P o l i c i e s a n d P r o c e d u r e s f o r I n f u s i o n T h e r a p y o f t h e O l d e r A d u l t
Many older adults require infusion therapy for medical management of a variety
of conditions or diseases. When caring for this special patient population, it’s
important to understand physiologic changes that occur as a result of the aging
process, and the potential effects those changes may have on infusion-related
outcomes. Awareness of clinical implications associated with infusion therapy
interventions will enable accommodation for any special infusion care needs of
the older adult patient.
This third edition of Policies and Procedures for Infusion Therapy of the Older Adult
aligns with the Infusion Nurses Society’s (INS’) 2016 Infusion Therapy Standards
of Practice (the Standards) and serves as a guide to clinical practice. The format
for this edition has been expanded. Not only does it include the policy (which
defines a course and purpose of an action) and the procedure (the steps to be
taken), it also offers new sections on key points, assessment, patient/caregiver
education, and home care/alternative site implications. While there are areas of
care, such as infusion-related complications and infusion therapies, that don’t fit
the typical policy and procedure format, their inclusion was deemed important
because they have a direct impact on the delivery of infusion care. And where ­
applicable, a section introduction, “Considerations for the Older Adult,” has
been added throughout to emphasize the needs of the older adult patient.
The basis of this revision’s content is Policies and Procedures for Infusion Therapy,
5th edition, which incorporates the updates and robust research contained in
the 2016 Standards. A bibliography accompanies each policy and procedure as
a ­ resource for readers seeking more information. Since the Standards was the ­
primary reference for development of the policies and procedures, individual
standards are not cited in each section’s bibliography in order to minimize ­
I want to recognize and thank the following nurses for their thoughtful reviews
and input: Cynthia Brown, MSN, ARNP, GNP-BC, CRNI®; and Mary Walsh,
INS believes that better patient outcomes result when there is consistency in
practice. Incorporating practices from Policies and Procedures for Infusion Therapy
of the Older Adult provides the framework to do just that.
Mary Alexander, MA, RN, CRNI®, CAE, FAAN
Chief Executive Officer, Infusion Nurses Society
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