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Nursing Considerations in General Evaluation, Risk Management, and Goals of Care

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Geriatric Trauma and Acute Care Surgery

Abstract

Nursing care of geriatric trauma patients calls for integration of knowledge and skills and an understanding of optimal interdisciplinary approaches to patient management. This chapter describes elements of care from a nursing perspective that are unique to injured older adults. The introduction focuses on person-centered care and care of patients with chronic conditions who are at risk for repeat falls. The section on general evaluation and risk assessment focuses of the prevalence physical frailty among this population and the need for early risk assessment and intervention. A final section on goals of care expands on the needs of older adults related to maximizing physical and cognitive function during hospitalization, maximizing independence at discharge, and transitions of care, including the importance of geriatric palliative care. Throughout the chapter, we emphasize the need to recognize the field of geriatric trauma as a distinct entity with unique needs.

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Author information

Authors and Affiliations

  1. Assistant Professor, Vanderbilt University School of Nursing, Nashville, TN, USA

    Cathy A. Maxwell Ph.D., R.N.

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  1. Cathy A. Maxwell Ph.D., R.N.
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Correspondence to Cathy A. Maxwell Ph.D., R.N. .

Editor information

Editors and Affiliations

  1. Allegheny General Hospital, Former Director of trauma, Pittsburgh, Pennsylvania, USA

    Aurelio Rodriguez

  2. Suite 202, Lehigh Valley Health Network Suite 202, Allentown, Pennsylvania, USA

    Robert. D Barraco

  3. Virginia Commonwealth University, RICHMOND, Virginia, USA

    Rao R. Ivatury

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Maxwell, C.A. (2018). Nursing Considerations in General Evaluation, Risk Management, and Goals of Care. In: Rodriguez, A., Barraco, R., Ivatury, R. (eds) Geriatric Trauma and Acute Care Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-57403-5_43

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  • DOI: https://doi.org/10.1007/978-3-319-57403-5_43

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  • Online ISBN: 978-3-319-57403-5

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