Overview

In increasing numbers, geriatric patients are being treated in intensive and critical care, as well as by trauma and emergency departments. This book is an evidence-based, best-practices guide that directs the bedside care of critically ill elders by practicing ICU nurses in an area where the care needs and issues differ from those of younger adults. The elderly present special clinical challenges, since concomitant diseases complicate their management. The clinical section discusses major disorders arising in elder care, explains how to isolate the problem, and offers evidence-based practice suggestions and guidelines. The book also provides practical guidance on how to approach such complex management issues. Additionally, the book explores social and ethical issues that often arise when managing critically ill elders, such as the appropriateness of ICU treatment. It includes: evidence-based discussions of the key clinical problems faced by elderly patients in the critical care setting; a concise, but thorough review of nursing assessment methods; approaches that stress holistic treatment for elderly patients; tables and figures that summarize key concepts and protocols in the treatment and management of patients; and, discussion of social and public policy issues.

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9780826110961

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Marquis D. Foreman, PhD, RN, FAAN, is the John L. and Helen Kellogg dean of nursing at Rush University Medical Center, Chicago, Illinois. Koen Milisen, PhD, RN, is an Associate Professor of Geriatric Nursing at the Centre for Health Services and Nursing Research, Katholieke Universiteit Leuven (Belgium), a Clinical Nurse Specialist at the Division of Geriatric Medicine at the University Hospitals of Leuven (Belgium), President of the Flemish Center of Expertise for Falls Prevention, and President of the European Nursing Academy for Care of Older Persons. Terry Fulmer, PhD, RN, FAAN, is the President of the John A. Hartford Foundation in New York City, a foundation dedicated to improving the care of older adults. Established in 1929, the Foundation has a current endowment of more than half a billion dollars. She serves as the chief strategist for the Foundation, and her vision for better care of older adults is catalyzing the Age-Friendly Health Systems social movement. She is an elected member of the National Academy of Medicine and served on the independent Coronavirus Commission for Safety and Quality in Nursing Homes established to advise the Centers for Medicare and Medicaid Services. She previously served as Distinguished Professor and Dean of Health Sciences at Northeastern University. Prior, she served as the Erline Perkins McGriff Professor and Founding Dean of the New York University College of Nursing. She received her bachelor's degree from Skidmore College, her master's and doctoral degrees from Boston College, and her Geriatric Nurse Practitioner Post-Master's Certificate from New York University. She completed a Brookdale National Fellowship and is the first nurse to have served on the board of the American Geriatrics Society. She is also the first nurse to have served as President of the Gerontological Society of America, which awarded her the 2019 Donald P. Kent Award for exemplifying the highest standards for professional leadership in the field of aging. Dr. Fulmer is nationally and internationally recognized as a leading expert in geriatrics. She is known for conceptualization and development of the Age-Friendly Health Systems movement and the national Nurses Improving Care for Healthsystem Elders (NICHE) program, as well as for her research on the topic of elder abuse and neglect, which has been funded by the National Institute on Aging and the National Institute of Nursing Research. She is a Trustee for the Josiah Macy Jr. Foundation, Springer Publishing Company, and the Bassett Healthcare System and is a Member of the Reimagining Long-Term Care Task Force in New York State and a member of the National Academy of Medicine's Forum on Aging, Disability, and Independence. Dr. Fulmer also serves as Vice Chair of the Department of Veterans Affairs Special Medical Advisory Group. She was the Chair of the National Advisory Committee for the Robert Wood Johnson Foundation Executive Nurse Fellows Program and held board positions at Skidmore College, the Institute for Healthcare Improvement, the Geriatrics and Gerontology Advisory Committee for the U.S. Department of Veterans Affairs, and the Advisory Board for Hong Kong Polytechnic University School of Nursing. She is one of the top 50 Influencers in Aging by PBS's Next Avenue, the premier digital publication dedicated to covering issues for older Americans. Dr. Fulmer is the recipient of prestigious awards, including the American Society on Aging's 2017 Rosalie S. Wolf Award for her body of work on elder abuse. In 2016, she received the 2016 Award for Exceptional Service to The New York Academy of Medicine for her distinguished service on the Academy's Board of Trustees, including as vice-chair, and for her active engagement in the policy work of the Academy, especially its Age-Friendly NYC initiative. She has been honored with invitations for named lectureships from noted universities. She has held faculty appointments at Columbia University, where she was the Anna C. Maxwell Chair in Nursing, and she has also held appointments at Boston College, Yale University, and the Harvard Division on Aging at Harvard Medical School. She has served as a visiting professor of nursing at the University of Pennsylvania and Case Western Reserve University. She is a Distinguished Practitioner of the National Academies of Practice and is currently an attending nurse at Mount Sinai Medical Center in New York City. Her clinical appointments have included the Beth Israel Hospital in Boston, the Massachusetts General Hospital, and the NYU Langone Medical Center. She is a Fellow of the American Academy of Nursing, the Gerontological Society of America, and the New York Academy of Medicine, where she served as vice-chair. She has authored more than 150 peer-reviewed papers and edited 23 books.

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