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The NICHE Program provides the principles, resources and tools to stimulate a change in the culture of health care facilities and achieve patient-centered care for older adult patients. It is affordable and comprehensive, and benefits hospitals in a number of ways: Improved clinical outcomes; Positive fiscal results; Enhanced nursing competencies
The specialty has advanced significantly since the 1990s through large scale education and practice development initiatives funded by the John A. Hartford Foundation, including the Hartford Institute for Geriatric Nursing at New York University. Significant efforts to enhance nursing education have been made in the last decade. [4]
The John A. Hartford Foundation (JAHF or the Hartford Foundation) is a private United States–based philanthropy whose current mission is to improve the care of older adults. For many years, it made grants for research and education in geriatric medicine, nursing and social work. It now focuses on three priority areas: creating age-friendly ...
Comprehensive geriatric assessment (CGA) is a process used by healthcare practitioners to assess the status of people who are frail and older in order to optimize their subsequent management. These people often have complex, multiple and interdependent problems ( multimorbidity ) which make their care more challenging than in younger people, or ...
If the comprehensive geriatric care management assessment is being conducted by a registered nurse, then a physical assessment can be included such as vitals signs recording temperature, pulse, respirations, blood pressure, oxygen saturation, and sometimes FBS or RBS (fasting or random blood sugar) checks for diabetics.
Nursing assessment is the gathering of information about a patient's physiological, psychological, sociological, and spiritual status by a licensed Registered Nurse. Nursing assessment is the first step in the nursing process. A section of the nursing assessment may be delegated to certified nurses aides.
The GDS is commonly used as a routine part of a comprehensive geriatric assessment. One point is assigned to each answer and the cumulative score is rated on a scoring grid. [2] The grid sets a range of 0–9 as "normal", 10–19 as "mildly depressed", and 20–30 as "severely depressed".
She has previously been the chair of the National Advisory Committee for the Robert Wood Johnson Foundation Executive Nurse Fellows Program, [12] 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 ...