Opioid misuse in older adults is an underappreciated and growing problem. Among patients aged 65 and older, the number of opioid-related emergency department visits doubled from 18,100 in 2010 to 36,200 visits in 2015.
In the geriatric population, fragility fractures are common and cause immense morbidity and mortality. Poor outcomes have led to the development and implementation of specific geriatric hip fracture protocols that focus on Rapid Surgical Intervention (RSI).
Many assert expanding the scope of practice (SOP) for advanced practice registered nurses (APRNs) in primary care would have cost benefits to patients, public, local business community, and state. However, very few studies have truly quantified these cost savings in a methodologically rigorous way.
Nurses have the capacity to improve patient care quality, cost, and safety. The generalist training of the Clinical Nurse Leadersm (CNL) positions the nurse well for clinical leadership at the microsystem and mesosystem levels.
Components of nursing home (NH) culture change include resident centeredness, empowerment, and home likeness, but practices reflective of these components may be found in both traditional and culture change NHs.