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Author Shippee-Rice, Raelene V
Title Gerioperative Nursing Care : Principles and Practices of Surgical Care for the Older Adult
Imprint New York : Springer Publishing Company, 2011
©2012
book jacket
Descript 1 online resource (626 pages)
text txt rdacontent
computer c rdamedia
online resource cr rdacarrier
Note Gerioperative Nursing Care Principles and Practices of Surgical Care for the Older Adult -- Half Title -- About the Author -- Title Page -- Copyright -- Table of Contents -- Contributing Authors -- Illustrators -- Foreword -- Preface -- Acknowledgments -- Part I. Introduction to Gerioperative Care -- Chapter I. Gerioperative Demographics -- Demograhy of Aging -- Aging of the Oldest Old -- Aging in Men and Women -- Aging in Racial and Ethnic Populations -- Aging and Chronic Disease -- Aging and Health Care -- Aging and the Demand for Surgical Care -- Aging and Surgical Care -- Summary -- Key Points -- Chapter II. Introduction to Gerioperative Care -- Gerioperative Care -- Key Elements of Gerioperative Care -- Assessment -- Risk Identification -- Primary and Secondary Prevention -- Care Transitions -- Gerioperative Facilitated Care -- Uniqueness of Gerioperative FAcilitated Care -- Gerioperative Facilitated Care Team -- Core Principles -- Impact -- Structure -- Gerioperative Care Facilitator -- Gerioperative Companion-Coach -- Gerioperative Facilitated Care Practice Model -- Comfort Theory -- Best Practice -- Relationship-Centered Care -- Evaluation Gerioperative Facilitated Care -- Access to the Gerioperative Care Facilitator -- Related Transitional Care Models -- Summary -- Key Points -- Chapter III. Gerioperative Practice Standards and Quality Care -- Professional Practice Standards -- Nursing Scope and Standards of Practice -- Nursing Clinical Specialty Standards of Practice -- Allied Health Professional Standards -- Position Statements -- Nursing Position Statements -- Practice Guidelines -- Protocols -- Order Sets -- Quality Care -- Measuring Quality Care: Clinical Indicators -- Gerioperative Care Clinical Indicators -- Nursing Quality Indicators -- Gerioperative Care Quality Indicators -- Implementing Quality Care -- Summary -- Keypoints
Chapter IV. Gerioperative Informed Consent -- Definition -- Legal Perspective -- Ethical Perspective -- Professional Standards -- Provider-Patient Communication -- Elements of Informed Consent -- Information Sufficiency -- Culture and Language -- Literacy -- Voluntary Action -- Medication Administration -- Competence and Capacity -- Informed Consent and Aging -- Decisional Support -- Gerioperative Communication and Informed Consent -- Communication -- Elements of Informed Consent and the Gerioperative Patient -- Understanding -- Capacity -- Transient Capacity -- Depression, Executive Function, and Decisional Capacity -- Provider Attitudes, Ageism and Decision Capacity -- Voluntariness -- Anesthesia, Capacity, and Informed Consent -- Preoperative Considerations -- Advance Directives -- Do Not Resuscitate -- Informed Consent for Research -- Summary -- Key Points -- Chapter V. Gerioperative Medication Safety -- Pharmacokinetics and Pharmacodynamics -- Age-Related Changes -- Comorbidity -- Adverse Drug Events -- Epidemiology -- Medication Errors -- Risk Factors -- Promoting Medication Safety -- Prescribing Cascade and Drug Underutilization -- Gerioperative Care -- Preoperative Considerations -- Preoperative Testing -- Preoperative Intervention -- Intraoperative Considerations -- Postoperative Considerations -- Intervention -- Medication Reconciliation -- Reducing Polypharmacy -- Patient-Provider Communication -- Reflective Practice -- Discharge Considerations -- Transitional Care -- System-Level Activities -- Summary -- Key Points -- Chapter VI. Gerioperative Coaching -- Definition -- Benefits -- Process of Gerioperative Coaching -- Evidence of Support Gerioperative Coaching -- Stages of Change -- Implementing Gerioperative Health Coaching -- Determining Readiness for Change -- Measuring Change Readiness and Confidence -- Ambivalence
Facilitating Change -- Feedback -- Implementing Health Coaching -- Brief Gerioperative Coaching Intervention -- Alternate Models -- Training for Health Coaching -- Summary -- Key Points -- Chapter VII. Gerioperative Assessment -- Communication -- Assessment Environment -- Assessment Elements -- Comprehensive Geriatric Assessment -- Screening Gerioperative Assessment -- Informed Consent -- Advance Directives -- Comorbid Disease -- Functional Status -- Mobility -- Cognition -- Sensory Changes -- Depression -- Pain -- Nutrition and Hydration -- Polypharmacy -- Sleep Patterns -- Smoking -- Social Support -- Home Environment -- Spiritual Support -- Patient Strengths -- Physical Examination -- Preoperative Testing -- Prevention and Intervention: Prehabilitation -- Summary -- Key Points -- Part II. Aging and Gerioperative Care -- Chapter VIII. Gerioperative Anesthesia -- Preoperative Assessment -- Anesthetic Medications -- Benzodiazepines -- Interventions -- Narcotic Medications -- Interventions -- Morhpine Sulfate -- Fentanyl -- Hydromorphone -- Meperidine -- Sufentanil -- Alfentanil -- Remifentanil -- Naloxone -- Nonopioid Pain Control -- Acetaminophen -- Nonsteroidal Anti-Inflammatory Drugs -- Ketorolac -- Induction Agents -- Propofol -- Etomidate -- Ketamine -- Methohexital, Thiopental -- Muscle Relaxants -- Succinylcholine -- Rocuronium and C isatracrium -- Interventions -- Reversal Agents -- Anticholinergic Medications -- Glycopyrolate -- Atrophine -- Inhilation Agents -- Sevoflurane -- Desflurane -- Nitrous Oxide -- Interventions -- Types of Anesthesia -- General Anesthesia -- Monitored Anesthesia Care -- Monitored Anesthesia Care Postoperative Considerations -- Total Intravenous Anesthesia -- Regional, Spinal, and Epidural Anesthesia -- Fluid Administration -- Age-Related Anesthesia Considerations -- Interventions -- Positioning -- Supine
Beach Chair -- Lithotomy -- Lateral Position -- Prone -- Fracture Bed -- Anesthesia Emergency -- Malignant Hyperthermia -- Surgical Care Improvement Project -- Summary -- Key Points -- Chapter IX. Cardiovascular -- Cardiac Considerations -- Age-Related Changes -- Heart Failure -- Coronary Artery Disease -- Valvular Heart Disease -- Cerebral Vascular Accident (Stroke ) -- Gerioperative Care -- Preoperative Considerations -- History -- Assessment -- Preoperative Testing -- Preoperative Interventions -- Intraoperative Considerations -- Postoperative Considerations -- Summary -- Key Points -- Chapter X. Renal -- Renal Considerations -- Age-Related Changes -- Renal Blood Flow -- Age-Related Changes -- Glomerular Filtration -- Age-Related Changes -- Kidney Function and Hormonal Influence -- Renin -- Age-Related Changes -- Aldosterone -- Age-Related Changes -- Atrial Naturietic Hormone -- Age-Related Changes -- Antidiuretic Hormone -- Age-Related Changes -- Parathyroid Hormone -- Age-Related Changes -- Erythropoietin -- Age-Related Changes -- Fluid and Electrolyte Balance -- Sodium -- Age-Related Changes -- Potassium -- Age-Related Changes -- Acid-Base Balance -- Age-Related Changes -- Body Water -- Age-Related Changes -- Urine Excretion -- Age-Related Changes -- Gender Differences in Voiding -- Age-Related Changes -- Continence -- Age-Related Changes -- Urinary Tract Infection -- Gerioperative Care -- Preoperative Consideratons -- History -- Physical Assessment -- Preoperative Testing -- Glomerular Filtration Rate -- Creatinine -- Blood Urea Nitrogen -- Cystatin C -- Urinalysis -- Electrolytes -- Intravenous Fluid Administration -- Intravenous Fluid Choices -- Age-Related Changes -- Vasopressors -- Age-Related Changes -- Intravenous Fluid Considerations -- Fluid Balance -- Renal Blood Flow -- Nephrotoxicity -- Postoperative Considerations
Water and Electrolyte Balance -- Renal Blood Flow -- Nephrotoxicity -- Diuretics -- Excretion -- Summary -- Key Points -- Chapter XI. Pulmonary -- Pulmonary Considerations -- Age-Related Changes -- Upper Respiratory Tract -- Age-Related Changes -- Pharynx -- Age-Related Changes -- Larynx -- Age-Related Changes -- Lower Respiratory Tract -- Trachea -- Lungs -- Elasticity, Lung Compliance, and Surface Tension -- Age-Related Changes -- Bronchial Tree and Alveoli -- Age-Related Changes -- Mechanics of Ventilation -- Age-Related Changes -- Control of Ventilation -- Age-Related Changes -- Respiratory Pressures -- Lung Volumes and Lung Capacities -- Age-Related Changes -- Pulmonary Circulation -- Age-Related Changes -- Pulmonary Processes -- Ventilation -- Diffusion -- Age-Related Changes -- Perfusion -- Age-Related Changes -- Gerioperative Care -- Preoperative Considerations -- Respiratory Comfort and Functional Status -- Health History -- Chronic Disease -- Cough and Sputum Production -- Comorbid Diseases -- Lifestyle Habits -- Medications -- Nutritional Status and Hydration -- Planning for Discharge -- Physical Assessment -- Breath Sounds -- Neurological and Neuromuscular Changes -- Preoperative Testing -- Albumin and Prealbumin -- Pulse Oximetry -- Pulmonary Function Testing -- Bronchial Challenge Testing -- Preoperative Interventions -- Prehabilitation -- Physical Exercise -- Smoking Cessation -- Managing Sputum Production -- Patient Coaching -- Epidural Analgesia -- Intraoperative Considerations -- Postoperative Considerations -- Pulmonary Compromise -- Hypoxemia and Hypoventilation -- Bronchospasm and Laryngospasm -- Aspiration -- Atelectasis -- Pneumonia -- Pulmonary Edema, Pulmonary Embolus, And Pneumothorax -- Discharge Considerations -- Summary -- Key Points -- Chapter XII. Neurological -- Neurological Considerations -- Central Nervous System
Age-Related Changes
This timely volume introduces gerioperative care, a new model of surgical care for the elderly designed to improve surgical outcomes and prevent complications through a focus on communication and relationship-centered care. It is the only book to specifically address the care of older adults undergoing surgery, providing practitioners with critical, practical, and theoretical information from the initial decision to have surgery through the first follow-up visit post-discharge. The text includes the anatomy and physiology of aging, preoperative care, intraoperative and post-anesthesia care, postoperative care, returning home, risk appraisal, education, prevention, early intervention, multidisciplinary team collaboration, and effective communication across all systems of care. Gerioperative Care is an essential resource for students and practitioners of surgical, critical/acute care, and geriatric nursing, along with clinical and case managers. The tools presented help to sustain and enhance quality nursing care for older adults considering surgery, undergoing surgery, and during post-surgery visits. Key Features.: Presents a comprehensive new gerioperative care model for older adults undergoing surgery; Follows patient from primary to follow up care, including hospital care, ambulatory care, emergency and elective surgery, and perioperative care; Applies primary, secondary, and tertiary care concepts to surgery; Presents innovative focus on case management, with new care guidelines; Provides new applications in preoperative training, family coaching, and post-operative cognitive dysfunction prevention; Describes how to make quality improvements in current surgical care practices; Identifies and discusses major health problems of older adults through EBP; Includes case studies with discussion questions. ;. This timely volume introduces
gerioperative care, a new model of surgical care for the elderly designed to improve surgical outcomes and prevent complications through a focus on communication and relationship-centered care. It is the only book to specifically address the care of older adults undergoing surgery, providing practitioners with critical, practical, and theoretical information from the initial decision to have surgery through the first follow-up visit post-discharge. The text includes the anatomy and physiology of aging, preoperative care, intraoperative and post-anesthesia care, postoperative care, returning home, risk appraisal, education, prevention, early intervention, multidisciplinary team collaboration, and effective communication across all systems of care. Gerioperative Care is an essential resource for students and practitioners of surgical, critical/acute care, and geriatric nursing, along with clinical and case managers. The tools presented help to sustain and enhance quality nursing care for older adults considering surgery, undergoing surgery, and during post-surgery visits. Key Features.: Presents a comprehensive new gerioperative care model for older adults undergoing surgery; Follows patient from primary to follow up care, including hospital care, ambulatory care, emergency and elective surgery, and perioperative care; Applies primary, secondary, and tertiary care concepts to surgery; Presents innovative focus on case management, with new care guidelines; Provides new applications in preoperative training, family coaching, and post-operative cognitive dysfunction prevention; Describes how to make quality improvements in current surgical care practices; Identifies and discusses major health problems of older adults through EBP; Includes case studies with discussion questions. ; SECTION I. Gerioperative Care. Overview of Gerioperative Care. Geriatric
surgery. Making the surgical decision and informed consent. Ethical and legal issues. Coaching a coach: Facilitating communication and information. SECTION II. Aging anatomy and physiology: Maintaining function. General function. Cardiovascular function. Respiratory function. Musculoskeletal function. Endocrine and hematologic function. Renal function. Neurologic and sensory function. Mental function and cognition. SECTION III. Preoperative gerioperative care. Preoperative assessment and teaching. Training for surgery. Inpatient, ambulatory and emergency surgery. SECTION IV. Intraoperative gerioperative care. Geriatric anesthesia. Care and comfort in the OR. Outcomes of regional and general anesthesia. SECTION V. Post-anesthesia and post operative gerioperative care. Facilitating transition and trajectory. Physiologic care. Managing acute and chronic pain. Restoring activity and mobility. Minimizing delirium, depression, and post operative cognitive dysfunction. SECTION VI. Post hospital gerioperative care. Discharge readiness. Home based care. The follow up visit. SECTION VII. Special Topics in Gerioperative Care. Quality improvement and gerioperative care. Education and research
Description based on publisher supplied metadata and other sources
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2020. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries
Link Print version: Shippee-Rice, Raelene V. Gerioperative Nursing Care : Principles and Practices of Surgical Care for the Older Adult New York : Springer Publishing Company,c2011 9780826104700
Subject Geriatric nursing.;Operating room nursing.;Aging -- Physiological aspects
Electronic books
Alt Author Fetzer, Susan
Long, Jennifer V
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