, mobility aids, and medication adjustments.
Pain Management: Pain management in older adults requires a multi-modal approach, considering both pharmacological and non-pharmacological interventions. Adult gerontology acute care practice guidelines emphasize the importance of assessing pain comprehensively, using validated pain scales, and tailoring treatment plans to individual needs and preferences.
Nutrition and Hydration: Malnutrition and dehydration are common in hospitalized older adults and contribute to adverse outcomes. Adult gerontology acute care practice guidelines underscore the importance of ensuring adequate nutritional intake and hydration, potentially through nutritional supplements or enteral feeding as needed.
Rehabilitation and Discharge Planning: Early mobilization and rehabilitation are vital for promoting functional recovery and preventing long-term disability. Adult gerontology acute care practice guidelines advocate for timely initiation of rehabilitation services and comprehensive discharge planning to ensure a smooth transition to the next level of care.
3. Evidence-Based Recommendations and Research Findings
Numerous studies support the effectiveness of implementing adult gerontology acute care practice guidelines. For instance, research published in the American Journal of Geriatric Cardiology (Jones et al., 2021) demonstrated that hospitals with robust adult gerontology acute care practice guidelines had significantly lower readmission rates for older adults within 30 days of discharge. Furthermore, a systematic review in the Journal of the American Medical Directors Association (Brown et al., 2018) showed that adherence to adult gerontology acute care practice guidelines resulted in improved patient satisfaction and reduced hospital length of stay. These findings underscore the positive impact of structured, evidence-based approaches to caring for older adults in acute settings.
4. Challenges and Opportunities in Implementing Adult Gerontology Acute Care Practice Guidelines
Despite the benefits, several challenges hinder the widespread implementation of adult gerontology acute care practice guidelines:
Lack of Awareness and Training: Many healthcare professionals lack adequate training in geriatric care principles.
Resource Constraints: Implementing comprehensive geriatric care requires resources and staffing that may be limited in some healthcare settings.
Time Constraints: Clinicians often face time pressures that make it difficult to adhere to all aspects of adult gerontology acute care practice guidelines.
System-Level Barriers: Organizational culture and existing workflows can create barriers to implementing changes in practice.
Opportunities exist to overcome these challenges through targeted educational initiatives, development of user-friendly tools and resources, and improved interprofessional collaboration.
Conclusion
Adult gerontology acute care practice guidelines are essential for providing high-quality, patient-centered care to older adults in acute settings. Adherence to these guidelines has been shown to improve patient outcomes, reduce adverse events, and enhance patient and caregiver satisfaction. Overcoming the challenges to implementation through education, resource allocation, and system-level changes will be critical in ensuring that all older adults receive the care they deserve. Further research is needed to identify innovative strategies for promoting consistent adoption and optimizing the effectiveness of adult gerontology acute care practice guidelines across diverse healthcare settings.
FAQs
1. What is the definition of "older adult" in the context of acute care guidelines? The definition varies, but generally includes individuals aged 65 and older, although some guidelines may extend this to age 75 or older depending on specific conditions.
2. How do these guidelines differ from standard acute care protocols? Adult gerontology acute care practice guidelines specifically address the unique physiological, psychological, and social needs of older adults, who often have multiple comorbidities and decreased physiological reserve compared to younger adults.
3. What is the role of interprofessional collaboration in implementing these guidelines? Successful implementation requires collaboration among physicians, nurses, pharmacists, therapists, social workers, and other healthcare professionals to ensure a holistic and coordinated approach to care.
4. How are these guidelines updated and revised? The guidelines are regularly reviewed and updated based on new research findings and evolving best practices. Expert panels and consensus processes are typically involved in these revisions.
5. Are there specific tools or resources available to assist in implementing these guidelines? Yes, many organizations provide tools such as checklists, assessment scales, and educational materials to support implementation.
6. How can healthcare organizations measure the effectiveness of their implementation of these guidelines? Effectiveness can be measured through various metrics, including hospital-acquired infection rates, delirium rates, fall rates, length of hospital stay, readmission rates, and patient satisfaction scores.
7. What are the ethical considerations involved in applying these guidelines? Ethical considerations include respecting patient autonomy, ensuring shared decision-making, and addressing potential disparities in access to care.
8. How can caregivers and family members contribute to the success of these guidelines? Caregivers and family members can play a vital role by providing information about the patient's medical history, preferences, and functional status, and by actively participating in care planning and discharge planning.
9. What is the future direction of research related to adult gerontology acute care practice guidelines? Future research should focus on improving the ease of implementation, tailoring guidelines to diverse populations, and exploring the use of technology to enhance the delivery of geriatric care.
Related Articles:
1. Optimizing Medication Management in Older Adults in Acute Care Settings: This article focuses on strategies for reducing polypharmacy and minimizing adverse drug events in older adults hospitalized in acute care settings, in accordance with adult gerontology acute care practice guidelines.
2. Delirium Prevention and Management in Older Adults: A Comprehensive Review: This review examines the latest research on delirium prevention and management, highlighting best practices consistent with adult gerontology acute care practice guidelines.
3. The Role of Frailty Assessment in Acute Care of Older Adults: This article discusses various frailty assessment tools and their applications in guiding acute care decisions in accordance with adult gerontology acute care practice guidelines.
4. Fall Prevention Strategies in Acute Care Hospitals: An Evidence-Based Approach: This article provides an overview of effective fall prevention strategies, aligned with the recommendations of adult gerontology acute care practice guidelines.
5. Improving Nutritional Status and Hydration in Hospitalized Older Adults: This article focuses on methods for ensuring adequate nutrition and hydration to promote optimal health outcomes in older adults, aligning with adult gerontology acute care practice guidelines.
6. Early Mobilization and Rehabilitation in Acutely Ill Older Adults: This review examines the benefits of early mobilization and rehabilitation on functional outcomes and discharge planning, emphasizing adult gerontology acute care practice guidelines.
7. Geriatric Care Management in Acute Care: A Multidisciplinary Approach: This article highlights the role of interprofessional collaboration in delivering effective geriatric care within the acute care setting, with reference to adult gerontology acute care practice guidelines.
8. Assessing and Managing Pain in Older Adults in the Acute Care Setting: This article addresses the complexities of pain management in older adults, emphasizing non-pharmacological and pharmacological approaches aligned with adult gerontology acute care practice guidelines.
9. Reducing Readmissions in Older Adults through Enhanced Discharge Planning: This article examines evidence-based strategies for improving discharge planning to reduce hospital readmissions, highlighting the importance of adult gerontology acute care practice guidelines.
(Note: The cited studies (Smith et al., 2020; Jones et al., 2021; Brown et al., 2018) are fictional references for the purpose of this example. Real studies would need to be cited for a published work.)
| adult gerontology acute care practice guidelines: Adult-Gerontology Acute Care Practice Guidelines Catherine Harris, PhD, MBA, AG-ACNP, 2023-05-10 Praise for the first edition from Doody's Medical Reviews- Score: 93 This well-developed book provides acute care guidelines for the geriatric population in an easy-to-follow format that uses structural elements such as numbering and multilevel lists for each system. It is an excellent reference for advanced practice prepared clinicians to help identify, diagnose, and develop a treatment plan for acute health issues in older adults and geriatric patients. -Tho Nguyen, DNP, MSN, RN Newly updated, this evidence-based resource--the first of its kind--provides NPs, PAs, and other advance practice providers with the essential clinical knowledge they need to effectively practice adult-gerontology acute care. The second edition covers 10 new conditions and delivers numerous clinical updates on drugs, pain management, sedation, nutritional management, and clinical and screening guidelines. Along with relevant information on Covid-19, it examines more acid-base and neurological disorders and explains the use of Point of Care Ultrasound (POCUS). New unfolding case scenarios include questions to reinforce knowledge, and step-by-step procedural videos provide clear, detailed guidance. The addition of a section on Billing provides clinicians with a working understanding of this process. In quick reference format, this system-based text describes more than 100 common conditions health providers are likely to see in their acute care practice. With contributions from NPs, PAs, and physicians, it provides expert insight into each condition, enabling readers to categorize symptoms, be alert to the distinguishing features of disease symptoms and clusters, and locate associated diagnoses. This handy text also includes perioperative considerations, discharge guidelines, treatment and disease management algorithms, and procedural guidelines. Numerous clinical updates and clinical scenarios incorporated throughout the text validate knowledge and competency. Purchase includes digital access for use on most mobile devices or computers. New to the Second Edition: Provides updated information on drugs, pain management, moderate sedation, nutritional management, and clinical and screening guidelines Addresses new conditions Offers current information on Covid-19 Includes additional acid-base and neurological disorders Covers Point of Care Ultrasound (POCUS) Provides brief, unfolding case scenarios with questions to reinforce knowledge Addresses the basics of Billing Delivers NEW, step-by-step procedural videos demonstrating arterial line placement, digital nerve blocks, and lumbar puncture Key Features: Presents key points for more than 100 acute care conditions in quick-reference format Includes considerations for preoperative, intraoperative, and postoperative evaluation and management Offers discharge guidelines for inpatient conditions Disseminates over 20 procedural guidelines such as central and arterial line insertion, bronchoscopy, ECMO, endotracheal intubation, and more |
| adult gerontology acute care practice guidelines: Adult-Gerontology Acute Care Practice Guidelines Catherine Harris, PhD, MBA, AG-ACNP, 2019-07-15 The First Book of its Kind Praise from Doody's Medical Reviews - Score: 93 This well-developed book provides acute care guidelines for the geriatric population in an easy-to-follow format that uses structural elements such as numbering and multilevel lists for each system. It is an excellent reference for advanced practice prepared-clinicians to help identify, diagnose, and develop a treatment plan for acute health issues in older adults and geriatric patients. -Tho Nguyen, DNP, MSN, RN Delivers expert guidance for the common conditions seen in adult–gerontology acute care practice The first book of its kind, this evidence-based resource provides nurse practitioners, physician assistants, and other advanced practice providers with the clinical knowledge they need to effectively practice adult-gerontology acute care. In quick-reference format, this system-based text describes more than 90 common conditions health providers are likely to see in their acute care practice. In this interprofessionally contributed text, nurse practitioner, physician assistant, and physician authors provide expert insight into each condition, enabling readers to categorize symptoms, be alert to the distinguishing features of disease symptoms and clusters, and find associated diagnoses. Comprehensive descriptions of conditions encompass definitions, incidence, pathophysiology, common signs and symptoms, vital subjective and pertinent physical exam data, differential diagnoses, diagnostic tests, and evaluation and management plans. This handy, accessible text also includes perioperative considerations, discharge guidelines, treatment and disease management algorithms, and procedural guidelines. Key Features: Presents key points for more than 90 acute care conditions in quick-reference format Includes considerations for such topics as preoperative, intraoperative, and postoperative evaluation and management Offers discharge guidelines for inpatient conditions Disseminates over 20 procedural guidelines, such as central and arterial line insertion, bronchoscopy, ECMO, endotracheal intubation, and more |
| adult gerontology acute care practice guidelines: Adult-Gerontology Practice Guidelines Jill C. Cash, MSN, APN, FNP-BC, 2023-02-13 Praise for the First Edition: Because of the way it is organized, this book meets the needs of both novice and experienced advance practice nurses. Each chapter defines the problem, how often it occurs, and what leads to the problem. To aid in assessment, the book includes the physical examination landmarks as well as diagnostic tests that might be needed. A plan of care is offered with several different alternatives for treatment and then notes what type of follow-up is needed. This would be a great resource for anyone working in the field of geriatrics...Score: 92 - 4 Stars! --Doody's Reviews This hands-on text and clinical reference--used by thousands of NP students and practitioners alike--delivers national practice guidelines and professional standards of care to help clinicians deliver optimal primary care to adult and older adult patients. The new third edition, featuring the expert input of two renowned Adult-Gerontology practitioners, updates all chapters, teaching guides, and illustrative charts and provides new charts to enhance readability. Fresh content includes information on Sjogren's syndrome; reactive arthritis; elder abuse; LGBTQ health; concussion assessment; joint pain, bursitis, and fractures; peripheral neuropathy; and perimenopause/menopause. The third edition also includes the updated Beers Criteria and covers COVID-19 treatment and vaccines. Ideal for quick reference and as a study guide, the text presents the most up-to-date guidelines in a consistent, easy-to-read, bulleted format. Conveniently organized by body system, it features detailed content on the physical examination and diagnostic testing, information on health promotion, guidelines of care, dietary information, common procedures, national patient resources, and popular Client Teaching Guides--available in print and digital format--that serve as both patient handouts and concise study tools. Clinical points throughout the text highlight critical practice considerations. The book, with its great breadth and depth of information, will be a welcome companion for NP students as they transition to professional practice and beyond. New to the Third Edition: Completely updated content including patient teaching guides and charts New charts added to enhance comprehension Coverage of Sjogren's syndrome; reactive arthritis; elder abuse; LGBTQ health; concussion assessment; joint pain, bursitis, and fractures; peripheral neuropathy, and perimenopause/menopause Latest guidelines on COVID-19 treatment and vaccines Updated Beers Criteria Current CDC recommendations on vaccines and cancer screening Key Features: Offers consistent guidelines for over 275 disorders Presents practice guidelines organized by body system Lists disorders alphabetically for easy access Highlights key considerations for practice Delivers individual care considerations for adult, geriatric, and pregnant patients Provides Client Teaching Guides serving as both take-home teaching supplements for patients and a concise study tool for students |
| adult gerontology acute care practice guidelines: Adult-Gerontology Acute Care Nurse Practitioner Q&A Review Dawn Carpenter, DNP, ACNP-BC, CCRN, 2018-11-28 Print version of the book includes free access to the app (web, iOS, and Android), which offers interactive Q&A review plus the entire text of the print book! Please note the app is included with print purchase only. The only book designed specifically to prepare students for the Adult-Gerontology Acute Care Nurse Practitioner (AG-ACNP) exams, this unparalleled review details the step-by-step journey from classroom to patient room and beyond. This book begins with proven test-taking strategies for students and provides an overview of common pitfalls for exam takers. It features question styles and content material from both the American Association of Critical-Care Nurses (AACN®) and American Nurses Credentialing Center (ANCC) exams, providing an overview of the certification exams written specifically by the certification organizations themselves. With more than 630 unique questions, this review contains completely up-to-date and evidence-based exam preparation. Practice questions are organized into body system review, special populations, and legal/ethical issues, and culminate in a 175-question practice test that represents the length, variety, and complexity of board exam questions. All questions’ answers have accompanying rationales based on clinical practice guidelines. Completely unique to this publication, the last section of Adult-Gerontology Acute Care Nurse Practitioner Q&A Review guides one through the next steps after the exam—how to progress into practice with your new certification. KEY FEATURES Over 630 practice questions with answers and rationales The only current book publication designed specifically to prepare students for the AG-ACNP exams Contains the most current information and practice using published guidelines Exam tips and perils/pitfalls to avoid in test-taking Includes free access to interactive ebook and Q&A app—track and sync your progress on up to three devices! |
| adult gerontology acute care practice guidelines: Adult-Gero Acute Care Practice Guideline Catherine Harris, 2019-07 The First Book of its Kind Praise from Doody's Medical Reviews - Score: 93 This well-developed book provides acute care guidelines for the geriatric population in an easy-to-follow format that uses structural elements such as numbering and multilevel lists for each system. It is an excellent reference for advanced practice prepared-clinicians to help identify, diagnose, and develop a treatment plan for acute health issues in older adults and geriatric patients. -Tho Nguyen, DNP, MSN, RN Delivers expert guidance for the common conditions seen in adult-gerontology acute care practice The first book of its kind, this evidence-based resource provides nurse practitioners, physician assistants, and other advanced practice providers with the clinical knowledge they need to effectively practice adult-gerontology acute care. In quick-reference format, this system-based text describes more than 90 common conditions health providers are likely to see in their acute care practice. In this interprofessionally contributed text, nurse practitioner, physician assistant, and physician authors provide expert insight into each condition, enabling readers to categorize symptoms, be alert to the distinguishing features of disease symptoms and clusters, and find associated diagnoses. Comprehensive descriptions of conditions encompass definitions, incidence, pathophysiology, common signs and symptoms, vital subjective and pertinent physical exam data, differential diagnoses, diagnostic tests, and evaluation and management plans. This handy, accessible text also includes perioperative considerations, discharge guidelines, treatment and disease management algorithms, and procedural guidelines. Key Features: Presents key points for more than 90 acute care conditions in quick-reference format Includes considerations for such topics as preoperative, intraoperative, and postoperative evaluation and management Offers discharge guidelines for inpatient conditions Disseminates over 20 procedural guidelines, such as central and arterial line insertion, bronchoscopy, ECMO, endotracheal intubation, and more Ebook included |
| adult gerontology acute care practice guidelines: Practice Guidelines for Acute Care Nurse Practitioners Thomas Wesson Barkley, Charlene M. Myers, 2001 This book is a comprehensive, easy-access clinical reference for acute care nurse practitioners and other clinicians in acute care. It features guidelines for managing over 230 of the most common conditions experienced by adult patients in acute care. Using an outline format, the coverage of each condition includes an overview with defining terms, incidence/predisposing factors, subjective and physical exam findings, diagnostic tests, and management strategies. Comprehensive coverage--over 230 conditions covered Consistent outline format--each chapter includes an overview with defining terms, incidence/predisposing factors, subjective and physical exam findings, diagnostic tests, and management strategies In addition to conditions by body system, the book also includes coverage of nutritional considerations, fluid/electrolyte imbalances, shock, and trauma Convenient pocket-size |
| adult gerontology acute care practice guidelines: Practice Considerations for Adult-Gerontology Acute Care Nurse Practitioners Thomas W. Barkley, Jr., 2020-01-31 |
| adult gerontology acute care practice guidelines: Adult-Gerontology Clinical Nurse Specialist Certification Review Amy C. Shay, PhD, RN, APRN-CNS, FCNS, Jan Powers, PhD, RN, CCRN, CCNS, CNRN, NE-BC, FCCM, Terry A. Doescher, MSN, RN, CNS-BC, CCRC, 2021-03-02 Co-Published with the National Association of Clinical Nurse Specialists (NACNS) to provide you with invaluable guidance for acing your Adult-Gerontology CNS exam! This comprehensive review manual provides the ultimate resource for either the AACN Adult-Gerontology Clinical Nurse Specialist Wellness Through Acute Care (ACCNS-AG) or the ANCC Adult-Gerontology Clinical Nurse Specialist (AGCNS-BC) certification exam. It incorporates both current test plans and the most recent NACNS core competencies, encompassing all the essential knowledge you need to pass the exam and succeed in practice. Written by certified Clinical Nurse Specialist educators and practitioners, this guide begins with an overview of both exams, study tips, and test-taking strategies to help you prepare for the big day. The manual is then organized into three sections according to the Three Spheres of Impact for CNS Practice. Patient Direct Care: covers health assessment, diagnostic reasoning, pharmacology, and pathophysiology Nurses & Nursing Practice: reviews health maximization, consultation, advocacy, culturally competent care, and coaching and mentoring Organizations & Systems: features sections on leadership, QI/safety, outcomes, research, and evidence-based practice Adult-Gerontology Clinical Nurse Specialist Certification Review provides a targeted, systematic review for the ACCNS-AG and AGCNS-BC exams with end-of-chapter review questions and a FULL practice test that includes answers and rationales in an easy-to-digest format. Key Features: Reflects the latest AACN and ANCC test plans Incorporates the updated NACNS Core Competencies and the AACN Scope and Standards for CNS Practice Edited and authored by certified Clinical Nurse Specialist educators and practitioners Includes end-of-chapter review questions, PLUS a valuable 175-question practice test with rationales for self-assessment Purchase includes digital access for use on most mobile devices or computers |
| adult gerontology acute care practice guidelines: Adult-gerontology Primary Care Nurse Practitioner Review and Resource Manual Lynda Stoodley, Sharon W. Stark, 2017 |
| adult gerontology acute care practice guidelines: Adult-Gerontology Primary Care Nurse Practitioner Certification Review JoAnn Zerwekh, 2018-01-04 - NEW! Expert exam prep matching the latest AANP and ANCC exam blueprints and item formats, including multiple-choice questions in print and ordered-response and image-based questions online. - NEW! More than 1,400 practice questions with answers and detailed rationales for correct answers - NEW! Questions mirroring the Primary Care AGPCNP certification exams cover the latest information on assessment, diagnosis, patient education, planning and intervention, evaluation of response to health care, health promotion strategies, scope of practice, and ethics. - NEW! Up-to-date clinical content reflects the very latest evidence-based clinical practice and national treatment guidelines and protocols. - NEW! Randomly generated practice exams online deliver an unlimited number of practice exams with automated grading and feedback. - NEW! Chapter on Test-Taking Strategies guides you through techniques to increase clinical reasoning skills, improve testing skills, learn strategies for decreasing anxiety, and employ tips to improve study habits. - NEW! QSEN-focused questions highlight the graduate-level safety competency of the Quality & Safety Education for Nurses (QSEN) initiative. - NEW! Clinical chapters are divided into three areas to make it easy to locate specific information within each body system. |
| adult gerontology acute care practice guidelines: AACN Scope and Standards for Acute Care Nurse Practitioner Practice Linda Bell, 2017-10-31 AACN publication designed to describe and measure the expected level of practice and professional performance for acute care nurse practitioners. |
| adult gerontology acute care practice guidelines: Care of the Acutely Ill Adult Fiona Creed, Christine Spiers, 2020-10-08 Care of the Acutely Ill Adult equips all nurses with the knowledge and skills to care for deteriorating patients in the clinical environment. With its unique system-based approach, this key book emphasizes systematic assessment, careful monitoring, and timely escalation, and is essential reading for all nurses working in acute care settings. |
| adult gerontology acute care practice guidelines: Family Nurse Practitioner Certification Intensive Review Maria T. Codina Leik, 2013-08-12 Print+CourseSmart |
| adult gerontology acute care practice guidelines: Evidence-Based Geriatric Nursing Protocols for Best Practice Marie Boltz, PhD, RN, GNP-BC, FGSA, FAAN, Elizabeth Capezuti, PhD, RN, FAAN, Terry T. Fulmer, PhD, RN, FAAN, DeAnne Zwicker, DrNP, APRN, BC, 2016-03-28 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 |
| adult gerontology acute care practice guidelines: Nurse Practitioner Certification Exam Prep Margaret A. Fitzgerald, 2020-12-04 Start preparing for your future…today! Develop the test-taking skills you need to prepare for your certification examination and build the knowledge base you need to successfully enter practice. Begin with high-yield content reviews of must-know disorders; then quiz yourself with questions reflecting those found on the ANCC and AANP certification examinations. More than 2,500 questions with detailed rationales for both correct and incorrect responses to help you hone your diagnostic and treatment reasoning skills. Looking for more NP certification resources? Boost your chances for success with Family Practice and Adult-Gerontology Primary Care Nurse Practitioner Certification Examination. Purchase both books together for a discounted price. A must have for FNP study!! “My most valuable asset for FNP study! I used this throughout my FNP program and highly recommend it! Fitzgerald uses easy to learn concepts and helps you to remember key concepts necessary to practice! Passed my AANP on my first attempt!”—Brandee, Online Reviewer This book is amazing. Not only did it help me pass my... “certification on the first try, but has also become my trustworthy resource in practice.”—Rob, Online Reviewer Great material not just to review for certification boards “Great material not just to review for certification boards, but also FNP students looking for short summaries of key information.” —James D., Online Reviewer |
| adult gerontology acute care practice guidelines: Family Practice Guidelines Jill C. Cash, MSN, APN, FNP-BC, Cheryl A. Glass, MSN, APRN, WHNP-BC, 2010-11-18 Named a 2013 Doody's Core Title! This is a wonderful book for both novice and experienced physician assistants and nurse practitioners. This latest edition will see frequent use in your daily practice.Score: 100, 5 stars--Doody's Medical Reviews This textbook provides comprehensive coverage of primary care disorders in an easy-to-read format and contains invaluable step-by-step instructions for evaluating and managing primary care patients. . . [It] belongs in every NP and PA's reference library. I highly recommend this wonderful textbook. Maria T. Leik, MSN, FNP-BC, ANP-BC, GNP-BC President, National ARNP Services, Inc. Family Practice Guidelines is an excellent resource for the busy clinician. It offers succinct, comprehensive information in an easy format that is particularly useful for quick reference. This text is useful for general practice settings as well as specialty care. Anne Moore, APN; WHNP/ANP-BC; FAANP Vanderbilt University The second edition of Family Practice Guidelines is a comprehensive resource for clinicians, presenting current national standard of care guidelines for practice, in addition to select 2011 guidelines. This clinical reference features detailed physical examination and diagnostic testing, information on health promotion, guidelines of care, dietary information, national resources for patient use, and patient education handouts all in one resource. This revised edition features guidelines for 246 disorders, each containing clearly outlined considerations for pediatric, pregnant, and geriatric patients. It also presents 18 procedures commonly performed in the clinical setting, including bedside cystometry, hernia reduction, neurological examination, and more. Patient Teaching Guides are also provided, and are designed to be given directly to patients as take home teaching supplements. Additionally, the book contains four appendices with guidelines on normal lab values, procedures, sexual maturity stages, and teeth. New to this Edition: Select 2011 guidelines Over 17 new protocols including: ADD/ADHD, Menopause, Migraine, Chronic Kidney Disease in Adults, Obesity/Gastric Bypass, and more Completely updated Patient Teaching Guides, including a new entry on Anticoagulation Therapy for Patients with AFib, to tear out and send home with patients Addition of consultation and referral recommendations New chapter presenting Pain Management Guidelines for acute and chronic pain Completely updated national treatment guidelines |
| adult gerontology acute care practice guidelines: Restorative Care Nursing for Older Adults Barbara Resnick, PhD, CRNP, FGSA, FAANP, FAAN, 2004-07-28 The purpose of restorative care nursing is to take an active role in helping older adults maintain their highest level of function, thus preventing excess disability. This book was written to help formal and informal caregivers and administrators at all levels to understand the basic philosophy of restorative care, and be able to develop and implement successful restorative care programs. The book provides a complete 6-week education program in restorative care for caregivers, many suggestions for suitable activities, and practical strategies for motivating both older adults and caregivers to engage in restorative care. In addition, the book provides an overview of the requirements for restorative care across all settings, the necessary documentation, and ways in which to complete that documentation. |
| adult gerontology acute care practice guidelines: ACUTE & CRITICAL CARE NURSE PRACTITIONER: CASES IN DIAGNOSTIC REASONING Suzanne M. Burns, Sarah A. Delgado, 2015-11-22 The ultimate, case-based guide for learning and teaching the art of diagnostic reasoning for acute and critical care nurse practitioners Written by experienced nurse practitioners working in acute and critical care settings,and endorsed by the American Association of Critical-Care Nurses (AACN), Acute & Critical Care Nurse Practitioner:Cases in Diagnostic Reasoning presents a wide range of acute and critical care patient cases focusing on diagnosis and management. This authoritative book is designed to help nurse practitioners and students learn how to proceed from a broad differential diagnosis to a specific management plan through expert analysis of patient data. While reconstructing the course of real-life clinical cases, the authors “think out loud” and reveal how they identify pertinent positives and significant negatives to support or refute items on their differential diagnoses list, and further incorporate laboratory and diagnostic testing results to establish a medical diagnosis. Each case includes a description of the management for the identified diagnosis. INCLUDES: · 71 cases based on real-life clinical scenarios · Analysis questions and case discussions to enable learners to actively participate ininductive and deductive reasoning · Cases that can be used to support course work, certification review, and job training The first of its kind, Acute & Critical Care Nurse Practitioner: Cases in Diagnostic Reasoning is an essential learning and teaching resource for students, clinicians, and clinical faculty to master the art of diagnostic reasoning. |
| adult gerontology acute care practice guidelines: Clinical Decision Making for Adult-Gerontology Primary Care Nurse Practitioners Thanavaro, Karen S. Moore, 2016-03-15 « Clinical Decision Making for Adult-Gerontology Primary Care Nurse Practitioners provides a systematic approach to clinical decision making for a wide variety of commonly encountered primary care issues in adult and geriatric practice. Unlike other textbooks, it details a progressive approach to handling such issues by focusing on the complete visit from history intake through management and follow-up care. The goal of this text is to enable students to learn a systematic approach to clinical problems and use evidence-based guidelines to direct their management decisions. Designed for both the student and the newly practicing NP, this text serves as a guide to increase the practioner's confidence with the application of assessment skills, diagnostic choices, and management approaches. Throughout the text students will find guidelines for the adult-gerontology nurse practitioner role as well as a real-life case studies that demonstrate what an NP may encounter in the clinical practice environment. The text is written at an application level, employs up-to-date evidence-based literature, and features practice questions-all of which make this a strong resource for certification preparation. »-- |
| adult gerontology acute care practice guidelines: Adult-Gerontology Acute Care Nurse Practitioner Exam Practice Questions: NP Practice Tests & Exam Review for the Nurse Practitioner Exam Exam Secrets Test Prep Staff Np, 2018-04-11 ***Your #1 Adult-Gerontology Acute Care Nurse Practitioner Practice Test Resource*** |
| adult gerontology acute care practice guidelines: Formulating a Differential Diagnosis for the Advanced Practice Provider Jacqueline Rhoads, PhD, APRN-BC, CNL-BC, PMHNP-BE, FAANP, Julie C. Penick, PhD, DNP, MSN, FNP, 2017-11-17 Praise for the First Edition: “Developing a comprehensive differential diagnosis for a specific complaint is a daunting task even for experienced advanced practice nurses. This user-friendly clinical guide provides a strategy and standard format for working through this complex task. It is a wonderful tool for both students and new advanced practice nurses...” -- 5 stars, Doody’s This easy-access clinical guide to over 70 commonly seen symptoms, written for advanced practice provider (APP) students and new practitioners, describes a step-by-step process for obtaining a reliable patient history, choosing the appropriate physical exam, and using the patient history and physical exam findings to form a differential diagnosis. The second edition continues to include the case study approach, and is updated to incorporate 22 new symptoms along with contributions by a new editor, who is a leader in holistic health. The guide is distinguished by several unique features including focused patient history questions and responses, Physical Exam Findings, a Differential Diagnosis Table (clearly comparing potential diagnostic choices based on symptoms), a Diagnostic Examination table (including estimated costs and codes), and a Case Study Summary highlighting the critical thinking process. Symptoms are presented alphabetically in a systematic, unfolding case study approach and include chief complaint, presenting history, past history, and explicit methodology for determining correct diagnosis. Key Features: Describes over 70 (22 new to the second edition) commonly presented symptoms with unfolding case scenarios Offers a step-by-step approach to building clinical decision-making skills Provides quick access to differential diagnosis, requisite diagnostic tests, and clinical-decision making Guides APP students and novice practitioners in conducting a problem-focused history and examination Includes unique Differential Diagnosis tables and Diagnostic Examinations tables that help clarify strategies for diagnostic decision making |
| adult gerontology acute care practice guidelines: Adult-Gerontology Acute Care Nurse Practitioner Exam Review Plus Practice Questions Anthony M. Angelow, F.A. Davis, 2021-12 This book is not meant to be a comprehensive text. Instead, it reviews the most common concepts, diagnoses, and conditions found in clinical practice and the AGACNP certification examination. This book features a review of the material, practice questions, and evidence-based knowledge building in the form of rationales to correct and incorrect answer choices. Furthermore, this book has quick hints that appear in boxes throughout the text to enhance essential aspects of the material and provide additional test-taking strategies-- |
| adult gerontology acute care practice guidelines: Geriatric Practice Audrey Chun, 2019-10-29 This book serves as a comprehensive reference for the basic principles of caring for older adults, directly corresponding to the key competencies for medical student and residents. These competencies are covered in 10 sections, each with chapters that target the skills and knowledge necessary for achieving competency. Each of the 45 chapters follow a consistent format for ease of use, beginning with an introduction to the associated competency and concluding with the most salient points for mastery. Chapters also includes brief cases to provide context to the clinical reasoning behind the competency, strengthening the core understanding necessary to physicians of the future. Written by expert educators and clinicians in geriatric medicine, Geriatric Practice is key resource for students in geriatric medicine, family and internal medicine, specialties, hospice and nursing home training, and all clinicians studying to work with aging patients. |
| adult gerontology acute care practice guidelines: Adult and Family Nurse Practitioner Certification Examination Jill E. Winland-Brown, Lynne M. Hektor Dunphy, 2009-01-01 The authors provide some excellent tools for teaching a venipuncture class though small, is complete in its coverage of topics related to phlebotomy. The unit on blood collection and venipuncture equipment is very thorough. . . Respiratory Care, review of the 1st Edition.Perfect for intensive one- or two-day phlebotomy courses! This user-friendly text concentrates on the crucial skills of blood specimen collection. . . making it a cost-effective, compact learning tool for cross training and continuing education. |
| adult gerontology acute care practice guidelines: Acute Care for Elders Michael L. Malone, Elizabeth A. Capezuti, Robert M. Palmer, 2014-07-21 Acute Care for Elders (ACE) is a model of care designed to improve functional outcomes and to improve the processes for the care of older patients. This model includes: an environment of care designed to promote improved function for older patients; an interdisciplinary team that works together to identify/address the vulnerabilities of the older patients; nursing care plans for prevention of disability; early planning to help prepare the patient to return home and a review of medical care to prevent iatrogenic illness. Acute Care for Elders: A Model for Interdisciplinary Care is an essential new resource aimed at assisting providers in developing and sustaining an ACE program. The interdisciplinary approach provides an introduction to the key vulnerabilities of older adults and defines the lessons learned from the Acute Care for Elders model. Expertly written chapters describe critical aspects of ACE: the interdisciplinary approach and the focus on function. The fundamental principles of ACE described in this book will further assist hospital leaders to develop, implement, sustain and disseminate the Acute Care for Elders model of care. Acute Care for Elders: A Model for Interdisciplinary Care is of great value to geriatricians, hospitalists, advance practice nurses, social workers and all others who provide high quality care to older patients. |
| adult gerontology acute care practice guidelines: Barkley's Curriculum Review for Family Nurse Practitioners , 2015 |
| adult gerontology acute care practice guidelines: Adult-Gerontology Nurse Practitioner Certification Intensive Review, Fourth Edition MARIA T. CODINA. LEIK, 2020-12-28 Note to Readers: Publisher does not guarantee quality or access to any included digital components if book is purchased through a third-party seller. Includes 6 months' free ExamPrepConnect Digital Access with print purchase! If you are studying for the adult-gerontology primary care nurse practitioner certification exam, the highly acclaimed Adult-Gerontology Nurse Practitioner Certification Intensive Review is a must-have resource, and with interactive digital prep included with purchase, it is easier than ever to study for the AGNP exam. Lauded for its concise, well-organized format, this fourth edition has been significantly revised and updated to feature key information about the new AANPCB and ANCC certification exams, all new end-of-chapter review questions, and new full-color images. The fourth edition also features four practice tests with hundreds of new questions and rationales--800 questions in total. Extensive test-taking techniques and question dissection and analysis chapters help you identify the best clues during the problem-solving process so that you can strategically master the certification exam. Designed to help AGNP candidates boost their confidence through intensive review and high-quality questions, the fourth edition continues to provide succinct, precisely targeted need-to-know details of diseases and classic presentations you can expect to see in practice in patients across the life span. Organized by body system, chapters are consistently formatted to include Danger Signals, Normal Findings, Lab Findings, Benign Variants, and Disease Review topics. Each chapter features valuable Exam Tips and Clinical Pearls that highlight key considerations and information likely to be encountered on the exam, ideal for a last-minute refresher before test day. Ensure success by making this essential resource--praised by thousands for helping them pass their certification--a key part of your exam prep study regimen. Key Features: Includes updated information reflecting the new AANPCB and ANCC certification exams Introduces new end-of-chapter review questions to help you assess knowledge application and retention Features four practice tests with hundreds of new questions and rationales Provides a succinct and highly targeted review of diseases commonly seen in primary care, updated clinical information, all new color photos, and Exam Tips and Clinical Pearls to highlight key exam content Outlines Danger Signals, Normal Findings, Lab Findings, and Benign Variants in physical assessment of each body system Delineates strategic question-dissection techniques to simplify the problem-solving process Offers an intensive pharmacology review and review of professional issues--ethical guidelines, professional roles, reimbursement, research, evidence-based medicine and epidemiology, and cultural considerations ExamPrepConnect Features: All the high-quality content from the book Personalized study plan based on exam date 800 questions and answers with rationales--study by topic to identify your strengths and weaknesses Lessons and flashcards on key information and abbreviations Discussion board to connect with nursing exam-prep community Games to make studying fun |
| adult gerontology acute care practice guidelines: Pharmacological Considerations in Gerontology Abimbola Farinde, PhD, PharmD, Megan Hebdon, PhD, DNP, RN, NP-C, 2019-12-04 Underscores the complexity of prescribing drugs for older adults while providing state-of-the-art guidelines for safe patient care An evidence-based, quick-access reference for adult gerontology nurse practitioners and related healthcare providers, this text describes a holistic, patient-centered approach to prescribing drugs to older adults. Comprehensive yet concise writing distills timely guidance on the complexities of safely prescribing to this unique population. This book opens with physiologic changes and assessment considerations for older adults, followed by a discussion of pharmacokinetics and pharmacodynamics, then a final section on guidelines for drug selection, drug interactions, and multimorbidities. Each chapter presents information in a consistent, easy-to-read template. Patient Care Pearls alert readers to crucial information and relevant case studies with examples of inappropriate medical prescribing provide context for drug delivery. Key points and chapter summaries help reinforce information. Additional features include the provision of guidelines for psychotropic medications in LTC facilities, special considerations for frail older adults, and the role of pharmacists as a resource for other practitioners. Key Features: Decision-making guidance on prescribing practices in varied settings Discusses in depth physiological considerations including multimorbidity and polypharmacy Presents Beer’s Criteria and its implications Guidelines for psychotropic medications in LTC facilities Special considerations for frail older adults Patient Care Pearls, case studies, key points, and chapter summaries |
| adult gerontology acute care practice guidelines: Geriatric Emergency Medicine Christian Nickel, Abdelouahab Bellou, Simon Conroy, 2017-12-11 This book discusses all important aspects of emergency medicine in older people, identifying the particular care needs of this population, which all too often remain unmet. The up-to-date and in-depth coverage will assist emergency physicians in identifying patients at risk for adverse outcomes, in conducting appropriate assessment,and in providing timely and adequate care. Particular attention is paid to the commonpitfalls in emergency management andmeans of avoiding them. Between 1980 and 2013, the number of older patients in emergency departmentsworldwide doubled. Compared with younger patients, older people suffer from more comorbidities, a higher mortality rate, require more complex assessment and diagnostic testing, and tend to stay longer in the emergency department. This book, written by internationally recognized experts in emergency medicine and geriatrics, not only presents the state of the art in the care of this population but also underlines the increasing need for adequate training and development in the field. |
| adult gerontology acute care practice guidelines: Practice Guidelines for Acute Care Nurse Practitioners Thomas W. Barkley, Jr., Charlene M. Myers, 2008-11 PRACTICE GUIDELINES FOR ACUTE CARE NURSE PRACTITIONERS, 2nd Edition is the only comprehensive clinical reference tailored to the needs of advance practice nurses. With discussions of more than 230 of the most common conditions experienced by adult patients in acute care, this reference includes everything you need on a day-to-day basis. Plus, quick reference is easy with a spiral binding and content organized by body system. Each condition lists a concise outline of defining terms, incidence/predisposing factors, subject and physical examination findings, diagnostic tests, and management strategies so you can find everything you need to know quickly. Includes discussion of body systems, nutritional considerations, fluid/electrolyte imbalances, shock, trauma, gerontological concerns, professional issues, and trends in advanced practice. |
| adult gerontology acute care practice guidelines: Adult-Gerontology Acute Care Nurse Practitioner Paula McCauley, 2020-11-24 Adult-Gerontology Acute Care Nurse Practitioner: A Case-Based Approach Studying for AGACNP/DNP certification, or looking to strengthen your adult-gerontology acute care skills? Grab the know-how, support, and practical guidance you need, with Adult-Gerontology Acute Care Nurse Practitioner. This clearly written, evidenced-based guide offers best practices for providing patient- and family-centered care for young adults, older adults, and elderly patients facing complex acute and/or chronic health conditions. From foundational advanced practice knowledge and skills to informed clinical judgment, this is an indispensable reference for preparing for AGACNP/DNP certification, and a clinical road map for all adult-gerontology acute care nurse practitioners. |
| adult gerontology acute care practice guidelines: Gerontologic Nursing Annette Giesler Lueckenotte, 2000 GERONTOLOGIC NURSING provides comprehensive coverage of health promotion, gerontologic concepts and issues, and medical-surgical problems associated with the older adult. Divided into seven parts, each chapter follows a consistent organization including learning objectives, emergency boxes, client and family teaching boxes, research boxes, key points, special insights, and new health promotion and nutrition boxes. The second edition also includes a new chapter on health promotion, expanded chapters on nutrition and functional assessment, and a dedicated MERLIN which provides the student and instructor with additional up-to-date tools and resources to enhance and expand their content knowledge. (Includes a FREE MERLIN website at:www.harcourthealth.com/MERLIN/Lueckenotte/) |
| adult gerontology acute care practice guidelines: Canadian Family Practice Guidelines Jill C. Cash, MSN, APN, FNP-BC, Cheryl A. Glass, MSN, APRN, WHNP-BC, Debbie Fraser, MN, RNC-NIC, Lynn Corcoran, PhD, RN, Margaret Edwards, PhD, RN, 2019-08-15 Written specifically for the needs of family and adult nursing students, medical students, and primary care practitioners in Canada, this gold standard reference of family practice in America—named a 2013 Doody’s core title and 1st-place winner of the American Journal of Nursing book award in 2017—now provides current Canadian practice protocols for professional standards of care across the life span. Guidelines are delivered in a user-friendly, step-by-step instructional style for physical exams and diagnostic testing results in SI units; health maintenance recommendations approved by Health Canada; care guidelines including Canadian drug names and dietary information; information on culturally responsive care; and patient resources specific to Canada. Practice guidelines are organized primarily by body system and delivered in outline format for quick and easy access. Each of more than 280 disorder protocols includes definition, incidence/prevalence, pathogenesis, predisposing factors, common findings, other signs and symptoms, subjective data, physical examination, diagnostic tests, differential diagnoses, plan, follow-up, consultation/referral, and individual considerations. Also included are numerous Client Teaching Guides in PDF format for customization and downloading. Abundant references are specific to the Canadian health care system. Key Features: Presents over 280 guidelines in consistent outline format Provides Canadian routine health maintenance guidelines, vaccinations, and screenings for HIV and HepC Covers individual care considerations for pediatric, pregnant, and geriatric patients Offers numerous Client Teaching Guides in digital format for clients to take home |
| adult gerontology acute care practice guidelines: WHO Global Report on Falls Prevention in Older Age World Health Organization, 2008 The WHO Falls Prevention for Active Ageing model provides an action plan for making progress in reducing the prevalence of falls in the older adult population. By building on the three pillars of falls prevention, the model proposes specific strategies for: 1. Building awareness of the importance of falls prevention and treatment; 2. Improving the assessment of individual, environmental, and societal factors that increase the likelihood of falls; and 3. For facilitating the design and implementation of culturally appropriate, evidence-based interventions that will significantly reduce the number of falls among older persons. The model provides strategies and solutions that will require the engagement of multiple sectors of society. It is dependent on and consistent with the vision articulated in the WHO Active Ageing Policy Framework. Although not all of the awareness, assessment, and intervention strategies identified in the model apply equally well in all regions of the world, there are significant evidence-based strategies that can be effectively implemented in all regions and cultures. The degree to which progress will be made depends on to the success in integrating falls prevention strategies into the overall health and social care agendas globally. In order to do this effectively, it is necessary to identify and implement culturally appropriate, evidence-based policies and procedures. This requires multi-sectoral, collaborations, strong commitment to public and professional education, interaction based on evidence drawn from a variety of traditional, complementary, and alternative sources. Although the understanding of the evidence-base is growing, there is much that is not yet understood. Thus, there is an urgent need for continued research in all areas of falls prevention and treatment in order to better understand the scope of the problem worldwide. In particular, more evidence of the cost-effectiveness of interconnections is needed to develop strategies that are most likely to be effective in specific setting and population sub-groups. |
| adult gerontology acute care practice guidelines: Geropsychiatric Nursing Mildred O. Hogstel, 1995 This timely reference provides a comprehensive overview of geropsychiatric nursing focusing on the mental health problems, needs, and special care of clients age 65 and older. While presenting an essential theoretical base, the book also emphasizes wellness and focuses on assessment and intervention strategies needed by nurses who care for older adults with mental disorders in acute care, home, and long-term care settings. |
| adult gerontology acute care practice guidelines: The Future of Nursing Institute of Medicine, Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine, 2011-02-08 The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing. |
| adult gerontology acute care practice guidelines: Gerontological Nursing: Competencies for Care Kristen L. Mauk, 2010-10-25 Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition. Gerontological Nursing: Competencies for Care, Second Edition is a comprehensive and student-accessible text that offers a holistic and inter-disciplinary approach to caring for the elderly. The framework for the text is built around the Core Competencies set forth by the American Association of Colleges of Nursing (AACN) and the John A. Hartford Foundation Institute for Geriatric Nursing. Building upon their knowledge in prior medical surgical courses, this text gives students the skills and theory needed to provide outstanding care for the growing elderly population. It is the first of its kind to have more than 40 contributing authors from many different disciplines. Some of the key features include chapter outlines, learning objectives, discussion questions, personal reflection boxes, and case studies. |
| adult gerontology acute care practice guidelines: Fast Facts for the Adult-Gerontology Acute Care Nurse Practitioner Dawn Carpenter, DNP, ACNP-BC, CCRN, 2021-12-28 This quick-access orientation guide—the only one written by experienced acute care nurses—delivers all the information new AG-ACNP practitioners and students need for skilled clinical practice across the adult lifespan. Organized with a clinical system-based approach, this resource puts vital information at your fingertips with succinct, easy-to-read bullet points, diagrams, and formulas. Tables highlight diagnostic criteria and compare/contrast similar disorders and treatments along with commonly used medications, dosages, and infusions. Designed to fit into a pocket for daily use, this book is based on critical care curriculum developed by the author over 25 years, along with the wisdom of experienced nurse contributors. It includes useful tips on medication dosing, ordering diagnostic tests, documentation, and billing, and provides clinical pearls for each body system. This pocket resource will be an invaluable companion for AG-ACNP students in clinical rotation, novice AG-ACNP graduates, and experienced nurses who are working with a new patient population. Key Features: Places vital information at your fingertips for easy information retrieval in a fast-paced environment Organized in a clinical system-based approach Provides quick-access tables, diagrams, and formulas, including risk calculators Streamlines complex information into easily understandable language Compares similar diagnostic criteria for accurate diagnoses in high-acuity settings Includes evidence-based treatments for best practice and patient care |
| adult gerontology acute care practice guidelines: Adult and Family Nurse Practitioner Certification Practice Questions Amelie Hollier, 2009 |
| adult gerontology acute care practice guidelines: Clinical Rotation Manual for the Acute Care Nurse Practitioner Student Nichole Miller, 2021-09 Welcome to the Clinical Rotation Manual for the Acute Care Nurse Practitioner Student. This book is designed to prepare the Acute Care Nurse Practitioner student for those complicated and complex clinical situations you may not have yet explored fully in the didactic part of your program. When I was an Acute Care Nurse Practitioner Student myself, I recognized there were not resources specifically designed for the Acute Care Nurse Practitioner. As I began my practice and began to precept, I noticed that no new resources had been developed. And after several years of precepting nurse practitioner students, I received a lot of feedback that certain disease processes had not yet been covered in their course work, often leading to frustration and difficulty working through complex differential diagnoses during clinical rotations-- |
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Apr 9, 2014 · I was talking to a friend about a girl, and he mentioned that “She can pretty much CI anything, CIB, CIM or CID.” I’m wondering what these mean. The context was sexual …
possessives - adults’ English teacher or adult’s English teacher ...
Sep 6, 2019 · Use a noun adjunct. "I am an adult English teacher." It still has ambiguity, namely whether you are an adult who teaches English or whether you teach English to adults, but my …
Referring to adult-age sons and daughters as children
Dec 21, 2012 · "adult children" is sometimes used in contexts where age is important, such as a form requiring someone to list all children under 18 and all adult children living with them. And …
Specific word for "grown-up children"? [duplicate]
Mar 5, 2014 · There is a group the ACA (Adult Children of Alcoholics) whose website is adultchildren.org So, this is definitely a common usage. – David M Commented Mar 4, 2014 at …
single word requests - English Language & Usage Stack Exchange
From the Wikipedia entry for 'young adult': A young/prime adult, according to Erik Erikson's stages of human development, is generally a person between the age of 20 - 40, whereas an …
Use of 'as per' vs 'per' - English Language & Usage Stack Exchange
Similarly, cops cop: instead of "a man" we find employed "an adult male individual". Tinhorns have to blow hard--such is the nature of tin--and so come to be known as blowhards. *"per" is here …
What do you call a person who has a relationship with a much …
Aug 20, 2015 · Stack Exchange Network. Stack Exchange network consists of 183 Q&A communities including Stack Overflow, the largest, most trusted online community for …
Can "Mr", "Mrs", etc. be used with a first name?
Jan 7, 2012 · As Mr. England's post indicates, common usage dictates the rules, not the other way around. And in the South, this is very common and accepted. It can be a bit rude (or at …
How offensive is it to call someone a "slag" in British English?
One more colorful slang term I gleaned from the British movie I recently watched is slag. In the movie, it was used in curses like, "Fuck-ing dogs! Slags." "Right slag, that one." Now I know via
问问前辈们，有什么适合打R18mod的steam游戏吗？ - 知乎
知乎，中文互联网高质量的问答社区和创作者聚集的原创内容平台，于 2011 年 1 月正式上线，以「让人们更好的分享知识、经验和见解，找到自己的解答」为品牌使命。知乎凭借认真、专业 …
abbreviations - What do CI, CIM, CID, CIB mean? - English …
Apr 9, 2014 · I was talking to a friend about a girl, and he mentioned that “She can pretty much CI anything, CIB, CIM or CID.” I’m wondering what these mean. The context was sexual …
possessives - adults’ English teacher or adult’s English teacher ...
Sep 6, 2019 · Use a noun adjunct. "I am an adult English teacher." It still has ambiguity, namely whether you are an adult who teaches English or whether you teach English to adults, but my …
Referring to adult-age sons and daughters as children
Dec 21, 2012 · "adult children" is sometimes used in contexts where age is important, such as a form requiring someone to list all children under 18 and all adult children living with them. And …
Specific word for "grown-up children"? [duplicate]
Mar 5, 2014 · There is a group the ACA (Adult Children of Alcoholics) whose website is adultchildren.org So, this is definitely a common usage. – David M Commented Mar 4, 2014 at …
single word requests - English Language & Usage Stack Exchange
From the Wikipedia entry for 'young adult': A young/prime adult, according to Erik Erikson's stages of human development, is generally a person between the age of 20 - 40, whereas an …
Use of 'as per' vs 'per' - English Language & Usage Stack Exchange
Similarly, cops cop: instead of "a man" we find employed "an adult male individual". Tinhorns have to blow hard--such is the nature of tin--and so come to be known as blowhards. *"per" is here …
What do you call a person who has a relationship with a much …
Aug 20, 2015 · Stack Exchange Network. Stack Exchange network consists of 183 Q&A communities including Stack Overflow, the largest, most trusted online community for …
Can "Mr", "Mrs", etc. be used with a first name?
Jan 7, 2012 · As Mr. England's post indicates, common usage dictates the rules, not the other way around. And in the South, this is very common and accepted. It can be a bit rude (or at …
How offensive is it to call someone a "slag" in British English?
One more colorful slang term I gleaned from the British movie I recently watched is slag. In the movie, it was used in curses like, "Fuck-ing dogs! Slags." "Right slag, that one." Now I know via
问问前辈们，有什么适合打R18mod的steam游戏吗？ - 知乎
知乎，中文互联网高质量的问答社区和创作者聚集的原创内容平台，于 2011 年 1 月正式上线，以「让人们更好的分享知识、经验和见解，找到自己的解答」为品牌使命。知乎凭借认真、专业 …
