Table 4

Evidence-Based Strategies for Care of the Hospitalized Elder.

  • Conduct an institutional assessment of your facility to determine knowledge and awareness of principles of geriatric care and best practices.
  • Consider integrating baseline and ongoing assessment of hospitalized elders.
  • Integrate established protocols aimed at improving self-care, continence, nutrition, mobility, sleep, skin care, and cognition.
  • Conduct daily rounds with a multidisciplinary team.
  • Institute protocols to minimize adverse effects of selected procedures (e.g., urinary catherization) and medications (e.g., sedative-hypnotic agents).
  • Use environmental enhancements for elder care, including handrails, uncluttered hallways, large clocks and calendars, elevated toilet seats, and door levers.
  • Consider participation in best practice models for elder care, including Geriatric Interdisciplinary Team Training (GITT) and Nurses Improving Care of Health System Elders (NICHE).
  • Utilize established resources, including geronurseonline (www​.geronurseonline), University of Iowa Gerontological Nursing Intervention Research Center resource (http://www​.nursing.uiowa​.edu/centers/gnirc/protocols.htm), and NICHE online resources (www​.hartfordign.org/resources​/education/tryThis.html).

From: Chapter 11, Reducing Functional Decline in Hospitalized Elderly

Cover of Patient Safety and Quality
Patient Safety and Quality: An Evidence-Based Handbook for Nurses.
Hughes RG, editor.

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