title: NICHE Recommended Care of the Critically Ill Older Adult.
abstract: Nurses Improving Care for Healthsystem Elders provides evidence-based best practices for the care of the hospitalized older adult. Older adults are a vulnerable population at greater risk of functional decline during and after hospitalization, safety concerns related to polypharmacy, ineffective pain management, and population-specific physiological responses to medications. Family members of hospitalized older adults are also vulnerable and may experience postintensive care syndrome. This manuscript explores the application of Nurses Improving Care for Healthsystem Elders standards through a case study approach to optimize patient/family-centered care of the critically ill older adult.
authors.affiliation: Education, Development and Research (Ms Giambattista and Dr Davidson), Intensive Care Unit (Mss Ruhe Porto, Barker, and Carroll and Mr Howard), University of California San Diego Health System, La Jolla, California; Nursing Education, Development & Research and Psychiatric Services, University of California San Diego Health System (Ms Pfeiffer).
authors.forename: Laura
authors.initials: L
authors.lastname: Giambattista
authors.forename: Richard
authors.initials: R
authors.lastname: Howard
authors.forename: Raquel
authors.initials: R
authors.lastname: Ruhe Porto
authors.forename: Nancy
authors.initials: N
authors.lastname: Barker
authors.forename: Dawn
authors.initials: D
authors.lastname: Carroll
authors.forename: Judith
authors.initials: J
authors.lastname: Pfeiffer
authors.forename: Judy E
authors.initials: JE
authors.lastname: Davidson
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D016638:Critical Illness / Q000451:nursing*; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D009741:Nursing Staff, Hospital; D018802:Patient-Centered Care; D020521:Stroke